WorldWideScience

Sample records for monoxide primary national

  1. 40 CFR 50.8 - National primary ambient air quality standards for carbon monoxide.

    Science.gov (United States)

    2010-07-01

    ... (CONTINUED) AIR PROGRAMS NATIONAL PRIMARY AND SECONDARY AMBIENT AIR QUALITY STANDARDS § 50.8 National primary ambient air quality standards for carbon monoxide. (a) The national primary ambient air quality standards... 40 Protection of Environment 2 2010-07-01 2010-07-01 false National primary ambient air...

  2. Foliage plants for indoor removal of the primary combustion gases carbon monoxide and nitrogen dioxide

    Science.gov (United States)

    Wolverton, B. C.; Mcdonald, R. C.; Mesick, H. H.

    1985-01-01

    Foliage plants were evaluated for their ability to sorb carbon monoxide and nitrogen dioxide, the two primary gases produced during the combustion of fossil fuels and tobacco. The spider plant (Chlorophytum elatum var. vittatum) could sorb 2.86 micrograms CO/sq cm leaf surface in a 6 h photoperiod. The golden pothos (Scindapsus aureus) sorbed 0.98 micrograms CO/sq cm leaf surface in the same time period. In a system with the spider plant, greater than or equal to 99 percent of an initial concentration of 47 ppm NO2 could be removed in 6 h from a void volume of approximately 0.35 cu m. One spider plant potted in a 3.8 liter container can sorb 3300 micrograms CO and effect the removal of 8500 micrograms NO2/hour, recognizing the fact that a significant fraction of NO2 at high concentrations will be lost by surface sorption, dissolving in moisture, etc.

  3. Variation characteristics of carbon monoxide and ozone over the course of the 2014 Chinese National Arctic Research Expedition

    Institute of Scientific and Technical Information of China (English)

    LI Bokun; BIAN Lingen; ZHENG Xiangdong; DING Minghu; XIE Zhouqing

    2015-01-01

    The concentrations of carbon monoxide and ozone in the marine boundary layer were measured during the 6th Chinese National Arctic Research Expedition (from July to September, 2014). Carbon monoxide concentration ranged between 47.00 and 528.52 ppbv with an average of 103.59 ± 40.37 ppbv. A slight decrease with increasing latitude was observed, except for the extremely high values over the East China Sea which may be attributed to anthropogenic emissions. Ozone concentration ranged between 3.27 and 77.82 ppbv with an average of 29.46±10.48 ppbv. Ozone concentration decreased sharply with increasing latitude outside the Arctic Ocean (during both the northward and the southward course), while no significant variation was observed over the Arctic Ocean. The positive correlation between carbon monoxide and ozone in most sections suggests that the ozone in the marine boundary layer mainly originated from photochemical reactions involving carbon monoxide.

  4. Carbon Monoxide Nonattainment Areas

    Data.gov (United States)

    U.S. Environmental Protection Agency — This data layer identifies areas in the U.S. where air pollution levels have not met the National Ambient Air Quality Standards (NAAQS) for Carbon Monoxide and have...

  5. Carbon Monoxide Silicate Reduction System Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The Carbon Monoxide Silicate Reduction System (COSRS) is an innovative method that for the first time uses the strong reductant carbon monoxide to both reduce iron...

  6. Carbon Monoxide Mixing Ratio System

    Data.gov (United States)

    Oak Ridge National Laboratory — The Southern Great Plains (SGP) Carbon Monoxide (CO) system provides high-precision atmospheric concentration measurements of CO mixing ratio (ppbv dry air) every 10...

  7. Controls on the microbial utilization of carbon monoxide and formic acid in Acidic Hydrothermal Springs in Yellowstone National Park

    Science.gov (United States)

    Urschel, M.; Kubo, M. W.; Hoehler, T. M.; Boyd, E. S.; Peters, J.

    2012-12-01

    In hydrothermal systems, dissolved carbon dioxide (CO2) in the presence of reduced iron-bearing minerals, such as those found in basalt, can be reduced to form formic acid (HCOOH). HCOOH can then be dehydrated in a side reaction, resulting in the generation of carbon monoxide (CO), which forms an equilibrium with HCOOH. HCOOH can also be further reduced to methane, and longer chain hydrocarbons. Geochemical measurements have demonstrated the presence of elevated concentrations of HCOOH, dissolved CO, and dissolved inorganic carbon (CO2, H2CO3), in high temperature, low pH springs in Yellowstone National Park (YNP). Likewise, a number of compounds that could potentially serve as electron acceptors (e.g. S0, SO42-, NO3-, Fe3+) in the oxidation of CO or formic acid have been detected in many of these systems. We hypothesized that the utilization of CO and HCOOH as carbon and/or energy sources is a broadly-distributed metabolic strategy in high temperature, low pH springs in YNP. To test this hypothesis, radiolabeled CO (14CO) and HCOOH (H14COOH) were used to determine rates of CO and formate oxidation activity in three hot springs in YNP ranging in temperature from 53 °C to 89 °C and pH from 2.5 to 5.3. In parallel, 16S rRNA gene sequencing and enrichment isolation techniques were employed to identify the microorganisms responsible for these activities. Our results indicate that CO and HCOOH are important sources of carbon and/or energy in high temperature, low pH hydrothermal springs in Yellowstone National Park. Rates of CO oxidation appear to be orders of magnitude lower than those of HCOOH oxidation. One possible explanation for this result is that HCOOH is preferentially utilized, consistent with thermodynamic calculations indicating that HCOOH liberates approximately 215 kJ/mol more Gibbs energy (under standard conditions) than CO when oxidized with oxygen (O2) as the electron acceptor. Redox couples of HCOOH oxidation with other electron acceptors (e.g. SO4

  8. Carbon monoxide toxicity. (Latest citations from the Life Sciences Collection database). NewSearch

    Energy Technology Data Exchange (ETDEWEB)

    1994-10-01

    The bibliography contains citations concerning the mechanism and clinical manifestations of carbon monoxide (CO) exposure, including the effects on the liver, cardiovascular, and nervous systems. Topics include studies of the carbon monoxide binding affinity with hemoglobin, measurement of carboxyhemoglobin in humans and various animal species, carbon monoxide levels resulting from tobacco and marijuana smoke, occupational exposure and the NIOSH (National Institute for Occupational Safety and Health) biological exposure index, symptomology and percent of blood CO, and intrauterine exposure. Air pollution, tobacco smoking, and occupational exposure are discussed as primary sources of carbon monoxide exposure. The effects of cigarette smoking on fetal development and health are excluded and examined in a separate bibliography. (Contains a minimum of 137 citations and includes a subject term index and title list.)

  9. Carbon monoxide toxicity. (Latest citations from the Life Sciences Collection data base). Published Search

    Energy Technology Data Exchange (ETDEWEB)

    1992-08-01

    The bibliography contains citations concerning the mechanism and clinical manifestations of carbon monoxide (CO) exposure, including the effects on the liver, cardiovascular, and nervous systems. Topics include studies of the carbon monoxide binding affinity with hemoglobin, measurement of carboxyhemoglobin in humans and various animal species, carbon monoxide levels resulting from tobacco and marijuana smoke, occupational exposure and the NIOSH (National Institute for Occupational Safety and Health) biological exposure index, symptomology and percent of blood CO, and intrauterine exposure. Air pollution, tobacco smoking, and occupational exposure are discussed as primary sources of carbon monoxide exposure. The effects of cigarette smoking on fetal development and health are excluded and examined in a separate bibliography. (Contains a minimum of 172 citations and includes a subject term index and title list.)

  10. Carbon monoxide toxicity. (Latest citations from the Life Sciences Collection database). Published Search

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-10-01

    The bibliography contains citations concerning the mechanism and clinical manifestations of carbon monoxide (CO) exposure, including the effects on the liver, cardiovascular, and nervous systems. Topics include studies of the carbon monoxide binding affinity with hemoglobin, measurement of carboxyhemoglobin in humans and various animal species, carbon monoxide levels resulting from tobacco and marijuana smoke, occupational exposure and the NIOSH (National Institute for Occupational Safety and Health) biological exposure index, symptomology and percent of blood CO, and intrauterine exposure. Air pollution, tobacco smoking, and occupational exposure are discussed as primary sources of carbon monoxide exposure. The effects of cigarette smoking on fetal development and health are excluded and examined in a separate bibliography.(Contains 50-250 citations and includes a subject term index and title list.) (Copyright NERAC, Inc. 1995)

  11. Carbon monoxide toxicity. (Latest citations from the Life Sciences Collection database). Published Search

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-10-01

    The bibliography contains citations concerning the mechanism and clinical manifestations of carbon monoxide (CO) exposure, including the effects on the liver, cardiovascular, and nervous systems. Topics include studies of the carbon monoxide binding affinity with hemoglobin, measurement of carboxyhemoglobin in humans and various animal species, carbon monoxide levels resulting from tobacco and marijuana smoke, occupational exposure and the NIOSH (National Institute for Occupational Safety and Health) biological exposure index, symptomology and percent of blood CO, and intrauterine exposure. Air pollution, tobacco smoking, and occupational exposure are discussed as primary sources of carbon monoxide exposure. The effects of cigarette smoking on fetal development and health are excluded and examined in a separate bibliography. (Contains 50-250 citations and includes a subject term index and title list.) (Copyright NERAC, Inc. 1995)

  12. Semi-coke briquettes: towards reducing emissions of primary PM2.5, particulate carbon, and carbon monoxide from household coal combustion in China

    Science.gov (United States)

    Li, Qing; Li, Xinghua; Jiang, Jingkun; Duan, Lei; Ge, Su; Zhang, Qi; Deng, Jianguo; Wang, Shuxiao; Hao, Jiming

    2016-01-01

    Direct household use of unprocessed raw coals for cooking and heating without any air pollution control device has caused serious indoor and outdoor environment problems by emitting particulate matter (PM) and gaseous pollutants. This study examined household emission reduction by switching from unprocessed bituminous and anthracite coals to processed semi-coke briquettes. Two typical stoves were used to test emission characteristics when burning 20 raw coal samples commonly used in residential heating activities and 15 semi-coke briquette samples which were made from bituminous coals by industrial carbonization treatment. The carbonization treatment removes volatile compounds from raw coals which are the major precursors for PM formation and carbon emission. The average emission factors of primary PM2.5, elemental carbon, organic carbon, and carbon monoxide for the tested semi-coke briquettes are much lower than those of the tested raw coals. Based on the current coal consumption data in China, switching to semi-coke briquettes can reduce average emission factors of these species by about 92%, 98%, 91%, and 34%, respectively. Additionally, semi-coke briquette has relatively lower price and higher burnout ratio. The replacement of raw coals with semi-coke briquettes is a feasible path to reduce pollution emissions from household activities.

  13. Carbon Monoxide Silicate Reduction System Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The Carbon Monoxide Silicate Reduction System (COSRS) is a novel technology for producing large quantities of oxygen on the Moon. Oxygen yields of 15 kilograms per...

  14. Protect Yourself from Carbon Monoxide Poisoning

    Centers for Disease Control (CDC) Podcasts

    2007-11-20

    Learn about carbon monoxide - a colorless, odorless gas - and how to protect yourself and your family.  Created: 11/20/2007 by CDC National Center for Environmental Health.   Date Released: 12/4/2007.

  15. Clinical trial on the efficacy of exhaled carbon monoxide measurement in smoking cessation in primary health care

    Directory of Open Access Journals (Sweden)

    Ripoll Joana

    2012-07-01

    Full Text Available Abstract Background Smoking cessation is beneficial for our health at any point in life, both in healthy people and in people already suffering from a smoking-related disease. Any help to quit smoking can produce considerable benefits for Public Health. The purpose of the present study is to evaluate the efficacy of the CO-oximetry technique together with brief advice in smoking cessation, in terms of reduction of the number of cigarettes or in the variation of the motivation to quit smoking at month 12 compared with brief advice alone. Methods/Design Randomised, parallel, single-blind clinical trial in a primary health care setting in Majorca (Spain. Smokers in contemplation or pre-contemplation phase will be included in the study. Exclusion criteria: Smokers in preparation phase, subjects with a terminal illness or whose health status does not allow them to understand the study or complete the informed consent, and pregnant or breastfeeding women. The subjects will be randomly assigned to the control group (CG or the intervention group (IG. The CG will receive brief advice, and the IG will receive brief advice together with a measurement of exhaled CO. There will be follow-up evaluations at 6 and 12 months after inclusion. 471 subjects will be needed per group in order to detect a difference between groups ≥ 5%. Primary outcome: sustained smoking cessation (at 6 and 12 months confirmed by urine cotinine test. Secondary outcomes: point smoking cessation at 6 and 12 months both confirmed by urine cotinine analysis and self-reported, reduction in cigarette consumption, and variation in phase of smoking cessation. Discussion CO-oximetry is an inexpensive, non-invasive, fast technique that requires little technical training; making it a technique for risk assessment in smokers that can be easily applied in primary care and, if proven effective, could serve as a reinforcement aid in smoking cessation intervention activities. Trial

  16. Carbon monoxide poisoning

    Science.gov (United States)

    ... and smokers. Carbon monoxide can harm a fetus (unborn baby still in the womb). Symptoms of carbon ... symptoms Outlook (Prognosis) Carbon monoxide poisoning can cause death. For those who survive, recovery is slow. How ...

  17. CARBON MONOXIDE TREATMENT GUIDELINES

    Directory of Open Access Journals (Sweden)

    Miran Brvar

    2014-02-01

    Full Text Available Carbon monoxide is the leading cause of unintentional poisoning-related death in Slovenia. It is an odorless, colorless gas that usually remains undetectable until exposures result in injury or death. Exposure to carbon monoxide is most commonly accompanied by headache, nausea, vomiting, dizziness, confusion, drowsiness, fatigue and collapse. Carbon monoxide poisoning management includes normobaric oxygen therapy. Hyperbaric-oxygen treatments reduce the risk of cognitive sequelae after carbon monoxide poisoning. 

  18. Carbon Monoxide Information Center

    Medline Plus

    Full Text Available ... main content Languages 简体中文 English Bahasa Indonesia 한국어 Español ภาษาไทย Tiếng Việt Text Size: Decrease Font Increase ... Monoxide Information Center Carbon Monoxide Information Center En Español The Invisible Killer Carbon monoxide, also known as ...

  19. Compact Instrument for Measurement of Atmospheric Carbon Monoxide Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Southwest Sciences proposed the development of a rugged, compact, and automated instrument for the high sensitivity measurement of tropospheric carbon monoxide...

  20. Evidence for a functional link between the heme oxygenase-carbon monoxide pathway and corticotropin-releasing hormone release from primary cultures of human trophoblast cells.

    Science.gov (United States)

    Navarra, P; Miceli, F; Tringali, G; Minici, F; Pardo, M G; Lanzone, A; Mancuso, S; Apa, R

    2001-01-01

    The gene expression and synthesis of both constitutive and inducible heme oxygenase (HO) isoforms have been recently described in human placental cells, but the functional role(s) of this biochemical pathway in placental physiology and pathology is still unclear. In the present study, we have investigated whether HO activity is involved in the control of CRH secretion from trophoblast cells. Fluctuations in HO activity were induced in primary cultures of human trophoblast cells using well-known activators and inhibitors of HO, and the subsequent changes in CRH secretion were monitored measuring CRH immunoreactivity released into the incubation medium. It was found that the increase in HO activity induced by hemin or cobalt chloride (CoCl(2)) was associated with parallel significant increases in CRH release. This effect was probably caused by the gaseous HO end-product, carbon monoxide (CO), because it was blocked by the HO inhibitor tin-mesoporphyrin-9, but it was not mimicked by stable HO end-products, biliverdin and bilirubin. We have also investigated whether stimulation of CRH release induced by HO was mediated by the cyclooxygenase (COX) pathway. Indeed, hemin also caused significant increases in PGE2 release in this experimental paradigm. However, CoCl(2), which also enhances CRH release, had no stimulatory effect and actually inhibited PG secretion; moreover, a nonselective COX inhibitor, indomethacin, failed to counteract hemininduced CRH release. Taken collectively, these findings suggested that modulation of CRH secretion by the HO-CO system occurs through a mechanism independent of COX activity.

  1. National Evaluation of the Primary Leadership Programme : Research Brief

    OpenAIRE

    Wade, Pauline; McCrone, Tami; Rudd, Peter

    2007-01-01

    This research brief presents the key findings from a national evaluation of the Primary Leadership Programme (PLP) carried out by a team at the National Foundation for Educational Research (NEFER) between 2004 and 2006. The evaluation was commissioned by the Department for Education and Skills (DfES) and included the use of case-study interviews with key personnel, surveys of school leaders and analysis of pupil examination results. KEY FINDINGS • Pupil achievement – With regard to pupil atta...

  2. The Quest for Strategic Malaysian Quality National Primary School Leaders

    Science.gov (United States)

    Ali, Hairuddin Mohd

    2012-01-01

    Purpose: The purpose of this paper is to investigate the nine-point strategic leadership characteristics of Malaysian Quality National Primary School Leaders (QNPSL) and to indicate the implications of these findings for the current educational management and leadership practices in their quest for Malaysian quality education.…

  3. Carbon Monoxide Information Center

    Medline Plus

    Full Text Available ... Estimates OCTOBER 13, 2015 Incidents, Deaths, and In-Depth Investigations Associated with Non-Fire Carbon Monoxide from Engine-Driven Generators and ... Engine-Driven Tools, 2004–2014 JANUARY 08, 2015 Non-Fire Carbon Monoxide Deaths Associated with the Use of Consumer Products 2011 Annual Estimates View All ... Inside CPSC Accessibility ...

  4. The Cuban National Healthcare System: Characterization of primary healthcare services.

    Directory of Open Access Journals (Sweden)

    Keli Regina DAL PRÁ

    2015-10-01

    Full Text Available This article presents a report on the experience of healthcare professionals in Florianópolis, who took the course La Atención Primaria de Salud y la Medicina Familiar en Cuba [Primary Healthcare and Family Medicine in Cuba], in 2014. The purpose of the study is to characterize the healthcare units and services provided by the Cuban National Healthcare System (SNS and to reflect on this experience/immersion, particularly on Cuba’s Primary Healthcare Service. The results found that in comparison with Brazil’s Single Healthcare System (SUS Cuba’s SNS Family Healthcare (SF service is the central organizing element of the Primary Healthcare Service. The number of SF teams per inhabitant is different than in Brazil; the programs given priority in the APS are similar to those in Brazil and the intersectorial nature and scope of the services prove to be effective in the resolution of healthcare problems.

  5. Carbon Monoxide Information Center

    Medline Plus

    Full Text Available ... CONSUMER PRODUCT SAFETY COMMISSION Search CPSC Search Menu Home Recalls Recall List CPSC Recall API Recall Lawsuits ... and Bans Report an Unsafe Product Consumers Businesses Home Safety Education Safety Education Centers Carbon Monoxide Information ...

  6. Carbon Monoxide Information Center

    Medline Plus

    Full Text Available ... Safety Blogs: CO Safety More CO Blogs Research & Statistics JANUARY 07, 2016 Non-Fire Carbon Monoxide Deaths ... 2011 Annual Estimates View All CO-Related Injury Statistics and Technical Reports Related Links Recalls Safety Education ...

  7. Carbon Monoxide Information Center

    Medline Plus

    Full Text Available ... On Safety Blogs: CO Safety More CO Blogs Research & Statistics JANUARY 07, 2016 Non-Fire Carbon Monoxide ... Related Links Recalls Safety Education Regulations, Laws & Standards Research & Statistics Business & Manufacturing Small Business Resources OnSafety Blogs ...

  8. Carbon Monoxide Information Center

    Medline Plus

    Full Text Available ... Community Outreach Resource Center Toy Recall Statistics CO Poster Contest Pool Safely Business & Manufacturing Business & Manufacturing Business ... Featured Resources CPSC announces winners of carbon monoxide poster contest Video View the blog Clues You Can ...

  9. Carbon Monoxide Information Center

    Science.gov (United States)

    ... and Criminal Penalties Federal Court Orders & Decisions Research & Statistics Research & Statistics Technical Reports Injury Statistics NEISS Injury Data ... On Safety Blogs: CO Safety More CO Blogs Research & Statistics JANUARY 07, 2016 Non-Fire Carbon Monoxide Deaths ...

  10. Carbon Monoxide Information Center

    Medline Plus

    Full Text Available ... Statistics JANUARY 07, 2016 Non-Fire Carbon Monoxide Deaths Associated with the Use of Consumer Products 2012 Annual Estimates OCTOBER 13, 2015 Incidents, Deaths, and In-Depth Investigations Associated with Non-Fire ...

  11. Carbon Monoxide Information Center

    Medline Plus

    Full Text Available ... Unites States die every year from accidental non-fire related CO poisoning associated with consumer products, including ... CO Blogs Research & Statistics JANUARY 07, 2016 Non-Fire Carbon Monoxide Deaths Associated with the Use of ...

  12. Carbon Monoxide Information Center

    Medline Plus

    Full Text Available ... Import Safety International Recall Guidance Civil and Criminal Penalties Federal Court Orders & ... 07, 2016 Non-Fire Carbon Monoxide Deaths Associated with the Use of Consumer Products 2012 ...

  13. Carbon Monoxide Information Center

    Medline Plus

    Full Text Available ... Unites States die every year from accidental non-fire related CO poisoning associated with consumer products, including ... CO Blogs Research & Statistics JANUARY 07, 2016 Non-Fire Carbon Monoxide Deaths Associated with the Use of ...

  14. Revitalizing the United Nations. Anticipation and Prevention as Primary Goals

    Directory of Open Access Journals (Sweden)

    Alexandra Novosseloff

    2000-12-01

    Full Text Available In tackling the on-going topic of UN reform, one should be honest with the analysis of the problems at stakes. It is necessary to first take into account the profound changes that have occurred since the end of the Cold War, as well as acknowledging the limits of an international organization and the shape of the UN system. It is only from that analysis that proposals can be made to rationalize and to make more efficient the functioning of the United Nations. What the Organization needs is not only a rationalization, it primarily needs a vision that gives it purpose and meaning. This article proposes that its primary goals should be anticipation and prevention – it should be the advanced guard and the conscience of the world. In this context, the United Nations is an indispensable and priceless instrument in international relations.

  15. Final report on COOMET.QM-S1 (COOMET project no 483/RU/09): Supplementary comparison of primary standard gas mixtures: Nitrogen monoxide in nitrogen (50 µmol/mol)

    Science.gov (United States)

    Konopelko, L. A.; Kustikov, Y. A.; Kolobova, A. V.; Shor, N. B.; Efremova, O. V.; Rozhnov, M. S.; Melnyk, D. M.; Kozia, V. G.; Shpilnyi, S. A.; Petryshyn, P. V.; Iakubov, S. E.; Kluchits, A. S.; Ananyin, V. N.; Mironchik, A. M.; Mokhnach, M. V.; Valkova, M.; Stovcik, V.; Walden, J.; Augusto, C. R.; Fioravante, A. L.; Ribeiro, C. C.; Sobrinho, D. C. G.; Oudwater, R. J.; da Cunha, V. S.

    2014-01-01

    Nitrogen monoxide is one of the main contaminants present in the atmospheric air due to emissions of vehicles and power stations. Taking into account the positive experience of VNIIM in the pilot study CCQM-P73 (Nitrogen monoxide gas standards, 30 µmol/mol to 70 µmol/mol), a COOMET project (No 483/RU/09) on the subject was decided and registered in the KCDB as supplementary comparison COOMET.QM-S1. This involved six National Metrology Institutes, aiming to consolidate or support their Calibration and Measurement Capabilities in this field. It was found that most of the results were consistent with the reference (gravimetric) values, with observed differences not exceeding ±1.3% and not exceeding either the appropriate assigned expanded uncertainties. There was, however, one exception: the INMETRO difference from the reference value is slightly higher than the expended uncertainty. The mixtures prepared for this exercise were found to be stable during about one year within the uncertainty of the measurements. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by COOMET, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  16. 40 CFR 50.16 - National primary and secondary ambient air quality standards for lead.

    Science.gov (United States)

    2010-07-01

    ... air quality standards for lead. 50.16 Section 50.16 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS NATIONAL PRIMARY AND SECONDARY AMBIENT AIR QUALITY STANDARDS § 50.16 National primary and secondary ambient air quality standards for lead. (a) The national primary...

  17. 40 CFR 50.12 - National primary and secondary ambient air quality standards for lead.

    Science.gov (United States)

    2010-07-01

    ... air quality standards for lead. 50.12 Section 50.12 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS NATIONAL PRIMARY AND SECONDARY AMBIENT AIR QUALITY STANDARDS § 50.12 National primary and secondary ambient air quality standards for lead. (a) National primary and...

  18. Optimization of the National Ignition Facility primary shield design

    Energy Technology Data Exchange (ETDEWEB)

    Annese, C.E.; Watkins, E.F.; Greenspan, E.; Miller, W.F. [California Univ., Berkeley, CA (United States). Dept. of Nuclear Engineering; Latkowski, J.; Lee, J.D.; Soran, P.; Tobin, M.L. [Lawrence Livermore National Lab., CA (United States)

    1993-10-01

    Minimum cost design concepts of the primary shield for the National Ignition laser fusion experimental Facility (NIF) are searched with the help of the optimization code SWAN. The computational method developed for this search involves incorporating the time dependence of the delayed photon field within effective delayed photon production cross sections. This method enables one to address the time-dependent problem using relatively simple, time-independent transport calculations, thus significantly simplifying the design process. A novel approach was used for the identification of the optimal combination of constituents that will minimize the shield cost; it involves the generation, with SWAN, of effectiveness functions for replacing materials on an equal cost basis. The minimum cost shield design concept was found to consist of a mixture of polyethylene and low cost, low activation materials such as SiC, with boron added near the shield boundaries.

  19. Physics and national socialism an anthology of primary sources

    CERN Document Server

    1996-01-01

    This anthology of primary sources is a collection of 121 documents in English translation portraying the role of physics, both perceived and actual, in the Nazi state. These texts were written predominantly by influential German scientists, particularly physicists, both inside and outside Germany in the period from 1933 to 1945. The semipopular articles, private correspondence, and official memoranda selected for the volume reflect the contemporary developments in science as well as the change in political climate and working conditions after the National Socialists' rise to power. The extensive annotation is clearly distinguished from the original text, and the appendix provides an aid to the reader with biographical information on the more important figures and brief outlines of frequently mentioned institutions, journals and companies. The introduction surveys the latest results in the secondary literature.   ------    (…) the envisaged audience includes not only scholars and students of science, hist...

  20. US EPA Region 9 carbon monoxide designated areas

    Data.gov (United States)

    U.S. Environmental Protection Agency — Polygon Feature class of Nonattainment Areas for Carbon Monoxide. Nonattainment areas are geographic areas which have not met National Ambient Air Quality Standards...

  1. Search of medical literature for indoor carbon monoxide exposure

    Energy Technology Data Exchange (ETDEWEB)

    Brennan, T.; Ivanovich, M.

    1995-12-01

    This report documents a literature search on carbon monoxide. The search was limited to the medical and toxicological databases at the National Library of Medicine (MEDLARS). The databases searched were Medline, Toxline and TOXNET. Searches were performed using a variety of strategies. Combinations of the following keywords were used: carbon, monoxide, accidental, residential, occult, diagnosis, misdiagnosis, heating, furnace, and indoor. The literature was searched from 1966 to the present. Over 1000 references were identified and summarized using the following abbreviations: The major findings of the search are: (1) Acute and subacute carbon monoxide exposures result in a large number of symptoms affecting the brain, kidneys, respiratory system, retina, and motor functions. (2) Acute and subacute carbon monoxide (CO) poisonings have been misdiagnosed on many occasions. (3) Very few systematic investigations have been made into the frequency and consequences of carbon monoxide poisonings.

  2. Evaluation of advanced access in the national primary care collaborative.

    Science.gov (United States)

    Pickin, Mark; O'Cathain, Alicia; Sampson, Fiona C; Dixon, Simon

    2004-05-01

    An aim of the National Primary Care Collaborative is to improve quality and access for patients in primary care using principles of Advanced Access. To determine whether Advanced Access led to improved availability of appointments with general practitioners (GPs) and to examine GPs' views of the process. Observational study. Four hundred and sixty-two general practices in England participating in four waves of the collaborative during 2000 and 2001. Regression analysis of the collaborative's monthly data on the availability of GP appointments for the 352 practices in waves 1-3, and a postal survey of lead GPs in all four waves. The main outcome measures were the change in mean time to the third available appointment with GPs, and the proportion of GPs thinking it worthwhile participating in the collaborative. The time to the third available appointment improved from a mean of 3.6 to 1.9 days, difference = 1.7 days, 95% confidence interval (CI)= 1.4 to 2.0 days. It improved in two-thirds of practices (66% [219/331]), remained the same in 16% (53/331), and worsened in 18% (59/331). The majority of GPs in all four waves, 83% (308/371, 95% CI = 79 to 87), felt that it was worthwhile participating in the collaborative, although one in 12 practices would not recommend it. One-fifth of GPs cited a lack of resources as a constraint, and some expressed concerns about the trade-off between immediate access and continuity of care. Advanced Access helped practices to improve availability of GP appointments, and was well received by the majority of practices.

  3. 40 CFR 50.4 - National primary ambient air quality standards for sulfur oxides (sulfur dioxide).

    Science.gov (United States)

    2010-07-01

    ... PROTECTION AGENCY (CONTINUED) AIR PROGRAMS NATIONAL PRIMARY AND SECONDARY AMBIENT AIR QUALITY STANDARDS § 50.4 National primary ambient air quality standards for sulfur oxides (sulfur dioxide). Link to an... applicable to all areas notwithstanding the promulgation of SO2 national ambient air quality standards...

  4. 75 FR 53267 - National Primary Drinking Water Regulations: Revisions to the Total Coliform Rule; Extension of...

    Science.gov (United States)

    2010-08-31

    ... AGENCY 40 CFR Parts 141 and 142 RIN 2040-AD94 National Primary Drinking Water Regulations: Revisions to... 30 days the public comment period for a proposed National Primary Drinking Water Regulation, the... inquiries, contact Sean Conley, Office of Ground Water and Drinking Water (MC 4607M), U.S....

  5. 75 FR 30401 - National Primary Drinking Water Regulations; Announcement of the Results of EPA's Review of...

    Science.gov (United States)

    2010-06-01

    ... AGENCY RIN 2040-AE90 National Primary Drinking Water Regulations; Announcement of the Results of EPA's Review of Existing Drinking Water Standards and Request for Public Comment and/or Information on Related... the public comment period for the National Primary Drinking Water Regulations; Announcement of...

  6. 40 CFR 50.6 - National primary and secondary ambient air quality standards for PM10.

    Science.gov (United States)

    2010-07-01

    ... air quality standards for PM10. 50.6 Section 50.6 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS NATIONAL PRIMARY AND SECONDARY AMBIENT AIR QUALITY STANDARDS § 50.6 National primary and secondary ambient air quality standards for PM10. (a) The level of the...

  7. 40 CFR 50.15 - National primary and secondary ambient air quality standards for ozone.

    Science.gov (United States)

    2010-07-01

    ... air quality standards for ozone. 50.15 Section 50.15 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS NATIONAL PRIMARY AND SECONDARY AMBIENT AIR QUALITY STANDARDS § 50.15 National primary and secondary ambient air quality standards for ozone. (a) The level of...

  8. Development of Quality Assurance System in Culture and Nation Character Education in Primary Education in Indonesia

    Science.gov (United States)

    Susilana, Rudi; Asra

    2013-01-01

    The purpose of national education is to develop skills and build dignified national character and civilization in educating nation life (Act No. 20, 2003). The paper describes a system of quality assurance in culture and character education in primary education. This study employs the six sigma model which consists of the formula DMAIC (Define,…

  9. Carbon monoxide poisoning in the United Arab Emirates.

    Science.gov (United States)

    Al Kaabi, Juma M; Wheatley, Andrew D; Barss, Peter; Al Shamsi, Mariam; Lababidi, Anis; Mushtaq, Ahmed

    2011-01-01

    Carbon monoxide (CO) poisoning is rare in the Arabian Peninsula and occurs almost exclusively during the winter months. Knowledge and perception of the hazards of carbon monoxide is limited. Migrant workers from warm climates appear particularly at risk. We investigated 46 cases of carbon monoxide poisoning presenting at emergency departments from 2007-2009 of the two main hospitals in Al Ain city, United Arab Emirates. Interviews, hospital records, and administered questionnaires were used to collect the data. Among the 46 cases investigated, 24 (52%) were males. Foreign nationals compromised 80% of the cases and the incidence was 3.1 cases per 100,000 residents per year. Burning charcoal in poorly ventilated residences was the predominant source of the carbon monoxide poisoning. Almost all cases (98%) were admitted during the winter months, most in the early morning hours. Carboxyhaemoglobin (COHb) was significantly increased in cases with loss of consciousness and depressed consciousness. There were no reported fatalities.

  10. Clinical findings confirm national guidelines regarding primary gastroscopy for upper gastrointestinal symptoms

    DEFF Research Database (Denmark)

    Rolff, Hans Christian; Simonsen, Louise Rolighed; Rosenberg, Jacob

    2011-01-01

    This study describes unsedated transnasal oesophagogastroduodenoscopy (UT-OGD) in the office setting. Evaluation of national guidelines regarding primary endoscopy for the investigation of upper gastrointestinal (GI) symptoms was also a focus of this study....

  11. Revitalizing the United Nations. Anticipation and Prevention as Primary Goals

    OpenAIRE

    Alexandra Novosseloff

    2000-01-01

    In tackling the on-going topic of UN reform, one should be honest with the analysis of the problems at stakes. It is necessary to first take into account the profound changes that have occurred since the end of the Cold War, as well as acknowledging the limits of an international organization and the shape of the UN system. It is only from that analysis that proposals can be made to rationalize and to make more efficient the functioning of the United Nations. What the Organization needs is no...

  12. Constructing a Successful Cross-National Virtual Learning Environment in Primary and Secondary Education

    NARCIS (Netherlands)

    Ligorio, Maria Beatrice; van Veen, Klaas

    2006-01-01

    Virtual environments are more and more used in primary schools. One of the most interesting potentialities of these environments is to foster cross-national applications. Yet, this specific feature is not fully exploited. This paper presents a successful virtual learning environment for primary educ

  13. Introducing National Curriculum Geography to Australia's Primary Schools: Lessons from England's Experience

    Science.gov (United States)

    Catling, Simon

    2013-01-01

    This article provides an insight into the development of primary geography since the inception of the national curriculum in England in the late 1980s. It is hoped this is informative as the "Australian Curriculum: Geography Foundation to Year 12" is introduced to and implemented in primary schools. It draws out various matters which…

  14. Constructing a Successful Cross-National Virtual Learning Environment in Primary and Secondary Education

    Science.gov (United States)

    Ligorio, Maria Beatrice; van Veen, Klaas

    2006-01-01

    Virtual environments are more and more used in primary schools. One of the most interesting potentialities of these environments is to foster cross-national applications. Yet, this specific feature is not fully exploited. This paper presents a successful virtual learning environment for primary education involving two European countries and…

  15. 40 CFR 142.19 - EPA review of State implementation of national primary drinking water regulations for lead and...

    Science.gov (United States)

    2010-07-01

    ... national primary drinking water regulations for lead and copper. 142.19 Section 142.19 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS (CONTINUED) NATIONAL PRIMARY DRINKING... implementation of national primary drinking water regulations for lead and copper. (a) Pursuant to the...

  16. 40 CFR 50.7 - National primary and secondary ambient air quality standards for PM2.5.

    Science.gov (United States)

    2010-07-01

    ... air quality standards for PM2.5. 50.7 Section 50.7 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS NATIONAL PRIMARY AND SECONDARY AMBIENT AIR QUALITY STANDARDS § 50.7 National primary and secondary ambient air quality standards for PM2.5. (a) The national primary...

  17. Expanding Global Language Education in Public Primary Schools: The National English Programme in Mexico

    Science.gov (United States)

    Sayer, Peter

    2015-01-01

    The paper examines the recent national programme of English language instruction in the Mexican public primary schools, called the "Programa Nacional de Inglés en Educación Básica" (PNIEB). The programme, initiated in 2009 by the Ministry of Education as part of the national curriculum, represents the largest expansion of English…

  18. Carbon Monoxide (CO) Poisoning Prevention

    Science.gov (United States)

    ... Recommend on Facebook Tweet Share Compartir When power outages occur after severe weather (such as winter storms, hurricanes or tornadoes), using alternative sources of power can cause carbon monoxide (CO) to build up in a ...

  19. 1 st National conference on family medicine and primary care: A journey toward stronger primary care in India

    Directory of Open Access Journals (Sweden)

    Raman Kumar

    2013-01-01

    Full Text Available Academy of Family Physicians of India organized the first National Conference on Family Medicine and Primary Care (FMPC on 20-21 April 2013 at India International Centre New Delhi. The conference was a major success towards positioning of requirement for a distinct academic discipline (family medicine within the medical and nursing education system as a means for strengthening of primary care in India. The event gained its prominence in the times when universal health coverage is being debated. A generalist approach in development of human resource prominently figured in the discussions. The deliberations and talks of the Indian as well as international experts were recorded and released as the report of national consultation on family medicine programme.

  20. Developing a Core Competency Model and Educational Framework for Primary Maternity Services: a national consensus approach.

    Science.gov (United States)

    Homer, Caroline S E; Griffiths, Marnie; Brodie, Pat M; Kildea, Sue; Curtin, Austin M; Ellwood, David A

    2012-09-01

    An appropriately educated and competent workforce is crucial to an effective health care system. The National Health Workforce Taskforce (now Health Workforce Australia) and the Maternity Services Inter-Jurisdictional Committee funded a project to develop Core Competencies and Educational Framework for Primary Maternity Services in Australia. These competencies recognise the interdisciplinary nature of maternity care in Australia where care is provided by general practitioners, obstetricians and midwives as well as other professionals. Key stakeholders from professional organisations and providers of services related to maternity care and consumers of services. A national consensus approach was undertaken using consultation processes with a Steering Committee, a wider Reference Group and public consultation. A national Core Competencies and Educational Framework for Primary Maternity Services in Australia was developed through an iterative process with a range of key stakeholders. There are a number of strategies that may assist in the integration of these into primary maternity service provider professional groups' education and practice. The Core Competencies and Educational Framework are based on an interprofessional approach to learning and primary maternity service practice. They have sought to value professional expertise and stimulate awareness and respect for the roles of all primary maternity service providers. The competencies and framework described in this paper are now a critical component of Australian maternity services as they are included in actions in the newly released National Maternity Services Plan and thus have relevance for all providers of Australian maternity services. Copyright © 2011 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

  1. 40 CFR 50.13 - National primary and secondary ambient air quality standards for PM2.5.

    Science.gov (United States)

    2010-07-01

    ... air quality standards for PM2.5. 50.13 Section 50.13 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS NATIONAL PRIMARY AND SECONDARY AMBIENT AIR QUALITY STANDARDS § 50.13 National primary and secondary ambient air quality standards for PM2.5. (a) The national...

  2. (Carbon monoxide metabolism by photosynthetic bacteria)

    Energy Technology Data Exchange (ETDEWEB)

    1989-01-01

    Research continued on the metabolism of carbon monoxide by Rhodospirillum rubrum. This report discusses progress on the activity, induction, inhibition, and spectroscopic analysis of the enzyme Carbon Monoxide Dehydrogenase. (CBS)

  3. The National Singing Programme for Primary Schools in England: An Initial Baseline Study

    Science.gov (United States)

    Welch, G. F.; Himonides, E.; Papageorgi, I.; Saunders, J.; Rinta, T.; Stewart, C.; Preti, C.; Lani, J.; Vraka, M.; Hill, J.

    2009-01-01

    The "Sing Up" National Singing Programme for primary schools in England was launched in November 2007 under the UK government's "Music Manifesto". "Sing Up" is a four-year programme whose overall aim is to raise the status of singing and increase opportunities for children throughout the country to enjoy singing as…

  4. Introducing National Tests in Swedish Primary Education: Implications for Test Anxiety

    Science.gov (United States)

    Nyroos, Mikaela; Wiklund-Hornqvist, Carola

    2011-01-01

    Introduction: The Swedish government has decided to introduce national tests in primary education. Swedish pupils in general have few tests and a recognised possible adverse effect of testing is test anxiety among pupils, which may have a negative impact on examination performance. However, there has been little research on effects of testing on…

  5. Carbon monoxide formation in tomatoes

    Energy Technology Data Exchange (ETDEWEB)

    Gladon, R.J.; Staby, G.L.

    1979-01-01

    Carbon monoxide (CO) is not emanated to any large extent from tomato fruits (Lycopersicon esculentum, Mill. cvs. Rutgers and Ohio MR-13), but is retained within the internal atmosphere. CO is found during all stages of fruit development, but no set pattern of CO concentration is evident.

  6. MOPITT Carbon Monoxide Over India

    Science.gov (United States)

    2002-01-01

    MOPITT observed high levels of carbon monoxide (red and yellow pixels) over the Indian sub-continent during March. These values are associated with industrial activity in the region just south of the Himalayan Mountains. Notice that to the north, the Himalayas are characterized by low values (blue pixels).

  7. Characteristics of primary biliary cirrhosis in British Columbia's First Nations population

    Directory of Open Access Journals (Sweden)

    Laura Arbour

    2005-01-01

    Full Text Available Primary biliary cirrhosis (PBC is a rare, autoimmune liver disorder characterized by progressive destruction of intrahepatic bile ducts, that results in portal inflammation, scarring, cirrhosis and, eventually, liver failure. Although considered rare in Canadian populations, it is the leading indication for referral for liver transplantation in British Columbia's First Nations population. Previously, an expanded review of all cases referred to the British Columbia Transplant Society for PBC was carried out comparing the demographics of those of First Nations descent with those not of First Nations descent. The review suggested that the rate of referral for transplantation was eight times higher for those of First Nations descent compared with those of other descent (P=0.0001, and a disproportionate number of the First Nations cases lived on Vancouver Island (48% of cases versus 18% expected, P<0.05. Additionally, the age of referral was significantly younger (45.9 versus 54.3 years for those of First Nations descent and there are fewer First Nations men referred (1:34 than expected. For the purpose of the present report, 28 symptomatic cases were ascertained separately and reviewed in a clinical study to delineate the features of this population.

  8. 40 CFR Appendix P to Part 50 - Interpretation of the Primary and Secondary National Ambient Air Quality Standards for Ozone

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 2 2010-07-01 2010-07-01 false Interpretation of the Primary and Secondary National Ambient Air Quality Standards for Ozone P Appendix P to Part 50 Protection of Environment... STANDARDS Pt. 50, App. P Appendix P to Part 50—Interpretation of the Primary and Secondary National...

  9. 40 CFR 50.10 - National 8-hour primary and secondary ambient air quality standards for ozone.

    Science.gov (United States)

    2010-07-01

    ... ambient air quality standards for ozone. 50.10 Section 50.10 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS NATIONAL PRIMARY AND SECONDARY AMBIENT AIR QUALITY STANDARDS § 50.10 National 8-hour primary and secondary ambient air quality standards for ozone. (a) The level...

  10. 40 CFR 50.9 - National 1-hour primary and secondary ambient air quality standards for ozone.

    Science.gov (United States)

    2010-07-01

    ... ambient air quality standards for ozone. 50.9 Section 50.9 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS NATIONAL PRIMARY AND SECONDARY AMBIENT AIR QUALITY STANDARDS § 50.9 National 1-hour primary and secondary ambient air quality standards for ozone. (a) The level...

  11. Primary prevention of neural tube defects: data from the portuguese national registry of congenital anomalies (RENAC)

    OpenAIRE

    Braz, Paula; Machado, Ausenda; Matias Dias, Carlos

    2016-01-01

    Background: In Portugal folic acid supplementation is recommended to start at least 2-3 months before conception for primary prevention of Neural Tube Defects. The aim of this study was to evaluate, within gestations with at least one congenital anomaly, possible association between maternal socio-demographic factors and the use of folic acid. Methods: Using data from the Portuguese national registry of congenital anomalies, for the 2004-2013 period, the association between folic acid use dur...

  12. Current practice in primary total hip replacement: results from the National Hip Replacement Outcome Project

    OpenAIRE

    Best, A. J.; Fender, D.; Harper, W. M.; McCaskie, A. W.; Oliver, K; Gregg, P J

    1999-01-01

    As part of the National Study of Primary Hip Replacement Outcome, 402 consultant orthopaedic surgeons from three regions were contacted by postal questionnaire which covered all aspects of total hip replacement (THR). There was a 70% response rate of which 71 did not perform hip surgery, a further 33 refused to take part, leaving 181 valid responses. Preoperative assessment clinics were used by 89% of surgeons, but anaesthetists and rehabilitation services were rarely involved at this stage. ...

  13. [Primary Spinal Tumor Registry at the National Centre for Spinal Disorders].

    Science.gov (United States)

    Szövérfi, Zsolt; Lazáry, Aron; Varga, Péter Pál

    2014-05-11

    Primary spinal tumors are rare diseases. Primary spinal tumor registry would be useful to help decision making in this complex field of spine surgery. In this article the authors present the latest findings from the Primary Spinal Tumor Registry at the National Centre for Spinal Disorders, Hungary. The registry is based on a novel database management software, the REDCap electronic data capture system. It contains data of 323 patients treated surgically during an 18-year period. Among the 126 malignant tumors, the most frequent was chordoma (61 cases). In the case of benign tumors schwannoma showed the largest prevalence (45 cases). The authors conclude that due to the rarity of the disease and the complexity of the management, multicenter, prospective registries are required to provide high level of evidence. The structure of the Primary Spinal Tumor Registry in the National Centre for Spinal Disorders in Hungary is optimal for user-friendly, fast and secure data collection providing a prospective database for scientific researches and clinical follow-up.

  14. Selected constituents in the smokes of foreign commercial cigaretts: tar, nicotine, carbon monoxide, and carbon dioxide

    Energy Technology Data Exchange (ETDEWEB)

    Jenkins, R.A.; Quincy, R.B.; Guerin, M.R.

    1979-05-01

    The tar, nicotine, carbon monoxide, and carbon dioxide contents of the smokes of 220 brands of foreign commercial cigarettes are reported. In some instances, filter cigarettes of certain brands were found to deliver as much or more smoke constituents than their nonfilter counterparts. Also, data indicated that there can be a great variation in the tar, nicotine, or carbon monoxide content of the smoke of samples of a given brand of cigarettes, depending on the nation in which they are purchased. 24 tables.

  15. Carbon monoxide kinetics following simulated cigarette smoking

    Energy Technology Data Exchange (ETDEWEB)

    Karnik, A.S. (Wayne State Univ., Detroit, MI); Coin, E.J.

    1980-05-01

    Carbon monoxide kinetics were measured in the blood (% carboxyhemoglobin) and alveolar phase (ppM carbon monoxide) after simulated cigarette smoking. Cigarette smoking was siumlated using the same amount of carbon monoxide that 2R1F cigarettes manufactured by the Tobacco Research Institute would contain. Ten boluses of air containing carbon monoxide equivalent to smoking one cigarette were inhaled by six healthy nonsmoker volunteers. Carbon monoxide in the air phase was measured by an Ecolyzer and carboxyhemoglobin was measured by a CO-Oximeter. The mean rise in alveolar carbon monoxide immediately and 20 min after inhaling the last bolus was 3.3 and 3.1 ppM, respectively (p<.005). The mean rise in carboxyhemoglobin immediately and 20 min after inhalation of the last bolus was 0.8 and 0.5% respectively (P<.005). The changes in carboxyhemoglobin were found to be similar to changes that occur when one cigarette is actually smoked.

  16. [Legislation on primary care in Brazilian Unified National Health System: document analysis].

    Science.gov (United States)

    Domingos, Carolina Milena; Nunes, Elisabete de Fátima Polo de Almeida; Carvalho, Brígida Gimenez; Mendonça, Fernanda de Freitas

    2016-03-01

    A reflection on Brazil's legislation for primary care helps understand the way health policy is implemented in the country. This study focuses on the legal provisions aimed at strengthening primary care, drawing on an analysis of documents from the Ministry of Health's priority actions, programs, and strategies. A total of 224 provisions were identified, in two groups of documents, so-called instituting provisions and complementary provisions. The former include the principles and guidelines of the Brazilian Unified National Health System (SUS) and also involve the expansion of actions. Financing was a quantitatively central theme, especially in the complementary provisions. The analysis led to reflection on the extent to which these strategies can induce linkage between health system managers and civil society in building a political project resulting in improvements and meeting the population's health needs.

  17. The case for a national service for primary immune deficiency disorders in New Zealand.

    Science.gov (United States)

    Ameratunga, Rohan; Steele, Richard; Jordan, Anthony; Preece, Kahn; Barker, Russell; Brewerton, Maia; Lindsay, Karen; Sinclair, Jan; Storey, Peter; Woon, See-Tarn

    2016-06-10

    Primary immune deficiency disorders (PIDs) are rare conditions for which effective treatment is available. It is critical these patients are identified at an early stage to prevent unnecessary morbidity and mortality. Treatment of these disorders is expensive and expert evaluation and ongoing management by a clinical immunologist is essential. Until recently there has been a major shortage of clinical immunologists in New Zealand. While the numbers of trained immunologists have increased in recent years, most are located in Auckland. The majority of symptomatic PID patients require life-long immunoglobulin replacement. Currently there is a shortage of subcutaneous and intravenous immunoglobulin (SCIG/IVIG) in New Zealand. A recent audit by the New Zealand Blood Service (NZBS) showed that compliance with indications for SCIG/IVIG treatment was poor in District Health Boards (DHBs) without an immunology service. The NZBS audit has shown that approximately 20% of annual prescriptions for SCIG/IVIG, costing $6M, do not comply with UK or Australian guidelines. Inappropriate use may have contributed to the present shortage of SCIG/IVIG necessitating importation of the product. This is likely to have resulted in a major unnecessary financial burden to each DHB. Here we present the case for a national service responsible for the tertiary care of PID patients and oversight for immunoglobulin use for primary and non-haematological secondary immunodeficiencies. We propose that other PIDs, including hereditary angioedema, are integrated into a national PID service. Ancillary services, including the customised genetic testing service, and research are also an essential component of an integrated national PID service and are described in this review. As we show here, a hub-and-spoke model for a national service for PIDs would result in major cost savings, as well as improved patient care. It would also allow seamless transition from paediatric to adult services.

  18. 76 FR 4779 - Denial of the Petitions To Reconsider the Final Rule Promulgating the Primary National Ambient...

    Science.gov (United States)

    2011-01-26

    ... health.'' CAA section 109(b)(1). The legislative history of section 109 indicates that a primary NAAQS is... individuals, EPA must strengthen the entire national standard.''); Coalition of Battery Recyclers Ass'n v....

  19. Carbon monoxide conversion by anaerobic bioreactor sludges

    NARCIS (Netherlands)

    Sipma, J.; Stams, A.J.M.; Lens, P.N.L.; Lettinga, G.

    2003-01-01

    Seven different anaerobic sludges from wastewater treatment reactors were screened for their ability to convert carbon monoxide (CO) at 30 and 55degreesC
    Seven different anaerobic sludges from wastewater treatment reactors were screened for their ability to convert carbon monoxide (CO) at 30 and

  20. Are primary care factors associated with hospital episodes for adverse drug reactions? A national observational study.

    Science.gov (United States)

    McKay, Ailsa J; Newson, Roger B; Soljak, Michael; Riboli, Elio; Car, Josip; Majeed, Azeem

    2015-12-29

    Identification of primary care factors associated with hospital admissions for adverse drug reactions (ADRs). Cross-sectional analysis of 2010-2012 data from all National Health Service hospitals and 7664 of 8358 general practices in England. We identified all hospital episodes with an International Classification of Diseases (ICD) 10 code indicative of an ADR, in the 2010-2012 English Hospital Episode Statistics (HES) admissions database. These episodes were linked to contemporary data describing the associated general practice, including general practitioner (GP) and patient demographics, an estimate of overall patient population morbidity, measures of primary care supply, and Quality and Outcomes Framework (QOF) quality scores. Poisson regression models were used to examine associations between primary care factors and ADR-related episode rates. 212,813 ADR-related HES episodes were identified. Rates of episodes were relatively high among the very young, older and female subgroups. In fully adjusted models, the following primary care factors were associated with increased likelihood of episode: higher deprivation scores (population attributable fraction (PAF)=0.084, 95% CI 0.067 to 0.100) and relatively poor glycated haemoglobin (HbA1c) control among patients with diabetes (PAF=0.372; 0.218 to 0.496). The following were associated with reduced episode likelihood: lower GP supply (PAF=-0.016; -0.026 to -0.005), a lower proportion of GPs with UK qualifications (PAF=-0.035; -0.058 to -0.012), lower total QOF achievement rates (PAF=-0.021; -0.042 to 0.000) and relatively poor blood pressure control among patients with diabetes (PAF=-0.144; -0.280 to -0.022). Various aspects of primary care are associated with ADR-related hospital episodes, including achievement of particular QOF indicators. Further investigation with individual level data would help develop understanding of the associations identified. Interventions in primary care could help reduce the ADR burden

  1. 40 CFR 50.11 - National primary and secondary ambient air quality standards for oxides of nitrogen (with...

    Science.gov (United States)

    2010-07-01

    ... air quality standards for oxides of nitrogen (with nitrogen dioxide as the indicator). 50.11 Section... PRIMARY AND SECONDARY AMBIENT AIR QUALITY STANDARDS § 50.11 National primary and secondary ambient air quality standards for oxides of nitrogen (with nitrogen dioxide as the indicator). (a) The level of...

  2. The Carbon Monoxide Tape Recorder

    Science.gov (United States)

    Schoeberl, M. R.; Duncan, B. N.; Douglass, A. R.; Waters, J.; Livesey, N.; Read, W.; Filipiak, M.

    2006-01-01

    Using Aura MLS data we have identified the stratospheric tape recorder in carbon monoxide (CO). Unlike the water vapor tape recorder, which is controlled by upper troposphere processes, the CO tape recorder is linked to seasonal biomass burning. Since CO has a lifetime of only a few months, the CO tape recorder barely extends above 20 km. The tape head for CO appears to be close to 360K near the same location as the water vapor tape head [Read et al, 20041. Both tape heads are below the equatorial cold point tropopause but above the base of the tropical tropopause layer. The tape recorder signal becomes more distinct from 360K to 380K suggesting that convective detrainment of plays a decreasingly important role with altitude. The Global Modeling Initiative chemical transport model forced by the climatology of biomass burning reproduces the CO tape recorder.

  3. A national surveillance project on chronic kidney disease management in Canadian primary care: a study protocol.

    Science.gov (United States)

    Bello, Aminu K; Ronksley, Paul E; Tangri, Navdeep; Singer, Alexander; Grill, Allan; Nitsch, Dorothea; Queenan, John A; Lindeman, Cliff; Soos, Boglarka; Freiheit, Elizabeth; Tuot, Delphine; Mangin, Dee; Drummond, Neil

    2017-08-04

    Effective chronic disease care is dependent on well-organised quality improvement (QI) strategies that monitor processes of care and outcomes for optimal care delivery. Although healthcare is provincially/territorially structured in Canada, there are national networks such as the Canadian Primary Care Sentinel Surveillance Network (CPCSSN) as important facilitators for national QI-based studies to improve chronic disease care. The goal of our study is to improve the understanding of how patients with chronic kidney disease (CKD) are managed in primary care and the variation across practices and provinces and territories to drive improvements in care delivery. The CPCSSN database contains anonymised health information from the electronic medical records for patients of participating primary care practices (PCPs) across Canada (n=1200). The dataset includes information on patient sociodemographics, medications, laboratory results and comorbidities. Leveraging validated algorithms, case definitions and guidelines will help define CKD and the related processes of care, and these enable us to: (1) determine prevalent CKD burden; (2) ascertain the current practice pattern on risk identification and management of CKD and (3) study variation in care indicators (eg, achievement of blood pressure and proteinuria targets) and referral pattern for specialist kidney care. The process of care outcomes will be stratified across patients' demographics as well as provider and regional (provincial/territorial) characteristics. The prevalence of CKD stages 3-5 will be presented as age-sex standardised prevalence estimates stratified by province and as weighted averages for population rates with 95% CIs using census data. For each PCP, age-sex standardised prevalence will be calculated and compared with expected standardised prevalence estimates. The process-based outcomes will be defined using established methods. The CPCSSN is committed to high ethical standards when dealing with

  4. Engineering evidence for carbon monoxide toxicity cases.

    Science.gov (United States)

    Galatsis, Kosmas

    2016-07-01

    Unintentional carbon monoxide poisonings and fatalities lead to many toxicity cases. Given the unusual physical properties of carbon monoxide-in that the gas is odorless and invisible-unorganized and erroneous methods in obtaining engineering evidence as required during the discovery process often occurs. Such evidence gathering spans domains that include building construction, appliance installation, industrial hygiene, mechanical engineering, combustion and physics. In this paper, we attempt to place a systematic framework that is relevant to key aspects in engineering evidence gathering for unintentional carbon monoxide poisoning cases. Such a framework aims to increase awareness of this process and relevant issues to help guide legal counsel and expert witnesses.

  5. Delayed encephalopathy after acute carbon monoxide poisoning

    Directory of Open Access Journals (Sweden)

    Mehmet İbrahim Turan

    2014-03-01

    Full Text Available Carbon monoxide poisoning is a major cause of death following attempted suicide and accidental exposures. Although clinical presentation depends on the duration and the intensity of exposure, the assessment of the severity of intoxication is difficult. A small percentage of patients who show complete initial recovery may develop delayed neurological deficits. Delayed encephalopathy after acute carbon monoxide poisoning is a rare and poor prognosis neurologic disorders and there is no specific treatment. We present a case with early onset of delayed encephalopathy after acute carbon monoxide poisoning with typical cranial imaging findings in a child with atypical history and clinical presentation.

  6. Partnership disengagement from primary community care networks (PCCNs: A qualitative study for a national demonstration project

    Directory of Open Access Journals (Sweden)

    Lin Cheng-Chieh

    2010-04-01

    Full Text Available Abstract Background The Primary Community Care Network (PCCN Demonstration Project, launched by the Bureau of National Health Insurance (BNHI in 2003, is still in progress. Partnership structures in PCCNs represent both contractual clinic-to-clinic and clinic-to-hospital member relationships of organizational aspects. The partnership structures are the formal relationships between individuals and the total network. Their organizational design aims to ensure effective communication, coordination, and integration across the total network. Previous studies have focused largely on how contractual integration among the partnerships works and on its effects. Few studies, however, have tried to understand partnership disengagement in PCCNs. This study explores why some partnerships in PCCNs disengage. Methods This study used a qualitative methodology with semi-structured questions for in-depth interviews. The semi-structured questions were pre-designed to explore the factors driving partnership disengagement. Thirty-seven clinic members who had withdrawn from their PCCNs were identified from the 2003-2005 Taiwan Primary Community Care Network Lists. Results Organization/participant factors (extra working time spend and facility competency, network factors (partner collaboration, and community factors (health policy design incompatibility, patient-physician relationship, and effectiveness are reasons for clinic physicians to withdraw or change their partnerships within the PCCNs. Conclusions To strengthen partnership relationships, several suggestions are made, including to establish clinic and hospital member relationships, and to reduce administrative work. In addition, both educating the public about the concept of family doctors and ensuring well-organized national health policies could help health care providers improve the integration processes.

  7. Effect of carbon monoxide inhibition on the growth of an aquatic streptomycete

    Energy Technology Data Exchange (ETDEWEB)

    Francisco, D.E.; Silvey, J.K.G.

    1971-01-01

    A recent investigation has shown that the primary mycelium of aquatic streptomycetes is facultatively aerobic while the secondary mycelium is obligately aerobic. The nature of the differences in aerobic metabolism of various morphological phases in the life history was determined by carbon monoxide inhibition. A slide culture chamber technique which allowed continuous microscopic observation of the growing organism while in various gas environments was used. Two distinct patterns of inhibition were observed. The development of early stages of the life history was inhibited by carbon monoxide in the light and the dark. The site of this inhibition could not be determined. The later stages were inhibited only by carbon monoxide in the dark. This suggested a dependence of the secondary mycelium on the activity of cytochrome oxidase. Thus, the primary and secondary mycelial stages were found to be physiologically distinct.

  8. Trends in primary and revision anterior cruciate ligament reconstruction among National Basketball Association team physicians.

    Science.gov (United States)

    Mall, Nathan A; Abrams, Geoffrey D; Azar, Frederick M; Traina, Steve M; Allen, Answorth A; Parker, Richard; Cole, Brian J

    2014-06-01

    Anterior cruciate ligament (ACL) tears are common in athletes. Techniques and methods of treatment for these injuries continue to vary among surgeons. Thirty National Basketball Association (NBA) team physicians were surveyed during the NBA Pre-Draft Combine. Survey questions involved current and previous practice methods of primary and revision ACL reconstruction, including technique, graft choice, rehabilitation, and treatment of combined ACL and medial collateral ligament injuries. Descriptive parametric statistics, Fisher exact test, and logistic regression were used, and significance was set at α = 0.05. All 30 team physicians completed the survey. Eighty-seven percent indicated they use autograft (81% bone-patellar tendon-bone) for primary ACL reconstruction in NBA athletes, and 43% indicated they use autograft for revision cases. Fourteen surgeons (47%) indicated they use an anteromedial portal (AMP) for femoral tunnel drilling, whereas 5 years earlier only 4 (13%) used this technique. There was a significant (P = .009) positive correlation between fewer years in practice and AMP use. NBA team physicians' use of an AMP for femoral tunnel drilling has increased over the past 5 years.

  9. National program for family planning and primary health care Pakistan: a SWOT analysis.

    Science.gov (United States)

    Wazir, Mohammad Salim; Shaikh, Babar Tasneem; Ahmed, Ashfaq

    2013-11-22

    The National Program for Family Planning and Primary Healthcare was launched in 1994. It is one of the largest community based programs in the world, providing primary healthcare services to about 80 million people, most of which is rural poor. The program has been instrumental in improving health related indicators of maternal and child health in the last two decades. SWOT analysis was used by making recourse to the structure and dynamics of the program as well as searching the literature. Strengths of the program include: comprehensive design of planning, implementation and supervision mechanisms aided by an MIS, selection and recruitments processes and evidence created through improving health impact indicators. Weaknesses identified are slow progress, poor integration of the program with health services at local levels including MIS, and de-motivational factors such as job insecurity and non-payment of salaries in time. Opportunities include further widening the coverage of services, its potential contribution to health system research, and its use in areas other than health like women empowerment and poverty alleviation. Threats the program may face are: political interference, lack of funds, social threats and implications for professional malpractices. Strengthening of the program will necessitate a strong political commitment, sustained funding and a just remuneration to this bare foot doctor of Pakistan, the Lady Health Worker.

  10. Integrated electricity and carbon monoxide production

    Energy Technology Data Exchange (ETDEWEB)

    Griffiths, J.

    1994-03-23

    In a process for the production of carbon monoxide and electric power in an IGCC with the removal of sulphur compounds, between the outlet of quenched gas from a partial oxidation unit and a fuel inlet to a combined cycle gas turbine there is a permeable membrane unit to separate a non-permeable stream, which is utilised as a source of carbon monoxide, and a permeate stream, which is used as fuel for the gas turbine of the combined cycle unit. (author)

  11. Hearing Loss due to Carbon Monoxide Poisoning

    Directory of Open Access Journals (Sweden)

    Amir Houshang Mehrparvar

    2013-01-01

    Full Text Available Carbon monoxide poisoning is one of the rare causes of hearing loss which may cause reversible or irreversible, unilateral or bilateral hearing loss after acute or chronic exposure. In this report, we present a case of bilateral sensorineural hearing loss in a secondary smelting workshop worker after an acute exposure to carbon monoxide. This complication was diagnosed by pure-tone audiometry and confirmed by transient evoked otoacoustic emissions. Hearing loss has not improved after 3 months of followup.

  12. Frequent large germline HRPT2 deletions in a French National cohort of patients with primary hyperparathyroidism.

    Science.gov (United States)

    Bricaire, Léopoldine; Odou, Marie-Françoise; Cardot-Bauters, Catherine; Delemer, Brigitte; North, Marie-Odile; Salenave, Sylvie; Vezzosi, Delphine; Kuhn, Jean-Marc; Murat, Arnaud; Caron, Philippe; Sadoul, Jean-Louis; Silve, Caroline; Chanson, Philippe; Barlier, Anne; Clauser, Eric; Porchet, Nicole; Groussin, Lionel

    2013-02-01

    Hyperparathyroidism-jaw tumor syndrome (HPT-JT) is an autosomal dominant syndrome with incomplete penetrance that can associate in a single patient parathyroid adenoma or carcinoma, fibro-osseous jaw tumor, cystic kidney lesion, and uterine tumor. Germline mutations of the HRPT2 gene (CDC73) coding for parafibromin are identified in approximately 50%-75% of HPT-JT cases and in approximately 14% of familial isolated hyperparathyroidism. A whole deletion of this gene has recently been reported in 1 sporadic case and in a family presenting with HPT-JT. The objective of the study was to report molecular abnormalities of the HRPT2 gene in patients with primary hyperparathyroidism in a French National cohort from the Groupe d'Étude des Tumeurs Endocrines. Patients' genomic DNA was screened by PCR-based sequencing for point mutations affecting HRPT2 and real-time quantitative PCR analysis for gross deletions. We report 20 index patients with a germinal HRPT2 abnormality. Median age at diagnosis of primary hyperparathyroidism was 23 years (range 14-65 years). Median serum total calcium level at diagnosis was 3.19 mmol/L (range 2.8-4.3 mmol/L). Thirteen different mutations were identified by routine sequencing, including 7 mutations never reported. Seven patients (35%) carried a gross deletion of this gene (3 complete and 4 partial deletions). No genotype-phenotype correlation could be identified. A gross deletion of the HRPT2 gene was identified in 7% of patients for whom a routine screening by direct sequencing came up as negative. Gross deletion analysis of the HRPT2 gene is indicated for all patients negative for mutation, presenting with HPT-JT or familial isolated hyperparathyroidism, parathyroid carcinoma, or in patients with apparently sporadic parathyroid adenoma diagnosed at a young age, having a severe hypercalcemia.

  13. Partnership effectiveness in primary community care networks: A national empirical analysis of partners' coordination infrastructure designs.

    Science.gov (United States)

    Lin, Blossom Yen-Ju; Lin, Yung-Kai; Lin, Cheng-Chieh

    2010-01-01

    Previous empirical and managerial studies have ignored the effectiveness of integrated health networks. It has been argued that the varying definitions and strategic imperatives of integrated organizations may have complicated the assessment of the outcomes/performance of varying models, particularly when their market structures and contexts differed. This study aimed to empirically verify a theoretical perspective on the coordination infrastructure designs and the effectiveness of the primary community care networks (PCCNs) formed and funded by the Bureau of National Health Insurance since March 2003. The PCCNs present a model to replace the traditional fragmented providers in Taiwan's health care. The study used a cross-sectional mailed survey designed to ascertain partnership coordination infrastructure and integration of governance, clinical care, bonding, finances, and information. The outcome indicators were PCCNs' perceived performance and willingness to remain within the network. Structural equation modeling examined the causal relationships, controlling for organizational and environmental factors. Primary data collection occurred from February through December 2005, via structured questionnaires sent to 172 PCCNs. Using the individual PCCN as the unit of analysis, the results found that a network's efforts regarding coordination infrastructures were positively related to the PCCN's perceived performance and willingness to remain within the network. In addition, PCCNs practicing in rural areas and in areas with higher density of medical resources had better perceived effectiveness and willingness to cooperate in the network.Practical Implication: The lack of both an operational definition and an information about system-wide integration may have obstructed understanding of integrated health networks' organizational dynamics. This study empirically examined individual PCCNs and offers new insights on how to improve networks' organizational design and

  14. Perspectives on the value of advanced medical imaging: a national survey of primary care physicians.

    Science.gov (United States)

    Hughes, Christine M; Kramer, Erich; Colamonico, Jennifer; Duszak, Richard

    2015-05-01

    To understand perceptions of primary care physicians (PCPs) about the value of advanced medical imaging. A national quantitative survey of 500 PCPs was conducted using an online self-administered questionnaire. Questions focused on advanced medical imaging (CT, MRI, and PET) and its perceived impact on the delivery of patient care. Responses were stratified by physician demographics. Large majorities of the PCPs indicated that advanced imaging increases their diagnostic confidence (441; 88%); provides data not otherwise available (451; 90%); permits better clinical decision making (440; 88%); increases confidence in treatment choices (438; 88%), and shortens time to definitive diagnosis (430; 86%]). Most (424; 85%) believe that patient care would be negatively affected without access to advanced imaging. PCPs whose clinical careers predated the proliferation of advanced imaging modalities (>20 years of practice) assigned higher value to advanced imaging on several dimensions compared with younger physicians whose training overlapped widespread technology availability. By a variety of metrics, large majorities of PCPs believe that advanced medical imaging provides considerable value to patient care. Those whose careers predated the widespread availability of advanced imaging tended to associate it with even higher value. Copyright © 2015 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  15. Stress sources and manifestations in a nation-wide sample of pre-primary, primary and secondary educators in Greece

    Directory of Open Access Journals (Sweden)

    Nadia eKourmousi

    2016-04-01

    Full Text Available BackgroundTeachers experience high levels of stress as a result of their professional duties and research has shown a growing interest in this phenomenon during the recent years. Aim of this study was to explore the associations of stress sources and manifestations with individual and job-related characteristics in educators of all levels. MethodsIn a cross–sectional design, following an informative e-campaign on the study aims through the official and the main teachers’ portals in Greece, respondents completed online the Teachers Stress Inventory (TSI and the 14-item Perceived Stress Scale (PSS-14. 974 male and 2473 female pre-primary, primary and secondary educators with a mean age of 41.2 years responded. ResultsWomen and younger teachers reported significantly higher levels of stress, mainly due to lack of time and other work-related stressors, and also more emotional and gastronomic manifestations. Increased age and working experience were associated with lower levels of several stress sources. Teachers of administrative positions had increased time management stressors, but less professional distress, professional investment and discipline and motivation stressors. Additionally, working and residing far from family increased teachers’ stress levels associated to control, motivation and investment. Teachers of pre-primary education had reduced professional investment and motivation stress factors while vocational lyceum teachers of secondary education reported less work-related stressors and manifestations and more discipline and motivation related ones. Having students supported or in need of support from special educators and students with difficulties in speaking or comprehension was associated with most of the teachers' stress sources and manifestations (i.e. TSI subscales. Finally, colleagues’ and mainly supervisors' support seemed to provide a strong and consistent protection against both stress sources and manifestations

  16. 40 CFR 52.269 - Control strategy and regulations: Photochemical oxidants (hydrocarbons) and carbon monoxide.

    Science.gov (United States)

    2010-07-01

    ...: Photochemical oxidants (hydrocarbons) and carbon monoxide. 52.269 Section 52.269 Protection of Environment... PLANS California § 52.269 Control strategy and regulations: Photochemical oxidants (hydrocarbons) and... provide for attainment and maintenance of the national standards for photochemical oxidants...

  17. Factors Influencing the Likelihood of Choice of Gaelic-Medium Primary Education in Scotland: Results from a National Public Survey

    Science.gov (United States)

    O'Hanlon, Fiona; Paterson, Lindsay

    2017-01-01

    This paper investigates the factors influencing the likelihood of choice of Gaelic-medium primary education in Scotland by means of the analysis of a national survey of public attitudes conducted in 2012. Binary logistic regression is used to investigate the association of five dimensions found in previous literature to be associated with the…

  18. Aesthetic Education of Primary School Pupils as an Integral Part of the National System of Continuous Art Education in Japan

    Science.gov (United States)

    Kuchai, Tetiana

    2014-01-01

    The article examines aesthetic education of primary school pupils as an integral part of the national system of continuous art education in Japan. One of the most important traditional means of aesthetic education in Japan, according to L. Tsaryova is considered nature. Analysis of the scientific literature by domestic and foreign scientists…

  19. Aesthetic Education of Primary School Pupils as an Integral Part of the National System of Continuous Art Education in Japan

    Science.gov (United States)

    Kuchai, Tetiana

    2014-01-01

    The article examines aesthetic education of primary school pupils as an integral part of the national system of continuous art education in Japan. One of the most important traditional means of aesthetic education in Japan, according to L. Tsaryova is considered nature. Analysis of the scientific literature by domestic and foreign scientists…

  20. 78 FR 47191 - Air Quality Designations for the 2010 Sulfur Dioxide (SO2) Primary National Ambient Air Quality...

    Science.gov (United States)

    2013-08-05

    ... AGENCY 40 CFR Part 81 RIN 2060-AR18 Air Quality Designations for the 2010 Sulfur Dioxide (SO ) Primary National Ambient Air Quality Standard AGENCY: Environmental Protection Agency (EPA). ACTION: Final rule. SUMMARY: This rule establishes air quality designations for certain areas in the United States for the...

  1. 76 FR 33756 - Notice of Approval of the Primacy Application for National Primary Drinking Water Regulations for...

    Science.gov (United States)

    2011-06-09

    ... AGENCY Notice of Approval of the Primacy Application for National Primary Drinking Water Regulations for... following offices: (1) Missouri Department of Natural Resources, Public Drinking Water Branch, 1101... Pesticides Division, Drinking Water Management Branch, 901 North 5th Street, Kansas City, Kansas 66101....

  2. English Language Teaching in Public Primary Schools in Mexico: The Practices and Challenges of Implementing a National Language Education Program

    Science.gov (United States)

    Ramírez Romero, José Luis; Sayer, Peter; Pamplón Irigoyen, Elva Nora

    2014-01-01

    Over the past 15?years, many state governments in Mexico have initiated local programs to introduce English at the primary school level. In 2009, the Mexican Ministry of Education formalized the "Programa Nacional de Inglés en Educación Básica" (PNIEB) as part of the national curriculum, based on the argument that increasing the number…

  3. Evaluating the sub-national fidelity of national Initiatives in decentralized health systems: Integrated Primary Health Care Governance in Nigeria.

    Science.gov (United States)

    Eboreime, Ejemai Amaize; Abimbola, Seye; Obi, Felix Abrahams; Ebirim, Obinna; Olubajo, Olalekan; Eyles, John; Nxumalo, Nonhlanhla Lynette; Mambulu, Faith Nankasa

    2017-03-21

    Policy making, translation and implementation in politically and administratively decentralized systems can be challenging. Beyond the mere sub-national acceptance of national initiatives, adherence to policy implementation processes is often poor, particularly in low and middle-income countries. In this study, we explore the implementation fidelity of integrated PHC governance policy in Nigeria's decentralized governance system and its implications on closing implementation gaps with respect to other top-down health policies and initiatives. Having engaged policy makers, we identified 9 core components of the policy (Governance, Legislation, Minimum Service Package, Repositioning, Systems Development, Operational Guidelines, Human Resources, Funding Structure, and Office Establishment). We evaluated the level and pattern of implementation at state level as compared to the national guidelines using a scorecard approach. Contrary to national government's assessment of level of compliance, we found that sub-national governments exercised significant discretion with respect to the implementation of core components of the policy. Whereas 35 and 32% of states fully met national criteria for the structural domains of "Office Establishment" and Legislation" respectively, no state was fully compliant to "Human Resource Management" and "Funding" requirements, which are more indicative of functionality. The pattern of implementation suggests that, rather than implementing to improve outcomes, state governments may be more interested in executing low hanging fruits in order to access national incentives. Our study highlights the importance of evaluating implementation fidelity in providing evidence of implementation gaps towards improving policy execution, particularly in decentralized health systems. This approach will help national policy makers identify more effective ways of supporting lower tiers of governance towards improvement of health systems and outcomes.

  4. Final Report: Comparison of the primary (national) standards of low-pressure gas flow

    Science.gov (United States)

    Benková, Miroslava; Makovnik, Stefan; Mickan, Bodo

    2015-01-01

    The EURAMET.M.FF-K6 comparison was organized for the purpose of determination of the degree of equivalence of the primary (national) standards for low-pressure gas flow measurement over the range (2 to 100) m3/h and was performed simultaneously with CCM.FF-K6.2011 with the same transfer standard. A rotary gas meter G65 was used as a transfer standard. The measurements were provided by prescribed reference conditions. Fifteen laboratories from EURAMET participated in this key comparison - SMU, Slovakia; PTB, Germany; CEM, Spain; LNE-LADG, France; VSL, Netherlands; CMI, Czech Republic; BEV, Austria; MKEH, Hungary; GUM Poland; SP, Sweden; METAS, Switzerland; DMDM, Serbia; TUBITAK-UME, Turkey; EIM, Greece; IMBiH, Bosnia-Herzegovina. The EURAMET.M.FF-K6 is linked to the CCM.FF-K6.2011 by correcting the results of three linking laboratories (Slovakia SMU, Germany PTB and France LNE LADG). This correction provides an estimate of what would have been the result from the EURAMET.M-FF-K6 participants, if they had actually participated in CCM.FF-K6.2011. According to the evaluation 93.7 % of the results were consistent with KCRV, 3.4 % of the results were in the warning level and 2.9 % of the results were inconsistent. The results of this comparison can be used for review of the CMC tables. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by CCM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  5. Lean implementation in primary care health visiting services in National Health Service UK.

    Science.gov (United States)

    Grove, A L; Meredith, J O; Macintyre, M; Angelis, J; Neailey, K

    2010-10-01

    This paper presents the findings of a 13-month lean implementation in National Health Service (NHS) primary care health visiting services from May 2008 to June 2009. Lean was chosen for this study because of its reported success in other healthcare organisations. Value-stream mapping was utilised to map out essential tasks for the participating health visiting service. Stakeholder mapping was conducted to determine the links between all relevant stakeholders. Waste processes were then identified through discussions with these stakeholders, and a redesigned future state process map was produced. Quantitative data were provided through a 10-day time-and-motion study of a selected number of staff within the service. This was analysed to provide an indication of waste activity that could be removed from the system following planned improvements. The value-stream map demonstrated that there were 67 processes in the original health visiting service studied. Analysis revealed that 65% of these processes were waste and could be removed in the redesigned process map. The baseline time-and-motion data demonstrate that clinical staff performed on average 15% waste activities, and the administrative support staff performed 46% waste activities. Opportunities for significant waste reduction have been identified during the study using the lean tools of value-stream mapping and a time-and-motion study. These opportunities include simplification of standard tasks, reduction in paperwork and standardisation of processes. Successful implementation of these improvements will free up resources within the organisation which can be redirected towards providing better direct care to patients.

  6. The user with respiratory symptoms of tuberculosis in the primary care: assessment of actions according to national recommendations

    Directory of Open Access Journals (Sweden)

    Luize Barbosa Antunes

    2016-06-01

    Full Text Available Objective: to investigate the evaluation of the user with respiratory symptoms of tuberculosis in Primary Health Care services according to the norms of the National Program for Tuberculosis Control. Methods: cross-sectional study with application of a form to 99 people with pulmonary tuberculosis. Results: a total of 87.9% participants reported cough as the symptom that motivated the search for Primary Care; from these, 27.3% sought Primary Care units, 96.3% received care in this service, of which 46.2% reported that sputum smear was requested by professionals in the units. Conclusion: more than half of participants sought secondary or tertiary services due to the symptoms of tuberculosis, and also less than half of patients assisted in Primary Care had diagnostic tests requested by professionals of that service.

  7. Pulmonary edema in acute carbon monoxide poisoning

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Kun Sang; Chang, Kee Hyun; Lee, Myung Uk [Seoul National University College of Medicine, Seoul (Korea, Republic of)

    1974-10-15

    Acute carbon monoxide poisoning has frequently occurred in Korean, because of the coal briquette being widely used as fuel in Korean residences. Carbon monoxide poisoning has been extensively studied, but it has been sparsely reported that pulmonary edema may develop in acute CO poisoning. We have noticed nine cases of pulmonary edema in acute CO poisoning last year. Other possible causes of pulmonary edema could be exclude in all cases but one. The purpose of this paper is to describe nine cases of pulmonary edema complicated in acute CO poisoning and discuss the pathogenesis and the prognosis.

  8. 40 CFR 60.103 - Standard for carbon monoxide.

    Science.gov (United States)

    2010-07-01

    ... Refineries § 60.103 Standard for carbon monoxide. Each owner or operator of any fluid catalytic cracking unit... regenerator any gases that contain carbon monoxide (CO) in excess of 500 ppm by volume (dry basis)....

  9. [Carbon monoxide metabolism by photosynthetic bacteria]. Progress report

    Energy Technology Data Exchange (ETDEWEB)

    1989-12-31

    Research continued on the metabolism of carbon monoxide by Rhodospirillum rubrum. This report discusses progress on the activity, induction, inhibition, and spectroscopic analysis of the enzyme Carbon Monoxide Dehydrogenase. (CBS)

  10. Carbon Monoxide Hazards from Small Gasoline Powered Engines

    Science.gov (United States)

    ... Topics Publications and Products Programs Contact NIOSH NIOSH CARBON MONOXIDE Recommend on Facebook Tweet Share Compartir On this Page Recommendations NIOSH Publications Worker Notification Program Carbon Monoxide Hazards from Small Gasoline Powered Engines Many ...

  11. Mixing ratios of carbon monoxide in the troposphere

    Energy Technology Data Exchange (ETDEWEB)

    Novelli, P.C.; Steele, L.P. (Univ. of Colorado, Boulder (United States)); Tans, P.P. (NOAA, Boulder, CO (United States))

    1992-12-20

    Carbon monoxide (CO) mixing ratios were measured in air samples collected weekly at eight locations. The air was collected as part of the CMDL/NOAA cooperative flask sampling program (Climate Monitoring and Diagnostics Laboratory, formerly Geophysical Monitoring for Climatic Change, Air Resources Laboratory/National Oceanic and Atmospheric Administration) at Point Barrow, Alaska, Niwot Ridge, Colorado, Mauna Loa and Cape Kumakahi, Hawaii, Guam, Marianas Islands, Christmas Island, Ascension Island and American Samoa. Half-liter or 3-L glass flasks fitted with glass piston stopcocks holding teflon O rings were used for sample collection. CO levels were determined within several weeks of collection using gas chromatography followed by mercuric oxide reduction detection, and mixing ratios were referenced against the CMDL/NOAA carbon monoxide standard scale. During the period of study (mid-1988 through December 1990) CO levels were greatest in the high latitudes of the northern hemisphere (mean mixing ratio from January 1989 to December 1990 at Point Barrow was approximately 154 ppb) and decreased towards the south (mean mixing ratio at Samoa over a similar period was 65 ppb). Mixing ratios varied seasonally, the amplitude of the seasonal cycle was greatest in the north and decreased to the south. Carbon monoxide levels were affected by both local and regional scale processes. The difference in CO levels between northern and southern latitudes also varied seasonally. The greatest difference in CO mixing ratios between Barrow and Samoa was observed during the northern winter (about 150 ppb). The smallest difference, 40 ppb, occurred during the austral winter. The annually averaged CO difference between 71[degrees]N and 14[degrees]S was approximately 90 ppb in both 1989 and 1990; the annually averaged interhemispheric gradient from 71[degrees]N to 41[degrees]S is estimated as approximately 95 ppb. 66 refs., 5 figs., 5 tabs.

  12. Y-12 Groundwater Protection Program Extent Of The Primary Groundwater Contaminants At The Y-12 National Security Complex

    Energy Technology Data Exchange (ETDEWEB)

    None

    2013-12-01

    This report presents data summary tables and maps used to define and illustrate the approximate lateral extent of groundwater contamination at the U.S. Department of Energy (DOE) Y-12 National Security Complex (Y-12) in Oak Ridge, Tennessee. The data tables and maps address the primary (i.e., most widespread and mobile) organic, inorganic, and radiological contaminants in the groundwater. The sampling locations, calculated contaminant concentrations, plume boundary values, and paired map format used to define, quantify, delineate, and illustrate the approximate extent of the primary organic, inorganic, and radiological contaminants in groundwater at Y-12 are described.

  13. Assessment of carbon monoxide values in smokers: a comparison of carbon monoxide in expired air and carboxyhaemoglobin in arterial blood

    DEFF Research Database (Denmark)

    Andersson, Mette F; Møller, Ann M

    2010-01-01

    Smoking increases perioperative complications. Carbon monoxide concentrations can estimate patients' smoking status and might be relevant in preoperative risk assessment. In smokers, we compared measurements of carbon monoxide in expired air (COexp) with measurements of carboxyhaemoglobin (COHb...

  14. The national improvement partnership network: state-based partnerships that improve primary care quality.

    Science.gov (United States)

    Shaw, Judith S; Norlin, Chuck; Gillespie, R J; Weissman, Mark; McGrath, Jane

    2013-01-01

    Improvement partnerships (IPs) are a model for collaboration among public and private organizations that share interests in improving child health and the quality of health care delivered to children. Their partners typically include state public health and Medicaid agencies, the local chapter of the American Academy of Pediatrics, and an academic health care organization or children's hospital. Most IPs also engage other partners, including a variety of public, private, and professional organizations and individuals. IPs lead and support measurement-based, systems-focused quality improvement (QI) efforts that primarily target primary care practices that care for children. Their projects are most often conducted as learning collaboratives that involve a team from each of 8 to 15 participating practices over 9 to 12 months. The improvement teams typically include a clinician, office manager, clinical staff (nurses or medical assistants), and, for some projects, a parent; the IPs provide the staff and local infrastructure. The projects target clinical topics, chosen because of their importance to public health, local clinicians, and funding agencies, including asthma, attention-deficit/hyperactivity disorder, autism, developmental screening, obesity, mental health, medical home implementation, and several others. Over the past 13 years, 19 states have developed (and 5 are exploring developing) IPs. These organizations share similar aims and methods but differ substantially in leadership, structure, funding, and longevity. Their projects generally engage pediatric and family medicine practices ranging from solo private practices to community health centers to large corporate practices. The practices learn about the project topic and about QI, develop specific improvement strategies and aims that align with the project aims, perform iterative measures to evaluate and guide their improvements, and implement systems and processes to support and sustain those improvements

  15. Hearing Loss due to Carbon Monoxide Poisoning

    DEFF Research Database (Denmark)

    Mehrparvar, Amir Houshang; Davari, Mohammad Hossein; Mollasadeghi, Abolfazl

    2013-01-01

    Carbon monoxide poisoning is one of the rare causes of hearing loss which may cause reversible or irreversible, unilateral or bilateral hearing loss after acute or chronic exposure. In this report, we present a case of bilateral sensorineural hearing loss in a secondary smelting workshop worker...

  16. Colorectal cancer screening practices of primary care providers: results of a national survey in Malaysia.

    Science.gov (United States)

    Norwati, Daud; Harmy, Mohamed Yusoff; Norhayati, Mohd Noor; Amry, Abdul Rahim

    2014-01-01

    The incidence of colorectal cancer has been increasing in many Asian countries including Malaysia during the past few decades. A physician recommendation has been shown to be a major factor that motivates patients to undergo screening. The present study objectives were to describe the practice of colorectal cancer screening by primary care providers in Malaysia and to determine the barriers for not following recommendations. In this cross sectional study involving 132 primary care providers from 44 Primary Care clinics in West Malaysia, self-administered questionnaires which consisted of demographic data, qualification, background on the primary care clinic, practices on colorectal cancer screening and barriers to colorectal cancer screening were distributed. A total of 116 primary care providers responded making a response rate of 87.9%. About 21% recommended faecal occult blood test (FOBT) in more than 50% of their patients who were eligible. The most common barrier was "unavailability of the test". The two most common patient factors are "patient in a hurry" and "poor patient awareness". This study indicates that colorectal cancer preventive activities among primary care providers are still poor in Malaysia. This may be related to the low availability of the test in the primary care setting and poor awareness and understanding of the importance of colorectal cancer screening among patients. More awareness programmes are required for the public. In addition, primary care providers should be kept abreast with the latest recommendations and policy makers need to improve colorectal cancer screening services in health clinics.

  17. Teaching at primary healthcare services within the Brazilian national health system (SUS in Brazilian healthcare professionals' training

    Directory of Open Access Journals (Sweden)

    Ramona Fernanda Ceriotti Toassi

    2013-06-01

    Full Text Available The aim of this study was to analyze the role of teaching at primary healthcare services within the Brazilian National Health System (SUS in dentists' training, at a public university in the south of Brazil. A qualitative methodological approach (case study was used. Interviews were conducted with 12 dentistry students, six dentists who were preceptors working in public primary healthcare services and three teachers connected with this curricular training. Our findings showed that the curricular training in SUS primary healthcare services had an impact on the dentists' education through establishment of bonds, autonomy in problem-solving and multiprofessional teamwork. It was seen that they learned about how healthcare services function, about healthcare and about development of cultural competence. There is a need to maintain constant questioning regarding these practices, and to ensure the presence of infrastructure and qualified professionals for teaching at these services.

  18. Patient safety skills in primary care: a national survey of GP educators

    OpenAIRE

    Ahmed, Maria; Arora, Sonal; McKay, John; Long, Susannah; Vincent, Charles; Kelly, Moya; Sevdalis, Nick; Bowie, Paul

    2014-01-01

    Background Clinicians have a vital role in promoting patient safety that goes beyond their technical competence. The qualities and attributes of the safe hospital doctor have been explored but similar work within primary care is lacking. Exploring the skills and attributes of a safe GP may help to inform the development of training programmes to promote patient safety within primary care. This study aimed to determine the views of General Practice Educational Supervisors (GPES) regarding the ...

  19. Primary prevention of overweight and obesity: an analysis of national survey data.

    Science.gov (United States)

    Lutfiyya, May Nawal; Nika, Bill; Ng, Lauren; Tragos, Christina; Won, Regina; Lipsky, Martin S

    2008-06-01

    Obesity is rapidly approaching tobacco as the leading cause of preventable morbidity and mortality. Health care providers have the opportunity to address this through primary prevention strategies. To assess whether health care professionals provide primary prevention for overweight and obesity by examining the percentage of healthy-weight (body mass index [BMI] = 18.5-24.9 kg/m(2)) individuals who report being advised to maintain a healthy weight. Cross-sectional analysis of the 2003 Behavioral Risk Factor Surveillance Survey data. Noninstitutionalized U.S. adults >18 years of age. Among healthy BMI respondents, only 2.6% reported receiving primary prevention. Logistic regression analyses yielded that healthy-weight adults receiving primary prevention were more likely to report: being 18-49 years of age, annual household incomes <$35,000, having at least 1 comorbidity, having a health care provider, changed eating habits to include less fat or fewer calories, and using physical activity to maintain or lose weight. Men were also more likely to receive primary prevention. Only a very small proportion of healthy-weight adults received primary prevention, which suggests that physicians are missing opportunities to help address the epidemic of adult obesity in the US.

  20. 76 FR 76259 - National Emissions Standards for Hazardous Air Pollutants: Primary Aluminum Reduction Plants

    Science.gov (United States)

    2011-12-06

    ... NTTAA National Technology Transfer and Advancement Act O&M operation and maintenance OAQPS Office of Air Quality Planning and Standards ODW Office of Drinking Water OECA Office of Enforcement and Compliance...

  1. Prevention of carbon monoxide exposure in general and recreational aviation.

    Science.gov (United States)

    Zelnick, Sanford D; Lischak, Michael W; Young, David G; Massa, Thomas V

    2002-08-01

    Carbon monoxide exposure is an important public health issue that poses a significant, albeit uncommon risk in aviation. Exposure is most common in single engine piston-driven aircraft where air is passed over the exhaust manifold to serve as cabin heat. Effective primary prevention of this exposure is the regular inspection and maintenance of aircraft exhaust systems, as required by law. For situations at special risk should exposure occur, and where there is concern for the public safety, installation of active warning devices for CO intrusion into cockpits may improve secondary prevention. Modern studies should be performed of occupation-specific abilities to support the 50 ppm FAA CO exposure standard and 50-70 ppm FAA Technical Standard Order (TSO) for CO monitors alerting pilots to the possibility of exhaust gas intrusion into their cockpits.

  2. Primary percutaneous coronary intervention as a national Danish reperfusion strategy of ST-elevation myocardial infarction

    DEFF Research Database (Denmark)

    Sørensen, Jacob Thorsted; Steengaard, Carsten; Holmvang, Lene

    2013-01-01

    The use of primary percutaneous coronary intervention (PCI) as the preferred reperfusion strategy in ST-elevation myocardial infarction (STEMI) requires optimal systems-of-care and logistics in order to enable rapid treatment of all patients. In Denmark, this has been achieved through prehospital...... electrocardiogram diagnosis, field triage and dedicated PCI centres 24/7. Today, primary PCI is an option for all Danish patients with STEMI, regardless of the distance to a PCI centre. This has led to a decline in both mortality and morbidity....

  3. Occupational poisoning by carbon monoxide aboard a gas carrier. Report on 8 cases.

    Science.gov (United States)

    Lucas, David; Loddé, Brice; Jegaden, Dominique; Bronstein, Jean-Ariel; Pougnet, Richard; Bell, S; Dewitte, Jean-Dominique

    2010-01-01

    - To determine the accidental factors and the clinical symptoms in eight cases of occupational poisoning of port workers by carbon monoxide. - To consider the primary prevention of this serious pathology occurring at work. - To analyze the circumstances of the exposure to carbon monoxide in the employees in the naval repair sector. - To indicate the systemic failures causing this accidental poisoning, the means for early diagnosis and appropriate treatment, and to discuss the prevention of such accidents. The poisoning occurred in eight mechanics and electricians working without any protective means in a gas carrier tank in dry dock. The employees, unaware of carbon monoxide exposure, stayed for 45 minutes in an atmosphere polluted with carbon monoxide concentrations of over 500 ppm. The main complaints were of headache, muscular weakness, and drowsiness. No post-interval syndrome was found three weeks after poisoning. The levels of carboxyhaemoglobin varied from 1.8 to 31.2%. Early normal pressure oxygen therapy reduced the symptoms. No delayed syndrome was found three weeks after poisoning. The inclusion of poisonous gas in gas-free certification, adherence to maritime harbour regulations, greater respect for working instructions in hazardous environments, and the use of detectors appropriate to the conditions for each ship would avoid exposure and decrease the risk of poisoning.

  4. Photosynthetic carbon monoxide metabolism by sugarcane leaves

    Energy Technology Data Exchange (ETDEWEB)

    Kortschak, H.P.; Nickell, L.G.

    1973-01-01

    The photosynthetic carbon monoxide metabolism by sugarcane was studied to determine whether substantial quantities of CO are removed from the air by fields in Hawaii. Leaves metabolized low CO concentrations photosynthetically, with sucrose as an end product. Rates of uptake were of the order of 10/sup -4/ power mg/d sq m/hr. This was to low to be significant in removing CO from the atmosphere.

  5. Sensorineural Hearing Loss following Carbon Monoxide Poisoning

    Directory of Open Access Journals (Sweden)

    Joseph P. Pillion

    2012-01-01

    Full Text Available A case study is presented of a 17-year-old male who sustained an anoxic brain injury and sensorineural hearing loss secondary to carbon monoxide poisoning. Audiological data is presented showing a slightly asymmetrical hearing loss of sensorineural origin and mild-to-severe degree for both ears. Word recognition performance was fair to poor bilaterally for speech presented at normal conversational levels in quiet. Management considerations of the hearing loss are discussed.

  6. "Poetry? Of Course We Do It. It's in the National Curriculum." Primary Children's Perceptions of Poetry

    Science.gov (United States)

    Kelly, Alison

    2005-01-01

    What can listening to children's ideas about poetry teach us? This article considers ways in which exploring primary-aged students' perceptions of poetry can inform teachers' work with children. Using strategies from earlier studies in secondary schools, a small-scale project with Year 6 students revealed their complex and sometimes contradictory…

  7. 76 FR 14636 - National Emission Standards for Hazardous Air Pollutants: Primary Lead Smelting

    Science.gov (United States)

    2011-03-17

    ... Air Pollutants for Primary Lead Smelting (76 FR 9410). The EPA is extending the deadline for written...-2004-0305, by one of the following methods: http://www.regulations.gov : Follow the on-line... the use of special characters, any form of encryption, and be free of any defects or viruses....

  8. Absolute measurement of the DT primary neutron yield on the National Ignition Facility

    Directory of Open Access Journals (Sweden)

    Leeper R.J.

    2013-11-01

    Full Text Available The measurement of the absolute neutron yield produced in inertial confinement fusion target experiments conducted on the National Ignition Facility (NIF is essential in benchmarking progress towards the goal of achieving ignition on this facility. This paper describes three independent diagnostic techniques that have been developed to make accurate and precise DT neutron yield measurements on the NIF.

  9. Children's Construction and Experience of Racism and Nationalism in Greek-Cypriot Primary Schools

    Science.gov (United States)

    Zembylas, Michalinos

    2010-01-01

    This article presents findings that highlight children's construction and experience of racism and nationalism among a sample of Greek-Cypriot (the majority) and Turkish-speaking (the minority) children in Greek-Cypriot schools through the lens of intersectionality theory. The article first reviews previous work in relation to children, racism and…

  10. Potential access to primary health care: what does the National Program for Access and Quality Improvement data show?

    Science.gov (United States)

    Uchôa, Severina Alice da Costa; Arcêncio, Ricardo Alexandre; Fronteira, Inês Santos Estevinho; Coêlho, Ardigleusa Alves; Martiniano, Claudia Santos; Brandão, Isabel Cristina Araújo; Yamamura, Mellina; Maroto, Renata Melo

    2016-01-01

    Objective: to analyze the influence of contextual indicators on the performance of municipalities regarding potential access to primary health care in Brazil and to discuss the contribution from nurses working on this access. Method: a multicenter descriptive study based on secondary data from External Evaluation of the National Program for Access and Quality Improvement in Primary Care, with the participation of 17,202 primary care teams. The chi-square test of proportions was used to verify differences between the municipalities stratified based on size of the coverage area, supply, coordination, and integration; when necessary, the chi-square test with Yates correction or Fisher's exact test were employed. For the population variable, the Kruskal-Wallis test was used. Results: the majority of participants were nurses (n=15.876; 92,3%). Statistically significant differences were observed between the municipalities in terms of territory (p=0.0000), availability (p=0.0000), coordination of care (p=0.0000), integration (p=0.0000) and supply (p=0.0000), verifying that the municipalities that make up area 6 tend to have better performance in these dimensions. Conclusion: areas 4,5 and 6 performed better in every analyzed dimension, and the nurse had a leading role in the potential to access primary health care in Brazil. PMID:26959332

  11. Potential access to primary health care: what does the National Program for Access and Quality Improvement data show?

    Directory of Open Access Journals (Sweden)

    Severina Alice da Costa Uchôa

    2016-01-01

    Full Text Available Objective: to analyze the influence of contextual indicators on the performance of municipalities regarding potential access to primary health care in Brazil and to discuss the contribution from nurses working on this access. Method: a multicenter descriptive study based on secondary data from External Evaluation of the National Program for Access and Quality Improvement in Primary Care, with the participation of 17,202 primary care teams. The chi-square test of proportions was used to verify differences between the municipalities stratified based on size of the coverage area, supply, coordination, and integration; when necessary, the chi-square test with Yates correction or Fisher's exact test were employed. For the population variable, the Kruskal-Wallis test was used. Results: the majority of participants were nurses (n=15.876; 92,3%. Statistically significant differences were observed between the municipalities in terms of territory (p=0.0000, availability (p=0.0000, coordination of care (p=0.0000, integration (p=0.0000 and supply (p=0.0000, verifying that the municipalities that make up area 6 tend to have better performance in these dimensions. Conclusion: areas 4,5 and 6 performed better in every analyzed dimension, and the nurse had a leading role in the potential to access primary health care in Brazil.

  12. Prevention, early detection and team management of skin cancer in primary care: contribution to The health of the nation objectives.

    Science.gov (United States)

    Jackson, A

    1995-02-01

    The incidence of all skin cancers is increasing. If The health of the nation targets are to be addressed, incidence figures need to be more accurate. Solar damage is the major causal factor in all skin cancers. Certain individual risk factors also play an important part, especially in the development of malignant melanoma. Prevention and early detection are crucial in reducing morbidity and mortality from skin cancer. This paper considers the role of primary care skin screening clinics and cutaneous surgery facilities in the early detection and management of skin cancer. It also illustrates the value of a team approach in primary care in the prevention and early detection of skin cancer and in the more accurate recording of incidence rates.

  13. Primary healthcare reform in the United Nations Relief and Works Agency for Palestine Refugees in the Near East.

    Science.gov (United States)

    Santoro, A; Abu-Rmeileh, N; Khader, A; Seita, A; McKee, M

    2016-09-25

    Palestinian refugees served by the United Nation Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) are experiencing increasing rates of diagnosis of non-communicable diseases. In response, in 2011 UNRWA initiated an Agency-wide programme of primary healthcare reform, informed by the Chronic Care Model framework. Health services were reorganized following a family-centred approach, with delivery by multidisciplinary family health teams supported by updated technical advice. An inclusive clinical information system, termed e-Health, was implemented to collect a wide range of health information, with a focus on continuity of treatment. UNRWA was able to bring about these wide-ranging changes within its existing resources, reallocating finances, reforming its payment mechanisms, and modernizing its drug-procurement policies. While specific components of UNRWA's primary healthcare reform are showing promising results, additional efforts are needed to empower patients further and to strengthen involvement of the community.

  14. Communication between secondary and primary care following self-harm: are National Institute of Clinical Excellence (NICE guidelines being met?

    Directory of Open Access Journals (Sweden)

    Jordan Rita

    2008-10-01

    Full Text Available Abstract Background Most patients contact their general practitioner (GP following presentation to an Emergency Department (ED after a self-harm incident, and strategies to help GPs manage these patients include efficient communication between services. The aim of this study was to assess the standard of documentation and communication to primary care from secondary care as recommended by the National Institute of Clinical Excellence (NICE guidelines on the short-term management of people who self-harm. Methods An audit of medical records (ED and Psychiatric on people aged 16 years and over who had presented to the ED following self-harm, benchmarked according to government guidelines, was performed. Data were collected over a 4-week period at a general teaching hospital. Results We collected data on 93 consecutive episodes of self-harm; 62% of episodes were communicated to primary care, 58% of these communications were within 24 h and most within 3 days. Patient identifying details and follow-up arrangements were specified in most cases. Communication via psychiatric staff was most detailed. ED clinicians provided few communications and were of limited content. Communication with the patient's GP was not made in half of those cases seen by a mental health specialist. Conclusion Government guidelines are only partially being met. Reliance on communication by ED staff would leave a substantial proportion of patients discharged from the ED with no or minimal communication to primary care. Psychiatric services need to improve the rate of communication to the patient's GP following assessment A national sample of National Health Service (NHS trusts would establish if this is a problem elsewhere.

  15. Aesthetic Education of Primary School Pupils as an Integral Part of the National System of Continuous Art Education in Japan

    Directory of Open Access Journals (Sweden)

    Kuchai Tetiana

    2014-09-01

    Full Text Available The article examines aesthetic education of primary school pupils as an integral part of the national system of continuous art education in Japan. One of the most important traditional means of aesthetic education in Japan, according to L. Tsaryova is considered nature. Analysis of the scientific literature by domestic and foreign scientists suggests that instead of collective worship the Japanese established habits that help people develop artistic taste. Having considered the traditions of: tea ceremony, admiring nature; writing, which doesn’t differ from painting and so on, one should point out that the traditions are valuable and remain till nowadays thus promoting the aestheticization of the Japanese people.

  16. Study protocol: national research partnership to improve primary health care performance and outcomes for Indigenous peoples

    Directory of Open Access Journals (Sweden)

    McDermott Robyn

    2010-05-01

    Full Text Available Abstract Background Strengthening primary health care is critical to reducing health inequity between Indigenous and non-Indigenous Australians. The Audit and Best practice for Chronic Disease Extension (ABCDE project has facilitated the implementation of modern Continuous Quality Improvement (CQI approaches in Indigenous community health care centres across Australia. The project demonstrated improvements in health centre systems, delivery of primary care services and in patient intermediate outcomes. It has also highlighted substantial variation in quality of care. Through a partnership between academic researchers, service providers and policy makers, we are now implementing a study which aims to 1 explore the factors associated with variation in clinical performance; 2 examine specific strategies that have been effective in improving primary care clinical performance; and 3 work with health service staff, management and policy makers to enhance the effective implementation of successful strategies. Methods/Design The study will be conducted in Indigenous community health centres from at least six States/Territories (Northern Territory, Western Australia, New South Wales, South Australia, Queensland and Victoria over a five year period. A research hub will be established in each region to support collection and reporting of quantitative and qualitative clinical and health centre system performance data, to investigate factors affecting variation in quality of care and to facilitate effective translation of research evidence into policy and practice. The project is supported by a web-based information system, providing automated analysis and reporting of clinical care performance to health centre staff and management. Discussion By linking researchers directly to users of research (service providers, managers and policy makers, the partnership is well placed to generate new knowledge on effective strategies for improving the quality of primary

  17. Satellite observations of tropospheric ammonia and carbon monoxide: Global distributions, regional correlations and comparisons to model simulations

    Science.gov (United States)

    Ammonia (NH3) and carbon monoxide (CO) are primary pollutants emitted to the Earth's atmosphere from common as well as distinct sources associated with anthropogenic and natural activities. The seasonal and global distributions and correlations of NH3 and CO from the Tropospheric...

  18. Catalyst for Carbon Monoxide Oxidation

    Science.gov (United States)

    Davis, Patricia; Brown, Kenneth; VanNorman, John; Brown, David; Upchurch, Billy; Schryer, David; Miller, Irvin

    2010-01-01

    In many applications, it is highly desirable to operate a CO2 laser in a sealed condition, for in an open system the laser requires a continuous flow of laser gas to remove the dissociation products that occur in the discharge zone of the laser, in order to maintain a stable power output. This adds to the operating cost of the laser, and in airborne or space applications, it also adds to the weight penalty of the laser. In a sealed CO2 laser, a small amount of CO2 gas is decomposed in the electrical discharge zone into corresponding quantities of CO and O2. As the laser continues to operate, the concentration of CO2 decreases, while the concentrations of CO and O2 correspondingly increase. The increasing concentration of O2 reduces laser power, because O2 scavenges electrons in the electrical discharge, thereby causing arcing in the electric discharge and a loss of the energetic electrons required to boost CO2 molecules to lasing energy levels. As a result, laser power decreases rapidly. The primary object of this invention is to provide a catalyst that, by composition of matter alone, contains chemisorbed water within and upon its structure. Such bound moisture renders the catalyst highly active and very long-lived, such that only a small quantity of it needs to be used with a CO2 laser under ambient operating conditions. This object is achieved by a catalyst that consists essentially of about 1 to 40 percent by weight of one or more platinum group metals (Pt, Pd, Rh, Ir, Ru, Os, Pt being preferred); about 1 to 90 percent by weight of one or more oxides of reducible metals having multiple valence states (such as Sn, Ti, Mn, Cu, and Ce, with SnO2 being preferred); and about 1 to 90 percent by weight of a compound that can bind water to its structure (such as silica gel, calcium chloride, magnesium sulfate, hydrated alumina, and magnesium perchlorate, with silica gel being preferred). Especially beneficial results are obtained when platinum is present in the

  19. Net primary productivity of subalpine meadows in Yosemite National Park in relation to climate variability

    Science.gov (United States)

    Moore, Peggy E.; Van Wagtendonk, Jan W.; Yee, Julie L.; McClaran, Mitchel P.; Cole, David N.; McDougald, Neil K.; Brooks, Matthew L.

    2013-01-01

    Subalpine meadows are some of the most ecologically important components of mountain landscapes, and primary productivity is important to the maintenance of meadow functions. Understanding how changes in primary productivity are associated with variability in moisture and temperature will become increasingly important with current and anticipated changes in climate. Our objective was to describe patterns and variability in aboveground live vascular plant biomass in relation to climatic factors. We harvested aboveground biomass at peak growth from four 64-m2 plots each in xeric, mesic, and hydric meadows annually from 1994 to 2000. Data from nearby weather stations provided independent variables of spring snow water content, snow-free date, and thawing degree days for a cumulative index of available energy. We assembled these climatic variables into a set of mixed effects analysis of covariance models to evaluate their relationships with annual aboveground net primary productivity (ANPP), and we used an information theoretic approach to compare the quality of fit among candidate models. ANPP in the xeric meadow was negatively related to snow water content and thawing degree days and in the mesic meadow was negatively related to snow water content. Relationships between ANPP and these 2 covariates in the hydric meadow were not significant. Increasing snow water content may limit ANPP in these meadows if anaerobic conditions delay microbial activity and nutrient availability. Increased thawing degree days may limit ANPP in xeric meadows by prematurely depleting soil moisture. Large within-year variation of ANPP in the hydric meadow limited sensitivity to the climatic variables. These relationships suggest that, under projected warmer and drier conditions, ANPP will increase in mesic meadows but remain unchanged in xeric meadows because declines associated with increased temperatures would offset the increases from decreased snow water content.

  20. Nation-wide primary healthcare research network: a privacy protection assessment.

    Science.gov (United States)

    De Clercq, Etienne; Van Casteren, Viviane; Bossuyt, Nathalie; Moreels, Sarah; Goderis, Geert; Bartholomeeusen, Stefaan; Bonte, Pierre; Bangels, Marc

    2012-01-01

    Efficiency and privacy protection are essential when setting up nationwide research networks. This paper investigates the extent to which basic services developed to support the provision of care can be re-used, whilst preserving an acceptable privacy protection level, within a large Belgian primary care research network. The generic sustainable confidentiality management model used to assess the privacy protection level of the selected network architecture is described. A short analysis of the current architecture is provided. Our generic model could also be used in other countries.

  1. Is primary care a neglected piece of the jigsaw in ensuring optimal stroke care? Results of a national study.

    LENUS (Irish Health Repository)

    Whitford, David L

    2009-01-01

    BACKGROUND: Stroke is a major cause of mortality and morbidity with potential for improved care and prevention through general practice. A national survey was undertaken to determine current resources and needs for optimal stroke prevention and care. METHODS: Postal survey of random sample of general practitioners undertaken (N = 204; 46% response). Topics included practice organisation, primary prevention, acute management, secondary prevention, long-term care and rehabilitation. RESULTS: Service organisation for both primary and secondary prevention was poor. Home management of acute stroke patients was used at some stage by 50% of responders, accounting for 7.3% of all stroke patients. Being in a structured cardiovascular management scheme, a training practice, a larger practice, or a practice employing a practice nurse were associated with structures and processes likely to support stroke prevention and care. CONCLUSION: General practices were not fulfilling their potential to provide stroke prevention and long-term management. Systems of structured stroke management in general practice are essential to comprehensive national programmes of stroke care.

  2. Is primary care a neglected piece of the jigsaw in ensuring optimal stroke care? Results of a national study

    Directory of Open Access Journals (Sweden)

    O'Sullivan Bernadette

    2009-04-01

    Full Text Available Abstract Background Stroke is a major cause of mortality and morbidity with potential for improved care and prevention through general practice. A national survey was undertaken to determine current resources and needs for optimal stroke prevention and care. Methods Postal survey of random sample of general practitioners undertaken (N = 204; 46% response. Topics included practice organisation, primary prevention, acute management, secondary prevention, long-term care and rehabilitation. Results Service organisation for both primary and secondary prevention was poor. Home management of acute stroke patients was used at some stage by 50% of responders, accounting for 7.3% of all stroke patients. Being in a structured cardiovascular management scheme, a training practice, a larger practice, or a practice employing a practice nurse were associated with structures and processes likely to support stroke prevention and care. Conclusion General practices were not fulfilling their potential to provide stroke prevention and long-term management. Systems of structured stroke management in general practice are essential to comprehensive national programmes of stroke care.

  3. Prevalence of intimate partner violence in Spain: A national cross-sectional survey in primary care.

    Science.gov (United States)

    Ruiz-Pérez, Isabel; Escribà-Agüir, Vicenta; Montero-Piñar, Isabel; Vives-Cases, Carmen; Rodríguez-Barranco, Miguel

    2017-02-01

    (1) To analyze the prevalence of Intimate Partner Violence by types. (2) To examine the relationship between sociodemographic characteristics and Intimate Partner Violence. Cross-sectional study using a self-administered questionnaire. Primary Healthcare centers in Spain. 10,322 women (18-70 years) attending Primary Healthcare centers. A compound index was calculated based on frequency, types, and duration of Intimate Partner Violence. Multivariable adjusted logistic regression models were used to identify the sociodemographic factors, which were independently associated with each Intimate Partner Violence category. The prevalence of Intimate Partner Violence was 24.8%. For the physical only category, no differences were observed regarding education or employment status, and women with the highest income have less risk. For the psychological only category, no differences were observed according to the income level. The risk increases as the education level decreases, and the greatest frequency of only psychological Intimate Partner Violence was observed in women who were unemployed or students. For both the physical and psychological category of Intimate Partner Violence, a clear risk increase is observed as income and education levels decrease. Retired women showed the highest frequency of this violence category. The results show that Intimate Partner Violence affects women of all social strata, but the frequency and Intimate Partner Violence category will vary according to the socio-economic. Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

  4. The potential impact of the next influenza pandemic on a national primary care medical workforce

    Directory of Open Access Journals (Sweden)

    Crampton Peter

    2005-08-01

    Full Text Available Abstract Background Another influenza pandemic is all but inevitable. We estimated its potential impact on the primary care medical workforce in New Zealand, so that planning could mitigate the disruption from the pandemic and similar challenges. Methods The model in the "FluAid" software (Centers for Disease Control and Prevention, CDC, Atlanta was applied to the New Zealand primary care medical workforce (i.e., general practitioners. Results At its peak (week 4 the pandemic would lead to 1.2% to 2.7% loss of medical work time, using conservative baseline assumptions. Most workdays (88% would be lost due to illness, followed by hospitalisation (8%, and then premature death (4%. Inputs for a "more severe" scenario included greater health effects and time spent caring for sick relatives. For this scenario, 9% of medical workdays would be lost in the peak week, and 3% over a more compressed six-week period of the first pandemic wave. As with the base case, most (64% of lost workdays would be due to illness, followed by caring for others (31%, hospitalisation (4%, and then premature death (1%. Conclusion Preparedness planning for future influenza pandemics must consider the impact on this medical workforce and incorporate strategies to minimise this impact, including infection control measures, well-designed protocols, and improved health sector surge capacity.

  5. 40 CFR Appendix H to Part 50 - Interpretation of the 1-Hour Primary and Secondary National Ambient Air Quality Standards for Ozone

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 2 2010-07-01 2010-07-01 false Interpretation of the 1-Hour Primary and Secondary National Ambient Air Quality Standards for Ozone H Appendix H to Part 50 Protection of... AIR QUALITY STANDARDS Pt. 50, App. H Appendix H to Part 50—Interpretation of the 1-Hour Primary and...

  6. National healthcare information system in Croatian primary care: the foundation for improvement of quality and efficiency in patient care

    Directory of Open Access Journals (Sweden)

    Darko Gvozdanovi_

    2007-09-01

    Full Text Available In order to improve the quality of patient care, while at the same time keeping up with the pace of increased needs of the population for healthcare services that directly impacts on the cost of care delivery processes, the Republic of Croatia, under the leadership of the Ministry of Health and Social Welfare, has formed a strategy and campaign for national public healthcare system reform. The strategy is very comprehensive and addresses all niches of care delivery processes; it is founded on the enterprise information systems that will aim to support end-to-end business processes in the healthcare domain. Two major requirements are in focus: (1 to provide efficient healthcare-related data management in support of decision-making processes; (2 to support a continuous process of healthcare resource spending optimisation. The first project is the Integrated Healthcare Information System (IHCIS on the primary care level; this encompasses the integration of all primary point-of-care facilities and subjects with the Croatian Institute for Health Insurance and Croatian National Institute of Public Health. In years to come, IHCIS will serve as the main integration platform for connecting all other stakeholders and levels of health care (that is, hospitals, pharmacies, laboratories into a single enterprise healthcare network. This article gives an overview of Croatian public healthcare system strategy aims and goals, and focuses on properties and characteristics of the primary care project implementation that started in 2003; it achieved a major milestone in early 2007 - the official grand opening of the project with 350 GPs already fully connected to the integrated healthcare information infrastructure based on the IHCIS solution.

  7. Research on cultivating martial art teachers of primary and secondary schools under the background of new national curriculum standard

    Directory of Open Access Journals (Sweden)

    HAN Xue

    2013-08-01

    Full Text Available Martial art instructors play an important role in martial art education,and the quality of martial art instructors determines the level of quality of martial art education. Therefore,under the background of new national curriculum standard,who is to teach martial art,or in other words,martial art teacher issues concern the development of martial art in primary and secondary schools.In this paper,by use of literature,interviews and other research methods,the history of martial art education in our country is reviewed at first,leading to a conclusion that there exist problems in primary and middle school martial art education in our country,i.e.professional martial art instructors in primary and middle schools are seriously deficient,martial art instructors are lacking in professional martial art knowledge and professional competence,the continuing education system is not perfect,and training and education are formalized.The author therefore puts forward countermeasures to improve the current situation.

  8. Patient experience of access to primary care: identification of predictors in a national patient survey

    Directory of Open Access Journals (Sweden)

    Kontopantelis Evangelos

    2010-08-01

    Full Text Available Abstract Background The 2007/8 GP Access Survey in England measured experience with five dimensions of access: getting through on the phone to a practice, getting an early appointment, getting an advance appointment, making an appointment with a particular doctor, and surgery opening hours. Our aim was to identify predictors of patient satisfaction and experience with access to English primary care. Methods 8,307 English general practices were included in the survey (of 8,403 identified. 4,922,080 patients were randomly selected and contacted by post and 1,999,523 usable questionnaires were returned, a response rate of 40.6%. We used multi-level logistic regressions to identify patient, practice and regional predictors of patient satisfaction and experience. Results After controlling for all other factors, younger people, and people of Asian ethnicity, working full time, or with long commuting times to work, reported the lowest levels of satisfaction and experience of access. For people in work, the ability to take time off work to visit the GP effectively eliminated the disadvantage in access. The ethnic mix of the local area had an impact on a patient's reported satisfaction and experience over and above the patient's own ethnic identity. However, area deprivation had only low associations with patient ratings. Responses from patients in small practices were more positive for all aspects of access with the exception of satisfaction with practice opening hours. Positive reports of access to care were associated with higher scores on the Quality and Outcomes Framework and with slightly lower rates of emergency admission. Respondents in London were the least satisfied and had the worst experiences on almost all dimensions of access. Conclusions This study identifies a number of patient groups with lower satisfaction, and poorer experience, of gaining access to primary care. The finding that access is better in small practices is important given

  9. The Security Education Concepts in the Textbooks of the National and Civic Education of the Primary Stage in Jordan--An Analytical Study

    Science.gov (United States)

    Al-Edwan, Zaid Suleiman

    2016-01-01

    The present study aimed at exploring the concepts of the security education in the textbooks of the national and civic education of the higher primary stage in Jordan. It adopted the descriptive analytical method. The study sample consisted of the textbooks of the national and civic education for the basic eighth, ninth and tenth grades. To…

  10. Analysis of Carbon Monoxide in Blood

    Science.gov (United States)

    Huddle, Benjamin P.; Stephens, Joseph C.

    2003-04-01

    Forensic tests used to perform the qualitative and quantitative analyses of carbon monoxide in blood are described. The qualitative test uses the diffusion of CO, which is released from blood by reaction with H2SO4, into a PdCl2 solution in a Conway cell and the resultant formation of a palladium mirror. The quantitative analysis is based on the absorption of visible light by carboxyhemoglobin at 541 nm and reduced hemoglobin at 555 nm. Both procedures are suitable for undergraduate chemistry experiments.

  11. Primary care utilisation patterns among an urban immigrant population in the Spanish National Health System

    Directory of Open Access Journals (Sweden)

    Bordonaba-Bosque Daniel

    2011-06-01

    Full Text Available Abstract Background There is evidence suggesting that the use of health services is lower among immigrants after adjusting for age and sex. This study takes a step forward to compare primary care (PC utilisation patterns between immigrants and the native population with regard to their morbidity burden. Methods This retrospective, observational study looked at 69,067 individuals representing the entire population assigned to three urban PC centres in the city of Zaragoza (Aragon, Spain. Poisson models were applied to determine the number of annual PC consultations per individual based on immigration status. All models were first adjusted for age and sex and then for age, sex and case mix (ACG System®. Results The age and sex adjusted mean number of total annual consultations was lower among the immigrant population (children: IRR = 0.79, p Conclusions Although immigrants make lower use of PC services than the native population after adjusting the consultation rate for age and sex, these differences decrease significantly when considering their morbidity burden. These results reinforce the 'healthy migration effect' and discount the existence of differences in PC utilisation patterns between the immigrant and native populations in Spain.

  12. Social franchising primary healthcare clinics--a model for South African National Health Insurance?

    Science.gov (United States)

    Robinson, Andrew Ken Lacey

    2015-09-21

    This article describes the first government social franchise initiative in the world to deliver a 'brand' of quality primary healthcare (PHC) clinic services. Quality and standards of care are not uniformly and reliably delivered across government PHC clinics in North West Province, South Africa, despite government support, numerous policies, guidelines and in-service training sessions provided to staff. Currently the strongest predictor of good-quality service is the skill and dedication of the facility manager. A project utilising the social franchising business model, harvesting best practices, has been implemented with the aim of developing a system to ensure reliably excellent healthcare service provision in every facility in North West. The services of social franchising consultants have been procured to develop the business model to drive this initiative. Best practices have been benchmarked, and policies, guidelines and clinic support systems have been reviewed, evaluated and assessed, and incorporated into the business plan. A pilot clinic has been selected to refine and develop a working social franchise model. This will then be replicated in one clinic to confirm proof of concept before further scale-up. The social franchise business model can provide solutions to a reliable and recognisable 'brand' of quality universal coverage of healthcare services.

  13. [Carbon monoxide poisoning by a heating system].

    Science.gov (United States)

    Dietz, Eric; Gehl, Axel; Friedrich, Peter; Kappus, Stefan; Petter, Franz; Maurer, Klaus; Püschel, Klaus

    2016-01-01

    A case of accidental carbon monoxide poisoning in several occupants of two neighboring residential buildings in Hamburg-Harburg (Germany) caused by a defective gas central heating system is described. Because of leaks in one of the residential buildings and the directly adjacent wall of the neighboring house, the gas could spread and accumulated in both residential buildings, which resulted in a highly dangerous situation. Exposure to the toxic gas caused mild to severe intoxication in 15 persons. Three victims died still at the site of the accident. Measures to protect the occupants were taken only with a great delay. As symptoms were unspecific, it was not realized that the various alarms given by persons involved in the accident were related to the same cause. In order to take appropriate measures in time it is indispensible to recognize, assess and check potential risks, which can be done by using carbon monoxide warning devices and performing immediate COHb measurements with special pulse oximeters on site. Moreover, the COHb content in the blood should be routinely determined in all patients admitted to an emergency department with unspecific symptoms.

  14. Observations of iodine monoxide columns from satellite

    Directory of Open Access Journals (Sweden)

    A. Schönhardt

    2008-02-01

    Full Text Available Iodine species in the troposphere are linked to ozone depletion and new particle formation. In this study, a full year of iodine monoxide (IO columns retrieved from measurements of the SCIAMACHY satellite instrument is presented, coupled with a discussion of their uncertainties and the detection limits. The largest amounts of IO are found near springtime in the Antarctic. A seasonal variation of iodine monoxide in Antarctica is revealed with high values in springtime, slightly less IO in the summer period and again larger amounts in autumn. In winter, no elevated IO levels are found in the areas accessible to satellite measurements. This seasonal cycle is in good agreement with recent ground-based measurements in Antarctica. In the Arctic region, no elevated IO levels were found in the period analysed. This implies that different conditions with respect to iodine release exist in the two Polar Regions. To investigate possible release mechanisms, comparisons of IO columns with those of tropospheric BrO, and ice coverage are described and discussed. Some parallels and interesting differences between IO and BrO temporal and spatial distributions are identified. Overall, the large spatial coverage of satellite retrieved IO data and the availability of a long-term dataset provide new insight about the abundances and distributions of iodine compounds in the troposphere.

  15. How to use The National Gallery as a cross curricular approach to weather and climate studies at primary level.

    Science.gov (United States)

    Hansen, P. J. K.

    2009-09-01

    How to use The National Gallery as a cross curricular approach to weather and climate studies at primary level. Pål J. Kirkeby Hansen Faculty of Education and International Studies, Oslo University College (PalKirkeby.Hansen@lui.hio.no) Weather and climate are topics in natural science and geography in primary and secondary education in most countries. The pupils are often doing own weather observations and measurements and are presenting the results oral, by posters or with digital aids. They also use the Internet with all its relevant resources in their studies to develop vocabulary, practical and conceptual knowledge. Knowledge about weather and climate is parts of liberal education and could be projected to other topics in science and to topics in other subjects, for instance: history, social geography, literature and arts. This article reports from a case study in grade 3 classes (age 9 year) during their Weather Week. Their science teacher was, quite untypical, also educated in art history. She arranged a visited to The National Gallery with the double agenda: 1. To introduce the pupils to Norwegian canon paintings from the national romantic period, our so-called "golden age”. 2. To look for and discuss weather elements in this paintings. For one hour the museum curator guided the pupils around the water cycle by using the paintings. While the pupils' own observations of weather, clouds and wind and measurements of temperature and precipitation during the Weather Week only are point checks, the guided tour in The National Gallery gave literally "the whole picture” of the Norwegian weather and climate and of the water cycle. During the tour, the curator constantly invited the pupils to tell about and discuss what weather and water elements they were looking at when standing in front of a painting. The pupils were responsive and interested all the time. Back at school, they demonstrated that they had learned much about both weather elements, the water

  16. Nitric oxide and carbon monoxide diffusing capacity of the lung

    NARCIS (Netherlands)

    Lee, I. van der

    2006-01-01

    The single breath diffusion capacity of the lung for carbon monoxide (DLCO) is measure for gas uptake by the lung, and consists of a membrane and a vascular component. Nitric oxide (NO) binds 400 times faster to hemoglobin than carbon monoxide, thus the uptake of NO by the blood is very large.

  17. Nitric oxide and carbon monoxide diffusing capacity of the lung

    NARCIS (Netherlands)

    Lee, I. van der

    2006-01-01

    The single breath diffusion capacity of the lung for carbon monoxide (DLCO) is measure for gas uptake by the lung, and consists of a membrane and a vascular component. Nitric oxide (NO) binds 400 times faster to hemoglobin than carbon monoxide, thus the uptake of NO by the blood is very large. There

  18. Fatal carbon monoxide intoxication after acetylene gas welding of pipes.

    Science.gov (United States)

    Antonsson, Ann-Beth; Christensson, Bengt; Berge, Johan; Sjögren, Bengt

    2013-06-01

    Acetylene gas welding of district heating pipes can result in exposure to high concentrations of carbon monoxide. A fatal case due to intoxication is described. Measurements of carbon monoxide revealed high levels when gas welding a pipe with closed ends. This fatality and these measurements highlight a new hazard, which must be promptly prevented.

  19. Real World of Industrial Chemistry: Organic Chemicals from Carbon Monoxide.

    Science.gov (United States)

    Kolb, Kenneth E.; Kolb, Doris

    1983-01-01

    Carbon Monoxide obtained from coal may serve as the source for a wide variety of organic compounds. Several of these compounds are discussed, including phosgene, benzaldehyde, methanol, formic acid and its derivatives, oxo aldehydes, acrylic acids, and others. Commercial reactions of carbon monoxide are highlighted in a table. (JN)

  20. Internet Gaming Disorder Among Slovenian Primary Schoolchildren: Findings From a Nationally Representative Sample of Adolescents.

    Science.gov (United States)

    Pontes, Halley M; Macur, Mirna; Griffiths, Mark D

    2016-06-01

    Background and aims Since the inclusion of Internet Gaming Disorder (IGD) in the latest (fifth) edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as a tentative disorder, a few psychometric screening instruments have been developed to assess IGD, including the 9-item Internet Gaming Disorder Scale - Short-Form (IGDS9-SF) - a short, valid, and reliable instrument. Methods Due to the lack of research on IGD in Slovenia, this study aimed to examine the psychometric properties of the IGDS9-SF in addition to investigating the prevalence rates of IGD in a nationally representative sample of eighth graders from Slovenia (N = 1,071). Results The IGDS9-SF underwent rigorous psychometric scrutiny in terms of validity and reliability. Construct validation was investigated with confirmatory factor analysis to examine the factorial structure of the IGDS9-SF and a unidimensional structure appeared to fit the data well. Concurrent and criterion validation were also investigated by examining the association between IGD and relevant psychosocial and game-related measures, which warranted these forms of validity. In terms of reliability, the Slovenian version IGDS9-SF obtained excellent results regarding its internal consistency at different levels, and the test appears to be a valid and reliable instrument to assess IGD among Slovenian youth. Finally, the prevalence rates of IGD were found to be around 2.5% in the whole sample and 3.1% among gamers. Discussion and conclusion Taken together, these results illustrate the suitability of the IGDS9-SF and warrants further research on IGD in Slovenia.

  1. The retention of health human resources in primary healthcare centers in Lebanon: a national survey

    Directory of Open Access Journals (Sweden)

    Alameddine Mohamad

    2012-11-01

    Full Text Available Abstract Background Critical shortages of health human resources (HHR, associated with high turnover rates, have been a concern in many countries around the globe. Of particular interest is the effect of such a trend on the primary healthcare (PHC sector; considered a cornerstone in any effective healthcare system. This study is a rare attempt to investigate PHC HHR work characteristics, level of burnout and likelihood to quit as well as the factors significantly associated with staff retention at PHC centers in Lebanon. Methods A cross-sectional design was utilized to survey all health providers at 81 PHC centers dispersed in all districts of Lebanon. The questionnaire consisted of four sections: socio-demographic/ professional background, organizational/institutional characteristics, likelihood to quit and level of professional burnout (using the Maslach-Burnout Inventory. A total of 755 providers completed the questionnaire (60.5% response rate. Bivariate analyses and multinomial logistic regression were used to determine factors associated with likelihood to quit. Results Two out of five respondents indicated likelihood to quit their jobs within the next 1–3 years and an additional 13.4% were not sure about quitting. The top three reasons behind likelihood to quit were poor salary (54.4%, better job opportunities outside the country (35.1% and lack of professional development (33.7%. A U-shaped relationship was observed between age and likelihood to quit. Regression analysis revealed that high levels of burnout, lower level of education and low tenure were all associated with increased likelihood to quit. Conclusions The study findings reflect an unstable workforce and are not conducive to supporting an expanded role for PHC in the Lebanese healthcare system. While strategies aiming at improving staff retention would be important to develop and implement for all PHC HHR; targeted retention initiatives should focus on the young-new recruits

  2. The retention of health human resources in primary healthcare centers in Lebanon: a national survey

    Science.gov (United States)

    2012-01-01

    Background Critical shortages of health human resources (HHR), associated with high turnover rates, have been a concern in many countries around the globe. Of particular interest is the effect of such a trend on the primary healthcare (PHC) sector; considered a cornerstone in any effective healthcare system. This study is a rare attempt to investigate PHC HHR work characteristics, level of burnout and likelihood to quit as well as the factors significantly associated with staff retention at PHC centers in Lebanon. Methods A cross-sectional design was utilized to survey all health providers at 81 PHC centers dispersed in all districts of Lebanon. The questionnaire consisted of four sections: socio-demographic/ professional background, organizational/institutional characteristics, likelihood to quit and level of professional burnout (using the Maslach-Burnout Inventory). A total of 755 providers completed the questionnaire (60.5% response rate). Bivariate analyses and multinomial logistic regression were used to determine factors associated with likelihood to quit. Results Two out of five respondents indicated likelihood to quit their jobs within the next 1–3 years and an additional 13.4% were not sure about quitting. The top three reasons behind likelihood to quit were poor salary (54.4%), better job opportunities outside the country (35.1%) and lack of professional development (33.7%). A U-shaped relationship was observed between age and likelihood to quit. Regression analysis revealed that high levels of burnout, lower level of education and low tenure were all associated with increased likelihood to quit. Conclusions The study findings reflect an unstable workforce and are not conducive to supporting an expanded role for PHC in the Lebanese healthcare system. While strategies aiming at improving staff retention would be important to develop and implement for all PHC HHR; targeted retention initiatives should focus on the young-new recruits and allied health

  3. Teale National Ambient Air Quality Standards for carbon monoxide

    Data.gov (United States)

    California Department of Resources — California Spatial Information System (CaSIL) is a project designed to improve access to geo-spatial and geo-spatial related data information throughout the state of...

  4. EHR systems in the Spanish Public Health National System: the lack of interoperability between primary and specialty care.

    Science.gov (United States)

    de la Torre-Díez, Isabel; González, Sandra; López-Coronado, Miguel

    2013-02-01

    One of the problems of the Spanish Public Health National System is the lack of interoperability in the implemented Electronic Health Records (EHRs) systems in primary and specialty care. There is a deficiency in the electronic health systems that store the data of primary care patients, so one of the basic problems that prevent that every hospital and health center working on the same method is that deficiency. In this paper we research on this problem and to give expression to a series of solutions to it. Bibliographic material in this work has been obtained mainly from MEDLINE source. Additionally, due to the lack of information and privacy about the different EHRs systems, we have resorted to making direct contact with the organizations that have implemented those systems and technological providers. Two solutions have been propounded given several aspects for a feasibility study. The first solution is based upon in the execution of backups in different EHRs databases, which implies a huge economical and infrastructure development. The second of these solutions so that due to the creation of protocols by means of Cloud Computing Technologies. It is crucial the need to reach a homogeneity concerning to the storage of patients clinical data. On the results achieved we can emphasize that maybe the main problems are not the economical handicaps or the large technological development needed, but, as for Health each Region manages its own competences, each one governs with independent policies and decisions.

  5. Factors Influencing Academic Performance Of Standard Eight Girls In National Examinations In Public Primary Schools A Case Of Matungu Division.

    Directory of Open Access Journals (Sweden)

    Oparanya Wamukoya Windrick

    2015-06-01

    Full Text Available ABSTARCT This study is designed to establish the factors influencing academic of standard eight girls in public primary schools in National exams in Matungu division. The researcher aimed at finding out why there is increased low performance of girls in public schools despite the fact that they are assessed through periodic performance tests do continuous assessment tests CATS midterm carry out tuition and the provision of free primary education which is aimed at improving academic performance. This study adapted a descriptive survey design as a major method of research where data was collected by the researcher members of a population under study. The target population comprised of Head teachers teachers pupils parents and parent schools representatives. Purposive sampling and simple random technique were used. Data was collected by use of questionnaires and interview guides. Data was analyzed by use of descriptive statistics constituting frequencies and percentages.The study established that girls were exposed to harsh school environmental conditions they walked long distances to school schools lacked facilities like toilets libraries and were exposed to male pest teachers. There were also teacher factors like training teacher shortage and motivation that affected girls performance.The study came up with recommendations for improvement of girls academic performance. More public schools should be build to reduce on distance and also overpopulation. The ministry of Education should monitor and evaluate the academic performance of girls in rural areas. The government should put up strict rules on pest teachers. The ministry should hire more teachers.

  6. Shifting chronic disease management from hospitals to primary care in Estonian health system: analysis of national panel data.

    Science.gov (United States)

    Atun, Rifat; Gurol-Urganci, Ipek; Hone, Thomas; Pell, Lisa; Stokes, Jonathan; Habicht, Triin; Lukka, Kaija; Raaper, Elin; Habicht, Jarno

    2016-12-01

    Following independence from the Soviet Union in 1991, Estonia introduced a national insurance system, consolidated the number of health care providers, and introduced family medicine centred primary health care (PHC) to strengthen the health system. Using routinely collected health billing records for 2005-2012, we examine health system utilisation for seven ambulatory care sensitive conditions (ACSCs) (asthma, chronic obstructive pulmonary disease [COPD], depression, Type 2 diabetes, heart failure, hypertension, and ischemic heart disease [IHD]), and by patient characteristics (gender, age, and number of co-morbidities). The data set contained 552 822 individuals. We use patient level data to test the significance of trends, and employ multivariate regression analysis to evaluate the probability of inpatient admission while controlling for patient characteristics, health system supply-side variables, and PHC use. Over the study period, utilisation of PHC increased, whilst inpatient admissions fell. Service mix in PHC changed with increases in phone, email, nurse, and follow-up (vs initial) consultations. Healthcare utilisation for diabetes, depression, IHD and hypertension shifted to PHC, whilst for COPD, heart failure and asthma utilisation in outpatient and inpatient settings increased. Multivariate regression indicates higher probability of inpatient admission for males, older patient and especially those with multimorbidity, but protective effect for PHC, with significantly lower hospital admission for those utilising PHC services. Our findings suggest health system reforms in Estonia have influenced the shift of ACSCs from secondary to primary care, with PHC having a protective effect in reducing hospital admissions.

  7. A comparison of primary care information content in UpToDate and the National Guideline Clearinghouse*

    Science.gov (United States)

    Fenton, Susan H.; Badgett, Robert G.

    2007-01-01

    Objectives: The study sought to determine if two major resources for primary care questions have significant differences in information content and whether the number of documents found differs by disease category, patient age, or patient gender. Methods: Seven hundred fifty-two questions were randomly selected from the Clinical Questions Collection of the National Library of Medicine. UpToDate and the National Guidelines Clearinghouse (NGC) were searched utilizing keywords from the questions. The number of documents retrieved for each question in the resources was recorded. Chi-squared analysis was used to compare differences in retrieval between the resources. Logistic regression was used to evaluate the effect of patient age, patient gender, or disease category on the ability to find content. Results: UpToDate returned 1 or more documents for 580 questions, while NGC returned at least 1 document for 493 questions (77.1% versus 65.5% of question sampled, P = 0.001). In combination, the 2 resources returned content for 91% of searches (n = 685). NGC retrieved a mean of 16.3 documents per question versus 8.7 documents from UpToDate. Disease category was the only variable having a significant impact on the presence of online resource content. Conclusions: UpToDate had greater breadth of content than NGC, while neither resource provided complete coverage. Current practice guidelines, as reflected by those in the NGC, addressed at most two-thirds of the selected clinical questions. PMID:17641755

  8. A comparison of primary care information content in UpToDate and the National Guideline Clearinghouse.

    Science.gov (United States)

    Fenton, Susan H; Badgett, Robert G

    2007-07-01

    The study sought to determine if two major resources for primary care questions have significant differences in information content and whether the number of documents found differs by disease category, patient age, or patient gender. Seven hundred fifty-two questions were randomly selected from the Clinical Questions Collection of the National Library of Medicine. UpToDate and the National Guidelines Clearinghouse (NGC) were searched utilizing keywords from the questions. The number of documents retrieved for each question in the resources was recorded. Chi-squared analysis was used to compare differences in retrieval between the resources. Logistic regression was used to evaluate the effect of patient age, patient gender, or disease category on the ability to find content. UpToDate returned 1 or more documents for 580 questions, while NGC returned at least 1 document for 493 questions (77.1% versus 65.5% of question sampled, P = 0.001). In combination, the 2 resources returned content for 91% of searches (n = 685). NGC retrieved a mean of 16.3 documents per question versus 8.7 documents from UpToDate. Disease category was the only variable having a significant impact on the presence of online resource content. UpToDate had greater breadth of content than NGC, while neither resource provided complete coverage. Current practice guidelines, as reflected by those in the NGC, addressed at most two-thirds of the selected clinical questions.

  9. The distribution of lung cancer across sectors of society in the United Kingdom: a study using national primary care data

    Directory of Open Access Journals (Sweden)

    Iyen-Omofoman Barbara

    2011-11-01

    Full Text Available Abstract Background There is pressing need to diagnose lung cancer earlier in the United Kingdom (UK and it is likely that research using computerised general practice records will help this process. Linkage of these records to area-level geo-demographic classifications may also facilitate case ascertainment for public health programmes, however, there have as yet been no extensive studies of data validity for such purposes. Methods To first address the need for validation, we assessed the completeness and representativeness of lung cancer data from The Health Improvement Network (THIN national primary care database by comparing incidence and survival between 2000 and 2009 with the UK National Cancer Registry and the National Lung Cancer Audit Database. Secondly, we explored the potential of a geo-demographic social marketing tool to facilitate disease ascertainment by using Experian's Mosaic Public Sector ™ classification, to identify detailed profiles of the sectors of society where lung cancer incidence was highest. Results Overall incidence of lung cancer (41.4/100, 000 person-years, 95% confidence interval 40.6-42.1 and median survival (232 days were similar to other national data; The incidence rate in THIN from 2003-2006 was found to be just over 93% of the national cancer registry rate. Incidence increased considerably with area-level deprivation measured by the Townsend Index and was highest in the North-West of England (65.1/100, 000 person-years. Wider variations in incidence were however identified using Mosaic classifications with the highest incidence in Mosaic Public Sector ™types 'Cared-for pensioners, ' 'Old people in flats' and 'Dignified dependency' (191.7, 174.2 and 117.1 per 100, 000 person-years respectively. Conclusions Routine electronic data in THIN are a valid source of lung cancer information. Mosaic ™ identified greater incidence differentials than standard area-level measures and as such could be used as a tool

  10. Onboard measurement system of atmospheric carbon monoxide in the Pacific by voluntary observing ships

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    H. Nara

    2011-11-01

    Full Text Available Long-term monitoring of carbon monoxide (CO mixing ratios in the atmosphere over the Pacific Ocean is being carried out on commercial cargo vessels participating in the National Institute for Environmental Studies Voluntary Observing Ships program. The program provides a regular platform for measurement of atmospheric CO along four cruise routes: from Japan to Oceania, the United States, Canada, and Southeast Asia. Flask samples are collected during every cruise for subsequent analysis in the laboratory, and in 2005, continuous shipboard CO measurements were initiated on three of the routes. Here, we describe the system we developed for onboard measurement of CO mixing ratios with a commercially available gas filter correlation CO analyzer. The fully automated system measures CO in ambient air, and the detector sensitivity and background signals are calibrated by referencing the measurements to a CO-in-air standard gas (~1 ppmv and to CO-free air scrubbed with a catalyst, respectively. We examined the artificial production of CO in the high-pressure working gas standards during storage by referencing the measurements to CO standard gases maintained as our primary scale before and after use on the ships. The onboard performance of the continuous CO measurement system was evaluated by comparing its data with data from laboratory analyses of flask samples using gas chromatography with a reduction gas detector. The reasonably good consistency between the two independent measurement methods demonstrated the good performance of both methods over the course of 3–5 years. The continuous measurement system was more useful than the flask sampling method for regionally polluted air masses, which were often encountered on Southeast Asian cruises.

  11. Onboard measurement system of atmospheric carbon monoxide over the Pacific Ocean by voluntary observing ships

    Directory of Open Access Journals (Sweden)

    H. Nara

    2011-07-01

    Full Text Available Long-term monitoring of carbon monoxide (CO mixing ratios in the atmosphere over the Pacific Ocean is being carried out on commercial cargo vessels participating in the National Institute for Environmental Studies Voluntary Observing Ships program. The program provides a regular platform for measurement of atmospheric CO along four cruising routes: from Japan to Oceania, from Japan to the United States, from Japan to Canada, and from Japan to Southeast Asia. Flask samples are collected during every cruise for subsequent analysis in the laboratory, and in 2005, continuous shipboard CO measurements were initiated on three of the routes. Here, we describe the system we developed for onboard measurement of CO mixing ratios with a commercially available gas filter correlation CO analyzer. The fully automated system measures CO in ambient air, and the detector sensitivity and background signals are calibrated by referencing the measurements to a CO-in-air standard gas (~1 ppmv and to CO-free air scrubbed with a catalyst, respectively. We examined the artificial production of CO in the high-pressure working gas standards (CO balanced with purified air at ppmv levels during storage by referencing the measurements to CO standard gases maintained as our primary scale before and after use on the ships. The onboard performance of the continuous CO measurement system was evaluated by comparing its data with data from laboratory analyses of flask samples using gas chromatography with a reduction gas detector. The reasonably good consistency between the two independent measurement methods demonstrated the good performance of both methods over the course of 3–5 yr. The continuous measurement system was more useful than the flask sampling method for regionally polluted air masses, which were often encountered on Southeast Asian cruises.

  12. Reduction of carbon monoxide. Past research summary

    Energy Technology Data Exchange (ETDEWEB)

    Schrock, R.R.

    1981-10-01

    Research programs for the year on the preparation, characterization, and reactions of binuclear tantalum complexes are described. All evidence to date suggest the following of these dimeric molecules: (1) the dimer does not break into monomers under mild conditions; (2) intermolecular hydride exchange is not negligible, but it is slow; (3) intermolecular non-ionic halide exchange is fast; (4) the ends of the dimers can rotate partially with respect to one another. The binuclear tantalum hydride complexes were found to react with carbon monoxide to give a molecule which is the only example of reduction of CO by a transition metal hydride to give a complex containing a CHO ligand. Isonitrides also reacted in a similar manner with dimeric tantalum hydride. (ATT)

  13. Acute carbon monoxide poisoning: animal models: a review.

    Science.gov (United States)

    Penney, D G

    1990-05-31

    Animals have been used for well over a century in an attempt to understand the toxicology, physiology, and pathology of acute carbon monoxide poisoning. Whether the toxic effects of this gas result from primary hypoxia, as in hypoxic hypoxia to which it is frequently compared, or from direct tissue effects since it enters cells and binds to certain vital components, remains a point of controversy. Acute severe poisoning in man and animals affects primarily the cardiovascular and nervous systems, and frequently produces neurologic dysfunction. Morphologically, tissue damage is usually confined to the white matter. The root cause is at best poorly understood and major investigative efforts have been made toward its elucidation. Many studies with rats, cats and primates indicate a major role for CO-induced hypotension, which serves to compromise blood flow and exacerbate acidosis. The likely cellular mechanisms in this process are only now becoming apparent. This review critically examines the recent as well as a few older CO-animal studies. In scope, they fall into several broad categories: general cardiopulmonary effects, metabolic and tissue effects, general resistance (i.e. tolerance), effects on the central nervous system including blood flow, neurochemistry, morphology and behavior, and finally, experimental therapeutic approaches.

  14. The Role of Oxygen Therapies in Carbon Monoxide Poisoning

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    Suleyman Metin

    2011-08-01

    Full Text Available Due to climate and socio-economic issues in Turkey, the incidence of carbon monoxide (CO poisoning is high, especially in winter. Clinical manifestations may vary depending on the type of CO source, concentration and duration of exposure. The symptoms of CO poisoning predominantly manifest in lots of organs and systems with high oxygen utilization, especially the brain and the heart. The primary aim in oxygen therapy is to eliminate CO and to reduce its toxic effects. In this context, normobaric and hyperbaric oxygen therapy are used to achieve these goals. Normobaric oxygen (NBO treatment is an easily accessible and relatively not expensive modality, where hyperbaric oxygen (HBO therapy requires specific equipment, certified staff and is available only in some centers. Additionally, HBO treatment has several additional advantages over NBO treatment. Despite its benefits, it is compulsory to search for some criteria in selecting patients to be treated because of the limited availability and access of hyperbaric facilities. For an effective evaluation and an optimal treatment, advanced education of the healthcare professionals on the use of oxygen delivery modalities in the management of CO poisoning is imperative. In this review, it has been aimed to outline the significance of oxygen treatment modalities and to determine patient selection criteria for HBO treatment in the management of CO poisoning which continues to be an important threat to community health care. [TAF Prev Med Bull 2011; 10(4.000: 487-494

  15. Syncope Associated with Carbon Monoxide Poisoning due to Narghile Smoking

    Directory of Open Access Journals (Sweden)

    Seda Ozkan

    2013-01-01

    Full Text Available Narghile smoking is a traditional method of tobacco use, and it has been practiced extensively for 400 years. Traditionally, narghile smoking is a matter of culture mainly in Middle East, Asia, and Africa. In recent years, its use as a social activity has increased worldwide, especially among young people. Narghile smoking is an unusual cause of carbon monoxide poisoning. Narghile smoking, compared to cigarette smoking, can result in more smoke exposure and greater levels of carbon monoxide. We present an acute syncope case of a 19-year-old male patient who had carbon monoxide poisoning after narghile smoking.

  16. An online photographic catalog of primary types of Platygastroidea (Hymenoptera in the National Museum of Natural History, Smithsonian Institution

    Directory of Open Access Journals (Sweden)

    Elijah J. Talamas

    2017-06-01

    Full Text Available A photographic catalog of primary types of Platygastroidea housed in the National Insect Collection, National Museum of Natural History, is here made available online at the image database at The Ohio State University (specimage.osu.edu. Following examination of this collection we enact the following taxonomic changes: Leptacis piniella MacGown syn. n. is treated as a junior synonym of Leptacis pinicola MacGown; Sacespalus indicus Mani is transferred to Platygaster Latreille; Platygaster indica Mukerjee is given the replacement name Platygaster chaos Talamas, n. n.; Synopeas rugiceps (Ashmead, comb. n. is transferred from Leptacis Förster; Axea atriclava (Kieffer, comb. n. is transferred from Psilanteris Kieffer; Chakra pachmarhica (Sharma, comb. n. is transferred from Paridris Kieffer; Paridris dubeyi Sharma, syn. n. is treated as a junior synonym of Chakra pachmarhica; Holoteleia indica (Mani is transferred to Opisthacantha Ashmead and given a replacement name, Opisthacantha nomados Talamas, n. n.; Psilanteris nigriclavata (Ashmead, comb. n. is transferred from Anteris Förster; Probaryconus grenadensis (Ashmead, comb. n. is transferred from Monoteleia Kieffer; Monoteleia syn.n. is treated as a junior synonym of Probaryconus Kieffer; Paridris karnatakensis Sharma, syn. n is treated as a junior synonym of Probaryconus cauverycus Saraswat; Probaryconus punctatus (Ashmead, comb. n. is transferred from Oxyteleia Kieffer; Triteleia bengalensis (Saraswat, comb. n. is transferred from Alloteleia Kieffer; Trimorus varius Fouts, syn. n. and Trimorus pulchricornis Fouts, syn. n. are treated as junior synonyms of Trimorus annulicornis (Ashmead; Neotypes are designated for Gryon leptocorisae (Howard, Idris seminiger (Ashmead, Telenomus graptae Howard, Telenomus persimilis Ashmead, and Telenomus rileyi Howard; lectotypes are designated for Cremastobaeus bicolor Ashmead, Oethecoctonus insularis (Ashmead, Oethecoctonus laticinctus (Ashmead and Probaryconus

  17. The potential impact of new national guidance on primary prevention of cardiovascular disease in people living with HIV

    Directory of Open Access Journals (Sweden)

    Nadia Ahmed

    2014-11-01

    Full Text Available Introduction: Cardiovascular disease (CVD is the leading cause of death in England and Wales. As people living with HIV (PLWH age, proactive management of CVD risk factors is crucial. The long-awaited draft guidelines for CVD from the National Institute of Clinical Excellence (NICE propose lipid modification (with statins and lifestyle modification for 40–74 year olds with >10% (previously >20% 10-year risk of CVD using QRISK2. We currently use Framingham so compared 3 CVD risk calculators in our cohort and analyzed the impact of a change in CVD threshold on the proportion of our patients who would need intervention. Materials and Methods: Framingham, QRISK2 and JBS3 cardiovascular risk calculators were compared in a group of randomly selected patients. Then, to analyze the impact of a change in primary prevention threshold on our cohort, we interrogated a prospectively collected database to identify all individuals who had a documented Framingham risk assessment and applied the current/proposed thresholds accordingly. We performed the same analysis for the three calculator subgroup (recalculating Framingham risk. Finally we surveyed HIV services in England & Wales regarding their choice of calculator. Results: We compared the 3 CVD risk calculators in 100 patients, see Table 1.In terms of eligibility for primary prevention 20.9% (916/4383 had documented Framingham risk assessment as part of routine care. Using a 20% threshold, 8.8% (81/916 would require intervention, increasing to 35.2% (322/916 with a threshold for intervention of 10%. Restricting analysis to the 100 patients to whom we applied all three calculators resulted in the following proportion requiring intervention with a 20%/10% threshold, respectively: Framingham 28%/76%, QRISK2 20%/53%, JBS3 15%/42% (four patients were excluded due to incomplete data. Conclusions: Reducing the threshold for cardiovascular preventative measures to 10% vastly increases the number of patients

  18. Prescribing tamoxifen in primary care for the prevention of breast cancer: a national online survey of GPs' attitudes.

    Science.gov (United States)

    Smith, Samuel G; Foy, Robbie; McGowan, Jennifer A; Kobayashi, Lindsay C; DeCensi, Andrea; Brown, Karen; Side, Lucy; Cuzick, Jack

    2017-06-01

    The cancer strategy for England (2015-2020) recommends GPs prescribe tamoxifen for breast cancer primary prevention among women at increased risk. To investigate GPs' attitudes towards prescribing tamoxifen. In an online survey, GPs in England, Northern Ireland, and Wales (n = 928) were randomised using a 2 × 2 between-subjects design to read one of four vignettes describing a healthy patient seeking a tamoxifen prescription. In the vignette, the hypothetical patient's breast cancer risk (moderate versus high) and the clinician initiating the prescription (GP prescriber versus secondary care clinician [SCC] prescriber) were manipulated in a 1:1:1:1 ratio. Outcomes were willingness to prescribe, comfort discussing harms and benefits, comfort managing the patient, factors affecting the prescribing decision, and awareness of tamoxifen and the National Institute for Health and Care Excellence (NICE) guideline CG164. Half (51.7%) of the GPs knew tamoxifen can reduce breast cancer risk, and one-quarter (24.1%) were aware of NICE guideline CG164. Responders asked to initiate prescribing (GP prescriber) were less willing to prescribe tamoxifen than those continuing a prescription initiated in secondary care (SCC prescriber) (68.9% versus 84.6%, PGPs willing to prescribe were more likely to be aware of the NICE guideline (P = 0.039) and to have acknowledged the benefits of tamoxifen (PGPs to continue the patient's care may overcome some prescribing barriers. © British Journal of General Practice 2017.

  19. Developing primary PCI as a national reperfusion strategy for patients with ST-elevation myocardial infarction: the UK experience.

    Science.gov (United States)

    McLenachan, James M; Gray, Huon H; de Belder, Mark A; Ludman, Peter F; Cunningham, David; Birkhead, John

    2012-08-01

    In 2004 in the United Kingdom (UK), the infrastructural and organisational changes required for implementation of primary PCI for treatment of STEMI were unclear, and the cost-effectiveness and sustainability of a changed reperfusion strategy had not been tested. In addition, any proposed change was to be made against the background of a previously successful in-hospital thrombolysis strategy, with plans for greater use of pre-hospital administration. A prospective study (the "National Infarct Angioplasty Project - NIAP") was set up to collect information on all patients presenting with STEMI in selected regions in the UK over a one year period (April 2005 - March 2006). The key findings from the NIAP project included that PPCI could be delivered within acceptable treatment times in a variety of geographical settings and that the shortest treatment times were achieved with direct admission to a PPCI-capable cardiac catheter laboratory. The transformation from a dominant lytic strategy to one of PPCI across the UK was achieved both swiftly and consistently with the help of 28 cardiac networks. By the second quarter of 2011, 94% of those STEMI patients in England who received reperfusion treatment were being treated by PPCI compared with 46% during the third quarter of 2008.

  20. An interesting cause of pulmonary emboli: Acute carbon monoxide poisoning

    Energy Technology Data Exchange (ETDEWEB)

    Sevinc, A.; Savli, H.; Atmaca, H. [Gaziantep University, Gaziantep (Turkey). School of Medicine

    2005-07-01

    Carbon monoxide poisoning, a public health problem of considerable significance, is a relatively frequent event today, resulting in thousands of hospitalizations annually. A 70-year-old lady was seen in the emergency department with a provisional diagnosis of carbon monoxide poisoning. The previous night, she slept in a tightly closed room heated with coal ember. She was found unconscious in the morning with poor ventilation. She had a rare presentation of popliteal vein thrombosis, pulmonary emboli, and possible tissue necrosis with carbon monoxide poisoning. Oxygen treatment with low-molecular-weight heparin (nadroparine) and warfarin therapy resulted in an improvement in both popliteal and pulmonary circulations. In conclusion, the presence of pulmonary emboli should be sought in patients with carbon monoxide poisoning.

  1. Same Exposure, Various Clinical Pictures: The Carbon Monoxide Enigma

    Directory of Open Access Journals (Sweden)

    Musa Salmanoglu

    2013-02-01

    Full Text Available -Children and adolescents exposed to the same source of carbon monoxide have been shown to demonstrate different clinical pictures (1,2. The same condition probably may be extrapolated between children with varying ages and hence lung surface areas. Smaller children will receive larger doses of carbon monoxide, because they have greater lung surface area/body weight ratios and increased minute volumes/weight ratios. As carbon monoxide accumulation is expected to be more significant nearer to the ground, another explanation for varying clinical pictures in poisoning events may be the different level of sleeping positions of the casualties. Herein, we report a cluster poisoning of carbon monoxide affecting 5 children from the same family at the same time but in different clinical pictures. [TAF Prev Med Bull 2013; 12(1.000: 118-118

  2. 40 CFR Appendix I to Part 50 - Interpretation of the 8-Hour Primary and Secondary National Ambient Air Quality Standards for Ozone

    Science.gov (United States)

    2010-07-01

    ... and Secondary National Ambient Air Quality Standards for Ozone I Appendix I to Part 50 Protection of... AIR QUALITY STANDARDS Pt. 50, App. I Appendix I to Part 50—Interpretation of the 8-Hour Primary and... valid day if valid 8-hour averages are available for at least 75% of possible hours in the day (i.e.,...

  3. 40 CFR Appendix T to Part 50 - Interpretation of the Primary National Ambient Air Quality Standards for Oxides of Sulfur (Sulfur...

    Science.gov (United States)

    2010-07-01

    ... Ambient Air Quality Standards for Oxides of Sulfur (Sulfur Dioxide) T Appendix T to Part 50 Protection of... AIR QUALITY STANDARDS Pt. 50, App. T Appendix T to Part 50—Interpretation of the Primary National Ambient Air Quality Standards for Oxides of Sulfur (Sulfur Dioxide) 1. General (a) This appendix...

  4. Nation

    DEFF Research Database (Denmark)

    Østergaard, Uffe

    2014-01-01

    Nation er et gammelt begreb, som kommer af det latinske ord for fødsel, natio. Nationalisme bygger på forestillingen om, at mennesker har én og kun én national identitet og har ret til deres egen nationalstat. Ordet og forestillingen er kun godt 200 år gammel, og i 1900-tallet har ideologien bredt...... sig over hele verden. Nationalisme er blevet global....

  5. Carbon monoxide exposure in blast furnace workers.

    Science.gov (United States)

    Lewis, S; Mason, C; Srna, J

    1992-09-01

    This study investigated the occupational exposure to carbon monoxide (CO) of a group of blast furnace workers from an integrated steelworks, compared to a control group having no significant occupational CO exposure from other areas in the same works. The study was undertaken in 1984 at Port Kembla, New South Wales. Carboxyhaemoglobin (COHb) levels before and after an eight-hour work shift were measured in 98 male steelworkers: 52 from two CO-exposed iron blast furnaces and 46 controls from production areas in the same steelworks. The sample was stratified by smoking habits. Environmental air CO levels had been found to be consistently higher on one furnace than on the other. Absorption of CO from the working environment occurred in workers on the blast furnace with higher CO levels, regardless of smoking habits. On this blast furnace, some readings of COHb levels after a workshift in nonsmokers approached the proposed Australian occupational limit of 5 per cent COHb saturation. Overall, workers with the highest occupational exposure who smoked most heavily had the highest absorption of CO over a work shift. Biological monitoring gives an accurate measure of individual worker 'dose' of CO from all sources. Both environmental monitoring and biological monitoring need to be included as part of a program for controlling occupational CO exposure.

  6. Carbon Monoxide: An Essential Signalling Molecule

    Science.gov (United States)

    Mann, Brian E.

    Carbon monoxide (CO), like nitric oxide (NO), is an essential signalling molecule in humans. It is active in the cardiovascular system as a vasodilator. In addition, CO possesses anti-inflammatory, anti-apoptotic and anti-proliferative properties and protects tissues from hypoxia and reperfusion injury. Some of its applications in animal models include suppression of organ graft rejection and safeguarding the heart during reperfusion after cardiopulmonary bypass surgery. CO also suppresses arteriosclerotic lesions following angioplasty, reverses established pulmonary hypertension and mitigates the development of post-operative ileus in the murine small intestine and the development of cerebral malaria in mice as well as graft-induced intimal hyperplasia in pigs. There have been several clinical trials using air-CO mixtures for the treatment of lung-, heart-, kidney- and abdominal-related diseases. This review examines the research involving the development of classes of compounds (with particular emphasis on metal carbonyls) that release CO, which could be used in clinically relevant conditions. The review is drawn not only from published papers in the chemical literature but also from the extensive biological literature and patents on CO-releasing molecules (CO-RMs).

  7. First-Principles Investigations on Europium Monoxide

    KAUST Repository

    Wang, Hao

    2011-05-01

    Europium monoxide is both an insulator and a Heisenberg ferromagnet (Tc=69 K). In the present thesis, the author has investigated the electronic structure of different types of EuO by density functional theory. The on-site Coulomb interaction of the localized Eu 4f and 5d electrons, which is wrongly treated in the standard generalized gradient approximation method, is found to be crucial to obtain the correct insulating ground state as observed in experiments. Our results show that the ferromagnetism is stable under pressure, both hydrostatic and uniaxial. For both types of pressure an insulator-metal transition is demonstrated. Moreover, the experimentally observed insulator-metal transition in oxygen deficient and gadolinium-doped EuO is reproduced in our calculations for impurity concentrations of 6.25% and 25%. Furthermore, a 10- layer EuO thin film is theoretically predicted to be an insulator with a narrow band gap of around 0.08 eV, while the Si/EuO interface shows metallic properties with the Si and O 2p as well as Eu 5d bands crossing the Fermi level.

  8. Chlorine Monoxide in the Antarctic Spring Stratosphere.

    Science.gov (United States)

    Jaramillo-Ayerbe, Mauricio

    1988-06-01

    A series of observations of stratospheric chlorine monoxide (ClO) were carried out during the austral springs of 1986 and 1987 in McMurdo Station, Antarctica, as part of two experimental campaigns sent to investigate the seasonal decrease in ozone over the antarctic continent (the ozone "hole"). Measurements of the vertical distribution of ClO were obtained by high resolution ground-based emission spectroscopy at 278 GHz, using the Stony Brook mm-wave receiver. They show the presence of an anomalous layer of lower stratospheric ClO which is not observed at other latitudes. This anomalous layer is centered at ~20 km altitude and exhibits a pronounced diurnal variation, reaching a maximum at midday and disappearing at night. During the period of Sep. 20-24, 1987, the lower-stratospheric ClO had a maximum volume mixing ratio of 1.8_sp{+0cdot5}{ -0cdot9} ppbv. A normal ClO layer centered at ~36 km was also observed, with concentrations and diurnal behavior similar to those seen in tropical latitudes. These findings are evidence of anomalous chlorine chemistry taking place in the lower stratosphere during the antarctic spring, and indicate that increasing anthropogenic chlorine is a prime causative agent in the formation of the ozone hole.

  9. Assessment of carbon monoxide values in smokers: a comparison of carbon monoxide in expired air and carboxyhaemoglobin in arterial blood

    DEFF Research Database (Denmark)

    Andersson, Mette F; Møller, Ann M

    2010-01-01

    Smoking increases perioperative complications. Carbon monoxide concentrations can estimate patients' smoking status and might be relevant in preoperative risk assessment. In smokers, we compared measurements of carbon monoxide in expired air (COexp) with measurements of carboxyhaemoglobin (COHb) ......) in arterial blood. The objectives were to determine the level of correlation and to determine whether the methods showed agreement and evaluate them as diagnostic tests in discriminating between heavy and light smokers....

  10. Positive predictive values of ICD-10 codes to identify incident acute pancreatitis and incident primary malignancy in the Scandinavian national patient registries among women with postmenopausal osteoporosis.

    Science.gov (United States)

    Munch, Troels; Christensen, Lotte B; Adelborg, Kasper; Tell, Grethe S; Apalset, Ellen M; Westerlund, Anna; Lagerros, Ylva T; Kahlert, Johnny; Xue, Fei; Ehrenstein, Vera

    2017-01-01

    Validation of definitions used to identify conditions of interest is imperative to epidemiologic studies based on routinely collected data. The objective of the study was thus to estimate positive predictive values (PPVs) of International Classification of Diseases, 10th Revision (ICD-10) codes to identify cases of incident acute pancreatitis leading to hospitalization and incident primary malignancy in the Scandinavian (Denmark, Norway, and Sweden) national patient registries in women with postmenopausal osteoporosis (PMO). This validation study included postmenopausal (defined as 55 years or older) women with osteoporosis, identified between 2005-2014. Potential cases were sampled based on ICD-10 codes from the three national patient registries. Cases were adjudicated by physicians, using medical record review as gold standard. PPVs with corresponding 95% CIs were computed. Medical records of 286 of 325 (retrieval rate 88%) women with PMO were available for adjudication. Acute pancreatitis leading to hospitalization had a PPV of 87.6% (95% CI: 80.8%-90.2%). Incident primary malignancy had a PPV of 88.1% (95% CI: 81.3%-92.7%). The PPVs did not vary substantially across the three countries. ICD-10 codes to identify acute pancreatitis leading to hospitalization, and incident primary malignancy in the Scandinavian national patient registries had high PPVs among women with PMO. This allows identification of cases of acute pancreatitis and incident primary malignancy with reasonable validity and to use these as outcomes in comparative analyses.

  11. National Health Models and the Adoption of E-Health and E-Prescribing in Primary Care - New Evidence from Europe.

    Science.gov (United States)

    Brennan, James; McElligott, Annette; Power, Norah

    2015-11-25

    Recent research from the European Commission (EC) suggests that the development and adoption of eHealth in primary care is significantly influenced by the context of the national health model in operation. This research identified three national health models in Europe at this time - the National Health Service (NHS) model, the social insurance system (SIS) model and the transition country (TC) model, and found a strong correlation between the NHS model and high adoption rates for eHealth. The objective of this study is to establish if there is a similar correlation in one specific application area - electronic prescribing (ePrescribing) in primary care. A review of published literature from 2000 to 2014 was undertaken covering the relevant official publications of the European Union and national government as well as the academic literature. An analysis of the development and adoption of ePrescribing in Europe was extracted from these data. The adoption of ePrescribing in primary care has increased significantly in recent years and is now practised by approximately 32% of European general practitioners. National ePrescribing services are now firmly established in 11 countries, with pilot projects underway in most others. The highest adoption rates are in countries with the NHS model, concentrated in the Nordic area. The electronic transmission of prescriptions continues to pose a significant challenge, especially in SIS countries and TCs. There is a strong correlation between the NHS model and high adoption rates for ePrescribing similar to the EC findings on the adoption of eHealth. It may be some time before many SIS countries and TCs reach the same adoption levels for ePrescribing and eHealth in primary care as most NHS countries.

  12. National Health Models and the Adoption of E-Health and E-Prescribing in Primary Care – New Evidence from Europe

    Directory of Open Access Journals (Sweden)

    James Brennan

    2015-11-01

    Full Text Available OBJECTIVE:  Recent research from the European Commission (EC suggests that the development and adoption of eHealth in primary care is significantly influenced by the context of the national health model in operation. This research identified three national health models in Europe at this time – the National Health Service (NHS model, the social insurance system (SIS model and the transition country (TC model, and found a strong correlation between the NHS model and high adoption rates for eHealth. The objective of this study is to establish if there is a similar correlation in one specific application area – electronic prescribing (ePrescribing in primary care.METHODS: A review of published literature from 2000 to 2014 was undertaken covering the relevant official publications of the European Union and national government as well as the academic literature. An analysis of the development and adoption of ePrescribing in Europe was extracted from these data.RESULTS: The adoption of ePrescribing in primary care has increased significantly in recent years and is now practised by approximately 32% of European general practitioners. National ePrescribing services are now firmly established in 11 countries, with pilot projects underway in most others. The highest adoption rates are in countries with the NHS model, concentrated in the Nordic area. The electronic transmission of prescriptions continues to pose a significant challenge, especially in SIS countries and TCs.CONCLUSIONS: There is a strong correlation between the NHS model and high adoption rates for ePrescribing similar to the EC findings on the adoption of eHealth. It may be some time before many SIS countries and TCs reach the same adoption levels for ePrescribing and eHealth in primary care as most NHS countries.

  13. High temperature thermodynamics and vaporization of stoichiometric titanium monoxide

    Energy Technology Data Exchange (ETDEWEB)

    Sheldon, R.I.; Gilles, P.W.

    1976-08-17

    Three vaporization experiments were performed on samples of nearly stoichiometric titanium monoxide. Two experiments were constant temperature experiments (1806/sup 0/K) designed to measure the equilibrium vapor pressures of Ti(g) and TiO(g). In one experiment titanium monoxide was vaporized from a tungsten Knudsen effusion cell; the vapor was collected on a water cooled quartz cap surrounding the cell; and the total amount of titanium deposited on the cap was analyzed colorimetrically. In the second constant temperature experiment (1806/sup 0/K) the vapor composition in equilibrium with nearly stoichiometric titanium monoxide was measured mass spectrometrically. The mass spectrometer results were used to apportion the total titanium collected in the first experiment to Ti(g) and TiO(g). In the third experiment the temperature dependence of the ions Ti/sup +/(48) and TiO(64) was measured spectrometrically. The results obtained in this work are compared with published thermodynamic properties of the titanium oxygen system, and indicate the standard free energy of formation of titanium monoxide obtained from the earliest calorimetric measurements yielded a result not negative enough and also oxygen pressures obtained by emf measurements for stoichiometric titanium monoxide at 1806/sup 0/K are high by a factor of 42.6. The present results are in good agreement with the thermodynamic properties reported in recently issued pages of the JANAF Thermochemical Tables.

  14. The Computer-Assisted Web Interview Method as Used in the National Study of ICT Use in Primary Healthcare in Poland – Reflections on a Case Study

    Directory of Open Access Journals (Sweden)

    Sowa Paweł

    2015-12-01

    Full Text Available The development and widespread use of ICT in society are reflected by the way research is designed and conducted. The Computer Assisted Web Interview method is becoming more attractive and is a frequently used method in health sciences. The National Study of ICT Use in Primary Healthcare in Poland was conducted using this method. The aim of this paper is to present the major advantages and disadvantages of web surveys. Technical aspects of methodology and important stages of the aforementioned study, as well as key elements for its procedure, are mentioned. The authors also provide reflections based on their analysis of this national study, conducted between January and April 2014.

  15. Aboveground Net Primary Production of tree cover at the post-disturbance area in the Tatra National Park, Slovakia

    Directory of Open Access Journals (Sweden)

    Konôpka Bohdan

    2015-09-01

    Full Text Available Large-scale disturbances under the conditions of Slovakia, caused especially by storm and bark beetle, bring dramatic decline in carbon budget of the country, besides other negative consequences. The largest disturbance in modern history of the Slovak forestry was the storm damage that occurred in November 2004. The Tatra National Park (TNP was one of the most affected regions. Thus, in this territory, two transects (T1 – the Danielov dom site and T2 – near the Horný Smokovec village were established to survey basic dendrometric properties of trees in young stands established after the disaster. The standing stock of aboveground biomass in tree cover for the spring and autumn 2014 was calculated using the recorded variables, i.e. tree height and diameter measured at the stem base, together with the region-specific allometric relations. Then, the Aboveground Net Primary Production (ANPP in tree cover was estimated with respect to its components (stem, branches and foliage. ANPP was 315 g m−2 per year (Transect T1, and 391 g m−2 per year (Transect T2. The differences in the structure of ANPP, i.e. contribution of tree components, were found between transects T1 and T2. They were caused by the contrasting tree species composition, specifically the ratios between Norway spruce and broadleaved species. Broadleaves allocated more biomass production to foliage than spruce. This phenomenon together with higher turnover (once a year of foliage caused that broadleaves manifest higher share of fast-cycling carbon in comparison to the amount of carbon sequestrated in woody parts (stem and branches. High variability of ANPP was found within the transects, i.e. among the plots (microsites. As for the representative estimation of the standing stock of aboveground part of tree cover as well as ANPP at the post-disturbance area in the TNP territory, the survey should be performed on a net of research plots. Only this approach enables reliable estimates

  16. The Evaluation of Texts In “National Culture” Theme That Placed in Secondary Part of Primary School 7th Grade Turkish Textbooks

    Directory of Open Access Journals (Sweden)

    Dilek CERAN

    2013-04-01

    Full Text Available The text that place in Turkish lesson books have an important place for teaching Turkish. The aim of study is evaluate the texts of “National Culture” subject in 7th grade Turkish textbooks, which are belonging to different publishers. For this purpose, by beginning from the features that are supposed to be in reading and listening texts of Turkish lesson books, which are in 2006 Primary Turkish Lesson Teaching Program, the texts of 7th grade Turkish textbooks of four different publishers, have been analyzed. The study is descriptive document analyze has been done in evaluating and studying of the texts that are in National Culture theme of Primary School 7th grade Turkish Textbooks. The texts have been evaluated under four main titles; quantity, the harmony of sub-themes with main themes. But free reading texts were not assessed.

  17. A population-based exposure assessment methodology for carbon monoxide: Development of a carbon monoxide passive sampler and occupational dosimeter

    Energy Technology Data Exchange (ETDEWEB)

    Apte, M.G.

    1997-09-01

    Two devices, an occupational carbon monoxide (CO) dosimeter (LOCD), and an indoor air quality (IAQ) passive sampler were developed for use in population-based CO exposure assessment studies. CO exposure is a serious public health problem in the U.S., causing both morbidity and mortality (lifetime mortality risk approximately 10{sup -4}). Sparse data from population-based CO exposure assessments indicate that approximately 10% of the U.S. population is exposed to CO above the national ambient air quality standard. No CO exposure measurement technology is presently available for affordable population-based CO exposure assessment studies. The LOCD and IAQ Passive Sampler were tested in the laboratory and field. The palladium-molybdenum based CO sensor was designed into a compact diffusion tube sampler that can be worn. Time-weighted-average (TWA) CO exposure of the device is quantified by a simple spectrophotometric measurement. The LOCD and IAQ Passive Sampler were tested over an exposure range of 40 to 700 ppm-hours and 200 to 4200 ppm-hours, respectively. Both devices were capable of measuring precisely (relative standard deviation <20%), with low bias (<10%). The LOCD was screened for interferences by temperature, humidity, and organic and inorganic gases. Temperature effects were small in the range of 10{degrees}C to 30{degrees}C. Humidity effects were low between 20% and 90% RH. Ethylene (200 ppm) caused a positive interference and nitric oxide (50 ppm) caused a negative response without the presence of CO but not with CO.

  18. A population-based exposure assessment methodology for carbon monoxide: Development of a carbon monoxide passive sampler and occupational dosimeter

    Energy Technology Data Exchange (ETDEWEB)

    Apte, Michael G. [Univ. of California, Berkeley, CA (United States)

    1997-09-01

    Two devices, an occupational carbon monoxide (CO) dosimeter (LOCD), and an indoor air quality (IAQ) passive sampler were developed for use in population-based CO exposure assessment studies. CO exposure is a serious public health problem in the U.S., causing both morbidity and mortality (lifetime mortality risk approximately 10{sup -4}). Sparse data from population-based CO exposure assessments indicate that approximately 10% of the U.S. population is exposed to CO above the national ambient air quality standard. No CO exposure measurement technology is presently available for affordable population-based CO exposure assessment studies. The LOCD and IAQ Passive Sampler were tested in the laboratory and field. The palladium-molybdenum based CO sensor was designed into a compact diffusion tube sampler that can be worn. Time-weighted-average (TWA) CO exposure of the device is quantified by a simple spectrophotometric measurement. The LOCD and IAQ Passive Sampler were tested over an exposure range of 40 to 700 ppm-hours and 200 to 4200 ppm-hours, respectively. Both devices were capable of measuring precisely (relative standard deviation <20%), with low bias (<10%). The LOCD was screened for interferences by temperature, humidity, and organic and inorganic gases. Temperature effects were small in the range of 10°C to 30°C. Humidity effects were low between 20% and 90% RH. Ethylene (200 ppm) caused a positive interference and nitric oxide (50 ppm) caused a negative response without the presence of CO but not with CO.

  19. A national evaluation of a dissemination and implementation initiative to enhance primary care practice capacity and improve cardiovascular disease care: the ESCALATES study protocol.

    Science.gov (United States)

    Cohen, Deborah J; Balasubramanian, Bijal A; Gordon, Leah; Marino, Miguel; Ono, Sarah; Solberg, Leif I; Crabtree, Benjamin F; Stange, Kurt C; Davis, Melinda; Miller, William L; Damschroder, Laura J; McConnell, K John; Creswell, John

    2016-06-29

    The Agency for Healthcare Research and Quality (AHRQ) launched the EvidenceNOW Initiative to rapidly disseminate and implement evidence-based cardiovascular disease (CVD) preventive care in smaller primary care practices. AHRQ funded eight grantees (seven regional Cooperatives and one independent national evaluation) to participate in EvidenceNOW. The national evaluation examines quality improvement efforts and outcomes for more than 1500 small primary care practices (restricted to those with fewer than ten physicians per clinic). Examples of external support include practice facilitation, expert consultation, performance feedback, and educational materials and activities. This paper describes the study protocol for the EvidenceNOW national evaluation, which is called Evaluating System Change to Advance Learning and Take Evidence to Scale (ESCALATES). This prospective observational study will examine the portfolio of EvidenceNOW Cooperatives using both qualitative and quantitative data. Qualitative data include: online implementation diaries, observation and interviews at Cooperatives and practices, and systematic assessment of context from the perspective of Cooperative team members. Quantitative data include: practice-level performance on clinical quality measures (aspirin prescribing, blood pressure and cholesterol control, and smoking cessation; ABCS) collected by Cooperatives from electronic health records (EHRs); practice and practice member surveys to assess practice capacity and other organizational and structural characteristics; and systematic tracking of intervention delivery. Quantitative, qualitative, and mixed methods analyses will be conducted to examine how Cooperatives organize to provide external support to practices, to compare effectiveness of the dissemination and implementation approaches they implement, and to examine how regional variations and other organization and contextual factors influence implementation and effectiveness. ESCALATES is

  20. Flash flip book applications to measure the level of nationalism with quasi experiment on primary school students

    Science.gov (United States)

    Asri, Yessy; Fitriani, Yessy

    2017-08-01

    Great nation is a nation that respects the the sacrifice of the heroes and the history of his people. This young generation is the root of a nation who need to know and respect the values of which has been laid the founding fathers. The history continues to be written by people, in all civilizations and in all times,History in writing or documentation becomes an important tool in studying the progress and setbacks of a nation that is contained in various events in the past. Indonesia is a pluralistic nation consisting of various tribes, culture and history are scattered throughout the country. Interactive flash flip book application built to pack the local stories and history of the nation which is widespread in the thirty-three provinces to to elementary school children through teachers, especially elementary school teachers Islam Bani Saleh 5 and SDN Setiadarma 04 Bekasi in the subjects of Citizenship Education (PKn). The main problem in this research is "Whether a flash flip book can give effect to increase the spirit of nationalism elementary school students ? ". The method used is the One group pretest posttest design. Population in this research is class student V SD Islam Bani Saleh and SDN Setiadarma 04 Bekasi. Results of this study was to measure the influence of media flash flip book to foster a sense of nationalism graders V SD in the subjects of Citizenship Education (PKn) in SD Islam Bani Saleh 5 and SDN Setiadarma 04 Bekasi Bekasi.

  1. 40 CFR Appendix S to Part 50 - Interpretation of the Primary National Ambient Air Quality Standards for Oxides of Nitrogen...

    Science.gov (United States)

    2010-07-01

    ... Ambient Air Quality Standards for Oxides of Nitrogen (Nitrogen Dioxide) S Appendix S to Part 50 Protection... National Ambient Air Quality Standards for Oxides of Nitrogen (Nitrogen Dioxide) 1. General (a) This... national ambient air quality standards for oxides of nitrogen as measured by nitrogen dioxide (“NO2...

  2. [Massive poisoning with carbon monoxide: an update from a case].

    Science.gov (United States)

    Díaz, Mariano; Crapanzano, Gabriel; Cabrerizo, Silvia; Aichele, Cristina; Deurtiaga, Alejandra; Vallejos, Yamila

    2017-02-01

    Carbon monoxide is known as the "silent murderer" because it is a colorless and odorless gas. According to these characteristics, toxicity goes unnoticed which makes the diagnosis difficult. In most cases, the cold periods and group poisoning make suspect its presence because inappropriate heat both in home or public environments. Our goal is to inform about a mass carbon monoxide poisoning in a children's parties room using a combustion source installed, not for the purpose of heating, but as a supply of light (generator), emphasizing that it can occur in any time of the year.

  3. Structural and magnetic properties of mechanochemically synthesized nanocrystalline titanium monoxide

    Directory of Open Access Journals (Sweden)

    Barudžija Tanja

    2012-01-01

    Full Text Available Nano-sized titanium monoxide (TiO powder was prepared by mechanochemical synthesis. A mixture of commercial Ti and TiO2 (rutile powders with the molar ratio of 1:1 was milled in a planetary ball mill for 5, 10, 20, 30 and 60 min under argon atmosphere. The final single-phase titanium monoxide sample was characterized by X-ray diffraction (XRD, magnetic measurements using a superconducting quantum interference device magnetometer (SQUID and thermogravimetric analysis (TGA. The temperature dependency of the magnetic susceptibility is characterized by significant contribution of Pauli paramagnetism due to conduction electrons.

  4. The Effects of Low Level Prenatal Carbon Monoxide on Neocortical Development

    Science.gov (United States)

    2010-06-02

    378.1958). Ginsberg MD, Myers RE (Fetal brain damage following maternal carbon monoxide intoxication: an experimental study. Acta obstetricia et...monoxide production and blood loss at delivery. Acta obstetricia et gynecologica Scandinavica 48:362-370.1969). Longo LD (Carbon monoxide in the

  5. Chasm in primary care provision in a universal health system: Findings from a nationally representative survey of health facilities in Malaysia

    Science.gov (United States)

    Sivasampu, Sheamini; Khoo, Ee Ming; Mohamad Noh, Kamaliah

    2017-01-01

    Background Malaysia has achieved universal health coverage since 1980s through the expansion of direct public provision, particularly in rural areas. However, no systematic examination of the rural-urban distribution of primary care services and resources has been conducted to date for policy impact evaluation. Methods We conducted a national cross-sectional survey of 316 public and 597 private primary care clinics, selected through proportionate stratified random sampling, from June 2011 through February 2012. Using a questionnaire developed based on the World Health Organization toolkits on monitoring health systems strengthening, we examined the availability of primary care services/resources and the associations between service/resource availability and clinic ownership, locality, and patient load. Data were weighted for all analyses to account for the complex survey design and produce unbiased national estimates. Results Private primary care clinics and doctors outnumbered their public counterparts by factors of 5.6 and 3.9, respectively, but the private clinics were significantly less well-equipped with basic facilities and provided a more limited range of services. Per capita densities of primary care clinics and workforce were higher in urban areas (2.2 clinics and 15.1 providers per 10,000 population in urban areas versus 1.1 clinics and 11.7 providers per 10,000 population in rural areas). Within the public sector, the distribution of health services and resources was unequal and strongly favored the urban clinics. Regression analysis revealed that rural clinics had lower availability of services and resources after adjusting for ownership and patient load, but the associations were not significant except for workforce availability (adjusted odds ratio [OR]: 0.82; 95% confidence interval [CI]: 0.71–0.96). Conclusions Targeted primary care expansion in rural areas could be an effective first step towards achieving universal health coverage, especially in

  6. The Primary Resistance of Helicobacter pylori in Taiwan after the National Policy to Restrict Antibiotic Consumption and Its Relation to Virulence Factors-A Nationwide Study.

    Directory of Open Access Journals (Sweden)

    Jyh-Ming Liou

    Full Text Available The Taiwan Government issued a policy to restrict antimicrobial usage since 2001. We aimed to assess the changes in the antibiotic consumption and the primary resistance of H. pylori after this policy and the impact of virulence factors on resistance.The defined daily dose (DDD of antibiotics was analyzed using the Taiwan National Health Insurance (NHI research database. H. pylori strains isolated from treatment naïve (N=1395 and failure from prior eradication therapies (N=360 from 9 hospitals between 2000 and 2012 were used for analysis. The minimum inhibitory concentration was determined by agar dilution test. Genotyping for CagA and VacA was determined by PCR method.The DDD per 1000 persons per day of macrolides reduced from 1.12 in 1997 to 0.19 in 2008, whereas that of fluoroquinolones increased from 0.12 in 1997 to 0.35 in 2008. The primary resistance of amoxicillin, clarithromycin, metronidazole, and tetracycline remained as low as 2.2%, 7.9%, 23.7%, and 1.9% respectively. However, the primary levofloxacin resistance rose from 4.9% in 2000-2007 to 8.3% in 2008-2010 and 13.4% in 2011-2012 (p=0.001. The primary resistance of metronidazole was higher in females than males (33.1% vs. 18.8%, p<0.001, which was probably attributed to the higher consumption of nitroimidazole. Neither CagA nor VacA was associated with antibiotic resistance.The low primary clarithromycin and metronidazole resistance of H. pylori in Taiwan might be attributed to the reduced consumption of macrolides and nitroimidazole after the national policy to restrict antimicrobial usage. Yet, further strategies are needed to restrict the consumption of fluoroquinolones in the face of rising levofloxacin resistance.

  7. Patient characteristics and clinical management of patients with shoulder pain in U.S. primary care settings: Secondary data analysis of the National Ambulatory Medical Care Survey

    Directory of Open Access Journals (Sweden)

    Mansfield Richard J

    2005-02-01

    Full Text Available Abstract Background Although shoulder pain is a commonly encountered problem in primary care, there are few studies examining its presenting characteristics and clinical management in this setting. Methods We performed secondary data analysis of 692 office visits for shoulder pain collected through the National Ambulatory Medical Care Survey (Survey years 1993–2000. Information on demographic characteristics, history and place of injury, and clinical management (physician order of imaging, physiotherapy, and steroid intraarticular injection were examined. Results Shoulder pain was associated with an injury in one third (33.2% (230/692 of office visits in this population of US primary care physicians. Males, and younger adults (age ≤ 52 more often associated their shoulder pain with previous injury, but there were no racial differences in injury status. Injury-related shoulder pain was related to work in over one-fifth (21.3% (43/202 of visits. An x-ray was performed in 29.0% (164/566 of office visits, a finding that did not differ by gender, race, or by age status. Other imaging (CT scan, MRI, or ultrasound was infrequently performed (6.5%, 37/566. Physiotherapy was ordered in 23.9% (135/566 of visits for shoulder pain. Younger adults and patients with a history of injury more often had physiotherapy ordered, but there was no significant difference in the ordering of physiotherapy by gender or race. Examination of the use of intraarticular injection was not possible with this data set. Conclusion These data from the largest sample of patients with shoulder pain presenting to primary care settings offer insights into the presenting characteristics and clinical management of shoulder pain at the primary care level. The National Ambulatory Medical Care Survey is a useful resource for examining the clinical management of specific symptoms in U.S. primary care offices.

  8. A positive Babinski reflex predicts delayed neuropsychiatric sequelae in Chinese patients with carbon monoxide poisoning.

    Science.gov (United States)

    Zou, Jian-Fang; Guo, Qiming; Shao, Hua; Li, Bin; Du, Yuxiu; Liu, Maofeng; Liu, Fengling; Dai, Lixin; Chung, Min-Hsien; Lin, Hung-Jung; Guo, How-Ran; Yang, Tzu-Meng; Huang, Chien-Cheng; Hsu, Chien-Chin

    2014-01-01

    As the human population increased in China, the carbon monoxide is a serious environmental toxin in public health. However, predicting the delayed neuropsychiatric sequelae (DNS) of carbon monoxide poisoning (COP) has not been well studied. We investigated the independent predictors of DNS in patients with COP. This study was conducted at four hospitals in China. Data were retrospectively collected from 258 patients with COP between November 1990 and October 2011. DNS was the primary endpoint. A positive Babinski reflex was the independent predictor for DNS: sensitivity = 53.8% (95% confidence interval [CI]: 26.1-79.6), specificity = 88.6% (95% CI: 83.7-92.1), positive predictive value (PPV) = 20.0% (95% CI: 9.1-37.5), and negative predictive value (NPV) = 97.3% (95% CI: 94.0-98.9). The area under the receiver operating characteristic curve = 0.712 (95% CI: 0.544-0.880). A positive Babinski reflex was very memorable, immediately available, and applicable in clinical practice. Even when the sensitivity and PPV of a positive Babinski reflex were unsatisfactory, it had a good specificity and NPV for excluding the risk of DNS. In patients without a positive Babinski reflex, the risk for DNS was only 2.7%. This finding may help physicians make decisions about dispositions for patients with COP.

  9. A Positive Babinski Reflex Predicts Delayed Neuropsychiatric Sequelae in Chinese Patients with Carbon Monoxide Poisoning

    Directory of Open Access Journals (Sweden)

    Jian-Fang Zou

    2014-01-01

    Full Text Available As the human population increased in China, the carbon monoxide is a serious environmental toxin in public health. However, predicting the delayed neuropsychiatric sequelae (DNS of carbon monoxide poisoning (COP has not been well studied. We investigated the independent predictors of DNS in patients with COP. This study was conducted at four hospitals in China. Data were retrospectively collected from 258 patients with COP between November 1990 and October 2011. DNS was the primary endpoint. A positive Babinski reflex was the independent predictor for DNS: sensitivity = 53.8% (95% confidence interval [CI]: 26.1–79.6, specificity = 88.6% (95% CI: 83.7–92.1, positive predictive value (PPV = 20.0% (95% CI: 9.1–37.5, and negative predictive value (NPV = 97.3% (95% CI: 94.0–98.9. The area under the receiver operating characteristic curve = 0.712 (95% CI: 0.544–0.880. A positive Babinski reflex was very memorable, immediately available, and applicable in clinical practice. Even when the sensitivity and PPV of a positive Babinski reflex were unsatisfactory, it had a good specificity and NPV for excluding the risk of DNS. In patients without a positive Babinski reflex, the risk for DNS was only 2.7%. This finding may help physicians make decisions about dispositions for patients with COP.

  10. Carbon Monoxide Poisoning - Multiple Languages: MedlinePlus

    Science.gov (United States)

    ... sharing features on this page, please enable JavaScript. Amharic (amarunya) Arabic (العربية) Chinese - Traditional (繁體中文) French (français) ... Kiswahili) Tagalog (Tagalog) Tigrinya (tigrinya) Vietnamese (Tiếng Việt) Amharic (amarunya) Prevention Guidelines: You Can Prevent Carbon Monoxide ...

  11. Pathways and bioenergetics of anaerobic carbon monoxide fermentation

    NARCIS (Netherlands)

    Diender, Martijn; Stams, Fons; Machado de Sousa, Diana

    2015-01-01

    Carbon monoxide can act as a substrate for different modes of fermentative anaerobic metabolism. The trait of utilizing CO is spread among a diverse group of microorganisms, including members of bacteria as well as archaea. Over the last decade this metabolism has gained interest due to the poten

  12. UV-induced carbon monoxide emission from living vegetation

    DEFF Research Database (Denmark)

    Bruhn, Dan; Albert, Kristian Rost; Mikkelsen, Teis Nørgaard

    2013-01-01

    The global burden of carbon monoxide (CO) is rather uncertain. In this paper we address the potential for UV-induced CO emission by living terrestrial vegetation surfaces. Real-time measurements of CO concentrations were made with a cavity enhanced laser spectrometer connected in closed loop...

  13. Study on Response Time of SPE Carbon Monoxide Sensor

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    The influence of structural design and the parameters of the working electrode on the response time of a solid polymer electrolyte (SPE) carbon monoxide sensor has been studied. Results show that the response time is mainly determined by the RC time constant of the catalyst layer and also related with the working electrode potential.

  14. Carbon monoxide : A quantitative tracer for fossil fuel CO2?

    NARCIS (Netherlands)

    Gamnitzer, Ulrike; Karstens, Ute; Kromer, Bernd; Neubert, Rolf E. M.; Meijer, Harro A. J.; Schroeder, Hartwig; Levin, Ingeborg

    2006-01-01

    Carbon monoxide (CO), carbon dioxide (CO2), and radiocarbon ((CO2)-C-14) measurements have been made in Heidelberg from 2001 to 2004 in order to determine the regional fossil fuel CO2 component and to investigate the application of CO as a quantitative tracer for fossil fuel CO2 (CO2(foss)). The obs

  15. Hydrogen, carbon monoxide, and methane in the marine environment

    OpenAIRE

    Bullister, John Logan

    1980-01-01

    EXTRACT (SEE PDF FOR FULL ABSTRACT): The horizontal and vertical distribution of three dissolved trace gases, namely molecular hydrogen, carbon monoxide, and methane, was measured in coastal and oceanic areas. Atmospheric concentrations of these gases were measured both at locations influenced by nearby human activity, and in areas far removed from these inputs.

  16. Carbon monoxide poisoning mimicking long-QT induced syncope

    NARCIS (Netherlands)

    I.M. Onvlee-Dekker (Irene); A.C.H. de Vries (Andrica); A.D.J. ten Harkel (Arend)

    2007-01-01

    textabstractCarbon monoxide (CO)poisoning is a rare cause of QT prolongation, and is therefore easily missed. The case of a patient with unexplained syncope and QT prologation on the electrocardiogram that turned out to be related to CO poisoning is reported here. In patients with QT prolongation,

  17. Optimization of Treatment Policy for Acute Carbon Monoxide Poisoning

    Directory of Open Access Journals (Sweden)

    R. N. Akalayev

    2012-01-01

    Full Text Available Objective: to evaluate the efficiency of combination use of hyperbaric oxygenation, succinate-containing solutions, and anti-edematous agents in patients with acute carbon monoxide poisoning. Subjects and methods. The results of treatment were analyzed in 32 patients admitted in 2009—2011 for severe acute carbon monoxide poisoning and a Glasgow coma score of 6—8. The patients were divided into 2 groups: 1 patients whose combination therapy involved hyperbaric oxygenation, Succinasol infusions, and L-lysine-aescinate injections; 2 those who received traditional therapy. All the patients underwent complex clinical, laboratory, and neurophysiologic examinations. Results. Just 24 hours after the combination use of Succinasol and L-lysine-aescinate, Group I patients were observed to have substantially reduced lactate, the content of the latter approached the normal value following 48 hours, which was much below the values in the control group. The similar pattern was observed when endogenous intoxication parameters were examined. During the performed therapy, the level of consciousness and that of intellect according to the MMSE and FAB scales were restored more rapidly in the study group patients than in Group 2. Conclusion. The combination use of hyperbaric oxygenation, the succinate-containing solution Succinasol, and the anti-edematous agent L-lysine-aescinate considerably enhances the efficiency of intensive therapy for acute carbon monoxide poisoning. Key words: carbon monoxide, toxic hypoxic encephalopathy, combination therapy, hyperbaric oxygenation, succinic acid, L-lysine-aescinate.

  18. An overview of carbon monoxide generation and release by home appliances

    Energy Technology Data Exchange (ETDEWEB)

    Batey, J. [Energy Research Center, Inc., Easton, CT (United States)

    1997-09-01

    Carbon monoxide (CO) is an odorless, colorless and tasteless gas which is highly toxic and can be produced by many combustion sources commonly found within homes. Potential sources include boilers and furnaces, water heaters, space heaters, stoves, ovens, clothes dryers, wood stoves, fireplaces, charcoal grilles, automobiles, cigarettes, oil lamps, and candles. Any fuel that contains carbon can form CO including, natural gas, propane, kerosene, fuel oil, wood, and coal. Exposure to elevated CO levels typically requires its production by a combustion source and its release into the home through a venting system malfunction. The health effects of CO range from headaches and flue-like symptoms to loss of concentration, coma and death depending on the concentration of CO and the exposure time. At levels of only 1%, which is the order of magnitude produced by automobile exhaust, carbon monoxide can cause death in less than 3 minutes. While most combustion equipment operate with low CO levels, many operating factors can contribute to elevated CO levels in the home including: burner adjustment, combustion air supply, house air-tightness, exhaust fan operation, cracked heat exchangers, vent blockages, and flue pipe damage. Test data on CO emissions is presented from a wide range of sources including Brookhaven National Laboratory, Gas Research Institute, American Gas Association, the US Environmental Protection Agency, and the US Consumer Product Safety Commission for many potential CO sources in and near the home.

  19. Field surveys of carbon monoxide in commercial settings using personal exposure monitors

    Science.gov (United States)

    Flachsbart, P. G.; Ott, W. R.

    1984-02-01

    Miniaturized personal exposure monitors (PEMs) were employed to measure carbon monoxide (CO) in 588 different commercial settings (e.g., retail stores, office buildings, hotels, restaurants) in five California cities. Altogether, 5000 CO observations were made by recording the instantaneous instrument reading at 1-minute intervals as the investigators walked along sidewalks and into buildings. For 11 of 15 survey dates, two investigators walked side-by-side, permitting two adjacent PEMs to be compared. Quality assurance tests for 1706 pairs of values showed a very high degree of agreement. CO levels for indoor commercial settings were similar to those measured outdoors on sidewalks, apparently because the pollutant seeps into the structures from traffic outside. Although indoor levels usually were above 0 ppm, they seldom were above 9 ppm (the National Ambient Air Quality Standard for an 8-hour exposure), unless some indoor source could be identified. Carbon monoxide levels on outdoor streets did not vary greatly on different sides of the street, on corners and faces of blocks, and intersections.

  20. Gold catalysts supported on nanosized iron oxide for low-temperature oxidation of carbon monoxide and formaldehyde

    Science.gov (United States)

    Tang, Zheng; Zhang, Weidong; Li, Yi; Huang, Zuming; Guo, Huishan; Wu, Feng; Li, Jinjun

    2016-02-01

    This study aimed to optimize synthesis of gold catalyst supported on nanosized iron oxide and to evaluate the activity in oxidation of carbon monoxide and formaldehyde. Nanosized iron oxide was prepared from a colloidal dispersion of hydrous iron oxide through a dispersion-precipitation method. Gold was adsorbed onto nanosized iron oxide under self-generated basic conditions. Characterization results indicate that the iron oxide consisted of hematite/maghemite composite with primary particle sizes of 6-8 nm. Gold was highly dispersed on the surface of the support. The catalysts showed good activity in the oxidation of airborne carbon monoxide and formaldehyde. The optimal pH for their synthesis was ∼7. The catalytic performance could be enhanced by extending the adsorption time of gold species on the support within 21 h. The optimized catalyst was capable of achieving complete oxidation of 1% carbon monoxide at -20 °C and 33% conversion of 450 ppm formaldehyde at ambient temperature. The catalyst may be applicable to indoor air purification.

  1. Potential Teaching Model for Applying Novel Approaches of Renewed Estonian National Curriculum into Visual Art Classes in Primary School

    Science.gov (United States)

    Vahter, Edna

    2015-01-01

    In 2010, the renewed national curriculum was legislated in Estonia. Major changes include a new list of cross-curricular topics, increased importance of integration and specification of the components of the art learning process. In this situation, the question arises--how to fully implement the challenges of the renewed curriculum in primary…

  2. Barriers and enablers of health promotion, prevention and early intervention in primary care: evidence to inform the Australian national dementia strategy.

    Science.gov (United States)

    Travers, Catherine; Martin-Khan, Melinda; Lie, David

    2009-06-01

    A comprehensive literature review was undertaken to: (i) identify and summarise the research evidence regarding barriers and enablers of health promotion, prevention and early intervention (PPEI) in primary care to reduce the risk of chronic disease in the older population; and (ii) use this evidence to make recommendations to inform the Australian national dementia prevention strategy around the translation of evidence-based care into practice. PPEI activities in primary care have the potential to not only reduce the prevalence and impact of a number of chronic diseases, but may also prevent or slow the onset of dementia given the apparent overlap in risk factors. While sizeable gaps exist regarding the most effective ways to promote the adoption of these activities, limited evidence suggests that, to be effective, PPEI activities should be quick and easy to administer, have a sound rationale and be readily incorporated into existing work processes.

  3. [Quality of life, work management, and career planning as a primary care technology in the Unified National Health System in São Paulo State, Brazil].

    Science.gov (United States)

    Lacaz, Francisco Antonio de Castro; Vieira, Nelson Passagem; Cortizo, Carlos Tato; Junqueira, Virgínia; dos Santos, Ana Paula Lopes; Santos, Fabio Souza

    2010-02-01

    This article discusses the concept of quality of life in and at work, linked to health work management based on the evaluation of a work management instrument: the Career, Job, and Wage Plan. The aim was to analyze the plan as a work management technology in primary care in the Unified National Health System (SUS). The article discusses the plan in three municipalities in São Paulo State, Brazil: São Paulo, Guarulhos, and Campinas, in compliance with guidelines issued by the National Health Council in 2006, and using a qualitative survey conducted in 2007-2008. The study presents the findings from research in eight municipalities, based on interviews with managers, users (represented by Health Councils), and health workers and health sector trade unionists. The article concludes that this is still an incipient public management policy issue, with limited command by users, trade unionists, and health workers in the target municipalities, heavily populated 'hub cities' in the health regions.

  4. Risk factors for overweight and obesity in Swiss primary school children: results from a representative national survey.

    Science.gov (United States)

    Murer, Stefanie B; Saarsalu, Siret; Zimmermann, Jasmin; Herter-Aeberli, Isabelle

    2016-03-01

    Obesity is a global epidemic affecting around 10 % of 5- to 17-year olds. With the causes for obesity being multifactorial, a better understanding of the influencing factors is essential for effective treatment and prevention programs. The aim of this study was therefore to identify specific risk factors for overweight and obesity in children in Switzerland. A nationally representative sample of children aged 6-12 years was recruited (n = 2724). Height and weight were measured to calculate BMI (kg/m(2)). In addition, a questionnaire was distributed to all children asking about their physical activity, media consumption, and dietary habits as well as some parental factors. The prevalence of overweight and obesity in boys was 11.8 and 7.5 %, respectively, and in girls, it was 11.9 and 5.7 %. In univariate analyses, a number of parental, dietary, and activity factors were shown to be associated with BMI category. Based on a multinomial logistic regression, parent nationality and media consumption were the most important factors predicting obesity in boys, while in girls it was parental education, nationality, and physical activity. We have demonstrated that parental nationality and education play an important role in the development of childhood obesity, together with media consumption and physical activity. However, risk factors are also different according to child gender. Thus, an important target group for the treatment and prevention of childhood obesity in Switzerland are immigrant families, and the problem needs to be tackled differently in boys and girls as their risk factors are not the same.

  5. The effects of national health care reform on local businesses--part II: study methodology and primary research questions.

    Science.gov (United States)

    Liberman, Aaron; Rotarius, Timothy; Perez, Bianca

    2012-01-01

    This is the second part of a 3-part examination of what may be potentially expected from the 2010 national health care reform legislation. Political researchers and pundits have speculated endlessly on the many changes mandated by the 2010 national health care reform legislation, styled the Patient Protection and Affordable Care Act. A review and assessment of this legislation at several levels (federal, state, state agency, local region, and individual business leaders) were undertaken. The results of this expanded analysis suggest strongly that, nationally, members of the business community and their employees will benefit from the legislation early on (years 1 through 3) and then likely will be impacted adversely as the payment mechanisms driving the legislation are tightened by new federal regulations (year 4 onward). As a result of this research, it is surmised that businesses will be immediately impacted by the legislation, with small business owners being the prime beneficiaries of the new legislation, owing to the availability of coverage to approximately 32 million individuals who previously had no access to coverage. In that regard, the soon-to-be-newly insured population also will be a prime beneficiary of the legislation as the limitations on chronic illnesses and other preexisting conditions will be reduced or eliminated by the legislation.

  6. Smoke-inhalation injury and the effect of carbon monoxide in the sheep model

    Energy Technology Data Exchange (ETDEWEB)

    Shimazu, T.; Ikeuchi, H.; Hubbard, G.B.; Langlinais, P.C.; Mason, A.D.

    1990-01-01

    The role of carbon monoxide (CO) in causing the physiologic and anatomic changes characteristic of smoke inhalation injury was evaluated in 34 sheep. The smoke-exposed group received a dose of smoke known to produce mild inhalation injury. The CO group received a pure gas mixture that contained concentrations of oxygen, carbon dioxide, and CO similar to those in the smoke. Cardiopulmonary function was measured immediately after exposure, and 24 and 72 hours after exposure. The CO group showed a transient increase in cardiac output, but the smoke group showed no such response. The CO group maintained normal PaO2 levels during the 72-hour study period; the smoke group gradually developed hypoxemia. The lungs of the CO exposed animals had no discernible histologic changes. These results indicate that CO per se is not the primary etiologic agent of smoke inhalation injury.

  7. Acute Carbon Monoxide Poisoning Resulting in ST Elevation Myocardial Infarction: A Rare Case Report

    Directory of Open Access Journals (Sweden)

    Po-Chao Hsu

    2010-05-01

    Full Text Available Acute carbon monoxide (CO poisoning with cardiac complications is well documented in the literature. However, ST segment elevation is a rare presentation, and most of these cases with ST elevation have revealed non-occlusive or normal coronary arteries. We report a case of CO poisoning complicated with ST elevation myocardial infarction. Emergency coronary angiography revealed total occlusion of the left anterior descending artery and primary percutaneous coronary intervention was performed. This report of a rare case should remind physicians that cardiovascular investigations, including electrocardiography, must be performed in cases with CO poisoning because mortality might increase if reperfusion therapy or appropriate medical treatments are not performed in patients with acute coronary artery occlusion.

  8. Cross-sectional analysis of association between socioeconomic status and utilization of primary total hip joint replacements 2006–7: Australian Orthopaedic Association National Joint Replacement Registry

    Directory of Open Access Journals (Sweden)

    Brennan Sharon L

    2012-04-01

    Full Text Available Abstract Background The utilization of total hip replacement (THR surgery is rapidly increasing, however few data examine whether these procedures are associated with socioeconomic status (SES within Australia. This study examined primary THR across SES for both genders for the Barwon Statistical Division (BSD of Victoria, Australia. Methods Using the Australian Orthopaedic Association National Joint Replacement Registry data for 2006–7, primary THR with a diagnosis of osteoarthritis (OA among residents of the BSD was ascertained. The Index of Relative Socioeconomic Disadvantage was used to measure SES; determined by matching residential addresses with Australian Bureau of Statistics census data. The data were categorised into quintiles; quintile 1 indicating the most disadvantaged. Age- and sex-specific rates of primary THR per 1,000 person years were reported for 10-year age bands using the total population at risk. Results Females accounted for 46.9% of the 642 primary THR performed during 2006–7. THR utilization per 1,000 person years was 1.9 for males and 1.5 for females. The highest utilization of primary THR was observed in those aged 70–79 years (males 6.1, and females 5.4 per 1,000 person years. Overall, the U-shaped pattern of THR across SES gave the appearance of bimodality for both males and females, whereby rates were greater for both the most disadvantaged and least disadvantaged groups. Conclusions Further work on a larger scale is required to determine whether relationships between SES and THR utilization for the diagnosis of OA is attributable to lifestyle factors related to SES, or alternatively reflects geographic and health system biases. Identifying contributing factors associated with SES may enhance resource planning and enable more effective and focussed preventive strategies for hip OA.

  9. Mapping Air Quality Index of Carbon Monoxide (CO) in Medan City

    Science.gov (United States)

    Suryati, I.; Khair, H.

    2017-03-01

    This study aims to map and analyze air quality index of carbon monoxide (CO) in Medan City. This research used 12 (twelve) sampling points around in Medan with an hour duration each point. CO concentration was analyzed using the NDIR CO Analyzer sampling tool. The concentration CO was obtained between 1 ppm - 23 ppm, with an average concentration was 9.5 ppm. This condition is still below the national ambient air quality standard set by Government Regulation of Indonesian Republic Number 41-1999 amounted to 29 ppm. The result of CO concentration measurements was converted into air pollutant standard index, obtained the index value of 58 - 204. Surfer 10 was used to create map of air pollutant standard index for CO. The map illustrates very unhealthy area where located in the Medan Belawan district. The main factors affecting the concentration of CO are from transportation and meteorological factors.

  10. Impact of a primary care national policy on HIV screening in France: a longitudinal analysis between 2006 and 2013.

    Science.gov (United States)

    Sicsic, Jonathan; Saint-Lary, Olivier; Rouveix, Elisabeth; Pelletier-Fleury, Nathalie

    2016-12-01

    Early diagnosis of HIV infection is a major public health issue worldwide. In 2009, the French National Authority for Health (Haute Autorité de Santé) developed specific guidelines and recommended mass screening of 15-70-year-olds across the general population. The guidelines were supported by communication directed at healthcare professionals, especially GPs. To assess the impact of the national mass screening policy on HIV testing. The study used data from the French National Health Insurance Fund database, from January 2006 to December 2013. Males and females aged 15-70 years, excluding HIV-positive individuals and pregnant females, were followed up throughout the 2006-2013 period. During the study period, 2 176 657 person-years and a total of 329 748 different individuals were followed up. Standardised and non-standardised rates of HIV screening were calculated for each year; the impact of the policy was assessed using adjusted segmented regression analyses. Overall, annual HIV screening rates increased over the study period, from 4.2% (95% confidence interval [CI] = 4.2 to 4.3) in 2006 to 5.8% (95% CI = 5.7 to 5.9) in 2013 with a more pronounced trend after 2010 (Ppolicy led to a 20.4% increase (95% CI = 17.0 to 23.8) in HIV screening in 2013 compared with only a 4.5% increase (95% CI = 4.4 to 4.5) for those who did not consult a GP regularly in 2013. The results show that the mass screening policy coordinated by GPs had a significant impact on HIV testing in France, which could result in positive impacts on public and individual health outcomes. © British Journal of General Practice 2016.

  11. National Use of Safety-Net Clinics for Primary Care among Adults with Non-Medicaid Insurance in the United States.

    Directory of Open Access Journals (Sweden)

    Oanh Kieu Nguyen

    Full Text Available To describe the prevalence, characteristics, and predictors of safety-net use for primary care among non-Medicaid insured adults (i.e., those with private insurance or Medicare.Cross-sectional analysis using the 2006-2010 National Ambulatory Medical Care Surveys, annual probability samples of outpatient visits in the U.S. We estimated national prevalence of safety-net visits using weighted percentages to account for the complex survey design. We conducted bivariate and multivariate logistic regression analyses to examine characteristics associated with safety-net clinic use.More than one-third (35.0% of all primary care safety-net clinic visits were among adults with non-Medicaid primary insurance, representing 6,642,000 annual visits nationally. The strongest predictors of safety-net use among non-Medicaid insured adults were: being from a high-poverty neighborhood (AOR 9.53, 95% CI 4.65-19.53, being dually eligible for Medicare and Medicaid (AOR 2.13, 95% CI 1.38-3.30, and being black (AOR 1.97, 95% CI 1.06-3.66 or Hispanic (AOR 2.28, 95% CI 1.32-3.93. Compared to non-safety-net users, non-Medicaid insured adults who used safety-net clinics had a higher prevalence of diabetes (23.5% vs. 15.0%, p<0.001, hypertension (49.4% vs. 36.0%, p<0.001, multimorbidity (≥2 chronic conditions; 53.5% vs. 40.9%, p<0.001 and polypharmacy (≥4 medications; 48.8% vs. 34.0%, p<0.001. Nearly one-third (28.9% of Medicare beneficiaries in the safety-net were dual eligibles, compared to only 6.8% of Medicare beneficiaries in non-safety-net clinics (p<0.001.Safety net clinics are important primary care delivery sites for non-Medicaid insured minority and low-income populations with a high burden of chronic illness. The critical role of safety-net clinics in care delivery is likely to persist despite expanded insurance coverage under the Affordable Care Act.

  12. Digit and letter alexia in carbon monoxide poisoning

    Institute of Scientific and Technical Information of China (English)

    Qingyu Shen; Xiaoming Rong; Rui Pan; Ying Peng; Wei Peng; Yamei Tang

    2012-01-01

    This study examined a 24-year-old patient with delayed encephalopathy, who was admitted to hospital with complaints of headache and visual impairment 1 week after acute carbon monoxide poisoning. The results of a visual field assessment, electroencephalography and head magnetic resonance imaging indicated damage to the cerebral cortex. After a 2-week treatment period, the patient had recovered from the visual impairment, but exhibited digit- and letter-reading difficulty. The Chinese aphasia battery and the number and letter battery supplement were conducted. The results revealed that the patient exhibited digit and letter alexia, while the ability to read Chinese characters was preserved. In contrast, the patient exhibited a deficit in Chinese character writing, while number and letter writing remained intact. Following treatment, reading and writing ability was improved and electroencephalographic abnormalities were ameliorated. Overall, our experimental findings demonstrated that delayed encephalopathy following acute carbon monoxide poisoning was characterized by digit and letter alexia.

  13. Catalysis of carbon monoxide methanation by deep sea manganate minerals

    Science.gov (United States)

    Cabrera, A. L.; Maple, M. B.; Arrhenius, G.

    1990-01-01

    The catalytic activity of deep sea manganese nodule minerals for the methanation of carbon monoxide was measured with a microcatalytic technique between 200 and 460 degrees C. The manganate minerals were activated at 248 degrees C by immersion into a stream of hydrogen in which pulses of carbon monoxide were injected. Activation energies for the methanation reaction and hydrogen desorption from the manganate minerals were obtained and compared with those of pure nickel. Similar energy values indicate that the activity of the nodule materials for the reaction appears to be related to the amount of reducible transition metals present in the samples (ca. 11 wt.-%). Since the activity of the nodule minerals per gram is comparable to that of pure nickel, most of the transition metal ions located between manganese oxide layers appear to be exposed and available to catalyze the reaction.

  14. Effect of carbon monoxide on plants. [Mimosa pudica

    Energy Technology Data Exchange (ETDEWEB)

    Zimmerman, P.W.; Crocker, W.; Hitchcock, A.E.

    1933-01-01

    Of 108 species of plants treated with one per cent carbon monoxide, 45 showed epinastic growth of leaves. Several species showed hyponasty which caused upward curling of leaves. Other effects included: retarded stem elongation; abnormally small new leaves; abnormal yellowing of the leaves, beginning with the oldest; abscission of leaves usually associated with yellowing; and hypertrophied tissues on stems and roots. During recovery an abnormally large number of side shoots arose from latent buds of many species. Motion pictures of Mimosa pudica showed a loss of correlation, normal equilibrium position to gravity, and sensitiveness to contact or heat stimuli; however, the leaves moved about more rapidly than those of controls. Since carbon monoxide causes growth rigor and loss of sensitiveness to external stimuli, it is here considered as an anesthetic.

  15. [Sudden unilateral sensorineural hearing loss after carbon monoxide intoxication].

    Science.gov (United States)

    Michalska-Piechowiak, Teresa; Miarzyńska, Maria; Perlik-Gattner, Irena

    2004-01-01

    A case of unilateral sensorineural hearing loss of the left ear after carbon monoxide intoxication was presented. The diagnosis was based upon an interview, medical examinations and audiometric investigations. Results of diagnostic evaluations, clinical presentation and treatment were discussed. Hearing improvement was obtained after 6 days of treatment and normal hearing returned after 14 days. Patients who suffer from CO intoxication are at risk of hearing impairment, therefore, there is a need for audiometric follow up in these patients.

  16. Pregnancy Hypertenssion and Preeclampsia in Enviromental Expossure to Carbon Monoxide

    OpenAIRE

    2008-01-01

    Introduction: In this study relationship between carbon monoxide (CO) with pregnancy induced hypertension and preeclampsia in mothers in various levels of CO pollution was evaluated. Methods: The study was carried out in three teaching hospitals and 4500 pregnant women living area divided in one low-level CO polluted and as the second level, three moderate to high polluted areas (central, south and west). The subjects, residence places were within 5 kilometers of the air pollution monitoring ...

  17. Mobile Carbon Monoxide Monitoring System Based on Arduino-Matlab for Environmental Monitoring Application

    Science.gov (United States)

    Azieda Mohd Bakri, Nur; Junid, Syed Abdul Mutalib Al; Razak, Abdul Hadi Abdul; Idros, Mohd Faizul Md; Karimi Halim, Abdul

    2015-11-01

    Nowadays, the increasing level of carbon monoxide globally has become a serious environmental issue which has been highlighted in most of the country globally. The monitoring of carbon monoxide content is one of the approaches to identify the level of carbon monoxide pollution towards providing the solution for control the level of carbon monoxide produced. Thus, this paper proposed a mobile carbon monoxide monitoring system for measuring the carbon monoxide content based on Arduino-Matlab General User Interface (GUI). The objective of this project is to design, develop and implement the real-time mobile carbon monoxide sensor system and interfacing for measuring the level of carbon monoxide contamination in real environment. Four phases or stages of work have been carried out for the accomplishment of the project, which classified as sensor development, controlling and integrating sensor, data collection and data analysis. As a result, a complete design and developed system has been verified with the handheld industrial standard carbon monoxide sensor for calibrating the sensor sensitivity and measurement in the laboratory. Moreover, the system has been tested in real environments by measuring the level of carbon monoxide in three different lands used location; industrial area; residential area and main road (commercial area). In this real environment test, the industrial area recorded the highest reading with 71.23 ppm and 82.59 ppm for sensor 1 and sensor 2 respectively. As a conclusion, the mobile realtime carbon monoxide system based on the Arduino-Matlab is the best approach to measure the carbon monoxide concentration in different land-used since it does not require a manual data collection and reduce the complexity of the existing carbon monoxide level concentration measurement practise at the same time with a complete data analysis facilities.

  18. What is the actual epidemiology of familial hypercholesterolemia in Italy? Evidence from a National Primary Care Database.

    Science.gov (United States)

    Guglielmi, Valeria; Bellia, Alfonso; Pecchioli, Serena; Medea, Gerardo; Parretti, Damiano; Lauro, Davide; Sbraccia, Paolo; Federici, Massimo; Cricelli, Iacopo; Cricelli, Claudio; Lapi, Francesco

    2016-11-15

    There are some inconsistencies on prevalence estimates of familial hypercholesterolemia (FH) in general population across Europe due to variable application of its diagnostic criteria. We aimed to investigate the FH epidemiology in Italy applying the Dutch Lipid Clinical Network (DLCN) score, and two alternative diagnostic algorithms to a primary care database. We performed a retrospective population-based study using the Health Search IMS Health Longitudinal Patient Database (HSD) and including active (alive and currently registered with their general practitioners (GPs)) patients on December 31, 2014. Cases of FH were identified by applying DLCN score. Two further algorithms, based on either ICD9CM coding for FH or some clinical items adopted by the DLCN, were tested towards DLCN itself as gold standard. We estimated a prevalence of 0.01% for "definite" and 0.18% for "definite" plus "probable" cases as per the DLCN. Algorithms 1 and 2 reported a FH prevalence of 0.9 and 0.13%, respectively. Both algorithms resulted in consistent specificity (1: 99.10%; 2: 99.9%) towards DLCN, but Algorithm 2 considerably better identified true positive (sensitivity=85.90%) than Algorithm 1 (sensitivity=10.10%). The application of DLCN or valid diagnostic alternatives in the Italian primary care setting provides estimates of FH prevalence consistent with those reported in other screening studies in Caucasian population. These diagnostic criteria should be therefore fostered among GPs. In the perspective of FH new therapeutic options, the epidemiological picture of FH is even more relevant to foresee the costs and to plan affordable reimbursement programs in Italy. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  19. The association between socioeconomic status and visual impairments among primary glaucoma: the results from Nationwide Korean National Health Insurance Cohort from 2004 to 2013.

    Science.gov (United States)

    Sung, Haejune; Shin, Hyun Ho; Baek, Yunseng; Kim, Gyu Ah; Koh, Jae Sang; Park, Eun-Cheol; Shin, Jaeyong

    2017-08-23

    Glaucoma is one of the most leading causes of permanent visual impairments in Korea, and social expenses spent for the glaucoma are increasing. This study is to identify association between socioeconomic status and the visual impairments caused by primary glaucoma in Korea. This study is based on a cohort study using stratified representative samples in the National Health Insurance claim data from 2002 to 2013 with 1,025,340 representative subjects. Target subjects were patients who are newly diagnosed with primary glaucoma from 2004 to 2013. We conducted a multiple logistic regression analysis depending on the occurrence of visual impairment and its temporal order compared to the glaucoma diagnosis. Among 1728 patients with primary glaucoma, those with low and middle income shows higher odds ratio (OR) of the visual impairments than those with high income group (low income; OR = 3.42, 95% Confidential Interval (CI):2.06-5.66, middle income; OR = 2.13, 95% CI: 1.28-3.55), in case of the occurrence of the visual impairments preceded the diagnosis of glaucoma. Glaucoma patients without pre-existing glaucoma history before visual impairment have higher association between socioeconomic status and the occurrence of visual impairments by primary glaucoma. Since glaucoma had not been diagnosed and recognized yet, the differences may have been derived from the disparities of the awareness of the glaucoma. These findings call attention to the correlation between socioeconomic factors and the visual impairments by glaucoma, and raise public health needs over the importance of glaucoma awareness and eye screening for glaucoma, especially for low socioeconomic status.

  20. Central Diabetes Insipidus and Hyperglycemic Hyperosmolar State Following Accidental Carbon Monoxide Poisoning.

    Science.gov (United States)

    Ul Abideen, Zain; Mahmud, Syed Nayer; Rasheed, Amna; Farooq Qasim, Yusaf; Ali, Furqan

    2017-06-03

    Carbon monoxide poisoning is common and carries significant morbidity and mortality. The nervous system, particularly the brain, is frequently affected by it, owing to its high metabolic activity and oxygen requirements. Carbon monoxide damages the nervous system by both hypoxic and inflammatory mechanisms. Central diabetes insipidus is an extremely rare complication of carbon monoxide poisoning. Herein, we report the case of a young lady, who developed this complication and severe hypernatremia after accidental carbon monoxide poisoning. She also developed a hyperglycemic hyperosmolar state during the treatment for hypernatremia. To the best of our knowledge, both these entities have not been reported together in association with carbon monoxide poisoning. The purpose of this article is to emphasize the anticipation and early recognition of central diabetes insipidus in carbon monoxide poisoning. This can prevent severe hypernatremia and complications associated with its presence and treatment.

  1. Experimental and Theoretical Mechanistic Investigation of the Iridium-Catalyzed Dehydrogenative Decarbonylation of Primary Alcohols

    DEFF Research Database (Denmark)

    Olsen, Esben Paul Krogh; Singh, Thishana; Harris, Pernille

    2015-01-01

    cycles. One carbon monoxide ligand was shown to remain coordinated to iridium throughout the reaction, and release of carbon monoxide was suggested to occur from a dicarbonyl complex. IrH2Cl(CO)(rac-BINAP) was also synthesized and detected in the dehydrogenation of benzyl alcohol. In the same experiment......The mechanism for the iridium-BINAP catalyzed dehydrogenative decarbonylation of primary alcohols with the liberation of molecular hydrogen and carbon monoxide was studied experimentally and computationally. The reaction takes place by tandem catalysis through two catalytic cycles involving...

  2. Carbon monoxide may be an important molecule in migraine and other headaches

    DEFF Research Database (Denmark)

    Arngrim, Nanna; Schytz, Henrik W; Hauge, Mette K

    2014-01-01

    INTRODUCTION: Carbon monoxide was previously considered to just be a toxic gas. A wealth of recent information has, however, shown that it is also an important endogenously produced signalling molecule involved in multiple biological processes. Endogenously produced carbon monoxide may thus play...... an important role in nociceptive processing and in regulation of cerebral arterial tone. DISCUSSION: Carbon monoxide-induced headache shares many characteristics with migraine and other headaches. The mechanisms whereby carbon monoxide causes headache may include hypoxia, nitric oxide signalling and activation...

  3. The deployment of carbon monoxide wireless sensor network (CO-WSN) for ambient air monitoring.

    Science.gov (United States)

    Chaiwatpongsakorn, Chaichana; Lu, Mingming; Keener, Tim C; Khang, Soon-Jai

    2014-06-16

    Wireless sensor networks are becoming increasingly important as an alternative solution for environment monitoring because they can reduce cost and complexity. Also, they can improve reliability and data availability in places where traditional monitoring methods are difficult to site. In this study, a carbon monoxide wireless sensor network (CO-WSN) was developed to measure carbon monoxide concentrations at a major traffic intersection near the University of Cincinnati main campus. The system has been deployed over two weeks during Fall 2010, and Summer 2011-2012, traffic data was also recorded by using a manual traffic counter and a video camcorder to characterize vehicles at the intersection 24 h, particularly, during the morning and evening peak hour periods. According to the field test results, the 1 hr-average CO concentrations were found to range from 0.1-1.0 ppm which is lower than the National Ambient Air Quality Standards (NAAQS) 35 ppm on a one-hour averaging period. During rush hour periods, the traffic volume at the intersection varied from 2,067 to 3,076 vehicles per hour with 97% being passenger vehicles. Furthermore, the traffic volume based on a 1-h average showed good correlation (R2 = 0.87) with the 1-h average CO-WSN concentrations for morning and evening peak time periods whereas CO-WSN results provided a moderate correlation (R2 = 0.42) with 24 hours traffic volume due to fluctuated changes of meteorological conditions. It is concluded that the performance and the reliability of wireless ambient air monitoring networks can be used as an alternative method for real time air monitoring.

  4. Implementing and managing self-management skills training within primary care organisations: a national survey of the expert patients programme within its pilot phase

    Directory of Open Access Journals (Sweden)

    Rogers Anne

    2006-02-01

    Full Text Available Abstract A key element of the United Kingdom (UK health policy reform in relation to chronic disease management is the introduction of a national programme seeking to promote self-care from within the National Health Service (NHS. The mainstay of the Expert Patients Programme (EPP is a six-week training course that provides the opportunity for anyone with a long-term condition to develop new skills to manage their condition better on a day-to-day basis. The course forms part of the NHS self-care support programme, is administered by Primary Care Trusts (PCTs and delivered by people who have personal experience of living with a long-term condition. The NHS' official Expert Patients Programme website presently states that, "Pilot EPP courses began at 26 NHS PCT sites across England in May 2002, and by May 2004 approximately 300 PCTs had either actively implemented pilot courses or had committed to joining. The majority of PCTs are now coming to the end of the pilot phase, with many implementing plans to make EPP sustainable for the long-term." The NHS website heralds the pilot "a success." A national, postal survey of PCT EPP Leads was undertaken in order to examine both the evolvement of EPP during its pilot stage and future plans for the programme. A questionnaire was sent out to the 299 PCTs known to have committed to the EPP pilot, and an excellent 100% response rate was obtained over a 3-month period (April-July 2005. One marker of success of the Expert Patients Programme implementation is the actual running of courses by the Primary Care Trusts. This paper explores the extent to which the implementation of the pilot can indeed be viewed as a "success," primarily in terms of the number of courses run, and considers the extent to which PCTs have carried out all that they were committed to do. Findings suggest that the more time an EPP Lead dedicates to the Programme, the more likely it is that EPP has run successfully in the past, and the more

  5. Thermal Degradation of Lead Monoxide Filled Polymer Composite Radiation Shields

    Science.gov (United States)

    Harish, V.; Nagaiah, N.

    2011-07-01

    Lead monoxide filled Isophthalate resin particulate polymer composites were prepared with different filler concentrations and investigated for physical, thermal, mechanical and gamma radiation shielding characteristics. This paper discusses about the thermo gravimetric analysis of the composites done to understand their thermal properties especially the effect of filler concentration on the thermal stability & degradation rate of composites. Pristine polymer exhibits single stage degradation whereas filled composites exhibit two stage degradation processes. Further, the IDT values as well as degradation rates decrease with the increased filler content in the composite.

  6. Modeling of Carbon Monoxide Removal by Corona Plasma

    Institute of Scientific and Technical Information of China (English)

    FENG Jingwei; SUN Yabing; ZHAO Dayong; ZHENG Zheng; XU Yuewu; YANG Haifeng; ZHU Hongbiao; ZHOU Xiaoxia

    2009-01-01

    Modeling of carbon monoxide (CO) removal by a corona plasma was conducted in this study.The purification efficiency of CO was calculated theoretically and the factors affecting the removal of CO were analyzed.The results showed that the main removal mechanisms of CO were direct dissociation by generated high-energy electrons and indirect oxidation by generated hydroxyl radicals.The purification efficiency of CO was dependent on the plasma parameters,indoor air humidity and initial concentration of CO.Good consistency between the theoretical calculation and the experimental results was observed.

  7. Pathways and Bioenergetics of Anaerobic Carbon Monoxide Fermentation.

    Science.gov (United States)

    Diender, Martijn; Stams, Alfons J M; Sousa, Diana Z

    2015-01-01

    Carbon monoxide can act as a substrate for different modes of fermentative anaerobic metabolism. The trait of utilizing CO is spread among a diverse group of microorganisms, including members of bacteria as well as archaea. Over the last decade this metabolism has gained interest due to the potential of converting CO-rich gas, such as synthesis gas, into bio-based products. Three main types of fermentative CO metabolism can be distinguished: hydrogenogenesis, methanogenesis, and acetogenesis, generating hydrogen, methane and acetate, respectively. Here, we review the current knowledge on these three variants of microbial CO metabolism with an emphasis on the potential enzymatic routes and bio-energetics involved.

  8. Pathways and bioenergetics of anaerobic carbon monoxide fermentation.

    Directory of Open Access Journals (Sweden)

    Martijn eDiender

    2015-11-01

    Full Text Available Carbon monoxide can act as a substrate for different modes of fermentative anaerobic metabolism. The trait of utilizing CO is spread among a diverse group of microorganisms, including members of bacteria as well as archaea. Over the last decade this metabolism has gained interest due to the potential of converting CO rich gas, such as synthesis gas, into bio-based products. Three main types of fermentative CO metabolism can be distinguished: hydrogenogenesis, methanogenesis and acetogenesis, generating hydrogen, methane and acetate, respectively. Here, we review the current knowledge on these three variants of microbial CO metabolism with an emphasis on the potential enzymatic routes and bio-energetics involved.

  9. OMI Observations of Bromine Monoxide Emissions from Volcanoes

    Science.gov (United States)

    Suleiman, R. M.; Chance, K.; Liu, X.; Gonzalez Abad, G.; Kurosu, T. P.

    2016-12-01

    We analyze bromine monoxide (BrO) data from the Ozone Monitoring Instrument (OMI) for emissions from various volcanoes. We use OMI data from 2005 to 2014 to investigate BrO signatures from Galapagos, Kasatochi and Eyjafjallajökull volcanoes. Elevated signatures of BrO daily averages were found over Eyjafjallajökull. SO2 cross sections are updated in the operational BrO algorithm and their effect on the volcanic BrO signature is studied. Comparison between two different sets of SO2 cross sections is made and results still show BrO enhancement over the Eyjafjallajökull region.

  10. Studies relevant to the catalytic activation of carbon monoxide

    Energy Technology Data Exchange (ETDEWEB)

    Ford, P.C.

    1992-06-04

    Research activity during the 1991--1992 funding period has been concerned with the following topics relevant to carbon monoxide activation. (1) Exploratory studies of water gas shift catalysts heterogenized on polystyrene based polymers. (2) Mechanistic investigation of the nucleophilic activation of CO in metal carbonyl clusters. (3) Application of fast reaction techniques to prepare and to investigate reactive organometallic intermediates relevant to the activation of hydrocarbons toward carbonylation and to the formation of carbon-carbon bonds via the migratory insertion of CO into metal alkyl bonds.

  11. Dipolar dissociation dynamics in electron collisions with carbon monoxide

    CERN Document Server

    Chakraborty, Dipayan; Nandi, Dhananjay

    2016-01-01

    Dipolar dissociation processes in the electron collisions with carbon monoxide have been studied using time of flight (TOF) mass spectroscopy in combination with the highly differential velocity slice imaging (VSI) technique. Probing ion-pair states both positive and/or negative ions may be detected. The ion yield curve of negative ions provides the threshold energy for the ion-pair production. On the other hand, the kinetic energy distributions and angular distributions of the fragment anion provide detailed dynamics of the dipolar dissociation process. Two ion-pair states have been identified based on angular distribution measurements using VSI technique.

  12. Effectiveness of diabetes and hypertension management by rural primary health-care workers (Behvarz workers) in Iran: a nationally representative observational study.

    Science.gov (United States)

    Farzadfar, Farshad; Murray, Christopher J L; Gakidou, Emmanuela; Bossert, Thomas; Namdaritabar, Hengameh; Alikhani, Siamak; Moradi, Ghobad; Delavari, Alireza; Jamshidi, Hamidreza; Ezzati, Majid

    2012-01-07

    Non-communicable diseases and their risk factors are leading causes of disease burden in Iran and other middle-income countries. Little evidence exists for whether the primary health-care system can effectively manage non-communicable diseases and risk factors at the population level. Our aim was to examine the effectiveness of the Iranian rural primary health-care system (the Behvarz system) in the management of diabetes and hypertension, and to assess whether the effects depend on the number of health-care workers in the community. We used individual-level data from the 2005 Non-Communicable Disease Surveillance Survey (NCDSS) for fasting plasma glucose (FPG) and systolic blood pressure (SBP), body-mass index, medication use, and sociodemographic variables. Data for Behvarz-worker and physician densities were from the 2006 Population and Housing Census and the 2005 Outpatient Care Centre Mapping Survey. We assessed the effectiveness of treatment on FPG and SBP, and associations between FPG or SBP and Behvarz-worker density with two statistical approaches: a mixed-effects regression analysis of the full NCDSS sample adjusting for individual-level and community-level covariates and an analysis that estimated average treatment effect on data balanced with propensity score matching. NCDSS had data for 65,619 individuals aged 25 years or older (11,686 of whom in rural areas); of these, 64,694 (11,521 in rural areas) had data for SBP and 50,202 (9337 in rural areas) had data for FPG. Nationally, 39·2% (95% CI 37·7 to 40·7) of individuals with diabetes and 35·7% (34·9 to 36·5) of those with hypertension received treatment, with higher treatment coverage in women than in men and in urban areas than in rural areas. Treatment lowered mean FPG by an estimated 1·34 mmol/L (0·58 to 2·10) in rural areas and 0·21 mmol/L (-0·15 to 0·56) in urban areas. Individuals in urban areas with hypertension who received treatment had 3·8 mm Hg (3·1 to 4·5) lower SBP than

  13. Material processing with hydrogen and carbon monoxide on Mars

    Science.gov (United States)

    Hepp, Aloysius F.; Landis, Geoffrey A.; Linne, Diane L.

    1991-01-01

    Several novel proposals are examined for propellant production from carbon dioxide and monoxide and hydrogen. Potential uses were also examined of CO as a fuel or as a reducing agent in metal oxide processing as obtained or further reduced to carbon. Hydrogen can be reacted with CO to produce a wide variety of hydrocarbons, alcohols, and other organic compounds. Methanol, produced by Fischer-Tropsch chemistry may be useful as a fuel; it is easy to store and handle because it is a liquid at Mars temperatures. The reduction of CO2 to hydrocarbons such as methane or acetylene can be accomplished with hydrogen. Carbon monoxide and hydrogen require cryogenic temperatures for storage as liquids. Noncryogenic storage of hydrogen may be accomplished using hydrocarbons, inorganic hydrides, or metal hydrides. Noncryogenic storage of CO may be accomplished in the form of iron carbonyl (FE(CO)5) or other metal carbonyls. Low hydrogen content fuels such as acetylene (C2H2) may be effective propellants with low requirements for earth derived resources. The impact on manned Mars missions of alternative propellant production and utilization is discussed.

  14. Formation of orthorhombic tin dioxide from mechanically milled monoxide powders

    Science.gov (United States)

    Lamelas, F. J.

    2004-12-01

    X-ray scattering measurements are used to show that the metastable orthorhombic phase of tin dioxide is produced by the oxidation of mechanically milled litharge-phase tin monoxide. After milling to a grain size of approximately 20nm, followed by heating to 575°C, the fraction of the orthorhombic phase is approximately 80%. The orthorhombic phase was originally observed in high-pressure experiments, but more recently, it has been produced in a wide variety of thin-film and nanoparticle samples. The data presented here demonstrate the importance of small-grain-size tin monoxide as a precursor in the ambient-pressure synthesis of the orthorhombic phase. This result has practical importance in the production of tin dioxide gas sensors. A more fundamental observation is that the particle size of a precursor phase can have a marked effect on subsequent phases produced during oxidation. Lastly, a formula for determining the orthorhombic fraction in two-phase tin dioxide samples is developed using the method of standard additions.

  15. A carbon monoxide passive sampler: Research and development needs

    Energy Technology Data Exchange (ETDEWEB)

    Traynor, G.W.; Apte, M.G.; Diamond, R.C.; Woods, A.L.

    1991-11-01

    In rare instances, carbon monoxide (CO) levels in houses can reach dangerously high concentrations, causing adverse health effects ranging from mild headaches to, under extreme conditions, death. Hundreds of fatal accidental carbon monoxide poisonings occur each year primarily due to the indoor operation of motor vehicles, the indoor use of charcoal for cooking, the operation of malfunctioning vented and unvented combustion appliances, and the misuse combustion appliances. Because there is a lack of simple, inexpensive, and accurate field sampling instrumentation, it is difficult for gas utilities and researchers to conduct field research studies designed to quantify the concentrations of CO in residences. Determining the concentration of CO in residences is the first step towards identifying the high risk appliances and high-CO environments which pose health risks. Thus, there exists an urgent need to develop and field-validate a CO-quantifying technique suitable for affordable field research. A CO passive sampler, if developed, could fulfill these requirements. Existing CO monitoring techniques are discussed as well as three potential CO-detection methods for use in a CO passive sampler. Laboratory and field research needed for the development and validation of an effective and cost-efficient CO passive sampler are also discussed.

  16. Space-based observation of volcanic iodine monoxide

    Science.gov (United States)

    Schönhardt, Anja; Richter, Andreas; Theys, Nicolas; Burrows, John P.

    2017-04-01

    Volcanic eruptions inject substantial amounts of halogens into the atmosphere. Chlorine and bromine oxides have frequently been observed in volcanic plumes from different instrumental platforms such as from ground, aircraft and satellites. The present study is the first observational evidence that iodine oxides are also emitted into the atmosphere during volcanic eruptions. Large column amounts of iodine monoxide, IO, are observed in satellite measurements following the major eruption of the Kasatochi volcano, Alaska, in 2008. The IO signal is detected in measurements made both by SCIAMACHY (Scanning Imaging Absorption Spectrometer for Atmospheric CHartographY) on ENVISAT (Environmental Satellite) and GOME-2 (Global Ozone Monitoring Experiment-2) on MetOp-A (Meteorological Operational Satellite A). Following the eruption on 7 August 2008, strongly elevated levels of IO slant columns of more than 4 × 1013 molec cm-2 are retrieved along the volcanic plume trajectories for several days. The retrieved IO columns from the different instruments are consistent, and the spatial distribution of the IO plume is similar to that of bromine monoxide, BrO. Details in the spatial distribution, however, differ between IO, BrO and sulfur dioxide, SO2. The column amounts of IO are approximately 1 order of magnitude smaller than those of BrO. Using the GOME-2A observations, the total mass of IO in the volcanic plume injected into the atmosphere from the eruption of Kasatochi on 7 August 2008, is determined to be on the order of 10 Mg.

  17. The electric dipole moment of cobalt monoxide, CoO.

    Science.gov (United States)

    Zhuang, Xiujuan; Steimle, Timothy C

    2014-03-28

    A number of low-rotational lines of the E(4)Δ7/2 ← X(4)Δ7/2 (1,0) band system of cobalt monoxide, CoO, were recorded field free and in the presence of a static electric field. The magnetic hyperfine parameter, h7/2, and the electron quadrupole parameter, eQq0, for the E(4)Δ7/2(υ = 1) state were optimized from the analysis of the field-free spectrum. The permanent electric dipole moment, μ(→)(el), for the X(4)Δ7/2 (υ = 0) and E(4)Δ7/2 (υ = 1) states were determined to be 4.18 ± 0.05 D and 3.28 ± 0.05 D, respectively, from the analysis of the observed Stark spectra of F' = 7 ← F″ = 6 branch feature in the Q(7/2) line and the F' = 8 ← F″ = 7 branch feature in the R(7/2) line. The measured dipole moments of CoO are compared to those from theoretical predictions and the trend across the 3d-metal monoxide series discussed.

  18. Carbon Monoxide Emissions in Middle Aged Debris Disks

    Science.gov (United States)

    Henderson, Morgan; Gorti, Uma; Hales, Antonio; Carpenter, John M.; Hughes, A. Meredith

    2017-01-01

    Circumstellar disks greater than 10 Myr old, referred to as debris disks, are expected to be gas poor. The original gas and dust in these disks is thought to be accreted onto the host stars, used up in the formation of planets and other bodies, or blown out of the disks via stellar radiation. However, recent ALMA observations at millimeter wavelengths have led to the detection of carbon monoxide (J=2-1) emission in a few debris disks, prompting further investigation.Using ALMA data, two separate models of gas genesis were tested against observations of the CO emissions in the disks around HIP 73145, HIP 76310, and HIP 84881 in the Upper Sco association. One of these models was built on the hypothesis that the gas in these debris disks is left over from stellar formation and has persisted over uncommonly long periods of time. The other model is built on the hypothesis that this gas is of secondary nature, produced by collisions between planetary bodies in the debris disks. Model emissions were calculated using the Line Modeling Engine (LIME) radiative transfer code and were compared with observational data to infer gas masses under both production scenarios. The implications of the masses of carbon monoxide in the disks suggested by each of the two models are discussed.

  19. 40 CFR 52.1627 - Control strategy and regulations: Carbon monoxide.

    Science.gov (United States)

    2010-07-01

    ...: Carbon monoxide. 52.1627 Section 52.1627 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) APPROVAL AND PROMULGATION OF IMPLEMENTATION PLANS (CONTINUED) New Mexico § 52.1627 Control strategy and regulations: Carbon monoxide. (a) Part D Approval. The...

  20. Chronic exposure to carbon monoxide: a possible problem in the Netherlands?; Chronische blootstelling aan koolmonoxide. Is er sprake van een probleem in Nederland?

    Energy Technology Data Exchange (ETDEWEB)

    Mooij, M.

    2008-07-01

    Fuel burning appliances in houses that are poorly maintained or have an open flue system carry a risk of exposure to carbon monoxide. However, currently available knowledge and insights have not been able to provide a representative view on the occurrence of chronic, repeated, exposure to carbon monoxide in Dutch buildings. The National Institute for Public Health and the Environment (RIVM) has concluded this in an exploratory study into the occurrence of chronic exposure to carbon monoxide in Dutch buildings. The VROM-Inspectorate was the commissioning body for this study. Exposure to carbon monoxide can result in a number of symptoms, such as headache, dizziness and concentration disorders. Cases of severe poisoning can even be fatal. From the data available, it appears that the number of accidents each year is extremely variable, ranging from tens up to a few hundred. Approximately 8-12 people die each year as a direct result of carbon monoxide exposure. The information on carbon monoxide poisoning is largely based on cases of acute exposure. Only limited information is available on chronic carbon monoxide exposure. Fuel burning appliances with open flues in Dutch houses can lead to risk situations. These appliances are mainly flueless gas-fired water heaters, fireplaces, gas heaters and gas cookers. But old central heating boilers that have not been properly maintained can also lead to carbon monoxide exposure. The maintenance of fuel burning appliances in the Netherlands has not been compulsory since the early nineteen-nineties and there is little or no monitoring of their safety. Conducting research, inspection and home visits are good methods of gaining better insight into the national situation of exposure to carbon monoxide in Dutch buildings. Replacing fuel burning appliances with open flues, conducting periodic maintenance checks and increasing safety management, are all possible options for avoiding risk situations. [Dutch] Slecht onderhouden en open

  1. Method of removing nitrogen monoxide from a nitrogen monoxide-containing gas using a water-soluble iron ion-dithiocarbamate, xanthate or thioxanthate

    Science.gov (United States)

    Liu, D. Kwok-Keung; Chang, Shih-Ger

    1987-08-25

    The present invention relates to a method of removing of nitrogen monoxide from a nitrogen monoxide-containing gas which method comprises contacting a nitrogen oxide-containing gas with an aqueous solution of water soluble organic compound-iron ion chelate complex. The NO absorption efficiency of ferrous urea-dithiocarbamate and ferrous diethanolamine-xanthate as a function of time, oxygen content and solution ph is presented. 3 figs., 1 tab.

  2. Variation in promptness of presentation among 10,297 patients subsequently diagnosed with one of 18 cancers: evidence from a National Audit of Cancer Diagnosis in Primary Care.

    Science.gov (United States)

    Keeble, Stuart; Abel, Gary A; Saunders, Catherine L; McPhail, Sean; Walter, Fiona M; Neal, Richard D; Rubin, Gregory P; Lyratzopoulos, Georgios

    2014-09-01

    Cancer awareness public campaigns aim to shorten the interval between symptom onset and presentation to a doctor (the 'patient interval'). Appreciating variation in promptness of presentation can help to better target awareness campaigns. We explored variation in patient intervals recorded in consultations with general practitioners among 10,297 English patients subsequently diagnosed with one of 18 cancers (bladder, brain, breast, colorectal, endometrial, leukaemia, lung, lymphoma, melanoma, multiple myeloma, oesophageal, oro-pharyngeal, ovarian, pancreatic, prostate, renal, stomach, and unknown primary) using data from of the National Audit of Cancer Diagnosis in Primary Care (2009-2010). Proportions of patients with 'prompt'/'non-prompt' presentation (0-14 or 15+ days from symptom onset, respectively) were described and respective odds ratios were calculated by multivariable logistic regression. The overall median recorded patient interval was 10 days (IQR 0-38). Of all patients, 56% presented promptly. Prompt presentation was more frequent among older or housebound patients (p presentation was most frequent for bladder and renal cancer (74% and 70%, respectively); and least frequent for oro-pharyngeal and oesophageal cancer (34% and 39%, respectively, p presentation were 2.26 (95% confidence interval 1.57-3.25) and 0.42 (0.34-0.52) for oro-pharyngeal and bladder cancer, respectively. Sensitivity analyses produced similar findings. Routinely recorded patient interval data reveal considerable variation in the promptness of presentation. These findings can help to prioritise public awareness initiatives and research focusing on symptoms of cancers associated with greater risk of non-prompt presentation, such as oro-pharyngeal and oesophageal cancer.

  3. Environmental variables and levels of exhaled carbon monoxide and carboxyhemoglobin in elderly people taking exercise.

    Science.gov (United States)

    Salicio, Marcos Adriano; Mana, Viviane Aparecida Martins; Fett, Waléria Christiane Rezende; Gomes, Luciano Teixeira; Botelho, Clovis

    2016-04-01

    This article aims to analyze levels of exhaled carbon monoxide, carboxyhemoglobinand cardiopulmonary variables in old people practicing exercise in external environments, and correlate them with climate and pollution factors. Temporal ecological study with118 active elderly people in the city of Cuiabá, in the state of Mato Grosso, Brazil. Data were obtained on use of medication, smoking, anthropometric measurements, spirometry, peak flow, oxygen saturation, heart rate, exhaled carbon monoxide, carboxyhemoglobin, climate, number of farm fires and pollution. Correlations were found between on the one hand environmental temperature, relative humidity of the air and number of farmers' fires, and on the other hand levels of carbon monoxide exhaled and carboxyhemoglobin (p elderly people, environmental factors influence levels of exhaled carbon monoxide, carboxyhemoglobin and heart rate. There is thus a need for these to be monitored during exercise. The use of a carbon monoxide monitor to evaluate exposure to pollutants is suggested.

  4. Comparison of Perceived and Technical Healthcare Quality in Primary Health Facilities: Implications for a Sustainable National Health Insurance Scheme in Ghana.

    Science.gov (United States)

    Alhassan, Robert Kaba; Duku, Stephen Opoku; Janssens, Wendy; Nketiah-Amponsah, Edward; Spieker, Nicole; van Ostenberg, Paul; Arhinful, Daniel Kojo; Pradhan, Menno; Rinke de Wit, Tobias F

    2015-01-01

    Quality care in health facilities is critical for a sustainable health insurance system because of its influence on clients' decisions to participate in health insurance and utilize health services. Exploration of the different dimensions of healthcare quality and their associations will help determine more effective quality improvement interventions and health insurance sustainability strategies, especially in resource constrained countries in Africa where universal access to good quality care remains a challenge. To examine the differences in perceptions of clients and health staff on quality healthcare and determine if these perceptions are associated with technical quality proxies in health facilities. Implications of the findings for a sustainable National Health Insurance Scheme (NHIS) in Ghana are also discussed. This is a cross-sectional study in two southern regions in Ghana involving 64 primary health facilities: 1,903 households and 324 health staff. Data collection lasted from March to June, 2012. A Wilcoxon-Mann-Whitney test was performed to determine differences in client and health staff perceptions of quality healthcare. Spearman's rank correlation test was used to ascertain associations between perceived and technical quality care proxies in health facilities, and ordered logistic regression employed to predict the determinants of client and staff-perceived quality healthcare. Negative association was found between technical quality and client-perceived quality care (coef. = -0.0991, pperception differences were found in all healthcare quality proxies, suggesting some level of unbalanced commitment to quality improvement and potential information asymmetry between clients and service providers. Overall, the findings suggest that increased efforts towards technical quality care alone will not necessarily translate into better client-perceived quality care and willingness to utilize health services in NHIS-accredited health facilities. There is the

  5. Primary total hip replacement: a comparison of a nationally agreed guide to best practice and current surgical technique as determined by the North West Regional Arthroplasty Register.

    Science.gov (United States)

    Malik, M. H. A.; Gambhir, A. K.; Bale, L.; Pradhan, N.; Porter, M. L.

    2004-01-01

    BACKGROUND: In 1999, a statement of best practice in primary total hip replacement was approved by the Council of the British Orthopaedic Association (BOA) and by the British Hip Society (BHS) to provide a basis for regional and national auditable standards. We have compared practice in the North West Region of England to this document to ascertain adherence to this guide to best practice. METHODS: A total of 86 surgeons from 26 hospitals were included in a questionnaire study. RESULTS: A mean of 93.3% of operations were performed in the surgeon's usual theatre. All of these theatres had vertical laminar air flow systems. Of respondents, 42.2% routinely used exhaust suits, 68.1% routinely used impermeable disposable gowns, and 26.1% used impermeable re-usable gowns. The Charnley femoral and acetabular prostheses were the most commonly used prostheses. All surgeons used some form of anti-thromboembolic prophylaxis: 66.2% use a combination of both mechanical and chemical means. All surgeons used antibiotic prophylaxis. The most popular choice of antibiotic was a cephalosporin--70.7% used a 3-dose regimen over 24 h, 2.6% of surgeons continued antibiotic prophylaxis for 48 h after surgery, and 93.7% of surgeons routinely use antibiotic-loaded cement. All surgeons routinely cleaned, irrigated and dried the acetabulum and femur before cement insertion. Only one surgeon did not use any form of femoral canal occlusion. 69.4% used an intramedullary bone block. Retrograde filling of the femoral shaft by means of a cement gun was practised by 65.1%. CONCLUSIONS: This study has demonstrated considerable variation of practice in total hip arthroplasty across the North West Region and significant divergence from the statement of best practice approved by the BOA and BHS. The introduction of a properly funded national hip register will surely help to clarify the effect of such diverse practice on patient outcome. We would recommend that all trusts locally audit their practices

  6. The Correlation of Tree Phenology with nest number of Orang Utan Sumatera (Pongo abelii) on Primary Forest, Resort Sei Betung, Gunung Leuser National Park

    Science.gov (United States)

    Hartini, K. S.; Patana, P.; Oktaviani, M.

    2017-03-01

    Food availability affect the orangutan activities, including activities to make nests. This study was conducted to determine the correlation between the phenology of trees with the number of nests made by orangutans in primary forest Resort Sei Betung, Gunung Leuser National Park. Multi linear regression was used in this study to determine the relation and correlation between phenology and the presence of orangutan nests on a track that has been created. It took over 6 months (March - August 2015). There were 15 orangutan nests found on the track during the study. The equation model was : = 27,649 -0,011X1-0,104X2-0,056X3, and there was no significant differences (sig >0,05). The value of R2 was 70,3%. It means that all predictors simultaneously explain 70,3% of the presence of orangutan’s nest, and there is an expected predictors that may be the most affect on nest presence. The season or the intensity of rain may consider as an expected predictor.

  7. Accounting for overdispersion when determining primary care outliers for the identification of chronic kidney disease: learning from the National Chronic Kidney Disease Audit.

    Science.gov (United States)

    Kim, Lois G; Caplin, Ben; Cleary, Faye; Hull, Sally A; Griffith, Kathryn; Wheeler, David C; Nitsch, Dorothea

    2017-04-01

    Early diagnosis of chronic kidney disease (CKD) facilitates best management in primary care. Testing coverage of those at risk and translation into subsequent diagnostic coding will impact on observed CKD prevalence. Using initial data from 915 general practitioner (GP) practices taking part in a UK national audit, we seek to apply appropriate methods to identify outlying practices in terms of CKD stages 3-5 prevalence and diagnostic coding. We estimate expected numbers of CKD stages 3-5 cases in each practice, adjusted for key practice characteristics, and further inflate the control limits to account for overdispersion related to unobserved factors (including unobserved risk factors for CKD, and between-practice differences in coding and testing). GP practice prevalence of coded CKD stages 3-5 ranges from 0.04 to 7.8%. Practices differ considerably in coding of CKD in individuals where CKD is indicated following testing (ranging from 0 to 97% of those with and glomerular filtration rate  Accounting for overdispersion is crucial in providing useful information about outlying practices for CKD prevalence.

  8. Ozone and carbon monoxide at the Ushuaia GAW-WMO global station

    Science.gov (United States)

    Adame, Jose; Cupeiro, Manuel; Yela, Margarita; Cuevas, Emilio; Carbajal, Gerardo

    2016-04-01

    Ozone and carbon monoxide have been investigated in the GAW-WMO station of Ushuaia (Argentina), using hourly values during five years (2010-2014). This work has been developed in the framework of HELADO (Halogens in the Antarctic atmosphere and its role in the Ozone distribution) project and under the collaboration between INTA (National Institute for Aerospace Technology - Spain), SMN (National Meteorological Service - Argentina) and AEMET (State Meteorological Agency - Spain). Meteorological features have been analyzed with in-situ observations and meteorological fields from ECMWF 0.5° as spatial resolution model. These fields have been applied to compute back trajectories with HYSPLIT model. Independently of season, mostly atmospheric flows coming from W-SW (South Pacific Ocean), theses westerlies winds are associated with low pressure systems; in addition with lower frequencies are collected winds from South (Antarctic Peninsula and Weddell Sea), polar easterlies. Hourly averages of surface (in-situ) ozone and CO levels were 20±7 and 71±45 ppb respectively, typical values of remote environments. A clear seasonal pattern has been obtained for surface ozone with monthly peaks in winter of 25 ppb and minimum in summer with 12 ppb; a similar behaviour is found for CO, 93 and 48 ppb for maximum and minimum values, respectively. A weak daily cycle has been obtained in both species, amplitude for ozone of 2-4 ppb and 13-20 ppb for CO. The seasonal levels behaviour for surface ozone is also observed in upper levels, approximately from surface up to 5 km. This result has been obtained from 139 ozone profiles launched in the studied period. Since the ozone precursors and carbon monoxide emissions are low in this area, the origin of the values observed could be in the atmospheric transport processes. As hypothesis to explain the behaviour observed, we suggest that in the warm season with solar radiation, the photochemical mechanisms are active, and the elimination

  9. The Role of National Adult Education Centre in Curriculum Development in Somalia in Selected Government Primary Adult Schools of Mogadisho. African Studies in Curriculum Development and Evaluation, No. 109.

    Science.gov (United States)

    Bahar, Ismail F. S.

    A study of curriculum development in Somalia focused on the role of the National Adult Education Centre (NAEC) and involvement of teachers and inspectors. The sample consisted of 80 Mogadisho primary adult school teachers. Information sources were related literature, teacher questionnaires, and unstructured interviews with school inspectors,…

  10. Evaluation of carbon monoxide in blood samples from the second health and nutrition survey. Progress report No. 1

    Energy Technology Data Exchange (ETDEWEB)

    Radford, E.P.

    1976-01-01

    This is a study of carbon monoxide (CO) in the blood of human subjects participating in the Second National Health and Nutrition Survey (HANES II), a detailed study of health indicators in sample populations of many communities throughout the U.S. The purpose of this aspect of the survey is to evaluate the levels of blood carboxyhemoglobin in normal individuals of all ages in typical U.S. communities, from whom accurate histories and clinical studies are available. This report gives results of the first of three years of analyses. A careful calibration of the analytical method has been completed, and more than 3000 blood samples have been analyzed. Although smoking histories are not yet available to permit evaluation of carboxyhemoglobin in non-smokers, in children under 12 years of age, blood COHb has been found to be consistently low, with less than 3% greater than 1.5% COHb. These preliminary results suggest that urban exposure to carbon monoxide among the general population is not now significant in the U.S., at least during the period of these early examinations.

  11. Hypervalence in monoxides and dioxides of superalkali clusters

    Science.gov (United States)

    Cochran, Elizabeth; Meloni, Giovanni

    2014-05-01

    F2Li3, a superalkali cluster, is characterized as having a lower adiabatic ionization energy than its elemental alkali counterpart and, coupled with the presence of complex molecular orbitals, suggests promise for novel bonding possibilities. CBS-QB3 composite method was used to study three distinct cluster isomers, as well as their cationic (+1) and anionic (-1) species, to identify energetic trends and observe geometric changes. Oxides were then generated from these clusters, of which three distinct monoxides and nine dioxides were obtained upon structure optimization. Identical calculations were performed for the oxide species and their charged counterparts. Some of the most stable oxides produced appear to possess hypervalent lithium and oxygen atoms, forming unique structures with exceptional stability.

  12. Carbon monoxide expedites metabolic exhaustion to inhibit tumor growth.

    Science.gov (United States)

    Wegiel, Barbara; Gallo, David; Csizmadia, Eva; Harris, Clair; Belcher, John; Vercellotti, Gregory M; Penacho, Nuno; Seth, Pankaj; Sukhatme, Vikas; Ahmed, Asif; Pandolfi, Pier Paolo; Helczynski, Leszek; Bjartell, Anders; Persson, Jenny Liao; Otterbein, Leo E

    2013-12-01

    One classical feature of cancer cells is their metabolic acquisition of a highly glycolytic phenotype. Carbon monoxide (CO), one of the products of the cytoprotective molecule heme oxygenase-1 (HO-1) in cancer cells, has been implicated in carcinogenesis and therapeutic resistance. However, the functional contributions of CO and HO-1 to these processes are poorly defined. In human prostate cancers, we found that HO-1 was nuclear localized in malignant cells, with low enzymatic activity in moderately differentiated tumors correlating with relatively worse clinical outcomes. Exposure to CO sensitized prostate cancer cells but not normal cells to chemotherapy, with growth arrest and apoptosis induced in vivo in part through mitotic catastrophe. CO targeted mitochondria activity in cancer cells as evidenced by higher oxygen consumption, free radical generation, and mitochondrial collapse. Collectively, our findings indicated that CO transiently induces an anti-Warburg effect by rapidly fueling cancer cell bioenergetics, ultimately resulting in metabolic exhaustion.

  13. The effect of carbon monoxide on planetary haze formation

    Energy Technology Data Exchange (ETDEWEB)

    Hörst, S. M.; Tolbert, M. A, E-mail: sarah.horst@colorado.edu [Cooperative Institute for Research in Environmental Sciences, University of Colorado, Boulder, CO (United States)

    2014-01-20

    Organic haze plays a key role in many planetary processes ranging from influencing the radiation budget of an atmosphere to serving as a source of prebiotic molecules on the surface. Numerous experiments have investigated the aerosols produced by exposing mixtures of N{sub 2}/CH{sub 4} to a variety of energy sources. However, many N{sub 2}/CH{sub 4} atmospheres in both our solar system and extrasolar planetary systems also contain carbon monoxide (CO). We have conducted a series of atmosphere simulation experiments to investigate the effect of CO on the formation and particle size of planetary haze analogues for a range of CO mixing ratios using two different energy sources, spark discharge and UV. We find that CO strongly affects both number density and particle size of the aerosols produced in our experiments and indicates that CO may play an important, previously unexplored, role in aerosol chemistry in planetary atmospheres.

  14. ROLE OF ENDOGENOUS CARBON MONOXIDE IN ENDOTOXIN SHOCK

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    Objective. To study the role of endogenous carbon monoxide (CO) in endotoxin shock. Methods. The changes of CO levels and the effects of zinc protoporphyrin IX (ZnPP),an inhibitor of heme-oxygenase (HO), in endotoxin shock and the efficacy of hemin,an inducer of HO were investigated.Results. The plasma CO levels were found to be significantly increased during the course of endotoxin shock. Injection of ZnPP was shown to abrogate the endotoxin-induced hypotension and metabolic derangements markedly. Administration of hemin to healthy rabbits revealed the hypotension and metabolic derangements similar to the animals given endotoxin.Conclusion.CO is a newly found endogenously produced mediator which may play an important role in the pathogenesis of endotoxin shock.

  15. ROLE OF ENDOGENOUS CARBON MONOXIDE IN ENDOTOXIN SHOCK

    Institute of Scientific and Technical Information of China (English)

    史源; 李华强; 潘捷; 覃世文; 潘凤; 蒋东波; 沈际皋

    2000-01-01

    Objective. To study the role of endogenous carbon monoxide (CO) in endotoxin shock. Methods. The changes of CO levels and the effects of zinc protoporphyrin IX (ZnPP), an inhibitor of hemeoxygenase (HO), in endotoxin shock and the efficacy of heroin, an inducer of HO were investigated. Results. The plasma CO levels were found to be significantly increased during the comse of endotoxin shock. Injection of ZnPP was shown to abrogate the endotoxin-induced hypotension and metabolic derangements markedly. Administration of hemin to healthy rabbits revealed the hypotension and metabolic derangements similar to the animsls given endotoxin. Conclusion. CO is a newly found endogenously produced mediator which may play an important role in the pathogenesis of endotoxin shock.

  16. Technique for measuring carbon monoxide uptake in mice

    Energy Technology Data Exchange (ETDEWEB)

    Depledge, M.H.; Collis, C.H.; Chir, B.; Barrett, A.

    1981-04-01

    A new method has been developed for measuring carbon monoxide (CO) uptake in mice. Each animal was placed in a syringe and allowed to rebreathe a mixture of CO and helium (He) for 60 s. CO uptake was detemined from a comparison of CO and He concentrations before and after rebreathing. Weight specific CO uptake increased with body weight in CBA mice weighing between 20 to 35 gr. In larger mice, size dependence was less marked, although a slight fall in CO uptake was observed in older animals. Anaesthesia reduced ventilatory rate and CO uptake to a variable extent. The method is reproducible, non-invasive and does not require anaesthesia; consequently, it can be used to study serial changes in lung function. It is sensitive enough to detect lung damage in CBA mice following 16 Gy total body irradiation. Values of diffusing capacity obtained for mice using this method are consistent with published values.

  17. Terahertz Time Domain Gas-phase Spectroscopy of Carbon Monoxide

    Science.gov (United States)

    Kilcullen, Patrick; Hartley, I. D.; Jensen, E. T.; Reid, M.

    2015-04-01

    Free induction decay signals emitted from Carbon Monoxide (CO) excited by sub-picosecond pulses of Terahertz (THz) radiation are directly measured in the time domain and compared to model calculations using a linear dispersion model to good agreement. Best fitting techniques of the data using the model allow the self-pressure broadening of CO to be measured across a range of absolute pressures, and the rotational constant to be determined. We find B V = 5.770 ± 0.003 × 1010 Hz in agreement with previous measurements. A partial pressure limit of detection for CO of 7900 ppm is estimated at atmosphere through extrapolating the calculated commensurate echo peaks down to low pressures with respect to the RMS noise floor of our THz time domain spectroscopy (THz-TDS) apparatus, which implies a limit of detection in the range of 40 ppm for commercial THz-TDS systems.

  18. An Unusual Cause of Supraventricular Tachycardia: Acute Carbon Monoxide Poisoning

    Directory of Open Access Journals (Sweden)

    Suat Zengin

    2014-03-01

    Full Text Available      Carbon monoxide (CO is a toxic gas produced by the incomplete combustion of carbon-containing compounds. Exposure to high concentrations of CO can be letha and is the most common cause of death from poisoning worldwide. Cardiac manifestations after exposure to CO, including myocardial ischemia, heart failure, and arrhythmias, have been reported. A 28-year-old a patient was admitted to our emergency department with altered consciousness as a consequence of acute domestic exposure to CO from a stove. His carboxyhemoglobin level was 39%. The oxygen treatment was started promptly, and therapeutic red cell exchange was performed. An electrocardiogram revealed supraventricular tachycardia (SVT, and an echocardiographic examination demonstrated normal cardiac functions. To the best of our knowledge, this study is the second to report a case of SVT attack due to acute CO intoxication. This paper discusses the management of this complication in patients poisoned with CO.

  19. Evidence for horizontal gene transfer of anaerobic carbon monoxide dehydrogenases

    Directory of Open Access Journals (Sweden)

    Stephen eTechtmann

    2012-04-01

    Full Text Available Carbon monoxide (CO is commonly known as a toxic gas, yet it is used by both aerobic and anaerobic bacteria and many archaea. In this study, we determined the prevalence of anaerobic carbon monoxide dehydrogenases (anaerobic CODHs, or [Ni,Fe]-CODHs in currently available genomic sequence databases. More than 6% (185 genomes out of 2887 bacterial and archaeal genome sequences in the IMG database possess at least one gene encoding [Ni,Fe]-CODH, the key enzyme for anaerobic CO utilization. The phylogenetic study of this extended protein family revealed nine distinct clades of [Ni,Fe]-CODHs. These clades consisted of [Ni,Fe]-CODHs that, while apparently monophyletic within the clades, were encoded by microorganisms of disparate phylogeny, based on 16S rRNA sequences, and widely ranging physiology. Following this discovery, it was therefore of interest to examine the extent and possible routes of horizontal gene transfer (HGT affecting [Ni,Fe]-CODH genes and gene clusters that include [Ni,Fe]-CODHs.The genome sequence of the extreme thermophile Thermosinus carboxydivorans was used as a case study for HGT. The [Ni,Fe]-CODH operon of T. carboxydivorans differs from its whole genome in its G+C content by 8.2 mol%. Here, we apply statistical methods to establish acquisition by T. carboxydivorans of the gene cluster including [Ni,Fe]-CODH via HGT. Analysis of tetranucleotide frequency and codon usage with application of the Kullback-Leibler divergence metric showed that the [Ni,Fe]-CODH-1 operon of T. carboxidyvorans is quite dissimilar to the whole genome. Using the same metrics, the T. carboxydivorans [Ni,Fe]-CODH-1 operon is highly similar to the genome of the phylogenetically distant anaerobic carboxydotroph Carboxydothermus hydrogenoformans. These results allow to assume recent HTG of the gene cluster from a relative of C. hydrogenoformans to T. carboxydivorans or a more ancient transfer from a C. hydrogenoformans ancestor to a T. carboxydivorans

  20. A Randomized Controlled Trial of Puncturing and Bloodletting at Twelve Hand Jing Points to Treat Acute Carbon Monoxide Poisoning as Adjunct to First Aid Treatment: A Study Protocol

    Directory of Open Access Journals (Sweden)

    Ying Yue

    2015-01-01

    Full Text Available Background. Acute carbon monoxide poisoning (ACOP is a significant cause of morbidity and mortality in many countries. Twelve Hand Jing Points (THJP have been believed to be effective to treat all kinds of emergency calls in traditional Chinese medicine (TCM for more than 3000 years. This randomized controlled trial (RCT is designed to evaluate the effectiveness of THJP in curing acute carbon monoxide poisoning in first aid treatment. This paper reports the protocol of the trial. Methods/Design. This RCT is a multicenter, randomized, controlled study undergoing in China. The compliant patients are divided into the bloodletting group and standard of care group. With first aid treatments given to both of the groups, the bloodletting group is bleeding at THJP upon being hospitalized. Primary outcomes and secondary outcomes will be measured and compared between these two groups. Before treatment, immediately after treatment, and 30 minutes, 1 hour, and 4 hours after treatment, patients’ basic vital signs and state of consciousness were observed. Before treatment and 1 and 4 hours after treatment, carboxyhemoglobin concentration in venous blood samples was detected. Discussion. The objective of this study is to provide convincing evidence to clarify the efficacy and safety of THJP for early treatment of acute carbon monoxide poisoning.

  1. The Effect of the Hayward Corridor Improvement Project on Carbon Monoxide Emission

    Science.gov (United States)

    Muhlfelder, M.; Martinez, E.; Maestas, A.; Peek, A.

    2013-12-01

    In August of 2010, construction began on a stretch of road in Downtown Hayward to address a problem with traffic flow. Known as the Hayward Corridor, the project reshaped the flow of traffic, replacing the two way streets of Foothill, Mission, and A Street with a loop between them. This project began with the initiative of reducing congestion in this area and improving access to businesses for pedestrians. The project was expected to have little environmental impact in most common assessments of degree of effect, including particulate matter, ozone and carbon monoxide levels. This report will discuss the effect of the Hayward Corridor Improvement Project on carbon monoxide emission. Data available to the public in the project's Environmental Impact Report shows that carbon monoxide levels before construction began were at an acceptable level according to federal and state standards. Projections for future concentrations both with and without the project show a decrease in carbon monoxide levels due to technological improvements and the gradual replacement of older, less efficient vehicles. The Environmental Impact Report projected that there would be little difference in carbon monoxide levels whether the project took place or not, at an average of 1.67x102 fewer parts per million per 1 hour period of measurement emitted in the case of the project not taking place. While it is not possible to draw a conclusion on what the current carbon monoxide levels would be if the project had not taken place due to the changes in traffic flow and other surrounding roads as a result of the project, the data gathered in June of 2013 suggested that carbon monoxide levels are higher than the values projected in 2007. This report summarizes both the accuracy of these carbon monoxide level projections and the effect of construction on carbon monoxide levels in the Hayward Corridor and the surrounding area.

  2. Integration in primary community care networks (PCCNs: examination of governance, clinical, marketing, financial, and information infrastructures in a national demonstration project in Taiwan

    Directory of Open Access Journals (Sweden)

    Lin Blossom Yen-Ju

    2007-06-01

    Full Text Available Abstract Background Taiwan's primary community care network (PCCN demonstration project, funded by the Bureau of National Health Insurance on March 2003, was established to discourage hospital shopping behavior of people and drive the traditional fragmented health care providers into cooperate care models. Between 2003 and 2005, 268 PCCNs were established. This study profiled the individual members in the PCCNs to study the nature and extent to which their network infrastructures have been integrated among the members (clinics and hospitals within individual PCCNs. Methods The thorough questionnaire items, covering the network working infrastructures – governance, clinical, marketing, financial, and information integration in PCCNs, were developed with validity and reliability confirmed. One thousand five hundred and fifty-seven clinics that had belonged to PCCNs for more than one year, based on the 2003–2005 Taiwan Primary Community Care Network List, were surveyed by mail. Nine hundred and twenty-eight clinic members responded to the surveys giving a 59.6 % response rate. Results Overall, the PCCNs' members had higher involvement in the governance infrastructure, which was usually viewed as the most important for establishment of core values in PCCNs' organization design and management at the early integration stage. In addition, it found that there existed a higher extent of integration of clinical, marketing, and information infrastructures among the hospital-clinic member relationship than those among clinic members within individual PCCNs. The financial infrastructure was shown the least integrated relative to other functional infrastructures at the early stage of PCCN formation. Conclusion There was still room for better integrated partnerships, as evidenced by the great variety of relationships and differences in extent of integration in this study. In addition to provide how the network members have done for their initial work at

  3. Comparison of Perceived and Technical Healthcare Quality in Primary Health Facilities: Implications for a Sustainable National Health Insurance Scheme in Ghana.

    Directory of Open Access Journals (Sweden)

    Robert Kaba Alhassan

    Full Text Available Quality care in health facilities is critical for a sustainable health insurance system because of its influence on clients' decisions to participate in health insurance and utilize health services. Exploration of the different dimensions of healthcare quality and their associations will help determine more effective quality improvement interventions and health insurance sustainability strategies, especially in resource constrained countries in Africa where universal access to good quality care remains a challenge.To examine the differences in perceptions of clients and health staff on quality healthcare and determine if these perceptions are associated with technical quality proxies in health facilities. Implications of the findings for a sustainable National Health Insurance Scheme (NHIS in Ghana are also discussed.This is a cross-sectional study in two southern regions in Ghana involving 64 primary health facilities: 1,903 households and 324 health staff. Data collection lasted from March to June, 2012. A Wilcoxon-Mann-Whitney test was performed to determine differences in client and health staff perceptions of quality healthcare. Spearman's rank correlation test was used to ascertain associations between perceived and technical quality care proxies in health facilities, and ordered logistic regression employed to predict the determinants of client and staff-perceived quality healthcare.Negative association was found between technical quality and client-perceived quality care (coef. = -0.0991, p<0.0001. Significant staff-client perception differences were found in all healthcare quality proxies, suggesting some level of unbalanced commitment to quality improvement and potential information asymmetry between clients and service providers. Overall, the findings suggest that increased efforts towards technical quality care alone will not necessarily translate into better client-perceived quality care and willingness to utilize health services in

  4. Primary total knee replacement: a comparison of a nationally agreed guide to best practice and current surgical technique as determined by the North West Regional Arthroplasty Register.

    Science.gov (United States)

    Malik, M. H. A.; Chougle, A.; Pradhan, N.; Gambhir, A. K.; Porter, M. L.

    2005-01-01

    INTRODUCTION: In 1999, a statement of best practice in primary total hip replacement was approved by the Council of the British Orthopaedic Association (BOA) and by the British Association for Surgery of the Knee (BASK) to provide a basis for regional and national auditable standards: we have compared practice in the North West of England to this document to ascertain adherence to this guide to best practice. MATERIALS AND METHODS: A direct comparison of data held on the North West Hip Arthroplasty Register for 2001/2002 and BASK/BOA guidelines was performed. 86 surgeons from 26 hospitals were included in the study. RESULTS: A mean of 93.3% of operations were performed in the surgeon's usual theatre. All of these theatres had vertical laminar air flow systems. 42.2% of respondents routinely used exhaust suits and 68.1% of respondents routinely used impermeable disposable gowns. All surgeons use some form of anti-thromboembolic prophylaxis; 66.2% use a combination of both mechanical and chemical means. All surgeons used antibiotic prophylaxis. The most popular choice of antibiotic was a cephalosporin. 93.7% of surgeons routinely use antibiotic-loaded cement. The PFC and Kinemax prostheses were the most commonly used prostheses. Interestingly, 97.7% of all first-choice implants were cemented. Only 2 surgeons used uncemented total knee replacement. 69.8% of surgeons used a posterior cruciate retaining design. A midline longitudinal skin incision is used by 87.2% of surgeons, a medial longitudinal skin incision by 7.0% and a lateral longitudinal skin incision by 5.8% of surgeons. A medial parapatellar capsular incision is preferred by 91.9% with the remainder using mid vastus or trivector retaining capsulotomy. Closure of capsulotomies is performed in flexion by 65.1% and in extension by 34.9%. In patients with osteoarthritis, 38.4% routinely resurfaced the patella, 34.9% never resurfaced the patella and 26.7% selectively resurfaced. This was in direct contrast to

  5. High-resolution fiber carbon monoxide sensing system and its data processing

    Science.gov (United States)

    Zhang, Tingting; Wei, Yubin; Li, Yanfang; Zhao, Yanjie; Liu, Tongyu; Wang, Chang

    2013-09-01

    Carbon monoxide is one of the important gases need to be detected in coal mine safety. Detection technology based on signature gas is the primary means of spontaneous combustion forecasting of coal goaf area. Because of the high accuracy requirement of CO concentration in the coal mining applications, we had to introduce more data processig methods to improve the signal-to-noise ratio (SNR), finally to achieve the requirements of coal mining. Therefore, we used three data processing methods to eliminate noises of the CO sensing system which based on the tunable diode laser absorption spectroscopy (TDLAS): Fourier transform, least-squares fitting and Kalman filter. The results show that the combination of three data processing methods had a good inhibitory effect of random noise and interference fringes, etc. and significantly improved the system detection accuracy, the minimum detectable spectral absorption rate could be increased by an order of magnitude. So this high-resolution fiber CO sensing system can better meet the needs of coal mine safety.

  6. Use of carbon monoxide and hydrogen by a bacteria-animal symbiosis from seagrass sediments.

    Science.gov (United States)

    Kleiner, Manuel; Wentrup, Cecilia; Holler, Thomas; Lavik, Gaute; Harder, Jens; Lott, Christian; Littmann, Sten; Kuypers, Marcel M M; Dubilier, Nicole

    2015-12-01

    The gutless marine worm Olavius algarvensis lives in symbiosis with chemosynthetic bacteria that provide nutrition by fixing carbon dioxide (CO2 ) into biomass using reduced sulfur compounds as energy sources. A recent metaproteomic analysis of the O. algarvensis symbiosis indicated that carbon monoxide (CO) and hydrogen (H2 ) might also be used as energy sources. We provide direct evidence that the O. algarvensis symbiosis consumes CO and H2 . Single cell imaging using nanoscale secondary ion mass spectrometry revealed that one of the symbionts, the γ3-symbiont, uses the energy from CO oxidation to fix CO2 . Pore water analysis revealed considerable in-situ concentrations of CO and H2 in the O. algarvensis environment, Mediterranean seagrass sediments. Pore water H2 concentrations (89-2147 nM) were up to two orders of magnitude higher than in seawater, and up to 36-fold higher than previously known from shallow-water marine sediments. Pore water CO concentrations (17-51 nM) were twice as high as in the overlying seawater (no literature data from other shallow-water sediments are available for comparison). Ex-situ incubation experiments showed that dead seagrass rhizomes produced large amounts of CO. CO production from decaying plant material could thus be a significant energy source for microbial primary production in seagrass sediments.

  7. A novel carbon monoxide-releasing molecule fully protects mice from severe malaria.

    Science.gov (United States)

    Pena, Ana C; Penacho, Nuno; Mancio-Silva, Liliana; Neres, Rita; Seixas, João D; Fernandes, Afonso C; Romão, Carlos C; Mota, Maria M; Bernardes, Gonçalo J L; Pamplona, Ana

    2012-03-01

    Severe forms of malaria infection, such as cerebral malaria (CM) and acute lung injury (ALI), are mainly caused by the apicomplexan parasite Plasmodium falciparum. Primary therapy with quinine or artemisinin derivatives is generally effective in controlling P. falciparum parasitemia, but mortality from CM and other forms of severe malaria remains unacceptably high. Herein, we report the design and synthesis of a novel carbon monoxide-releasing molecule (CO-RM; ALF492) that fully protects mice against experimental CM (ECM) and ALI. ALF492 enables controlled CO delivery in vivo without affecting oxygen transport by hemoglobin, the major limitation in CO inhalation therapy. The protective effect is CO dependent and induces the expression of heme oxygenase-1, which contributes to the observed protection. Importantly, when used in combination with the antimalarial drug artesunate, ALF492 is an effective adjunctive and adjuvant treatment for ECM, conferring protection after the onset of severe disease. This study paves the way for the potential use of CO-RMs, such as ALF492, as adjunctive/adjuvant treatment in severe forms of malaria infection.

  8. Carbon monoxide in clouds at low metallicity in the dwarf irregular galaxy WLM.

    Science.gov (United States)

    Elmegreen, Bruce G; Rubio, Monica; Hunter, Deidre A; Verdugo, Celia; Brinks, Elias; Schruba, Andreas

    2013-03-28

    Carbon monoxide (CO) is the primary tracer for interstellar clouds where stars form, but it has never been detected in galaxies in which the oxygen abundance relative to hydrogen is less than 20 per cent of that of the Sun, even though such 'low-metallicity' galaxies often form stars. This raises the question of whether stars can form in dense gas without molecules, cooling to the required near-zero temperatures by atomic transitions and dust radiation rather than by molecular line emission; and it highlights uncertainties about star formation in the early Universe, when the metallicity was generally low. Here we report the detection of CO in two regions of a local dwarf irregular galaxy, WLM, where the metallicity is 13 per cent of the solar value. We use new submillimetre observations and archival far-infrared observations to estimate the cloud masses, which are both slightly greater than 100,000 solar masses. The clouds have produced stars at a rate per molecule equal to 10 per cent of that in the local Orion nebula cloud. The CO fraction of the molecular gas is also low, about 3 per cent of the Milky Way value. These results suggest that in small galaxies both star-forming cores and CO molecules become increasingly rare in molecular hydrogen clouds as the metallicity decreases.

  9. Adsorption of nitrogen and carbon monoxide on clinoptilolite: determination and prediction of pure and binary isotherms

    Energy Technology Data Exchange (ETDEWEB)

    Triebe, R.W.; Tezel, F.H. [University of Ottawa, Ottawa, ON (Canada). Department of Chemical Engineering

    1995-10-01

    The adsorption of carbon monoxide and nitrogen on clinoptilolite is studied to determine the natural zeolite`s potential for air purification. Pure and binary isotherms were determined for nitrogen and carbon monoxide on a natural Turkish clinoptilolite under near ambient conditions. Experimentally determined isotherms are compared to predictions based on various models from the literature. The Wilson form of the Vacancy Solution Theory is the only model that provides reasonable agreement with the binary isotherm. Clinoptilolite is concluded to be a promising sorbent for separation of carbon monoxide and nitrogen. 30 refs., 11 figs., 5 tabs.

  10. Use of Fibrates Monotherapy in People with Diabetes and High Cardiovascular Risk in Primary Care: A French Nationwide Cohort Study Based on National Administrative Databases.

    Directory of Open Access Journals (Sweden)

    Ronan Roussel

    Full Text Available According to guidelines, diabetic patients with high cardiovascular risk should receive a statin. Despite this consensus, fibrate monotherapy is commonly used in this population. We assessed the frequency and clinical consequences of the use of fibrates for primary prevention in patients with diabetes and high cardiovascular risk.Retrospective cohort study based on nationwide data from the medical and administrative databases of French national health insurance systems (07/01/08-12/31/09 with a follow-up of up to 30 months.Lipid-lowering drug-naive diabetic patients initiating fibrate or statin monotherapy were identified. Patients at high cardiovascular risk were then selected: patients with a diagnosis of diabetes and hypertension, and > 50 (men or 60 (women, but with no history of cardiovascular events. The composite endpoint comprised myocardial infarction, stroke, amputation, or death.Of the 31,652 patients enrolled, 4,058 (12.8% received a fibrate. Age- and gender-adjusted annual event rates were 2.42% (fibrates and 2.21% (statins. The proportionality assumption required for the Cox model was not met for the fibrate/statin variable. A multivariate model including all predictors was therefore calculated by dividing data into two time periods, allowing Hazard Ratios to be calculated before (HR 540 of follow-up. Multivariate analyses showed that fibrates were associated with an increased risk for the endpoint after 540 days: HR 540 = 1.73 (1.28-2.32.Fibrate monotherapy is commonly prescribed in diabetic patients with high cardiovascular risk and is associated with poorer outcomes compared to statin therapy.

  11. Non-specific low back pain in primary care in the Spanish National Health Service: a prospective study on clinical outcomes and determinants of management

    Directory of Open Access Journals (Sweden)

    Muriel Alfonso

    2006-05-01

    Full Text Available Abstract Background The Spanish National Health Service is a universal and free health care system. Non-specific low back pain (LBP is a prevalent disorder, generating large health and social costs. The objectives of this study were to describe its management in primary care, to assess patient characteristics that influence physicians' decisions, and to describe clinical outcome at 2 months. Methods A cross-sectional sample of 648 patients with non-specific low back pain was recruited by 75 physicians (out of 361 – 20.8% working in 40 primary care centers in 10 of the 17 administrative regions in Spain, covering 693,026 out of the 40,499,792 inhabitants. Patients were assessed on the day they were recruited, and prospectively followed-up 14 and 60 days later. The principal patient characteristics that were analyzed were: sex, duration of the episode, history of LBP, working status, severity of LBP, leg pain and disability, and results of straight leg raising test. Descriptors of management were: performance of the straight leg raising test, ordering of diagnostic procedures, prescription of drug treatment, referral to physical therapy, rehabilitation or surgery, and granting of sick leave. Regression analysis was used to analyze the relationship between patients' baseline characteristics and physicians' management decisions. Only workers were included in the models on sick leave. Results Mean age (SD of included patients was 46.5 (15.5 years, 367 (56.6% were workers, and 338 (52.5% were females. Median (25th–75th interquartile range duration of pain when entering the study was 4 (2–10 days and only 28 patients (4.3% had chronic low back pain. Diagnostic studies included plain radiographs in 43.1% of patients and CT or MRI scans in 18.8%. Drug medication was prescribed to 91.7% of patients, 19.1% were sent to physical therapy or rehabilitation, and 9.6% were referred to surgery. The main determinants of the clinical management were duration

  12. Serum S100B level may be correlated with carbon monoxide poisoning.

    Science.gov (United States)

    Liu, Hui; Zhang, Yu; Ren, Yan-Bo; Kang, Jian; Xing, Jing; Qi, Qing-Hui; Gao, Dong-Na; Ma, Tao; Liu, Xiao-Wei; Liu, Zhi

    2015-07-01

    To investigate the correlation between serum S100B level and carbon monoxide (CO) poisoning by meta-analysis. By searching both English and Chinese language-based electronic databases (PubMed, EBSCO, Ovid, Springerlink, Wiley, Web of Science, Wanfang databases, China national knowledge infrastructure (CNKI), VIP database, etc.) thoroughly, we tabulated and analyzed the collected data with the use of Comprehensive Meta-analysis 2.0 (CMA 2.0). Totally 108 studies have been searched initially (92 studies in Chinese, 16 studies in English). Nine case-control studies (4 studies in English, 5 in Chinese) were chosen for an updated meta-analysis including 542 patients with CO poising and 236 healthy controls. Results identified that the serum S100B level were obviously higher than that in healthy controls (SMD=1.600, 95% CI=1.055-2.145, P<0.001). A subgroup based on the ethnicities revealed that the serum S100B level in Caucasian and Asian subgroups was clearly higher than serum S100B level in healthy controls (Asians: SMD=2.0624, 95% CI=1.736-3.511, P<0.001; Caucasians: SMD=0.447, 95% CI=0.197-0.697, P<0.001). Serum S100B level may be correlated with the CO poisoning and could be effective biomarker for early diagnosis and treatment monitoring in CO poisoning. Copyright © 2015 Elsevier B.V. All rights reserved.

  13. Experiences and Attitudes of Primary Care Providers Under the First Year of ACA Coverage Expansion: Findings from the Kaiser Family Foundation/Commonwealth Fund 2015 National Survey of Primary Care Providers.

    Science.gov (United States)

    2015-06-01

    A new survey from The Kaiser Family Foundation and The Commonwealth Fund asked primary care providers--physicians, nurse practitioners, and physician assistants--about their views of and experiences with the Affordable Care Act (ACA) and other changes in health care delivery and payment, as well as their thoughts on the future of primary care. In this first brief based on the survey, many providers reported seeing an increased number of patients since the coverage expansions went into effect, but not an accompanying compromise in quality of care. A large majority of primary care providers are satisfied with their medical practice, but a substantial percentage of physicians expressed pessimism about the future of primary care. Similar to the population overall, providers' views of the ACA are divided along party lines. A second brief will report on providers' reactions to other changes occurring in primary care delivery and payment.

  14. (CdTe)0.05(ZnSe)0.95 solid solution application in carbon monoxide diagnostics

    Science.gov (United States)

    Podgornyi, S. O.; Podgornaya, O. T.; Demeshko, I. P.; Lukoyanova, O. V.; Muromtsev, I. V.

    2017-08-01

    The research centered on (CdTe)0.05(ZnSe)0.95 solid solutions. The article is aimed at developing innovative primary transducer material for semi-conductor sensors, investigating their surface physicochemical properties and evaluation their applicability in carbon monoxide diagnostics. Powders and nanofilms of (CdTe)0.05(ZnSe)0.95 solid solutions were obtained by isothermal diffusion and discrete thermal evaporation in vacuum. (CdTe)0.05(ZnSe)0.95 applicability in gas analysis was investigated. Adsorption properties of the given material for carbon oxide (II) were studied by the piezoquartz microweighing, volumetrically and IR spectroscopy of multiple disturbed complete internal reflections. The principles of adsorption, depending on the process conditions, were established. Based on the obtained experimental data, CO micro-impurities sensors were developed, the laboratory tests passed successfully.

  15. Personal Exposure Monitoring of Particulate Matter, Nitrogen Dioxide, and Carbon Monoxide, including Susceptible Groups

    National Research Council Canada - National Science Library

    R. M. Harrison; C. A. Thornton; R. G. Lawrence; D. Mark; R. P. Kinnersley; J. G. Ayres

    2002-01-01

    Aims: To investigate the relation between personal exposures to nitrogen dioxide, carbon monoxide, and PM10, and exposures estimated from static concentrations of these pollutants measured within the same...

  16. The influence of tobacco blend composition on carbon monoxide formation in mainstream cigarette smoke

    National Research Council Canada - National Science Library

    Djulančić, Nermina; Radojičić, Vesna; Srbinovska, Marija

    2013-01-01

    ...) in the gas phase of mainstream cigarette smoke. The results showed that the type of tobacco examined had a significant impact on the amount of carbon monoxide production in the gas phase of cigarette smoke...

  17. Cobalt promoted copper manganese oxide catalysts for ambient temperature carbon monoxide oxidation.

    Science.gov (United States)

    Jones, Christopher; Taylor, Stuart H; Burrows, Andrew; Crudace, Mandy J; Kiely, Christopher J; Hutchings, Graham J

    2008-04-14

    Low levels of cobalt doping (1 wt%) of copper manganese oxide enhances its activity for carbon monoxide oxidation under ambient conditions and the doped catalyst can display higher activity than current commercial catalysts.

  18. Electronic structure and optical properties of a new type of semiconductor material:graphene monoxide

    Institute of Scientific and Technical Information of China (English)

    Yang Gui; Zhang Yufeng; Yan Xunwang

    2013-01-01

    The electronic and optical properties of graphene monoxide,a new type of semiconductor material,are theoretically studied by first-principles density functional theory.The calculated band structure shows that graphene monoxide is a semiconductor with a direct band gap of 0.95 eV.The density of states of graphene monoxide and the partial density of states for C and O are given to understand the electronic structure.In addition,we calculate the optical properties of graphene monoxide,including the complex dielectric function,absorption coefficient,complex refractive index,loss-function,reflectivity and conductivity.These results provide a physical basis for potential application in optoelectronic devices.

  19. Regulation of multiple carbon monoxide consumption pathways in anaerobic bacteria

    Directory of Open Access Journals (Sweden)

    Stephen M Techtmann

    2011-07-01

    Full Text Available Carbon monoxide (CO, well known as a toxic gas, is increasingly recognized as a key metabolite and signaling molecule. Microbial utilization of CO is quite common, evidenced by the rapid escalation in description of new species of CO-utilizing bacteria and archaea. Carbon monoxide dehydrogenase (CODH, the protein complex that enables anaerobic CO utilization has been well-characterized from an increasing number of microorganisms, however the regulation of multiple CO-related gene clusters in single isolates remains unexplored. Many species are extroraordinarily resistant to high CO concentrations, thiriving under pure CO at more than one atmosphere. We hypothesized that, in strains that can grow exclusively on CO, both carbon acquisition via the CODH/Acetyl CoA synthase complex and energy conservation via a CODH-linked hydrogenase must be differentially regulated in response to the availability of CO. The CO-sensing transcriptional activator, CooA is present in most CO-oxidizing bacteria. Here we present a genomic and phylogenetic survey of CODH operons and cooA genes found in CooA-containing bacteria. Two distinct groups of CooA homologs were found: One clade (CooA-1 is found in the majority of CooA containing bacteria, whereas the other clade (CooA-2 is found only in genomes that encode multiple CODH clusters, suggesting that the CooA-2 might be important for cross-regulation of competing CODH operons. Recombinant CooA-1 and CooA-2 regulators from the prototypical CO-utilizing bacterium Carboxydothermus hydrogenoformans were purified, and promoter binding analyses revealed that CooA-1 specifically regulates the hydrogenase-linked CODH, whereas CooA-2 is able to regulate both the hydrogenase-linked CODH and the CODH/ACS operons. These studies point to the ability of dual CooA homologs to partition CO into divergent CO-utilizing pathways resulting in efficient consumption of a single limiting growth substrate available across a wide range of

  20. Four-electron deoxygenative reductive coupling of carbon monoxide at a single metal site

    Science.gov (United States)

    Buss, Joshua A.; Agapie, Theodor

    2016-01-01

    Carbon dioxide is the ultimate source of the fossil fuels that are both central to modern life and problematic: their use increases atmospheric levels of greenhouse gases, and their availability is geopolitically constrained. Using carbon dioxide as a feedstock to produce synthetic fuels might, in principle, alleviate these concerns. Although many homogeneous and heterogeneous catalysts convert carbon dioxide to carbon monoxide, further deoxygenative coupling of carbon monoxide to generate useful multicarbon products is challenging. Molybdenum and vanadium nitrogenases are capable of converting carbon monoxide into hydrocarbons under mild conditions, using discrete electron and proton sources. Electrocatalytic reduction of carbon monoxide on copper catalysts also uses a combination of electrons and protons, while the industrial Fischer-Tropsch process uses dihydrogen as a combined source of electrons and electrophiles for carbon monoxide coupling at high temperatures and pressures. However, these enzymatic and heterogeneous systems are difficult to probe mechanistically. Molecular catalysts have been studied extensively to investigate the elementary steps by which carbon monoxide is deoxygenated and coupled, but a single metal site that can efficiently induce the required scission of carbon-oxygen bonds and generate carbon-carbon bonds has not yet been documented. Here we describe a molybdenum compound, supported by a terphenyl-diphosphine ligand, that activates and cleaves the strong carbon-oxygen bond of carbon monoxide, enacts carbon-carbon coupling, and spontaneously dissociates the resulting fragment. This complex four-electron transformation is enabled by the terphenyl-diphosphine ligand, which acts as an electron reservoir and exhibits the coordinative flexibility needed to stabilize the different intermediates involved in the overall reaction sequence. We anticipate that these design elements might help in the development of efficient catalysts for

  1. Four-electron deoxygenative reductive coupling of carbon monoxide at a single metal site

    OpenAIRE

    Buss, Joshua A.; Agapie, Theodor

    2016-01-01

    Carbon dioxide is the ultimate source of the fossil fuels that are both central to modern life and problematic: their use increases atmospheric levels of greenhouse gases, and their availability is geopolitically constrained. Using carbon dioxide as a feedstock to produce synthetic fuels might, in principle, alleviate these concerns. Although many homogeneous and heterogeneous catalysts convert carbon dioxide to carbon monoxide, further deoxygenative coupling of carbon monoxide to generate us...

  2. Delayed neuropsychiatric syndrome after carbon monoxide poisoning: inclusion of hyperbaric oxygen therapy in the recovery protocol

    OpenAIRE

    Dante Lo Pardo; Davide Amedola; Giuliana Senatore; Alberto Damiano; Gabriela Pezzuti; Nicola Pugliese; Gianpiero Locatelli; Alfredo Siani; Nicola Maria Vitola

    2016-01-01

    The delayed neuropsychiatric syndrome can arise in the period from 4 days to 5 weeks following carbon monoxide poisoning, and is characterized by neuropsychological deficits, which in some cases become chronic. This case report describes an adult female who apparently suffered self-inflicted carbon monoxide poisoning. She was not treated with hyperbaric oxygen and developed delayed sequelae on day 20. The treatment started with 40 sessions of hyperbaric oxygen therapy and subsequently with ne...

  3. The Range of 1-3 keV Electrons in Solid Oxygen and Carbon Monoxide

    DEFF Research Database (Denmark)

    Oehlenschlæger, M.; Andersen, H.H.; Schou, Jørgen

    1985-01-01

    The range of 1-3 keV electrons in films of solid oxygen and carbon monoxide has been measured by a mirror substrate method. The technique used here is identical to the one previously used for range measurements in solid hydrogen and nitrogen. The range in oxygen is slightly shorter than...... that in nitrogen whereas the range in carbon monoxide is about 20% larger than that in the nitrogen....

  4. Carbon monoxide exposure in households in Ciudad Juárez, México.

    Science.gov (United States)

    Montoya, Teresa; Gurian, Patrick L; Velázquez-Angulo, Gilberto; Corella-Barud, Verónica; Rojo, Analila; Graham, Jay P

    2008-03-01

    This study assessed exposure to carbon monoxide from gas and wood heater emissions in a sample of 64 households in peri-urban residential areas in Ciudad Juárez, Chihuahua, México. Indoor and outdoor carbon monoxide concentrations and temperatures were monitored for a continuous period of 1 week at 1 and 6-min intervals, respectively. The moving average carbon monoxide concentrations were compared to the World Health Organization (WHO) standards for carbon monoxide. Sixty-seven percent of households with gas heaters and 60% of households with wood heaters exceeded a health-based standard at some point during the monitoring. The difference between indoor and outdoor temperatures was modestly correlated with average carbon monoxide exposure (r=0.35, p-value <0.01). Heater type may be a stronger determinant of exposure, as households with a particular heater model (the El Sol FM-210) were significantly more likely to be among the more highly exposed households (odds ratio of 4.8, p-value of 0.02). A variety of health effects were pooled and found at elevated frequency in the households that exceeded the 8-h standard of 9ppm (odds ratio=5.1, p-value=0.031). These results highlight the need for further efforts to identify and mitigate potentially hazardous carbon monoxide exposures, particularly in moderate-income countries with cooler climates.

  5. Carbon monoxide inhalation increases microparticles causing vascular and CNS dysfunction.

    Science.gov (United States)

    Xu, Jiajun; Yang, Ming; Kosterin, Paul; Salzberg, Brian M; Milovanova, Tatyana N; Bhopale, Veena M; Thom, Stephen R

    2013-12-01

    We hypothesized that circulating microparticles (MPs) play a role in pro-inflammatory effects associated with carbon monoxide (CO) inhalation. Mice exposed for 1h to 100 ppm CO or more exhibit increases in circulating MPs derived from a variety of vascular cells as well as neutrophil activation. Tissue injury was quantified as 2000 kDa dextran leakage from vessels and as neutrophil sequestration in the brain and skeletal muscle; and central nervous system nerve dysfunction was documented as broadening of the neurohypophysial action potential (AP). Indices of injury occurred following exposures to 1000 ppm for 1h or to 1000 ppm for 40 min followed by 3000 ppm for 20 min. MPs were implicated in causing injuries because infusing the surfactant MP lytic agent, polyethylene glycol telomere B (PEGtB) abrogated elevations in MPs, vascular leak, neutrophil sequestration and AP prolongation. These manifestations of tissue injury also did not occur in mice lacking myeloperoxidase. Vascular leakage and AP prolongation were produced in naïve mice infused with MPs that had been obtained from CO poisoned mice, but this did not occur with MPs obtained from control mice. We conclude that CO poisoning triggers elevations of MPs that activate neutrophils which subsequently cause tissue injuries.

  6. Carbon monoxide: from toxin to endogenous modulator of cardiovascular functions

    Directory of Open Access Journals (Sweden)

    R.A. Johnson

    1999-01-01

    Full Text Available Carbon monoxide (CO is a pollutant commonly recognized for its toxicological attributes, including CNS and cardiovascular effects. But CO is also formed endogenously in mammalian tissues. Endogenously formed CO normally arises from heme degradation in a reaction catalyzed by heme oxygenase. While inhibitors of endogenous CO production can raise arterial pressure, heme loading can enhance CO production and lead to vasodepression. Both central and peripheral tissues possess heme oxygenases and generate CO from heme, but the inability of heme substrate to cross the blood brain barrier suggests the CNS heme-heme oxygenase-CO system may be independent of the periphery. In the CNS, CO apparently acts in the nucleus tractus solitarii (NTS promoting changes in glutamatergic neurotransmission and lowering blood pressure. At the periphery, the heme-heme oxygenase-CO system can affect cardiovascular functions in a two-fold manner; specifically: 1 heme-derived CO generated within vascular smooth muscle (VSM can promote vasodilation, but 2 its actions on the endothelium apparently can promote vasoconstriction. Thus, it seems reasonable that the CNS-, VSM- and endothelial-dependent actions of the heme-heme oxygenase-CO system may all affect cardiac output and vascular resistance, and subsequently blood pressure.

  7. Carbon monoxide exposures after hurricane Ike - Texas, September 2008.

    Science.gov (United States)

    2009-08-14

    During power outages after hurricanes, survivors can be at risk for carbon monoxide (CO) poisoning if they use portable generators improperly. On September 13, 2008, Hurricane Ike struck the coast of Texas, leaving approximately 2.3 million households in the southeastern portion of the state without electricity. Six days later, 1.3 million homes were still without electrical power. To assess the impact of storm-related CO exposures and to enhance prevention efforts, CDC analyzed data from five disparate surveillance sources on CO exposures reported during September 13--26 in counties of southeast Texas that were declared disaster areas by the federal government. This report describes the results of that analysis, which indicated that one data source, Texas poison centers, received reports of 54 persons with storm-related CO exposures during the surveillance period. Another data source, the Undersea and Hyperbaric Medical Society (UHMS) hyperbaric oxygen treatment database, reported that 15 persons received hyperbaric oxygen treatment for storm-related CO poisoning. Medical examiners, public health officials, and hospitals in Texas reported that seven persons died from storm-related CO poisoning. Among the data sources, the percentage of reported storm-related CO exposures caused by improper generator use ranged from 82% to 87%. These findings underscore the need for effective prevention messages during storm preparation, warnings, and response periods regarding the correct use of generators and the installation and maintenance of battery-powered CO detectors.

  8. The immunomodulatory role of carbon monoxide during transplantation

    Directory of Open Access Journals (Sweden)

    Amano Mariane

    2013-01-01

    Full Text Available Abstract The number of organ and tissue transplants has increased worldwide in recent decades. However, graft rejection, infections due to the use of immunosuppressive drugs and a shortage of graft donors remain major concerns. Carbon monoxide (CO had long been regarded solely as a poisonous gas. Ultimately, physiological studies unveiled the endogenous production of CO, particularly by the heme oxygenase (HO-1 enzyme, recognizing CO as a beneficial gas when used at therapeutic doses. The protective properties of CO led researchers to develop uses for it, resulting in devices and molecules that can deliver CO in vitro and in vivo. The resulting interest in clinical investigations was immediate. Studies regarding the CO/HO-1 modulation of immune responses and their effects on various immune disorders gave rise to transplantation research, where CO was shown to be essential in the protection against organ rejection in animal models. This review provides a perspective of how CO modulates the immune system to improve transplantation and suggests its use as a therapy in the field.

  9. Carbon monoxide and iron modulate plasmatic coagulation in Alzheimer's disease.

    Science.gov (United States)

    Nielsen, Vance G; Pretorius, Etheresia; Bester, Janette; Jacobsen, Wayne K; Boyle, Patrick K; Reinhard, Joao P

    2015-01-01

    Alzheimer's disease (AD) is a significant source of morbidity and mortality for millions of people worldwide, and multiple potential etiologies have been postulated to contribute to AD. Among these, spontaneous cerebral emboli and increased cerebral and circulating heme oxygenase (Hmox) activity in AD patients are of particular interest, as two of the products of Hmox activity, carbon monoxide (CO) and iron enhance plasmatic coagulation and modify the ultrastructure of thrombi. We hypothesized that patients afflicted with AD would have coagulation kinetics modulated by CO and iron. Using viscoelastic assessments of coagulation, it was determined with a small cohort (n=11) of AD patients that all had enhancement of coagulation by CO, iron, or both. In a complementary fashion, it was determined that a separate cohort (n=12) of AD patients had thrombi with ultrastructural features consistent with iron and CO exposure as assessed with scanning electron microscopy. Further, when stratified by normal or abnormally increased serum ferritin concentrations (which can be increased by Hmox), the AD patients with abnormal ferritin concentrations had significantly thinner fibrin fiber diameters, not unlike that noted when normal plasma is mixed with iron or CO. In sum, AD patients were noted to have plasmatic coagulation kinetic and thrombus ultrastructural changes consistent with exposure to CO and iron. Future investigation of CO and iron in the pathogenesis of Alzheimer's disease is warranted.

  10. Density-functional study of plutonium monoxide monohydride

    Science.gov (United States)

    Qiu, Ruizhi; Lu, Haiyan; Ao, Bingyun; Tang, Tao; Chen, Piheng

    2017-03-01

    The structural, electronic, mechanical, optical, thermodynamic properties of plutonium monoxide monohydride (PuOH) are studied by density-functional calculations within the framework of LDA/GGA and LDA/GGA+U. From the total energy calculation, the lowest-energy crystal structure of PuOH is predicted to have space group F 4 bar 3 m (No. 216). Within the LDA+U framework, the calculated lattice parameter of F 4 bar 3 m -PuOH is in good agreement with the experimental value and the corresponding ground state is predicted to be an antiferromagnetic charge-transfer insulator. Furthermore, we investigate the bonding character of PuOH by analyzing the electron structure and find that there are a stronger Pu-O bond and a weaker Pu-H bond. The mechanical properties including the elastic constants, elastic moduli and Debye's temperature, and the optical properties including the reflectivity and absorption coefficient are also calculated. We then compute the phonon spectrum which verified the dynamical stability of F 4 bar 3 m -PuOH. Some thermodynamic quantities such as the specific heat are evaluated. Finally we calculate the formation energy of PuOH, and the reaction energies for the oxidation of PuOH and PuOH-coated Pu, which are in reasonable agreement with the experimental values.

  11. Carbon monoxide: an emerging regulator of ion channels.

    Science.gov (United States)

    Wilkinson, William J; Kemp, Paul J

    2011-07-01

    Carbon monoxide is rapidly emerging as an important cellular messenger, regulating a wide range of physiological processes. Crucial to its role in both physiology and disease is its ability differentially to regulate several classes of ion channels, including examples from calcium-activated K(+) (BK(Ca)), voltage-activated K(+) (K(v)) and Ca(2+) channel (L-type) families, ligand-gated P2X receptors (P2X2 and P2X4), tandem P domain K(+) channels (TREK1) and the epithelial Na(+) channel (ENaC). The mechanisms by which CO regulates these ion channels are still unclear and remain somewhat controversial. However, available structure-function studies suggest that a limited range of amino acid residues confer CO sensitivity, either directly or indirectly, to particular ion channels and that cellular redox state appears to be important to the final integrated response. Whatever the molecular mechanism by which CO regulates ion channels, endogenous production of this gasotransmitter has physiologically important roles and is currently being explored as a potential therapeutic.

  12. Discovery of carbon monoxide in the upper atmosphere of Pluto

    CERN Document Server

    Greaves, J S; Friberg, P

    2011-01-01

    Pluto's icy surface has changed colour and its atmosphere has swelled since its last closest approach to the Sun in 1989. The thin atmosphere is produced by evaporating ices, and so can also change rapidly, and in particular carbon monoxide should be present as an active thermostat. Here we report the discovery of gaseous CO via the 1.3mm wavelength J=2-1 rotational transition, and find that the line-centre signal is more than twice as bright as a tentative result obtained by Bockelee-Morvan et al. in 2000. Greater surface-ice evaporation over the last decade could explain this, or increased pressure could have caused the atmosphere to expand. The gas must be cold, with a narrow line-width consistent with temperatures around 50 K, as predicted for the very high atmosphere, and the line brightness implies that CO molecules extend up to approximately 3 Pluto radii above the surface. The upper atmosphere must have changed markedly over only a decade since the prior search, and more alterations could occur by the...

  13. Regulation of ROS Production and Vascular Function by Carbon Monoxide

    Directory of Open Access Journals (Sweden)

    Yoon Kyung Choi

    2012-01-01

    Full Text Available Carbon monoxide (CO is a gaseous molecule produced from heme by heme oxygenase (HO. CO interacts with reduced iron of heme-containing proteins, leading to its involvement in various cellular events via its production of mitochondrial reactive oxygen species (ROS. CO-mediated ROS production initiates intracellular signal events, which regulate the expression of adaptive genes implicated in oxidative stress and functions as signaling molecule for promoting vascular functions, including angiogenesis and mitochondrial biogenesis. Therefore, CO generated either by exogenous delivery or by HO activity can be fundamentally involved in regulating mitochondria-mediated redox cascades for adaptive gene expression and improving blood circulation (i.e., O2 delivery via neovascularization, leading to the regulation of mitochondrial energy metabolism. This paper will highlight the biological effects of CO on ROS generation and cellular redox changes involved in mitochondrial metabolism and angiogenesis. Moreover, cellular mechanisms by which CO is exploited for disease prevention and therapeutic applications will also be discussed.

  14. Heme oxygenase-1 and carbon monoxide in pulmonary medicine.

    Science.gov (United States)

    Slebos, Dirk-Jan; Ryter, Stefan W; Choi, Augustine M K

    2003-01-01

    Heme oxygenase-1 (HO-1), an inducible stress protein, confers cytoprotection against oxidative stress in vitro and in vivo. In addition to its physiological role in heme degradation, HO-1 may influence a number of cellular processes, including growth, inflammation, and apoptosis. By virtue of anti-inflammatory effects, HO-1 limits tissue damage in response to proinflammatory stimuli and prevents allograft rejection after transplantation. The transcriptional upregulation of HO-1 responds to many agents, such as hypoxia, bacterial lipopolysaccharide, and reactive oxygen/nitrogen species. HO-1 and its constitutively expressed isozyme, heme oxygenase-2, catalyze the rate-limiting step in the conversion of heme to its metabolites, bilirubin IXalpha, ferrous iron, and carbon monoxide (CO). The mechanisms by which HO-1 provides protection most likely involve its enzymatic reaction products. Remarkably, administration of CO at low concentrations can substitute for HO-1 with respect to anti-inflammatory and anti-apoptotic effects, suggesting a role for CO as a key mediator of HO-1 function. Chronic, low-level, exogenous exposure to CO from cigarette smoking contributes to the importance of CO in pulmonary medicine. The implications of the HO-1/CO system in pulmonary diseases will be discussed in this review, with an emphasis on inflammatory states.

  15. Heme oxygenase-1 and carbon monoxide in pulmonary medicine

    Directory of Open Access Journals (Sweden)

    Choi Augustine MK

    2003-08-01

    Full Text Available Abstract Heme oxygenase-1 (HO-1, an inducible stress protein, confers cytoprotection against oxidative stress in vitro and in vivo. In addition to its physiological role in heme degradation, HO-1 may influence a number of cellular processes, including growth, inflammation, and apoptosis. By virtue of anti-inflammatory effects, HO-1 limits tissue damage in response to proinflammatory stimuli and prevents allograft rejection after transplantation. The transcriptional upregulation of HO-1 responds to many agents, such as hypoxia, bacterial lipopolysaccharide, and reactive oxygen/nitrogen species. HO-1 and its constitutively expressed isozyme, heme oxygenase-2, catalyze the rate-limiting step in the conversion of heme to its metabolites, bilirubin IXα, ferrous iron, and carbon monoxide (CO. The mechanisms by which HO-1 provides protection most likely involve its enzymatic reaction products. Remarkably, administration of CO at low concentrations can substitute for HO-1 with respect to anti-inflammatory and anti-apoptotic effects, suggesting a role for CO as a key mediator of HO-1 function. Chronic, low-level, exogenous exposure to CO from cigarette smoking contributes to the importance of CO in pulmonary medicine. The implications of the HO-1/CO system in pulmonary diseases will be discussed in this review, with an emphasis on inflammatory states.

  16. Heme oxygenase-1/carbon monoxide: from metabolism to molecular therapy.

    Science.gov (United States)

    Ryter, Stefan W; Choi, Augustine M K

    2009-09-01

    Heme oxygenase-1 (HO-1), a ubiquitous inducible stress-response protein, serves a major metabolic function in heme turnover. HO activity cleaves heme to form biliverdin-IXalpha, carbon monoxide (CO), and iron. Genetic experiments have revealed a central role for HO-1 in tissue homeostasis, protection against oxidative stress, and in the pathogenesis of disease. Four decades of research have witnessed not only progress in elucidating the molecular mechanisms underlying the regulation and function of this illustrious enzyme, but also have opened remarkable translational applications for HO-1 and its reaction products. CO, once regarded as a metabolic waste, can act as an endogenous mediator of cellular signaling and vascular function. Exogenous application of CO by inhalation or pharmacologic delivery can confer cytoprotection in preclinical models of lung/vascular injury and disease, based on anti-apoptotic, anti-inflammatory, and anti-proliferative properties. The bile pigments, biliverdin and bilirubin, end products of heme degradation, have also shown potential as therapeutics in vascular disease based on anti-inflammatory and anti-proliferative activities. Further translational and clinical trials research will unveil whether the HO-1 system or any of its reaction products can be successfully applied as molecular medicine in human disease.

  17. Carbon Monoxide Binding by Hemoglobin and Myoglobin under Photodissociating Conditions

    Science.gov (United States)

    Brunori, Maurizio; Bonaventura, Joseph; Bonaventura, Celia; Antonini, Eraldo; Wyman, Jeffries

    1972-01-01

    Carbon monoxide binding by myoglobin and hemoglobin has been studied under conditions of constant illumination. For hemoglobin, the homotropic heme-heme interaction (cooperativity) and the heterotropic Bohr effect are invariant with light intensity over a 1000-fold change of c½. The dissociation constant, measured as c½, increases linearly with light intensity, indicating that photodissociation is a one-quantum process. At sufficiently high illumination the apparent enthalpy of ligand binding becomes positive, although in the absence of light it is known to be negative. This finding indicates that light acts primarily by increasing the “off” constants by an additive factor. The invariance of both cooperativity and Bohr effect raises a perplexing issue. It would appear to demand either that the “off” constants for the various elementary steps are all alike (which is contrary to current ideas) or that the additive factor is in each case proportional to the particular “off” constant to which it is added (a seemingly improbable alternative). PMID:4502938

  18. Catalytic removal of carbon monoxide over carbon supported palladium catalyst

    Energy Technology Data Exchange (ETDEWEB)

    Srivastava, Avanish Kumar [Defence Research and Development Establishment, Jhansi Road, Gwalior-474002 (MP) (India); Saxena, Amit [Centre for Fire Explosive and Environmental Safety, Timarpur, Delhi-110054 (India); Shah, Dilip; Mahato, T.H. [Defence Research and Development Establishment, Jhansi Road, Gwalior-474002 (MP) (India); Singh, Beer, E-mail: beerbs5@rediffmail.com [Defence Research and Development Establishment, Jhansi Road, Gwalior-474002 (MP) (India); Shrivastava, A.R.; Gutch, P.K. [Defence Research and Development Establishment, Jhansi Road, Gwalior-474002 (MP) (India); Shinde, C.P. [School of Studies in Chemistry, Jiwaji University, Gwalior-474002 (MP) (India)

    2012-11-30

    Highlights: Black-Right-Pointing-Pointer Carbon supported palladium (Pd/C) catalyst was prepared. Black-Right-Pointing-Pointer Catalytic removal of CO over Pd/C catalyst was studied under dynamic conditions. Black-Right-Pointing-Pointer Effects of Pd %, CO conc., humidity, GHSV and reaction environment were studied. - Abstract: Carbon supported palladium (Pd/C) catalyst was prepared by impregnation of palladium chloride using incipient wetness technique, which was followed by liquid phase reduction with formaldehyde. Thereafter, Pd/C catalyst was characterized using X-ray diffractometery, scanning electron microscopy, atomic absorption spectroscopy, thermo gravimetry, differential scanning calorimetry and surface characterization techniques. Catalytic removal of carbon monoxide (CO) over Pd/C catalyst was studied under dynamic conditions. Pd/C catalyst was found to be continuously converting CO to CO{sub 2} through the catalyzed reaction, i.e., CO + 1/2O{sub 2} {yields} CO{sub 2}. Pd/C catalyst provided excellent protection against CO. Effects of palladium wt%, CO concentration, humidity, space velocity and reaction environment were also studied on the breakthrough behavior of CO.

  19. In-utero carbon monoxide poisoning and multiple fetal abnormalities

    Energy Technology Data Exchange (ETDEWEB)

    Hennequin, Y.; Blum, D.; Vamos, E.; Steppe, M.; Goedseels, J.; Cavatorta, E. (Free Univ. of Brussels (Belgium). Queen Fabiola Children' s Hospital)

    1993-01-23

    Carbon monoxide (CO) poisoning during pregnancy can lead to feto-maternal fatalities and stillbirths. Teratogenic effects have been reported. The authors strongly suspected an association between mild but chronic CO poisoning of the mother and major multiple malformations in the baby. Retrospective interviews of the mother disclosed that at 10 weeks' gestation, she had complained of headache and dizziness. At the same time, her 16-month-old daughter had an episode of unconsciousness. A faulty kitchen gas water-heater was suspected but the family did not have it repaired. The mother continued to have headaches regularly. During the 7th month of pregnancy, the daughter was found comatose. In the emergency ward, carboxyhemoglobins levels were 27.5% for the child and 14% for the pregnant mother. Both were treated with hyperbaric oxygen. Investigations by the gas company revealed a highly abnormal CO production from the kitchen and bathroom gas-water heaters: 120 and 100 parts per million, respectively, after 2 minutes of use.

  20. Effect of water on carbon monoxide-oxygen flame velocity

    Science.gov (United States)

    Mcdonald, Glen E

    1954-01-01

    The flame velocities were measured of 20 percent oxygen and 80 percent carbon monoxide mixtures containing either light water or heavy water. The flame velocity increased from 34.5 centimeters per second with no added water to about 104 centimeters per second for a 1.8 percent addition of light water and to 84 centimeters per second for an equal addition of heavy water. The addition of heavy water caused greater increases in flame velocity with equilibrium hydrogen-atom concentration than would be predicted by the Tanford and Pease square-root relation. The ratio of the flame velocity of a mixture containing light water to that of a mixture containing heavy water was found to be 1.4. This value is the same as the ratio of the reaction rate of hydrogen to that of deuterium and oxygen. A ratio of reaction rates of 1.4 would also be required for the square-root law to give the observed ratio of flame-velocity changes.

  1. Tsukamurella carboxydivorans sp. nov., a carbon monoxide-oxidizing actinomycete.

    Science.gov (United States)

    Park, Sae W; Kim, Sung M; Park, Sang T; Kim, Young M

    2009-06-01

    A Gram-positive, slightly acid-alcohol-fast, carbon monoxide-oxidizing bacterium, strain Y2(T), was isolated from a soil sample collected from a roadside in Seoul, Korea. On the basis of 16S rRNA gene sequence comparative analyses, strain Y2(T) was shown to belong to the genus Tsukamurella and was most closely related to Tsukamurella tyrosinosolvens DSM 44234(T) (GenBank accession no. AY238514; 99.8 %). The predominant fatty acids were C(18 : 1)omega9c and C(16 : 0). The cell-wall peptidoglycan of strain Y2(T) contained meso-diaminopimelic acid as the diagnostic diamino acid. Strain Y2(T) contained galactose and arabinose as the whole cell sugars. The DNA G+C content was 77 mol%. The DNA-DNA relatedness value between strain Y2(T) and T. tyrosinosolvens DSM 44234(T) was 62.7 %. Based on the combination of the carbon source utilization pattern, fatty acid profile, cell-wall chemotype, DNA G+C content and DNA-DNA hybridization experiments, it is proposed that strain Y2(T) (=KCCM 42885(T)=JCM 15482(T)) represents the type strain of a novel species, Tsukamurella carboxydivorans sp. nov.

  2. A Wireless and Batteryless Intelligent Carbon Monoxide Sensor.

    Science.gov (United States)

    Chen, Chen-Chia; Sung, Gang-Neng; Chen, Wen-Ching; Kuo, Chih-Ting; Chue, Jin-Ju; Wu, Chieh-Ming; Huang, Chun-Ming

    2016-09-23

    Carbon monoxide (CO) poisoning from natural gas water heaters is a common household accident in Taiwan. We propose a wireless and batteryless intelligent CO sensor for improving the safety of operating natural gas water heaters. A micro-hydropower generator supplies power to a CO sensor without battery (COSWOB) (2.5 W at a flow rate of 4.2 L/min), and the power consumption of the COSWOB is only ~13 mW. The COSWOB monitors the CO concentration in ambient conditions around natural gas water heaters and transmits it to an intelligent gateway. When the CO level reaches a dangerous level, the COSWOB alarm sounds loudly. Meanwhile, the intelligent gateway also sends a trigger to activate Wi-Fi alarms and sends notifications to the mobile device through the Internet. Our strategy can warn people indoors and outdoors, thereby reducing CO poisoning accidents. We also believe that our technique not only can be used for home security but also can be used in industrial applications (for example, to monitor leak occurrence in a pipeline).

  3. Mopra Central Molecular Zone Carbon Monoxide Survey Status

    Science.gov (United States)

    Blackwell, Rebecca; Burton, Michael; Rowell, Gavin

    2017-01-01

    We present an update on the Mopra Central Molecular Zone Carbon Monoxide (CO) survey, with data taken in 2016 extending the original 3.5° >= l >= 358.5°, +1.0° >= b >= -0.5° to 4.0° >= l >= 358.0°, +1.0° >= b >= -1.0°. Using the four simultaneously observed lines of 12CO, 13CO, C18O, and C17O Nyquist sampled at 0.6' spatial and 0.1 km/s spectral resolution, we are building an optical-thickness-corrected three-dimensional model of the diffuse gas, and making cloud mass estimates. This data, as part of the Mopra Southern Galactic Plane CO Survey (Braiding et al. (2015), Burton et al. (2013)), is at the highest resolution available across such a widespread region, and includes the Sagittarius A, Sagittarius B2, Sagittarius C, and G1.3 cloud complexes, as well as Bania's Clump 2.

  4. The Hydration Structure of Carbon Monoxide by Ab Initio Methods

    CERN Document Server

    Awoonor-Williams, Ernest

    2016-01-01

    The solvation of carbon monoxide (CO) in liquid water is important for understanding its toxicological effects and biochemical roles. In this paper, we use ab initio molecular dynamics (AIMD) and CCSD(T)-F12 calculations to assess the accuracy of the Straub and Karplus molecular mechanical (MM) model for CO(aq). The CCSD(T)-F12 CO--H2O potential energy surfaces show that the most stable structure corresponds to water donating a hydrogen bond to the C center. The MM-calculated surface it incorrectly predicts that the O atom is a stronger hydrogen bond acceptor than the C atom. The AIMD simulations indicate that CO is solvated like a hydrophobic solute, with very limited hydrogen bonding with water. The MM model tends to overestimate the degree of hydrogen bonding and overestimates the atomic radius of the C atom. The calculated Gibbs energy of hydration is in good agreement with experiment (9.3 kJ/mol calc. vs 10.7 kJ/mol exptl.). The calculated diffusivity of CO(aq) in TIP3P-model water was 5.19 x 10-5 cm2/s ...

  5. Gene expression in rat striatum following carbon monoxide poisoning

    Directory of Open Access Journals (Sweden)

    Shuichi Hara

    2017-06-01

    Full Text Available Carbon monoxide (CO poisoning causes brain damage, which is attenuated by treatment with hydrogen [1,2], a scavenger selective to hydroxyl radical (·≡OH [3]. This suggests a role of ·≡OH in brain damage due to CO poisoning. Studies have shown strong enhancement of ·≡OH production in rat striatum by severe CO poisoning with a blood carboxyhemoglobin (COHb level >70% due to 3000 ppm CO, but not less severe CO poisoning with a blood COHb level at approximately 50% due to 1000 ppm CO [4]. Interestingly, 5% O2 causes hypoxia comparable with that by 3000 ppm CO and produces much less •OH than 3000 ppm CO does [4]. In addition, cAMP production in parallel with ·≡OH production [5] might contribute to ·≡OH production [6]. It is likely that mechanisms other than hypoxia contribute to brain damage due to CO poisoning [7]. To search for the mechanisms, we examined the effects of 1000 ppm CO, 3000 ppm CO and 5% O2 on gene expression in rat striatum. All array data have been deposited in the Gene Expression Omnibus (GEO database under accession number GSE94780.

  6. A Wireless and Batteryless Intelligent Carbon Monoxide Sensor

    Directory of Open Access Journals (Sweden)

    Chen-Chia Chen

    2016-09-01

    Full Text Available Carbon monoxide (CO poisoning from natural gas water heaters is a common household accident in Taiwan. We propose a wireless and batteryless intelligent CO sensor for improving the safety of operating natural gas water heaters. A micro-hydropower generator supplies power to a CO sensor without battery (COSWOB (2.5 W at a flow rate of 4.2 L/min, and the power consumption of the COSWOB is only ~13 mW. The COSWOB monitors the CO concentration in ambient conditions around natural gas water heaters and transmits it to an intelligent gateway. When the CO level reaches a dangerous level, the COSWOB alarm sounds loudly. Meanwhile, the intelligent gateway also sends a trigger to activate Wi-Fi alarms and sends notifications to the mobile device through the Internet. Our strategy can warn people indoors and outdoors, thereby reducing CO poisoning accidents. We also believe that our technique not only can be used for home security but also can be used in industrial applications (for example, to monitor leak occurrence in a pipeline.

  7. Carbon monoxide: silent killer and expert imitator (Part I

    Directory of Open Access Journals (Sweden)

    Valeria Petrolini

    2008-02-01

    Full Text Available Carbon monoxide is still the most common unintentional poisoning in the Western Countries, and it may often produce potentially serious or lethal acute and delayed clinical manifestations. The considerable variety of symptoms of presentation is the principal reason of the non infrequent diagnostic errors at admission. In emergency medicine it is essential to consider this diagnosis every time a patient is found in state of unconsciousness in an environment with possible exposure to CO, as well as in patients presenting with non-specific syndromes. The prompt identification of the intoxication is essential in order to plan a correct therapy at the proper time, and for prevention of risks of a late neurologic syndrome. Nowadays the diagnosis may be performed through determination of COHb in a fast and non-invasive way, both outside and inside hospitals, thanks to a new generation of specific pulsoxymetrers. After confirmation the patient has to be classified with a grading score for severity depending on clinical presentation, that may be useful also for the choice between normobaric or hyperbaric oxygen treatments. Eventually, it is essential to plan the follow up for the patient during the months following the acute event.

  8. Carbon monoxide: silent killer and expert imitator (Part II

    Directory of Open Access Journals (Sweden)

    Valeria Petrolini

    2008-04-01

    Full Text Available Carbon monoxide is still the most common unintentional poisoning in the Western Countries, and it may often produce potentially serious or lethal acute and delayed clinical manifestations. The considerable variety of symptoms of presentation is the main reason of the non infrequent diagnostic errors at admission. In emergency medicine it is essential to consider this diagnosis every time a patient is found in state of unconsciousness in an environment with possible exposure to CO, as well as in patients presenting with non-specific syndromes. The prompt identification of the intoxication is essential in order to plan a correct therapy at the proper time, and for preventing of risks of a late neurologic syndrome. After confirmation of the diagnosis through determination of COHb, that may nowadays be performed in a fast and non-invasive way both outside and inside hospitals thanks to a new generation of specific pulsoxyimeters, the patient has to be classified with a grading score for the severity depending on clinical presentation, that may be useful also for choice between normobaric or hyperbaric oxygen treatments. Eventually, it is essential to plan the follow-up for the patient during the months following the acute event.

  9. Genetics Home Reference: primary myelofibrosis

    Science.gov (United States)

    ... Other Diagnosis and Management Resources (3 links) Merck Manual Professional Version: Primary Myelofibrosis Myeloproliferative Neoplasm (MPN) Research Foundation: Primary Myelofibrosis (PMF) National Organization for Rare Disorders (NORD) Physician Guide General Information ...

  10. Cervical lymph node metastases from unknown primary tumours. Results from a national survey by the Danish Society for Head and Neck Oncology

    DEFF Research Database (Denmark)

    Grau, Cai; Johansen, L V; Jakobsen, J;

    2000-01-01

    The management of patients with cervical lymph node metastases from unknown primary tumours is a major challenge in oncology. This study presents data collected from all five oncology centres in Denmark.......The management of patients with cervical lymph node metastases from unknown primary tumours is a major challenge in oncology. This study presents data collected from all five oncology centres in Denmark....

  11. Effect of carbon monoxide, hydrogen and sulfate on thermophilic (55°C) hydrogenogenic carbon monoxide conversion in two anaerobic bioreactor sludges

    NARCIS (Netherlands)

    Sipma, J.; Meulepas, R.J.W.; Stams, A.J.M.; Lettinga, G.; Lens, P.N.L.

    2004-01-01

    The conversion routes of carbon monoxide (CO) at 55°C by full-scale grown anaerobic sludges treating paper mill and distillery wastewater were elucidated. Inhibition experiments with 2-bromoethanesulfonate (BES) and vancomycin showed that CO conversion was performed by a hydrogenogenic population an

  12. Contribution of post-harvest agricultural paddy residue fires in the N.W. Indo-Gangetic Plain to ambient carcinogenic benzenoids, toxic isocyanic acid and carbon monoxide

    Science.gov (United States)

    Praphulla Chandra, Boggarapu; Sinha, Vinayak

    2016-04-01

    In the North West Indo-Gangetic Plain (N.W.IGP), large scale post-harvest paddy residue fires occur every year during the months of October-November. This anthropogenic perturbation causes contamination of the atmospheric environment with adverse impacts on regional air quality posing health risks for the population exposed to high concentrations of carcinogens such as benzene and toxic VOCs such as isocyanic acid. These gases and carbon monoxide are known to be emitted from biomass fires along with acetonitrile. Yet no long-term in-situ measurements quantifying the impact of this activity have been carried out in the N.W. IGP. Using high quality continuous online in-situ measurements of these gases at a strategic downwind site over a three year period from 2012 to 2014, we demonstrate the strong impact of this anthropogenic emission activity on ambient concentrations of these gases. In contrast to the pre-paddy harvest period, excellent correlation of benzenoids, isocyanic acid and CO with acetonitrile (a biomass burning chemical tracer); (r ≥ 0.82) and distinct VOC/acetonitrile emission ratios were observed for the post-paddy harvest period which was also characterized by high ambient concentrations of these species. The average concentrations of acetonitrile (1.62 ± 0.18 ppb), benzene (2.51 ± 0.28 ppb), toluene (3.72 ± 0.41 ppb), C8-aromatics (2.88 ± 0.30 ppb), C9-aromatics (1.55 ± 0.19 ppb) and CO (552 ± 113 ppb) in the post-paddy harvest periods were about 1.5 times higher than the annual average concentrations. For isocyanic acid, a compound with both primary and secondary sources, the concentration in the post-paddy harvest period was 0.97 ± 0.17 ppb. The annual average concentrations of benzene, a class A carcinogen, exceeded the annual exposure limit of 1.6 ppb at NTP mandated by the National Ambient Air Quality Standard of India (NAAQS). We show that mitigating the post-harvest paddy residue fires can lower the annual average concentration of

  13. The use of primary stenting or balloon percutaneous transluminal coronary angioplasty for the treatment of acutely occluded saphenous vein grafts. Results from the Brazilian National Registry - CENIC

    Directory of Open Access Journals (Sweden)

    Luiz Alberto Mattos

    2001-06-01

    Full Text Available OBJECTIVE: We conducted a comparative analysis of the in-hospital outcomes of patients who underwent primary percutaneous transluminal angioplasty (PTCA or stent implantation because of an acute myocardial infarction (AMI related to an acute vein graft occlusion. METHODS: Since 1991 the Brazilian Society of Hemodynamic and Interventional Cardiology has maintained a large database (CENIC. From these, we selected all consecutive patients, who underwent primary PTCA or stenting in the first 24 hours of AMI, with the target vessel being an occluded vein graft. Immediate results and major coronary events occurring up until hospital discharge were analyzed. RESULTS: During this period, 5,932 patients underwent primary PTCA or stenting; 158 (3% of the procedures were performed because of an acute vein graft occlusion. Stenting was performed in 74 (47% patients. Patients treated with stents had a higher success rate and lower mean residual stenosis compared with those who underwent primary balloon PTCA. The incidence of reinfarction and death were similar for stenting and balloon PTCA. CONCLUSION: Primary percutaneous treatment of AMI related to acute vein graft occlusion is still an uncommon practice. Primary stenting improved luminal diameter and offered higher rates of success; however, this strategy did not reduce the in-hospital reinfarction and death rate, compared with that occurring with PTCA treatment.

  14. Exhaled carbon monoxide in asthmatics: a meta-analysis

    Directory of Open Access Journals (Sweden)

    Huang Mao

    2010-04-01

    Full Text Available Abstract Background The non-invasive assessment of airway inflammation is potentially advantageous in asthma management. Exhaled carbon monoxide (eCO measurement is cheap and has been proposed to reflect airway inflammation and oxidative stress but current data are conflicting. The purpose of this meta-analysis is to determine whether eCO is elevated in asthmatics, is regulated by steroid treatment and reflects disease severity and control. Methods A systematic search for English language articles published between 1997 and 2009 was performed using Medline, Embase and Cochrane databases. Observational studies comparing eCO in non-smoking asthmatics and healthy subjects or asthmatics before and after steroid treatment were included. Data were independently extracted by two investigators and analyzed to generate weighted mean differences using either a fixed or random effects meta-analysis depending upon the degree of heterogeneity. Results 18 studies were included in the meta-analysis. The eCO level was significantly higher in asthmatics as compared to healthy subjects and in intermittent asthma as compared to persistent asthma. However, eCO could not distinguish between steroid-treated asthmatics and steroid-free patients nor separate controlled and partly-controlled asthma from uncontrolled asthma in cross-sectional studies. In contrast, eCO was significantly reduced following a course of corticosteroid treatment. Conclusions eCO is elevated in asthmatics but levels only partially reflect disease severity and control. eCO might be a potentially useful non-invasive biomarker of airway inflammation and oxidative stress in nonsmoking asthmatics.

  15. Carbon Monoxide (CO) Is a Novel Inhibitor of Connexin Hemichannels*

    Science.gov (United States)

    León-Paravic, Carmen G.; Figueroa, Vania A.; Guzmán, Diego J.; Valderrama, Carlos F.; Vallejos, Antonio A.; Fiori, Mariana C.; Altenberg, Guillermo A.; Reuss, Luis; Retamal, Mauricio A.

    2014-01-01

    Hemichannels (HCs) are hexamers of connexins that can form gap-junction channels at points of cell contacts or “free HCs” at non-contacting regions. HCs are involved in paracrine and autocrine cell signaling, and under pathological conditions may induce and/or accelerate cell death. Therefore, studies of HC regulation are of great significance. Nitric oxide affects the activity of Cx43 and Cx46 HCs, whereas carbon monoxide (CO), another gaseous transmitter, modulates the activity of several ion channels, but its effect on HCs has not been explored. We studied the effect of CO donors (CORMs) on Cx46 HCs expressed in Xenopus laevis oocytes using two-electrode voltage clamp and on Cx43 and Cx46 expressed in HeLa cells using a dye-uptake technique. CORM-2 inhibited Cx46 HC currents in a concentration-dependent manner. The C-terminal domain and intracellular Cys were not necessary for the inhibition. The effect of CORM-2 was not prevented by guanylyl-cyclase, protein kinase G, or thioredoxin inhibitors, and was not due to endocytosis of HCs. However, the effect of CORM-2 was reversed by reducing agents that act extracellularly. Additionally, CO inhibited dye uptake of HeLa cells expressing Cx43 or Cx46, and MCF-7 cells, which endogenously express Cx43 and Cx46. Because CORM-2 carbonylates Cx46 in vitro and induces conformational changes, a direct effect of that CO on Cx46 is possible. The inhibition of HCs could help to understand some of the biological actions of CO in physiological and pathological conditions. PMID:25384983

  16. Carbon monoxide total column retrievals from TROPOMI shortwave infrared measurements

    Science.gov (United States)

    Landgraf, Jochen; aan de Brugh, Joost; Scheepmaker, Remco; Borsdorff, Tobias; Hu, Haili; Houweling, Sander; Butz, Andre; Aben, Ilse; Hasekamp, Otto

    2016-10-01

    The Tropospheric Monitoring Instrument (TROPOMI) spectrometer is the single payload of the Copernicus Sentinel 5 Precursor (S5P) mission. It measures Earth radiance spectra in the shortwave infrared spectral range around 2.3 µm with a dedicated instrument module. These measurements provide carbon monoxide (CO) total column densities over land, which for clear sky conditions are highly sensitive to the tropospheric boundary layer. For cloudy atmospheres over land and ocean, the column sensitivity changes according to the light path through the atmosphere. In this study, we present the physics-based operational S5P algorithm to infer atmospheric CO columns satisfying the envisaged accuracy ( information on atmospheric scattering. For efficient processing, we deploy a linearized two-stream radiative transfer model as forward model and a profile scaling approach to adjust the CO abundance in the inversion. Based on generic measurement ensembles, including clear sky and cloudy observations, we estimated the CO retrieval precision to be ≤ 11 % for surface albedo ≥ 0.03 and solar zenith angle ≤ 70°. CO biases of ≤ 3 % are introduced by inaccuracies in the methane a priori knowledge. For strongly enhanced CO concentrations in the tropospheric boundary layer and for cloudy conditions, CO errors in the order of 8 % can be introduced by the retrieval of cloud parameters of our algorithm. Moreover, we estimated the effect of a distorted spectral instrument response due to the inhomogeneous illumination of the instrument entrance slit in the flight direction to be < 2 % with pseudo-random characteristics when averaging over space and time. Finally, the CO data exploitation is demonstrated for a TROPOMI orbit of simulated shortwave infrared measurements. Overall, the study demonstrates that for an instrument that performs in compliance with the pre-flight specifications, the CO product will meet the required product performance well.

  17. Carbon monoxide exchange and partitioning of a managed mountain meadow

    Science.gov (United States)

    Hammerle, Albin; Kitz, Florian; Spielmann, Felix; Gerdel, Katharina; Wohlfahrt, Georg

    2016-04-01

    With an average mole fraction of 100 ppb carbon monoxide (CO) plays a critical role in atmospheric chemistry and thus has an indirect global warming potential. While sources/sinks of CO on land at least partially cancel out each other, the magnitude of CO sources and sinks is highly uncertain. Even if direct CO fluxes from/to land ecosystems are very much likely clearly lower in magnitude compared to anthropogenic emissions, biomass burning, emissions from chemical precursors and the OH sink, it may be premature to neglect any direct contributions of land ecosystems to the CO budget. In addition, changes in global climate and resulting changes in global productivity may require re-evaluating older data and assumptions. One major reason for the large uncertainty is a general scarcity of empirical data. An additional factor contributing to the uncertainty is the lack of ecosystem-scale CO exchange measurements, i.e. CO flux data that encompass all sources and sinks within an ecosystem. Here we present data on continuous eddy covariance measurements of CO-fluxes above a managed mountain grassland in combination with soil chamber flux measurements, within- and above-canopy concentration profiles and an inverse Lagrangian analysis to disentangle sinks and sources of CO. Results show the grassland ecosystem to be a net source for CO during daytime, with increasing flux rates at higher solar radiation. At night, if at all, the meadow is a slight sink for CO. The same holds true regarding the soil flux measurements. Additionally, a two-month rainout experiment revealed hardly any differences in CO soil fluxes between rainout- and control-plots unless extremely dry conditions were reached.

  18. Inhibition of cellular respiration by endogenously produced carbon monoxide.

    Science.gov (United States)

    D'Amico, Gabriela; Lam, Francis; Hagen, Thilo; Moncada, Salvador

    2006-06-01

    Endogenously produced nitric oxide (NO) interacts with mitochondrial cytochrome c oxidase, leading to inhibition of cellular respiration. This interaction has been shown to have important physiological and pathophysiological consequences. Exogenous carbon monoxide (CO) is also known to inhibit cytochrome c oxidase in vitro; however, it is not clear whether endogenously produced CO can inhibit cellular respiration and, if so, what the significance of this might be. In this study, we show that exogenous CO inhibits respiration in a moderate but persistent manner in HEK293 cells under ambient (21%) oxygen concentrations (K(i) = 1.44 microM). This effect of CO was increased (K(i) = 0.35 microM) by incubation in hypoxic conditions (1% oxygen). Endogenous CO, generated by HEK293 cells transfected with the inducible isoform of haem oxygenase (haem oxygenase-1; HO-1), also inhibited cellular respiration moderately (by 12%) and this was accompanied by inhibition (23%) of cytochrome c oxidase activity. When the cells were incubated in hypoxic conditions during HO-1 induction, the inhibitory effect of CO on cell respiration was markedly increased to 70%. Furthermore, endogenously produced CO was found to be responsible for the respiratory inhibition that occurs in RAW264.7 cells activated in hypoxic conditions with lipopolysaccharide and interferon-gamma, in the presence of N-(iminoethyl)-L-ornithine to prevent the synthesis of NO. Our results indicate that CO contributes significantly to the respiratory inhibition in activated cells, particularly under hypoxic conditions. Inhibition of cell respiration by endogenous CO through its interaction with cytochrome c oxidase might have an important role in inflammatory and hypoxic conditions.

  19. Magnetic Resonance Imaging Findings in Chronic Carbon Monoxide Intoxication

    Energy Technology Data Exchange (ETDEWEB)

    Durak, A. C.; Coskun, A.; Yikilmaz, A.; Erdogan, F.; Mavili, E.; Guven, M. [Hospital of Erciyes Univ., Kayseri (Turkey). Dept. of Radiology

    2005-05-01

    Purpose: To define the cranial magnetic resonance imaging (MRI) features of the chronic stage of carbon monoxide (CO) poisoning in patients with and without neuropsychiatric sequelae. Material and Methods: Eight patients who had neither symptoms nor neurological sequelae and eight patients with neuropsychiatric sequelae were included in the study. Patients aged between 9 to 57 (mean 32.2 years). All patients had been comatose at initial admittance and awoke after normobaric 100% oxygen therapy within 1-7 days. In this study, the patients were being examined with routine cranial MRI between 1 and 10 years (mean 3.4 years) after exposure to CO. Results: The most common finding was bilateral symmetric hyperintensity of the white matter, which was more significant in the centrum semiovale, with relative sparing of the temporal lobes and anterior parts of the frontal lobes on T2-weighted and FLAIR images in all patients. Cerebral cortical atrophy was seen in 10 patients; mild atrophy of cerebellar hemispheres in 8; and vermian atrophy in 11. Corpus callosum was atrophic in one patient. Bilateral globus pallidus lesions were seen in three patients. The lesions were hypointense on T1-weighted images and hyperintense on T2-weighted and FLAIR images. Conclusion: Patients with severe CO intoxication may develop persistent cerebral changes independently of their neuropsychiatric findings in the chronic stage. They may present with characteristic MRI findings as described here, even if asymptomatic. The history of CO exposure is therefore helpful for recognizing and interpreting the MRI findings of chronic stage CO intoxication.

  20. Carbon monoxide pollution and neurodevelopment: A public health concern.

    Science.gov (United States)

    Levy, Richard J

    2015-01-01

    Although an association between air pollution and adverse systemic health effects has been known for years, the effect of pollutants on neurodevelopment has been underappreciated. Recent evidence suggests a possible link between air pollution and neurocognitive impairment and behavioral disorders in children, however, the exact nature of this relationship remains poorly understood. Infants and children are uniquely vulnerable due to the potential for exposure in both the fetal and postnatal environments during critical periods in development. Carbon monoxide (CO), a common component of indoor and outdoor air pollution, can cross the placenta to gain access to the fetal circulation and the developing brain. Thus, CO is of particular interest as a known neurotoxin and a potential public health threat. Here we review overt CO toxicity and the policies regulating CO exposure, detail the evidence suggesting a potential link between CO-associated ambient air pollution, tobacco smoke, and learning and behavioral abnormalities in children, describe the effects of subclinical CO exposure on the brain during development, and provide mechanistic insight into a potential connection between CO exposure and neurodevelopmental outcome. CO can disrupt a number of critical processes in the developing brain, providing a better understanding of how this specific neurotoxin may impair neurodevelopment. However, further investigation is needed to better define the effects of perinatal CO exposure on the immature brain. Current policies regarding CO standards were established based on evidence of cardiovascular risk in adults with pre-existing comorbidities. Thus, recent and emerging data highlighted in this review regarding CO exposure in the fetus and developing child may be important to consider when the standards and guidelines are evaluated and revised in the future.

  1. Carbon monoxide inhalation increases microparticles causing vascular and CNS dysfunction

    Energy Technology Data Exchange (ETDEWEB)

    Xu, Jiajun; Yang, Ming [Department of Emergency Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104 (United States); Kosterin, Paul [Department of Neuroscience, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104 (United States); Salzberg, Brian M. [Department of Physiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104 (United States); Milovanova, Tatyana N.; Bhopale, Veena M. [Department of Emergency Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104 (United States); Thom, Stephen R., E-mail: sthom@smail.umaryland.edu [Department of Emergency Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104 (United States)

    2013-12-01

    We hypothesized that circulating microparticles (MPs) play a role in pro-inflammatory effects associated with carbon monoxide (CO) inhalation. Mice exposed for 1 h to 100 ppm CO or more exhibit increases in circulating MPs derived from a variety of vascular cells as well as neutrophil activation. Tissue injury was quantified as 2000 kDa dextran leakage from vessels and as neutrophil sequestration in the brain and skeletal muscle; and central nervous system nerve dysfunction was documented as broadening of the neurohypophysial action potential (AP). Indices of injury occurred following exposures to 1000 ppm for 1 h or to 1000 ppm for 40 min followed by 3000 ppm for 20 min. MPs were implicated in causing injuries because infusing the surfactant MP lytic agent, polyethylene glycol telomere B (PEGtB) abrogated elevations in MPs, vascular leak, neutrophil sequestration and AP prolongation. These manifestations of tissue injury also did not occur in mice lacking myeloperoxidase. Vascular leakage and AP prolongation were produced in naïve mice infused with MPs that had been obtained from CO poisoned mice, but this did not occur with MPs obtained from control mice. We conclude that CO poisoning triggers elevations of MPs that activate neutrophils which subsequently cause tissue injuries. - Highlights: • Circulating microparticles (MPs) increase in mice exposed to 100 ppm CO or more. • MPs are lysed by infusing the surfactant polyethylene glycol telomere B. • CO-induced MPs cause neutrophil activation, vascular leak and CNS dysfunction. • Similar tissue injuries do not arise with MPs obtained from air-exposed, control mice.

  2. Compliance with Washington State's requirement for residential carbon monoxide alarms

    Directory of Open Access Journals (Sweden)

    Neil B. Hampson

    2017-03-01

    Full Text Available Carbon monoxide (CO poisoning is responsible for significant morbidity and mortality in the US. In response, a majority of states have passed legislation in recent years requiring the installation of residential CO alarms. There is, however, no published information evaluating compliance with such laws. Employees of a Seattle medical center were surveyed in 2008 regarding home use of CO and smoke alarms. Washington State enacted legislation requiring residential CO alarms by all residences by January 1, 2013. The survey was repeated in mid-2016 to evaluate compliance. In 2016, a total of 354 employees completed the survey and their responses were compared to an equal number of 2008 survey respondents matched by home ownership and ZIP code. Residential CO alarm use rose from 37% to 78% (p < 0.0001. Among homeowners, 78% had alarms while 80% of renters had them. Homeowners with the highest compliance (96% had purchased their homes since January 1, 2013 while those with the lowest compliance (73% had purchased them earlier. A majority (79% of renters without alarms reported the reason was that their landlord did not provide one, a violation of the law. Only one-half to two-thirds of all equipped homes had the required number of either CO or smoke alarms. Use of residential CO alarms increased significantly in this study population three years after law required them. Areas for further improvement include education of landlords, tenants, and longtime homeowners about the law, as well as public education regarding the number of CO and smoke alarms needed.

  3. Model simulated trend of surface carbon monoxide for the 2001-2010 decade

    Science.gov (United States)

    Yoon, J.; Pozzer, A.

    2014-05-01

    We present decadal trend estimates of surface carbon monoxide (CO), simulated using the atmospheric chemistry general circulation model ECHAM5/MESSy (EMAC) based on the emission scenarios, Representative Concentration Pathways (RCP) 8.5 for anthropogenic activity and Global Fire Emissions Database (GFED) v3.1 for biomass burning from 2001 through 2010. The spatial distribution of the modelled surface CO is evaluated with monthly Measurements Of Pollution In The Troposphere (MOPITT) thermal infrared product. The global means of correlation coefficient and relative bias for the 2001-2010 are 0.95 and -4.29%, respectively. We also find a reasonable correlation (R = 0.78) between the trends of EMAC surface CO and full 10 year monthly records from ground-based observation (World Data Centre for Greenhouse Gases, WDCGG). Over Western Europe, Eastern USA, and Northern Australia, the significant decreases of EMAC surface CO are estimated at -35.5 ± 5.8, -59.6 ± 9.1, and -13.7 ± 9.5 ppbv decade-1, respectively, with a 95% confidence interval. In contrast, the surface CO increases by +8.9 ± 4.8 ppbv decade-1 over South Asia. A high correlation (R = 0.92) between the significant changes in EMAC-simulated surface CO and total emission flux shows that the significant regional trends are attributed to the changes in primary/direct emissions from both anthropogenic activity and biomass burning. In particular, increasing trends of surface hydroxyl radical (OH) partially contribute to the decreasing trends of surface CO in Western Europe and Eastern USA.

  4. Carbon monoxide induced PPARγ SUMOylation and UCP2 block inflammatory gene expression in macrophages.

    Directory of Open Access Journals (Sweden)

    Arvand Haschemi

    Full Text Available Carbon monoxide (CO dampens pro-inflammatory responses in a peroxisome proliferator-activated receptor-γ (PPARγ and p38 mitogen-activated protein kinase (MAPK dependent manner. Previously, we demonstrated that CO inhibits lipopolysaccharide (LPS-induced expression of the proinflammatory early growth response-1 (Egr-1 transcription factor in macrophages via activation of PPARγ. Here, we further characterize the molecular mechanisms by which CO modulates the activity of PPARγ and Egr-1 repression. We demonstrate that CO enhances SUMOylation of PPARγ which we find was attributed to mitochondrial ROS generation. Ectopic expression of a SUMOylation-defective PPARγ-K365R mutant partially abolished CO-mediated suppression of LPS-induced Egr-1 promoter activity. Expression of a PPARγ-K77R mutant did not impair the effect of CO. In addition to PPARγ SUMOylation, CO-activated p38 MAPK was responsible for Egr-1 repression. Blocking both CO-induced PPARγ SUMOylation and p38 activation, completely reversed the effects of CO on inflammatory gene expression. In primary macrophages isolated form C57/BL6 male mice, we identify mitochondrial ROS formation by CO as the upstream trigger for the observed effects on Egr-1 in part through uncoupling protein 2 (UCP2. Macrophages derived from bone marrow isolated from Ucp2 gene Knock-Out C57/BL6 mice (Ucp2(-/-, produced significantly less ROS with CO exposure versus wild-type macrophages. Moreover, absence of UCP2 resulted in a complete loss of CO mediated Egr-1 repression. Collectively, these results indentify p38 activation, PPARγ-SUMOylation and ROS formation via UCP2 as a cooperative system by which CO impacts the inflammatory response.

  5. Compact Instrument for Measurement of Atmospheric Carbon Monoxide Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Southwest Sciences proposes to continue the development of a rugged, compact, and automated instrument for the high sensitivity measurement of tropospheric carbon...

  6. A satellite observation system simulation experiment for carbon monoxide in the lowermost troposphere

    Science.gov (United States)

    Edwards, David P.; Arellano, Avelino F.; Deeter, Merritt N.

    2009-07-01

    We demonstrate the feasibility of using observing system simulation experiment (OSSE) studies to help define quantitative trace gas measurement requirements for satellite missions and to evaluate the expected performance of proposed observing strategies. The 2007 U.S. National Research Council Decadal Survey calls for a geostationary (GEO) satellite mission for atmospheric composition and air quality applications (Geostationary Coastal and Air Pollution Events Mission (GEO-CAPE)). The requirement includes a multispectral (near-infrared and thermal infrared) measurement of carbon monoxide (CO) at high spatiotemporal resolution with information on lowermost troposphere concentration. We present an OSSE to assess the improvement in surface CO characterization that would result from the addition of a GEO-CAPE CO measurement to current low Earth orbit (LEO) thermal infrared-only measurements. We construct instrument simulators for these two measurement scenarios and study the case of July 2004 when wildfires in Alaska and Canada led to significant CO pollution over the contiguous United States. Compared to a control experiment, an ensemble-based data assimilation of simulated satellite observations in a global model leads to improvements in both the surface CO distributions and the time evolution of CO profiles at locations affected by wildfire plumes and by urban emissions. In all cases, an experiment with the GEO-CAPE CO measurement scenario (overall model skill of 0.84) performed considerably better than the experiment with the current LEO/thermal infrared measurement (skill of 0.58) and the control (skill of 0.07). This demonstrates the advantages of increased sampling from GEO and enhanced measurement sensitivity to the lowermost troposphere with a multispectral retrieval.

  7. Long-term trend in tropospheric carbon monoxide over the globe

    Science.gov (United States)

    Girach, I. A.; Nair, Prabha R.

    2016-05-01

    Tropospheric carbon monoxide (CO) is an air pollutant and indirect greenhouse gas which plays a major role in atmospheric chemistry involving hydroxyl (OH) radical. We utilised the remote-sensing retrievals of lower-tropospheric CO (at 900 hPa) from Measurements of Pollution in the Troposphere (MOPITT) aboard Terra-satellite for the period of ~15 years. Using simple linear regression model, we estimated the decreasing trend of ~0-2 %year-1 in the lowertropospheric CO over the globe. Utilising the in-situ measurements of surface-CO over 83 locations carried out by the NOAA (National Oceanic and Atmospheric Administration) network, we confirmed the observed negative trend as surface-CO showed decreasing trend over most of the locations. To estimate the trend in columnar CO, we utilised multiple retrievals of from different satellites, MOPITT, AIRS (Atmospheric InfraRed Sounder), and TES (Tropospheric Emission Spectrometer). All data sets show the decreasing trend of 0.2-0.5 %year-1 in columnar CO when averaged over entire globe. However, the heterogeneity in the trend is observed on regional basis. The retrievals of upper-tropospheric CO (at 200 hPa) from MOPITT and AIRS show an increasing trend of 1-4 %year-1 over the globe. However, the retrievals of upper-tropospheric CO from MLS (Microwave Limb Sounder) show decreasing trend. Further investigations are needed to confirm the trend in the upper-tropospheric CO over the globe. The decreasing trend in lower-tropospheric CO and columnar CO could be due to moistening of troposphere and/or increase in tropospheric ozone, causing increase in OH radical (strengthening the depletion of lower-tropospheric CO).

  8. A hybrid model for predicting carbon monoxide from vehicular exhausts in urban environments

    Science.gov (United States)

    Gokhale, Sharad; Khare, Mukesh

    Several deterministic-based air quality models evaluate and predict the frequently occurring pollutant concentration well but, in general, are incapable of predicting the 'extreme' concentrations. In contrast, the statistical distribution models overcome the above limitation of the deterministic models and predict the 'extreme' concentrations. However, the environmental damages are caused by both extremes as well as by the sustained average concentration of pollutants. Hence, the model should predict not only 'extreme' ranges but also the 'middle' ranges of pollutant concentrations, i.e. the entire range. Hybrid modelling is one of the techniques that estimates/predicts the 'entire range' of the distribution of pollutant concentrations by combining the deterministic based models with suitable statistical distribution models ( Jakeman, et al., 1988). In the present paper, a hybrid model has been developed to predict the carbon monoxide (CO) concentration distributions at one of the traffic intersections, Income Tax Office (ITO), in the Delhi city, where the traffic is heterogeneous in nature and meteorology is 'tropical'. The model combines the general finite line source model (GFLSM) as its deterministic, and log logistic distribution (LLD) model, as its statistical components. The hybrid (GFLSM-LLD) model is then applied at the ITO intersection. The results show that the hybrid model predictions match with that of the observed CO concentration data within the 5-99 percentiles range. The model is further validated at different street location, i.e. Sirifort roadway. The validation results show that the model predicts CO concentrations fairly well ( d=0.91) in 10-95 percentiles range. The regulatory compliance is also developed to estimate the probability of exceedance of hourly CO concentration beyond the National Ambient Air Quality Standards (NAAQS) of India. It consists of light vehicles, heavy vehicles, three- wheelers (auto rickshaws) and two

  9. Carbon monoxide formation and emissions during waste incineration in a grate-circulating fluidized bed incinerator.

    Science.gov (United States)

    Yanguo Zhang; Qinghai Li; Aihong Meng; Changhe Chen

    2011-03-01

    This paper presents an experimental study of carbon monoxide (CO) formation and emissions in both grate drying bed incinerators and circulating fluidized bed (CFB) incinerators to simulate the two key parts of a combined grate and circulating fluidized bed (grate-CFB) incinerator in order to investigate pollutant emission control in municipal solid waste (MSW) combustion that occurs in a grate-CFB incinerator utilizing a patented technology. Polyvinyl chloride, polystyrene, kitchen waste, paper, textile, etc. were chosen to simulate the MSW. The effects of temperature, air staging, and moisture on the CO formation and emissions were analysed for both the grate drying bed combustion and the CFB combustion. In the grate drying bed, the low temperatures increased the carbon to CO conversion rate which also increased slightly with the moisture content. Industrial field tests in a commercial grate-CFB incinerator showed that the CO concentration at the grate drying bed exit was very high and decreased along furnace height. The carbon to CO conversion rates were 0-20% for the grate drying bed which exceeded the range of 0.8-16% measured in a grate drying bed exit of the commercial grate-CFB incinerator tests. In the commercial grate-CFB incinerator tests, at excess air ratios ranging from 1.5-2.0 or more, the CO emissions decreased to a low and stable level, whose corresponding carbon to CO conversion rates were far lower than 0-10%. The low CO emission is one of the factors enabling the polychlorinated dibenzodioxin/polychlorinated dibenzofuran emissions to satisfy the Chinese national regulations.

  10. A Fire Department Community Health Intervention to Prevent Carbon Monoxide Poisoning Following a Hurricane

    Science.gov (United States)

    Levy, Matthew; Jenkins, J Lee; Seaman, Kevin

    2014-01-01

    Portable generators are commonly used during electrical service interruptions that occur following large storms such as hurricanes. Nearly all portable generators use carbon based fuels and produce deadly carbon monoxide gas. Despite universal warnings to operate these generators outside only, the improper placement of generators makes these devices the leading cause of engine related carbon monoxide deaths in the United States. The medical literature reports many cases of Carbon Monoxide (CO) toxicity associated with generator use following hurricanes and other weather events. This paper describes how Howard County, Maryland Fire and Rescue (HCFR) Services implemented a public education program that focused on prevention of Carbon Monoxide poisoning from portable generator use in the wake of events where electrical service interruptions occurred or had the potential to occur. A major challenge faced was communication with those members of the population who were almost completely dependent upon electronic and wireless technologies and were without redundancies. HCFR utilized several tactics to overcome this challenge including helicopter based surveillance and the use of geocoded information from the electrical service provider to identify outage areas. Once outage areas were identified, HCFR personnel conducted a door-to-door canvasing of effected communities, assessing for hazards and distributing information flyers about the dangers of generator use. This effort represents one of the first reported examples of a community-based endeavor by a fire department to provide proactive interventions designed to prevent carbon monoxide illness. PMID:24596660

  11. Correlation of computed tomography, magnetic resonance imaging and clinical outcome in acute carbon monoxide poisoning.

    Science.gov (United States)

    Ozcan, Namik; Ozcam, Giray; Kosar, Pinar; Ozcan, Ayse; Basar, Hulya; Kaymak, Cetin

    2016-01-01

    Carbon monoxide is a toxic gas for humans and is still a silent killer in both developed and developing countries. The aim of this case series was to evaluate early radiological images as a predictor of subsequent neuropsychological sequelae, following carbon monoxide poisoning. After carbon monoxide exposure, early computed tomography scans and magnetic resonance imaging findings of a 52-year-old woman showed bilateral lesions in the globus pallidus. This patient was discharged and followed for 90 days. The patient recovered without any neurological sequela. In a 58-year-old woman exposed to carbon monoxide, computed tomography showed lesions in bilateral globus pallidus and periventricular white matter. Early magnetic resonance imaging revealed changes similar to that like in early tomography images. The patient recovered and was discharged from hospital. On the 27th day of exposure, the patient developed disorientation and memory impairment. Late magnetic resonance imaging showed diffuse hyperintensity in the cerebral white matter. White matter lesions which progress to demyelination and end up in neuropsychological sequelae cannot always be diagnosed by early computed tomography and magnetic resonance imaging in carbon monoxide poisoning. Copyright © 2014 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved.

  12. Compact Reconnaissance Imaging Spectrometer Observations of Water Vapor and Carbon Monoxide

    Science.gov (United States)

    Smith, Michael D.; Wolff, Michael J.; Clancy, R. Todd; Murchie, Scott L.

    2009-01-01

    The Compact Reconnaissance Imaging Spectrometer for Mars (CRISM) onboard the Mars Reconnaissance Orbiter (MRO) spacecraft began taking observations in September 2006 and has now collected more than a full Martian year of data. Retrievals performed using the near-infrared spectra obtained by CRISM are used to characterize the seasonal and spatial variation of the column abundance of water vapor and the column-averaged mixing ratio of carbon monoxide. CRISM retrievals show nominal behavior in water vapor during northern hemisphere spring and summer with maximum abundance reaching 50 precipitable micrometers. Water vapor abundance during the southern hemisphere spring and summer appears significantly reduced compared to observations by other instruments taken during previous years. The CRISM retrievals show the seasonally and globally averaged carbon monoxide mixing ratio to be 700 ppm, but with strong seasonal variations at high latitudes. The summertime near-polar carbon monoxide mixing ratio falls to 200 ppm in the south and 400 ppm in the north as carbon dioxide sublimates from the seasonal polar ice caps and dilutes noncondensable species including carbon monoxide. At low latitudes, the carbon monoxide mixing ratio varies in response to the mean seasonal cycle of surface pressure.

  13. Vapor Pressure and Evaporation Coefficient of Silicon Monoxide over a Mixture of Silicon and Silica

    Science.gov (United States)

    Ferguson, Frank T.; Nuth, Joseph A., III

    2012-01-01

    The evaporation coefficient and equilibrium vapor pressure of silicon monoxide over a mixture of silicon and vitreous silica have been studied over the temperature range (1433 to 1608) K. The evaporation coefficient for this temperature range was (0.007 plus or minus 0.002) and is approximately an order of magnitude lower than the evaporation coefficient over amorphous silicon monoxide powder and in general agreement with previous measurements of this quantity. The enthalpy of reaction at 298.15 K for this reaction was calculated via second and third law analyses as (355 plus or minus 25) kJ per mol and (363.6 plus or minus 4.1) kJ per mol respectively. In comparison with previous work with the evaporation of amorphous silicon monoxide powder as well as other experimental measurements of the vapor pressure of silicon monoxide gas over mixtures of silicon and silica, these systems all tend to give similar equilibrium vapor pressures when the evaporation coefficient is correctly taken into account. This provides further evidence that amorphous silicon monoxide is an intimate mixture of small domains of silicon and silica and not strictly a true compound.

  14. Correlation of computed tomography, magnetic resonance imaging and clinical outcome in acute carbon monoxide poisoning

    Directory of Open Access Journals (Sweden)

    Namik Ozcan

    Full Text Available Abstract Background and objectives: Carbon monoxide is a toxic gas for humans and is still a silent killer in both developed and developing countries. The aim of this case series was to evaluate early radiological images as a predictor of subsequent neuropsychological sequelae, following carbon monoxide poisoning. Case 1: After carbon monoxide exposure, early computed tomography scans and magnetic resonance imaging findings of a 52-year-old woman showed bilateral lesions in the globus pallidus. This patient was discharged and followed for 90 days. The patient recovered without any neurological sequela. Case 2: In a 58-year-old woman exposed to carbon monoxide, computed tomography showed lesions in bilateral globus pallidus and periventricular white matter. Early magnetic resonance imaging revealed changes similar to that like in early tomography images. The patient recovered and was discharged from hospital. On the 27th day of exposure, the patient developed disorientation and memory impairment. Late magnetic resonance imaging showed diffuse hyperintensity in the cerebral white matter. Conclusion: White matter lesions which progress to demyelination and end up in neuropsychological sequelae cannot always be diagnosed by early computed tomography and magnetic resonance imaging in carbon monoxide poisoning.

  15. The Effect of Carbon Monoxide Poisoning on Platelet Volume in Children

    Directory of Open Access Journals (Sweden)

    Halise Akça

    2017-04-01

    Full Text Available Introduction: Carbon monoxide poisoning is one of the most important causes of morbidity and mortality. There is increasing evidence supporting the important role of mean platelet volume (MPV as a marker of hypoxia and inflammation. In this study, we aimed to determine changes in MPV values in pediatric patients with carbon monoxide poisoning. Methods: We retrospectively evaluated children who were diagnosed with carbon monoxide poisoning in our hospital between January 2005 and 2014. Results: We included 228 children with carbon monoxide poisoning (49% male in this retrospective, controlled study. The mean age of the patients was 88±56 months. Control group consisted of 200 age-matched healthy children. There was no statistically significant difference in MPV levels between the study and control groups (8.43±1.1 fL and 8.26±0.7 fL, respectively. No correlation of MPV and platelet count with carboxyhemoglobin (COHb was found. Conclusion: In our study, it was determined that MPV value was not a helpful parameter for predicting the diagnosis of acute carbon monoxide poisoning in childhood. The difference between the MPV values and the lack of significance and the absence of correlation between MPV value and COHb level led to the fact that MPV was not a guide indicating the clinical severity of the condition.

  16. 76 FR 54293 - Review of National Ambient Air Quality Standards for Carbon Monoxide

    Science.gov (United States)

    2011-08-31

    ... are typically very low because optimized fuel consumption conditions make boiler combustion highly... originates indoors from sources such as gas stoves, tobacco smoke and gas furnaces (ISA, section 3.6; REA... effects (ISA, p. 2- 10).\\7\\ In addition, the high oxygen consumption of the heart, together with...

  17. 76 FR 8157 - National Ambient Air Quality Standards for Carbon Monoxide

    Science.gov (United States)

    2011-02-11

    ... determinations proposed by the Administrator are noted. Although they identify the reasoning that supports this... 3-2; PA, Figure 1-1; 2005 NEI \\5\\). The role of mobile source emissions is evident in the spatial and temporal patterns of ambient CO concentrations, which are heavily influenced by the patterns...

  18. Neurological Effects of Acute Carbon Monoxide Poisoning in Children

    Directory of Open Access Journals (Sweden)

    Coskun YARAR

    2009-11-01

    Full Text Available Carbon monoxide poisoning (COP is one of the most common causes of mortality and morbidity due to poisoning in all over the world. Although the incidence of COP has not been known exactly in the childhood, almost one-third of CO exposures occurred in children. The data regarding COP in children are inconclusive. Children may be more vulnerable to CO exposure than adults as a result of their high respiration and metabolic rates, high oxygen metabolism, and immature central nervous system. Recent researches proposed new theories about neurological effects of CO toxicity. The clinical presentations associated acute COP may be various and nonspecific. Unrecognized CO exposure may lead to significant morbidity and mortality. CO exposed children often become symptomatic earlier, and recover more rapidly, than similarly CO exposed adults. Mild clinical signs and symptoms associated with COP are headache, dizziness, weakness, lethargy, and myalgia; however, severe signs and symptoms such as blurred vision, syncope, convulsion, coma, cardiopulmonary arrest and death can also accompany with COP. Neurologic manifestations can include altered mental status at different degrees, neck stiffness, tremor, ataxia, and positive Babinski's sign. Delayed neurologic sequels (DNS of COP might be seen in children like adults. DNS symptoms and signs in children include memory problems, mental retardation, mutism, fecal and urinary incontinence, motor deficits, facial palsy, psychosis, chronic headache, seizures, and epilepsy. After CO exposure children must be cared to detect and treat DNS. Although hyperbaric oxygen therapy (HBOT is reported to prevent development of DNS, its indications, application duration and procedures are controversial in both of the children and adults. Although their predictive values are limited, exposing to CO more than eight hours and suffering from CO-induced coma, cardiac arrest, lactic acidosis, high COHb levels, and pathologic findings

  19. Carbon Monoxide Promotes Lateral Root Formation in Rapeseed

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Carbon monoxide (CO), an odorless, tasteless and colorless gas, has recently proved to be an important bioactive or signal molecule in mammalian cells, with its effects mediated mainly by nitric oxide (NO). In the present report, we show that exogenous CO induces lateral root (LR) formation, an NO-dependent process. Administration of the CO donor hematin to rapeseed (Brassica napus L. Yangyou 6) seedlings for 3 days, dose-dependently promoted the total length and number of LRs. These responses were also seen following the application of gaseous CO aqueous solutions of different saturated concentrations. Furthermore, the actions of CO on seedlings were fully reversed when the CO scavenger hemoglobin (Hb)or the CO-specific synthetic inhibitor zinc protoporphyrin-Ⅸ (ZnPPIX) were added. Interestingly, depletion of endogenous NO using its specific scavenger 2-(4-carboxyphenyl)-4,4,5,5-tetramethylimidazoline-1-oxyl-3-oxide potassium salt (cPTIO)or the nitric oxide synthase (NOS) inhibitor NG-nitro-L-arginine methyl ester (L-NAME), led to the complete abolition of LR development, illustrating an important role for endogenous NO in the action of CO on LR formation. However, the or absence of ZnPPIX. Furthermore, using an anatomical approach combined with laser scanning confocal microscopy with the NO-specific fluorophore 4,5-diaminofluorescein diacetate, we observed that both hematin and SNP increased NO release compared with control samples and that the NO signal was mainly distributed in the LR primordia (LRP), especially after 36 h treatment. The LRP were found to have similar morphology in control, SNP- and hematin-treated seedlings.Similarly, the enhancement of the NO signal by CO at 36 h was differentially quenched by the addition of cPTIO, L-NAME,ZnPPIX and Hb. In contrast, the induction of NO caused by SNP was not affected by the application of ZnPPIX. Therefore,we further deduced that CO induces LR formation probably mediated by the NO/NOS pathway and NO may act

  20. Snowmelt onset hinders bromine monoxide heterogeneous recycling in the Arctic

    Science.gov (United States)

    Burd, Justine A.; Peterson, Peter K.; Nghiem, Son V.; Perovich, Don K.; Simpson, William R.

    2017-08-01

    Reactive bromine radicals (bromine atoms, Br, and bromine monoxide, BrO) deplete ozone and alter tropospheric oxidation chemistry during the Arctic springtime (February-June). As spring transitions to summer (May-June) and snow begins to melt, reactive bromine events cease and BrO becomes low in summer. In this study, we explore the relationship between the end of the reactive bromine season and snowmelt timing. BrO was measured by Multi-AXis Differential Optical Absorption Spectrometer at Utqiaġvik (Barrow), AK, from 2012 to 2016 and on drifting buoys deployed in Arctic sea ice from 2011 to 2016, a total of 13 site and year combinations. The BrO seasonal end date (SED) was objectively determined and was compared to surface-air-temperature-derived melt onset date (MOD). The SED was highly correlated with the MOD (N = 13, R2 = 0.983, RMS = 1.9 days), and BrO is only observed at subfreezing temperatures. In subsets of these sites and years where ancillary data were available, we observed that snowpack depth reduced and rain precipitation occurred within a few days of the SED. These data are consistent with snowpack melting hindering BrO recycling, which is necessary to maintain enhanced BrO concentrations. With a projected warmer Arctic, a shift to earlier snowmelt seasons could alter the timing and role of halogen chemical reactions in the Arctic with impacts on ozone depletion and mercury deposition.Plain Language SummaryReactive bromine events in the Arctic are common in spring and deplete ozone and cause mercury deposition. These events are affected by snow and ice, which are changing in the Arctic; therefore, we need to understand how environmental conditions affect reactive bromine chemistry. We find that the reactive bromine season ends when snowpack begins to melt. Through these full seasonal observations, we find that reactive bromine events occur to warmer temperatures than previously reported, with 0°C being the observed threshold above which reactive

  1. Multimodality evoked potentials in patients with delayed encephalopathy after acute carbon monoxide poisoning

    Institute of Scientific and Technical Information of China (English)

    Xiahong Wang; Bo Xiao; Renjun Gu; Lan Xiao; Yi Yang; Yinhui Hao; Nini Wang; Junlin Mu; Jinggang Yin

    2006-01-01

    Objective: To evaluate the diagnostic and prognostic values in patients with delayed encephalopathy after acute carbon monoxide poisoning. Methods: The tibial nerve somatosensory evoked potentials (SEPs), vision evoked potentials (VEPs), and brain stem audition evoked potentials(BAEPs) were performed in 32 healthy adults and 43 patients with delayed encephalopathy after acute carbon monoxide poisoning. Results: This paper indicated abnormalities of tibial nerve SEPs in 31 patients (31/43, 72.1%), VEPs in 17 patients (17/28, 60.7%), and BAEPs in 14 patients (14/43, 32.6%). These results showed that the greatest diagnostic value was SEPs, followed by VEPs and, BAEPs with the lowest sensitivity. Conclusion: Multimodality evoked potentials (EPs) can be used for evaluating the diagnostic and prognostic values in cases of delayed encephalopathy after acute carbon monoxide poisoning.

  2. St. Mary's Villa carbon monoxide accumulation incident review

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2011-05-15

    On December 26th 2010, carbon monoxide accumulation within St. Mary's Villa led to the deaths of 3 residents. This extended care facility, located in Humboldt, Saskatchewan, was constructed in 1962 and periodic additions to the building were made up to 1990. The Saskatoon Health Region, which operates the facility, hired March Consulting Associates Inc. to perform a review of the investigation reports of the incident. This review demonstrated that during the night of December 25th to December 26th, 2010, several factors, including large gaps in the make-up air unit and extreme wind, led to backdraft conditions in a boiler of the dust wing mechanical room. Exhaust gases, including carbon monoxide, then built up in the room and were blown into the dust wing by the supply air fan. The report indicates the accumulation of carbon monoxide was not caused by one factor but several.

  3. Substantially isotactic, linear, alternating copolymers of carbon monoxide and an olefin

    Science.gov (United States)

    Sen, Ayusman; Jiang, Zhaozhong

    1996-01-01

    The compound, [Pd(Me-DUPHOS)(MeCN).sub.2 ](BF.sub.4).sub.2, [Me-DUPHOS: 1,2-bis(2,5-dimethylphospholano)benzene] is an effective catalyst for the highly enantioselective, alternating copolymerization of olefins, such as aliphatic .alpha.-olefins, with carbon monoxide to form optically active, isotactic polymers which can serve as excellent starting materials for the synthesis of other classes of chiral polymers. For example, the complete reduction of a propylene-carbon monoxide copolymer resulted in the formation of a novel, optically active poly(1,4-alcohol). Also, the previously described catalyst is a catalyst for the novel alternating isomerization cooligomerization of 2-butene with carbon monoxide to form optically active, isotactic poly(1,5-ketone)

  4. Carbon Dioxide in Exoplanetary Atmospheres: Rarely Dominant Compared to Carbon Monoxide and Water

    CERN Document Server

    Heng, Kevin

    2015-01-01

    We present a comprehensive study of the abundance of carbon dioxide in exoplanetary atmospheres. We construct analytical models of systems in chemical equilibrium that include carbon monoxide, carbon dioxide, water, methane and acetylene and relate the equilibrium constants of the chemical reactions to temperature and pressure via the tabulated Gibbs free energies. We prove that such chemical systems may be described by a quintic equation for the mixing ratio of methane. By examining the abundances of these molecules across a broad range of temperatures (spanning equilibrium temperatures from 600 to 2500 K), pressures (via temperature-pressure profiles that explore albedo and opacity variations) and carbon-to-oxygen ratios (from 0.1 to 100), we conclude that carbon dioxide is subdominant compared to carbon monoxide and water. Atmospheric mixing does not alter this conclusion if carbon dioxide is subdominant everywhere in the atmosphere. Carbon dioxide and carbon monoxide may attain comparable abundances if th...

  5. Assessment of exposure to carbon monoxide group of firefighters from fire fighting and rescue units

    Directory of Open Access Journals (Sweden)

    Jadwiga Lembas-Bogaczyk

    2011-03-01

    Full Text Available Firemen threat during fire burning of chemical substances indicated presence of carbon monoxide (CO in all cases. Carbon monoxide causes death of fire. Inhaled through respiratory system, links with hemoglobin, thus blocking transport and distribution of oxygen in the body. This leads to tissue anoxia, which is a direct threat to firefighters’ life. The purpose of this study was to assess the exposure to carbon monoxide of participating firefighters extinguishing fire. Estimation of carbon monoxide quantity absorbed by firefighters was isolated in a group of 40 firefighters from Fire Extinguishing and Rescue Unit of State Fire in Nysa. The study was conducted by measuring carbon monoxide in exhaled air. For measurement of carbon monoxide concentration in exhaled air Micro CO meter was used. Results were demonstrated separately for nonsmokers (n425 and smokers (n415. Mean COHb[%] levels in nonsmokers, measured prior the rescue action was 0,3950,3% and increased statistically significant after the action to 0,6150,34%, while in the group smokers, this level was 2,1750,64% before the action and increased insignificantly after the action to 2,3350,63%. The average COHb level in the same groups before and after exercise, was respectively: for nonsmokers prior to exercise was 0,4850,28% and after exercise decreased statistically significant to 0,3050,27%. In the group of smokers before exercise was 2,2350,61% and decreased statistically significant up to 1,5450,71%. It was no difference between the group of age and time of employment.

  6. Experimental and Theoretical Mechanistic Investigation of the Iridium-Catalyzed Dehydrogenative Decarbonylation of Primary Alcohols

    DEFF Research Database (Denmark)

    Olsen, Esben Paul Krogh; Singh, Thishana; Harris, Pernille;

    2015-01-01

    The mechanism for the iridium-BINAP catalyzed dehydrogenative decarbonylation of primary alcohols with the liberation of molecular hydrogen and carbon monoxide was studied experimentally and computationally. The reaction takes place by tandem catalysis through two catalytic cycles involving dehyd...... a rate-determining phosphine dissociation for the decarbonylation of aldehydes....

  7. Health Professionals' Perspectives on Exercise Referral and Physical Activity Promotion in Primary Care: Findings from a Process Evaluation of the National Exercise Referral Scheme in Wales

    Science.gov (United States)

    Din, Nafees U.; Moore, Graham F.; Murphy, Simon; Wilkinson, Clare; Williams, Nefyn H.

    2015-01-01

    Background and objectives: Referring clinicians' experiences of exercise referral schemes (ERS) can provide valuable insights into their uptake. However, most qualitative studies focus on patient views only. This paper explores health professionals' perceptions of their role in promoting physical activity and experiences of a National Exercise…

  8. Cyclic process for producing methane from carbon monoxide with heat removal

    Science.gov (United States)

    Frost, Albert C.; Yang, Chang-lee

    1982-01-01

    Carbon monoxide-containing gas streams are converted to methane by a cyclic, essentially two-step process in which said carbon monoxide is disproportionated to form carbon dioxide and active surface carbon deposited on the surface of a catalyst, and said carbon is reacted with steam to form product methane and by-product carbon dioxide. The exothermic heat of reaction generated in each step is effectively removed during each complete cycle so as to avoid a build up of heat from cycle-to-cycle, with particularly advantageous techniques being employed for fixed bed, tubular and fluidized bed reactor operations.

  9. Ab initio molecular dynamics simulation study of successive hydrogenation reactions of carbon monoxide producing methanol

    Science.gov (United States)

    Pham, Thi Nu; Ono, Shota; Ohno, Kaoru

    2016-04-01

    Doing ab initio molecular dynamics simulations, we demonstrate a possibility of hydrogenation of carbon monoxide producing methanol step by step. At first, the hydrogen atom reacts with the carbon monoxide molecule at the excited state forming the formyl radical. Formaldehyde was formed after adding one more hydrogen atom to the system. Finally, absorption of two hydrogen atoms to formaldehyde produces methanol molecule. This study is performed by using the all-electron mixed basis approach based on the time dependent density functional theory within the adiabatic local density approximation for an electronic ground-state configuration and the one-shot GW approximation for an electronic excited state configuration.

  10. [Effect of lead and carbon monoxide under the condition of diabetic metabolism (author's transl)].

    Science.gov (United States)

    Schlipköter, H W; Klitzke, M; Unnewehr, J

    1979-06-01

    The NZO-Mice were used to study the influence of carbon monoxide and lead under the condition of diabetic metabolism. The animals treated with 80 ppm (COHb 10.81) showed significantly lower tolerance for glucose. Even after removing the burden of carbon monoxide for 50 days, the blood sugar level after glucose tolerance test remained in experimental animals significantly higher than in controls (20-min-value). The NZO-Mice after enteral lead exposition showed no significant changes of the condition of the diabetic metabolism after the glucose tolerance test. However, the NZO-Mice, compared to NMRI mice and rats, reached significantly higher level of blood sugar.

  11. Toward Carbon Monoxide-Based Therapeutics: Critical Drug Delivery and Developability Issues.

    Science.gov (United States)

    Ji, Xingyue; Damera, Krishna; Zheng, Yueqin; Yu, Bingchen; Otterbein, Leo E; Wang, Binghe

    2016-02-01

    Carbon monoxide (CO) is an intrinsic signaling molecule with importance on par with that of nitric oxide. During the past decade, pharmacologic studies have amply demonstrated the therapeutic potential of carbon monoxide. However, such studies were mostly based on CO inhalation and metal-based CO-releasing molecules. The field is now at the stage that a major effort is needed to develop pharmaceutically acceptable forms of CO for delivery via various routes such as oral, injection, infusion, or topical applications. This review examines the state of the art, discusses the existing hurdles to overcome, and proposes developmental strategies necessary to address remaining drug delivery issues.

  12. Range Measurements of keV Hydrogen Ions in Solid Oxygen and Carbon Monoxide

    DEFF Research Database (Denmark)

    Schou, Jørgen; Sørensen, H.; Andersen, H.H.

    1984-01-01

    Ranges of 1.3–3.5 keV/atom hydrogen and deuterium molecular ions have been measured by a thin-film reflection method. The technique, used here for range measurements in solid oxygen and carbon monoxide targets, is identical to the one used previously for range measurements in hydrogen and nitrogen....... The main aim was to look for phase-effects, i.e. gas-solid differences in the stopping processes. While measured ranges in solid oxygen were in agreement with known gas data, the ranges in solid carbon monoxide were up to 50% larger than those calculated from gas-stopping data. The latter result agrees...

  13. Carbon Monoxide Poisoning during Pregnancy: Presentation of a Rare Severe Case with Fetal Bladder Complications

    Directory of Open Access Journals (Sweden)

    Myriam Delomenie

    2015-01-01

    Full Text Available Carbon monoxide poisoning during pregnancy is a rare and potentially serious condition. Fetal complications are uncommon, related to anoxic lesions. The severity of these complications does not depend on the level of maternal COHb. We report the case of a 22-year-old pregnant woman who at 30 weeks of gestation had carbon monoxide poisoning secondary to a fire in her home, complicated by cardiac arrest and severe fetal damage. The child had not brain damage, but presented bladder lesions not previously described, with urinary ascites complicating megacystis.

  14. Isolated symmetrical bilateral basal ganglia T2 hyperintensity in carbon monoxide poisoning

    Directory of Open Access Journals (Sweden)

    Subhaschandra S

    2008-01-01

    Full Text Available Carbon monoxide poisoning is not uncommon during the winter months. To make a diagnosis, strong clinical suspicion and acumen, and history of the exposure are necessary. Many a time, the presenting complaints may fail to help reach a diagnosis, in the absence of history. Imaging plays a role in the diagnosis of brain injury with the characteristic features, which are correlated with the clinical profile. Isolated bilateral basal ganglia injury revealing T2 hyperintensity in MRI may be observed in acute carbon monoxide poisoning.

  15. Untangling the Energetics and Dynamics of Boron Monoxide Radical Reactions (11BO; X2Sigma+)

    Science.gov (United States)

    2015-04-15

    energy-density molecules and builds up on our previously successful synthesis of higher carbon oxides COx (x=3-6). Higher-order carbon sulfides - carbon...3.1. Crossed Beam Reactions of Boron Monoxide with Acetylene anmd Ethylene (P1, P8) The reaction dynamics of boron monoxide (BO; X2Σ...with acetylene (C2H2; X1Σg+) and with ethylene (C2H4; X1Ag) were investigated under single collision conditions at collision energy of 12 to 13 kJ mol

  16. 77 FR 31351 - Adequacy Determination for Aspen PM10 and Fort Collins Carbon Monoxide Maintenance Plans' Motor...

    Science.gov (United States)

    2012-05-25

    ... 93.118(e)(4), which was promulgated August 15, 1997 (62 FR 43780). We described our process for... (69 FR 40004). In addition, in certain areas with monitored ambient carbon monoxide (CO) values... AGENCY Adequacy Determination for Aspen PM and Fort Collins Carbon Monoxide Maintenance Plans'...

  17. Utility of the Measurement of Carboxyhemoglobin Level at the Site of Acute Carbon Monoxide Poisoning in Rural Areas

    Directory of Open Access Journals (Sweden)

    Makoto Onodera

    2016-01-01

    Full Text Available Objective. This study examined the hypothesis that correlations exist between the carbon monoxide exposure time and the carboxyhemoglobin concentration at the site of carbon monoxide poisoning, using a pulse carbon monoxide oximeter in rural areas or the carboxyhemoglobin concentration measured at a given medical institution. Background. In previous studies, no definitive relationships between the arterial blood carboxyhemoglobin level and the severity of carbon monoxide poisoning have been observed. Method. The subjects included patients treated for acute carbon monoxide poisoning in whom a medical emergency team was able to measure the carboxyhemoglobin level at the site of poisoning. We examined the relationship between the carboxyhemoglobin level at the site of poisoning and carbon monoxide exposure time and the relationships between the arterial blood carboxyhemoglobin level and carbon monoxide exposure time. Results. A total of 10 patients met the above criteria. The carboxyhemoglobin levels at the site of poisoning were significantly and positively correlated with the exposure time (rs = 0.710, p=0.021, but the arterial blood carboxyhemoglobin levels were not correlated with the exposure time. Conclusion. In rural areas, the carboxyhemoglobin level measured at the site of carbon monoxide poisoning correlated with the exposure time.

  18. Electrochemical oxidation of carbon monoxide: from platinum single crystals to low temperature fuel cells catalysts. Part I: Carbon monoxide oxidation onto low index platinum single crystals

    Directory of Open Access Journals (Sweden)

    PHILIP N. ROSS JR

    2001-12-01

    Full Text Available The electrochemical oxidation of carbon monoxide and the interfacial structure of the CO adlayer (COads on platinum low index single crystals, Pt(111, Pt(100 and two reconstruction of Pt(110, were examined using the rotation disk electrode method in combination with the in situ surface X-ray diffraction scattering technique. The mechanism of CO oxidation is discussed on the basis of the findings that, depending on the potential, two energetic states of COads exist on the platinum surfaces. Thus, at lower potentials, weakly bonded states (COads,w and at higher potentials strongly bonded states (COads,s are formed. The mechanism of the oxidation of hydrogen-carbon monoxide mixtures is also proposed.

  19. International comparison CCQM-K84—carbon monoxide in synthetic air at ambient level

    Science.gov (United States)

    Lee, Jeongsoon; Moon, Dongmin; Lee, Jinbok; Lim, Jeongsik; Hall, Brad; Novelli, Paul; Brewer, Paul J.; Miller, Michael; Murugun, Arul; Doval Minarro, Marta; Qiao, Han; Shuguo, Hu; Konopelko, L. A.; Kustikov, Y. A.; Kolobova, A. V.; Pankratov, V. V.; Wasserman, I. I.; Zav'yalov, S. V.; Efremova, O. V.; Pavlov, M. V.; Mitchell, Gerald; Guenther, Frank; Walden, Jari; Aoki, Nobuyuki; Shimosaka, Takuya; Tatiana, Mace; Lagler, F.; Borowiak, Annette

    2017-01-01

    Carbon monoxide (CO) is reported to mainly be emitted from industries, transportation, and burnings for various usages. Its atmospheric lifetime varies from weeks to months, depending on the mixing ratio of the highly reactive hydroxyl radical. Even though the ambient level of CO varies as a function of regional sources, the mixing ratio ranges from 30 nmol/mol to 300 nmol/mol at the marine boundary layers and from 100 nmol/mol to more than 500 nmol/mol in urban areas(1). In order to study temporal trends and regional variations of the level of CO, the National Oceanic & Atmospheric Administration/Earth System Research Laboratory-Global Monitoring Division (NOAA/ESRL-GMD(2)) has played a key role as the designated Central Calibration Laboratory (CCL) within the frame of the World Meteorological Organization (WMO) Global Atmosphere Watch (GAW) program. NOAA/ESRL-GMD provides natural air standards, analyzed for CO, to WMO GAW participants. Since the structure of WMO traceability chain appears hierarchical and explicit all over the world, WMO intends to improve the CO measurement compatibility to up to 2 ppb (in case of extensive compatibility goal: 5 ppb, GAW report No. 213(3)) in order to ensure compatibility through the GAW network. Nevertheless, accurate measurement of CO at an ambient level has proven to be difficult due to the lack of stability in cylinders. For these reasons, it is necessary that measured results are compared among the values assigned by various NMIs. This key comparison was initially proposed to be aimed at a CO/N2 standard in the 2010 CCQM meeting by KRISS. With participation of FMI, NOAA, and Empa, a modified scheme of CO/air standards was developed for the purpose of atmospheric observations and co-operative support to WMO/GAW activities. Therefore, the purpose of the comparison is to support the measurement capability of CO at an ambient level of 350 nmol/mol. Further, this key comparison is expected to contribute to the establishment of

  20. In-hospital organization of primary care of patients presenting a life-threatening emergency: A French national survey in 32 university hospitals.

    Science.gov (United States)

    Quintard, Hervé; Severac, Mathilde; Martin, Claude; Ichai, Carole

    2015-08-01

    The development of specialized units dedicated to life-threatening management has demonstrated to improve the prognosis of patients requiring such treatments. However, apart those focused on trauma and stroke, networks are still lacking in France. Despite, the implementation of standardisation of practices and guidelines, particularly in prehospital care, in-hospital clinical practices at admission remain heterogenous. This survey aimed to assess the structural and human organization of teaching hospitals in France concerning the primary in-hospital care for critically ill patients. A questionnaire of 45 items was sent by e-mail to 32 teaching hospitals between January and March 2013. It included information related to the description of the emergency department, of ICUs, and both structural and human organizations for primary in-hospital care of life-threatening patients. Seventy-five percent of teaching hospitals answered to the survey. Seven hundred to 1400 patients were admitted to emergency units per week and among them 10 to 20 were admitted for critically ill conditions. These latter were addressed in a specialized room of the emergency unit (Service d'admission des urgences vitales [SAUV]) in 40% of hospitals and in specialized room in ICU in 18% of cases. Intensivists were involved in 50% of hospitals, emergency physicians in 26% and it was mixed in 24% of hospitals. This survey is the first to assess the in-hospital organization of primary care for instable and life-threatening patients in France. Our results confirmed the extreme heterogeneity of structural and human organizations for primary in-hospital care of patients presenting at least one organ failure. Thus, a consensus is probably needed to homogenize and improve our practices. Copyright © 2015 Société française d’anesthésie et de réanimation (Sfar). Published by Elsevier Masson SAS. All rights reserved.

  1. Primary Care Providers' Views of Recent Trends in Health Care Delivery and Payment. Findings from the Commonwealth Fund/Kaiser Family Foundation 2015 National Survey of Primary Care Providers.

    Science.gov (United States)

    2015-08-01

    A new survey from The Commonwealth Fund and The Kaiser Family Foundation asked primary care providers--physicians, nurse practitioners, and physician assistants--about their experiences with and reactions to recent changes in health care delivery and payment. Providers' views are generally positive regarding the impact of health information technology on quality of care, but they are more divided on the increased use of medical homes and accountable care organizations. Overall, providers are more negative about the increased reliance on quality metrics to assess their performance and about financial penalties. Many physicians expressed frustration with the speed and administrative burden of Medicaid and Medicare payments. An earlier brief focused on providers' experiences under the ACA's coverage expansions and their opinions about the law.

  2. Promoting high quality care for all at the end of life: review of NHS National End of Life Care Programme 2004–2007 and implications for primary care

    OpenAIRE

    Henry, Claire; Hayes, Anita

    2009-01-01

    Background Research shows most people want to die at home yet most in fact die in hospital. The underlying reason for this mismatch is that health and social care services struggle to respond satisfactorily to people's varying end of life care needs. The creation of the National End of Life Care Programme in 20041 and the launch of the End of Life Care Strategy in 20082 were designed to improve this situation.

  3. THE PRIMARY FACTORS OF THE NATIONAL STRATEGY FOR UTILISING “GREEN ENERGY†(BIOMASS) BY INCINERATION TECHNOLOGY

    OpenAIRE

    Gergely, Sandor

    2006-01-01

    On the basis of the current trends we can state that green energy production is becoming increasingly important in the utilisation of agricultural areas. In our paper we compare the characteristics of land utilisation by energy forests, energy grass, energy hemp, and china reed (Myscanthus gigantheus). The analysis is based on market position, equity requirements and profitability, the effects on the national economy and/or on a particular region, as well as the environmental and social effec...

  4. Efficacy and safety of human papillomavirus vaccine for primary prevention of cervical cancer: A review of evidence from phase III trials and national programs

    Directory of Open Access Journals (Sweden)

    Partha Basu

    2013-01-01

    Full Text Available The Human Papillomavirus (HPV vaccines have been widely introduced in the national immunization programs in most of the medium and high income countries following endorsement from national and international advisory bodies. HPV vaccine is unique and its introduction is challenging in many ways - it is the first vaccine developed to prevent any cancer, the vaccine is gender specific, it targets adolescent females who are difficult to reach by any health intervention programs. It is not unusual for such a vaccine to face scepticism and reservations not only from lay public but also from professionals in spite of the clinical trial results convincingly and consistently proving their efficacy and safety. Over the last few years millions of doses of the HPV vaccine have been administered round the world and the efficacy and safety data have started coming from the real life programs. A comprehensive cervical cancer control program involving HPV vaccination of the adolescent girls and screening of the adult women has been proved to be the most cost-effective approach to reduce the burden of cervical cancer. The present article discusses the justification of HPV vaccination in the backdrop of natural history of cervical cancer, the mechanism of action of the vaccines, efficacy and safety data from phase III randomized controlled trials as well as from the national immunization programs of various countries.

  5. 独立式大学科技园布局浅析%Primary Analysis of Distribution Patterns of Independent National University Science Park

    Institute of Scientific and Technical Information of China (English)

    卢植

    2016-01-01

    我国国家大学科技园区的建设呈现多样化的趋势,其中一种主要的类型是大学科技园区远离高校,位于城市边缘的高新区形成的独立式布局的大学科技园区。笔者分析了这一类型园区的特点,列举了这种类型大学科技园区的空间布局形式,并探索这种类型的大学科技园区的规律。%The construction of the National University Science and Technology Park in our country presents the trend of diversification, of which a major type is located in the edge of the city of the high-tech Zone to form a separate layout of National University Science Park. The author analyzes the characteristics of this type, lists the distribution paterns of this type, and explores the regular patern of this type of National University Science Park.

  6. Carbon Monoxide Accumulation in the Extravehicular Mobility Unit

    Science.gov (United States)

    Conkin, J.; Norcrosss, J. R.; Alexander, D. J.; Sanders, R. W.; Makowski, M. S.

    2016-01-01

    Introduction: Life support technology in large closed systems like submarines and space stations catalyzes carbon monoxide (CO) to carbon dioxide, which is easily removed. However, in a small system like the Extravehicular Mobility Unit (EMU), spacesuit, CO from exogenous (contaminated oxygen (O (sub 2) supply) and endogenous (human metabolism) sources will accumulate in the free suit volume. The free volume becomes a sink for CO that is rebreathed by the astronaut. The accumulation through time depends on many variables: the amount absorbed by the astronaut, the amount produced by the astronaut (between 0.28 and 0.34 ?moles per hour per kilogram)[1], the amount that enters the suit from contaminated O (sub 2), the amount removed through suit leak, the free volume of the suit, and the O (sub 2) partial pressure[2], just to list a few. Contamination of the EMU O (sub 2) supply with no greater than 1 part per million CO was the motivation for empirical measurements from CO pulse oximetry (SpCO) as well as mathematical modeling of the EMU as a rebreather for CO. Methods: We developed a first-order differential mixing equation as well as an iterative method to compute CO accumulation in the EMU. Pre-post measurements of SpCO (Rad-57, Masimo Corporation) from EMU ground training and on-orbit extravehicular activities (EVAs) were collected. Results: Initial modeling without consideration of the astronaut as a sink but only the source of CO showed that after 8 hours breathing 100 percent O (sub 2) with a 10 milliliter per minute (760 millimeters Hg at 21 degrees Centigrade standard) suit leak, an endogenous production rate of 0.23 moles per hour per kilogram for a 70 kilogram person with 42 liters (1.5 cubic feet) free suit volume resulted in a peak CO partial pressure (pCO) of 0.047 millimeters Hg at 4.3 pounds per square inch absolute (222 millimeters Hg). Preliminary results based on a 2008 model[3] with consideration of the astronaut as a sink and source of CO

  7. Correlation of the degree of dyspnea with health-related quality of life, functional abilities, and diffusing capacity for carbon monoxide in patients with systemic sclerosis and active alveolitis: results from the Scleroderma Lung Study.

    Science.gov (United States)

    Khanna, Dinesh; Clements, Philip J; Furst, Daniel E; Chon, Yun; Elashoff, Robert; Roth, Michael D; Sterz, Mildred G; Chung, Joannie; FitzGerald, John D; Seibold, James R; Varga, John; Theodore, Arthur; Wigley, Fredrick M; Silver, Richard M; Steen, Virginia D; Mayes, Maureen D; Connolly, M Kari; Fessler, Barri J; Rothfield, Naomi F; Mubarak, Kamal; Molitor, Jerry; Tashkin, Donald P

    2005-02-01

    To determine whether baseline self-assessment measures of health status and physiologic indices of disease severity in alveolitis-positive patients with systemic sclerosis (SSc) correlate with the severity of their dyspnea, and to quantify functional impairment in patients with scleroderma lung disease and compare it with that in patients with chronic obstructive pulmonary disease (COPD). SSc patients (n = 138) with diffuse (n = 81) or limited (n = 57) cutaneous disease and active alveolitis (determined by bronchoalveolar lavage and/or high-resolution computed tomography) who participated in the National Heart, Lung, and Blood Institute-sponsored, multicenter, parallel-group, double-blind, randomized, placebo-controlled trial of oral cyclophosphamide for treatment of SSc-associated interstitial lung disease were evaluated. Pearson's univariate correlations were determined between the Short Form 36 (SF-36) physical component summary (PCS) and mental component summary (MCS) scales, functional questionnaires, and physiologic parameters of breathing (forced vital capacity [FVC] and single-breath diffusing capacity for carbon monoxide [DLCO]). Student's t-test was used to compare subgroups. Scores from 2 instruments for self-assessment of breathlessness, Mahler's baseline dyspnea index (BDI) and a visual analog scale (VAS) for breathing, were divided at the median. Values for the DLCO and FVC (% predicted) were divided based on the American Thoracic Society guidelines for mild (>70% of predicted), moderate (50-70% of predicted), and severe (alveolitis, all 8 domains of the SF-36 were significantly impaired as compared with the healthy population and were similar to those reported by patients with COPD. The SF-36 was able to discriminate between scleroderma lung disease patients with more severe and less severe breathlessness, the primary symptom of active alveolitis. The SF-36 complements the BDI and VAS scores for breathing in scleroderma lung disease and is variably

  8. Practice size, caseload, deprivation and quality of care of patients with coronary heart disease, hypertension and stroke in primary care: national cross-sectional study

    Directory of Open Access Journals (Sweden)

    Soljak Michael

    2007-06-01

    Full Text Available Abstract Background Reports of higher quality care by higher-volume secondary care providers have fuelled a shift of services from smaller provider units to larger hospitals and units. In the United Kingdom, most patients are managed in primary care. Hence if larger practices provide better quality of care; this would have important implications for the future organization of primary care services. We examined the association between quality of primary care for cardiovascular disease achieved by general practices in England and Scotland by general practice caseload, practice size and area based deprivation measures, using data from the New General Practitioner (GP Contract. Methods We analyzed data from 8,970 general practices with a total registered population of 55,522,778 patients in England and Scotland. We measured practice performance against 26 cardiovascular disease (coronary heart disease, left ventricular disease, and stroke Quality and Outcomes Framework (QOF indicators for patients on cardiovascular disease registers and linked this with data on practice characteristics and census data. Results Despite wide variations in practice list sizes and deprivation, the prevalence of was remarkably consistent, (coronary heart disease, left ventricular dysfunction, hypertension and cerebrovascular disease was 3.7%; 0.45%; 11.4% and 1.5% respectively. Achievement in quality of care for cardiovascular disease, as measured by QOF, was consistently high regardless of caseload or size with a few notable exceptions: practices with larger list sizes, higher cardiovascular disease caseloads and those in affluent areas had higher achievement of indicators requiring referral for further investigation. For example, small practices achieved lower scores 71.4% than large practices 88.6% (P Conclusion The volume-outcome relationship found in hospital settings is not seen between practices in the UK in management of cardiovascular disorders in primary care

  9. Feasibility study of a lead monoxide-based dosimeter for quality assurance in radiotherapy

    Science.gov (United States)

    Kim, K. T.; Han, M. J.; Heo, Y. J.; Park, J. E.; Lee, Y. K.; Kim, J. N.; Oh, K. M.; Cho, H. L.; Choi, Y. S.; Kim, J. Y.; Nam, S. H.; Park, S. K.

    2016-11-01

    Lately, cancer has been treated using high-energy radiation, and this requires highly reliable treatment plans. Therefore, a dosimeter with excellent performance, which is capable of precise dose measurement, is critical. In current clinical practices, an ionization chamber and diode utilizing the ionization reaction mechanism are widely used. Several studies have been carried out to determine optimal materials for the detector in a dosimeter to enable diagnostic imaging. Recently, studies with lead monoxide, which was shown to have low drift current and high resolving power at a high bias, were reported with the dosimeter exhibiting a fast response time against incident photons. This research aims to investigate the feasibility of a lead monoxide-based dosimeter for QA (quality assurance) in radiotherapy. In this paper, we report that the manufactured dosimeter shows similar linearity to a silicon diode and demonstrates similar characteristics in terms of PDD (percent depth dose) results for the thimble ionization chamber. Based on these results, it is demonstrated that the lead monoxide-based dosimeter complies with radiotherapy QA requirements, namely rapid response time, dose linearity, dose rate independence. Thus, we expect the lead monoxide-based dosimeter to be used commercially in the future.

  10. CARBON MONOXIDE FLUXES OF DIFFERENT SOIL LAYERS IN UPLAND CANADIAN BOREAL FORESTS

    Science.gov (United States)

    Dark or low-light carbon monoxide fluxes at upland Canadian boreal forest sites were measured on-site with static chambers and with a laboratory incubation technique using cores from different depths at the same sites. Three different upland black spruce sites, burned in 1987,199...

  11. An infrared spectroscopic study of the adsorption of carbon monoxide on silica-supported copper oxide

    NARCIS (Netherlands)

    Jong, K.P. de; Geus, John W.; Joziasse, J.

    1980-01-01

    Adsorption of carbon monoxide at room temperature (0.1–50 Torr) on silica-supported copper oxide was studied by infrared spectroscopy. Catalysts were prepared by deposition-precipitation or impregnation. After calcination two types of adsorbed CO were identified showing absorption bands at 2136 ± 3

  12. Palladium-catalyzed carbonylative sonogashira coupling of aryl bromides using near stoichiometric carbon monoxide

    DEFF Research Database (Denmark)

    Neumann, Karoline T.; Laursen, Simon R.; Lindhardt, Anders T.

    2014-01-01

    A general procedure for the palladium-catalyzed carbonylative Sonogashira coupling of aryl bromides is reported, using near stoichiometric amounts of carbon monoxide. The method allows a broad substrate scope in moderate to excellent yields. The formed alkynone motive serves as a platform...

  13. Characterization of Fe-Co-Mn catalysts after carbon monoxide hydrogenation

    Energy Technology Data Exchange (ETDEWEB)

    Gonzalez C, S.L.; Serbia, M.A.; Baechler, R.; Orozco, J. [Laboratorio de Cinetica y Catalisis, Departamento de Quimica, Facultad de Ciencias, Universidad de Los Andes, Merida 5101A (Venezuela); e-mail: goncor@ula.ve

    2003-07-01

    An Fe-Co-Mn catalysts series after hydrogenation of carbon monoxide has been characterized. The XRD analysis shows the magnetite as main crystalline phase after reaction, in addition of carbon and carbide phases. All these phases lead to hydrogen consumption and oxidation rate changes on Fe-Co-Mn catalysts. A phase transformation superficial diagram is analysed. (Author)

  14. Synthesis of Diethyl Oxalate by a Coupling-Regeneration Reaction of Carbon Monoxide

    Institute of Scientific and Technical Information of China (English)

    Fandong Meng; Genhui Xu; Baowei Wang; Xinbin Ma

    2002-01-01

    This article describes a process for the synthesis of diethyl oxalate by a coupling reaction ofcarbon monoxide, catalyzed by palladium in the presence of ethyl nitrite. The kinetics and mechanism ofthe coupling and regeneration reaction are also discussed. This paper presents the results of a scale-uptest of the catalyst and the process based on an a priori computer simulation.

  15. Short-term effects of carbon monoxide on mortality : An analysis within the APHEA project

    NARCIS (Netherlands)

    Samoli, Evangelia; Touloumi, Giota; Schwartz, Joel; Anderson, Hugh Ross; Schindler, Christian; Forsberg, Bertil; Vigotti, Maria Angela; Vonk, Judith; Kosnik, Mitja; Skorkovsky, Jiri; Katsouyanni, Klea

    2007-01-01

    OBJECTIVES: We investigated the short-term effects of carbon monoxide on total and cardiovascular mortality in 19 European cities participating in the APHEA-2 (Air Pollution and Health: A European Approach) project. METHODS: We examined the association using hierarchical models implemented in two st

  16. The impacts of temperature on the absorption spectral lines of carbon monoxide

    Energy Technology Data Exchange (ETDEWEB)

    Guo Jianqiang; Xu Yuanze; Gao Xiaorong; Wang Li; Wang Zeyong, E-mail: jianqguo@home.swjtu.edu.cn [College of Physical Science and Technology, Southwest Jiaotong University, Chengdu, Sichuan 610031 (China)

    2011-02-01

    In order to study the change of temperature on the effects of carbon monoxide absorption spectral lines, first of all proceed from the principle of absorption spectra, using theoretical analysis method, and the transmission and absorption database of the high-resolution molecular educed the carbon monoxide absorption spectrum intensity of spectral lines, integrated widening line type function and absorption coefficient concerned with temperature, then we got the change curve between carbon monoxide absorption spectrum intensity of spectral lines, integrated widening line type function and absorption coefficient with temperature by the numerical simulation of MATLAB, and analyzed and discussed the relationship between the temperature and them. The results showed that the temperature on the effects of carbon monoxide absorption spectral lines, especially on an Integrated widening line type function is complex, and different laser frequencies will also affect the relationship of the line type function and the absorption coefficient change with temperature, which has important reference value for the absorption and measurement of carbon in practical application.

  17. Separation of hydrogen from carbon monoxide using a hollow fiber polyimide membrane: experimental and simulation

    Energy Technology Data Exchange (ETDEWEB)

    Peer, M.; Mehdi Kamali, S.; Mahdeyarfar, M.; Mohammadi, T. [Research Laboratory for Separation Processes, Chemical Engineering Department, Tehran (Iran)

    2007-10-15

    The separation of hydrogen from carbon monoxide (syngas ratio adjustment) with polymeric membranes was investigated in this work. A polyimide hollow fiber membrane module was used for hydrogen separation. This polymer has shown large permeability and selectivity for hydrogen separation (selectivity of ca. 30). Permeation tests were carried out at different feed conditions. Feed flow rates were varied between 150-300 mL/min, temperature was varied in the range of 20-80 C and feed pressure was varied between 5-9 bar. Mixtures containing 0-50 % carbon monoxide were used when carrying out experiments. Measured membrane permeances for hydrogen and carbon monoxide were about 70-100 GPU (gas permeation units) and 3-5.5 GPU, respectively. In addition, a mathematical model for simulation of gas separation in hollow fiber membrane modules with all flow patterns (crossflow, countercurrent and cocurrent) was presented. This model can be used for calculation of membrane performance or its required surface area for a specific separation. Experimental results have shown good correlation with simulation results. Plasticization, competitive sorption and concentration polarization effect of carbon monoxide on membrane performance is shown with experimental results. This effect reduced hydrogen permeances in mixed gas experiments. (Abstract Copyright [2007], Wiley Periodicals, Inc.)

  18. Chemical production from waste carbon monoxide: its potential for energy conservation

    Energy Technology Data Exchange (ETDEWEB)

    Rohrmann, C.A.; Schiefelbein, G.F.; Molton, P.M.; Li, C.T.; Elliott, D.C.; Baker, E.G.

    1977-11-01

    Results of a study of the potential for energy conservation by producing chemicals from by-product or waste carbon monoxide (CO) from industrial sources are summarized. Extensive compilations of both industrial sources and uses for carbon monoxide were developed and included. Reviews of carbon monoxide purification and concentration technology and preliminary economic evaluations of carbon monoxide concentration, pipeline transportation and utilization of CO in the synthesis of ammonia and methanol are included. Preliminary technical and economic feasibility studies were made of producing ammonia and methanol from the by-product CO produced by a typical elemental phosphorus plant. Methanol synthesis appears to be more attractive than ammonia synthesis when using CO feedstock because of reduced water gas shift and carbon dioxide removal requirements. The economic studies indicate that methanol synthesis from CO appears to be competitive with conventional technology when the price of natural gas exceeds $0.82/million Btu, while ammonia synthesis from CO is probably not competitive until the price of natural gas exceeds $1.90/million Btu. It is concluded that there appears to be considerable potential for energy conservation in the chemical industry, by collecting CO rather than flaring it, and using it to make major chemicals such as ammonia and methanol.

  19. Characteristics of Photoacoustic Spectroscopy Detection for Carbon Monoxide Gas Based on DFB Diode Laser

    Institute of Scientific and Technical Information of China (English)

    CHEN Weigen; PENG Xiaojuan; LIU Bingjie; SUN Caixin

    2012-01-01

    The dissolved gas analysis is one of the most effective and convenient methods to diagnose the early discharge faults of transformers. When the fault involves the solid insulation, oil-paper insulation cracks and releases carbon monoxide (CO) gas. Therefore, the detection of CO can forecast the potential inner faults of oil-filled transformers.

  20. Effects of chemical modifications of heme on kinetics of carbon monoxide binding to free home

    Energy Technology Data Exchange (ETDEWEB)

    Sono, M.; McCray, J.A.; Asakura, T.

    1977-11-10

    The rates of carbon monoxide recombination to six different kinds of chemically modified heme with various substituents at positions 2 and 4 have been studied in the protein-free state (free heme) by the laser flash photolysis method in a mixture of ethylene glycol and 0.02 N NaOH (80:20, v/v) (80% ethylene glycol). The carbon monoxide combination rate constants to the various free hemes obtained in 80% ethylene glycol at 22/sup 0/ were 1.4, 2.1, 2.1, 3.7, 4.5, and 6.4 x 10/sup 7/ M/sup -1/ s/sup -1/ for 2,4-diformyl-, spirographis (2-formyl-4-vinyl-), isospirographis (2-vinyl-4-formyl-) proto-(2,4-divinyl-), deutero-(2,4-dihydrogen-), and meso-(2,4-diethyl-), hemes, respectively. This order of increase in carbon monoxide combination rate constants for these hemes correlates exactly with decrease in electron attractivity of heme side chains (i.e., increase in pK/sub 3/, basicity of nitrogen base of prophyrin) and is completely opposite to that obtained for carbon monoxide binding to these hemes reconstituted with apomyoglobin. Contrary to the results for myoglobin, the two isomers of monoformyl-monovinylheme exhibited similar optical properties and the same combination rate constant indicating that the differences in the optical and kinetic results observed in myoglobin are due to different interactions of these isomeric hemes with protein.

  1. Calculated Specific Volumes and Magnetic Moments of the 3d Transition Metal Monoxides

    DEFF Research Database (Denmark)

    Skriver, Hans Lomholt; Andersen, O. K.; Johansson, B.

    1980-01-01

    We have performed self-consistent, spin-polarized band structure calculations as a function of the lattice spacing for the 3d metal monoxides in order to obtain the equilibrium lattice constants. The calculated binding from the 3d electrons and the occurrence of antiferromagnetism account...

  2. Gaseous persufflation with carbon monoxide during ischemia protects the isolated liver and enhances energetic recovery

    NARCIS (Netherlands)

    Koetting, Martina; Leuvenink, Henri; Dombrowski, Frank; Minor, Thomas

    2010-01-01

    Background: The benefit of carbon monoxide as applied by controlled, continuous gaseous persufflation during liver preservation on postischemic graft recovery was investigated in an isolated rat liver model. Methods: Livers from male Wistar rats were retrieved 30 min after cardiac arrest of the dono

  3. Multimodel simulations of carbon monoxide: comparison with observations and projected near-future changes

    NARCIS (Netherlands)

    Shindell, D.T.; Krol, M.C.|info:eu-repo/dai/nl/078760410

    2006-01-01

    We analyze present-day and future carbon monoxide (CO) simulations in 26 state-ofthe- art atmospheric chemistry models run to study future air quality and climate change. In comparison with near-global satellite observations from the MOPITT instrument and local surface measurements, the models show

  4. Multimodel simulations of carbon monoxide: Comparison with observations and projected near-future changes

    NARCIS (Netherlands)

    Shindell, D.T.; Faluvegi, G.; Stevenson, D.S.; Krol, M.C.; Emmons, L.K.; Lamarque, J.F.; Petron, G.; Dentener, F.J.; Ellingsen, K.; Schultz, M.G.; Wild, O.; Amann, M.; Atherton, C.S.; Bergmann, D.J.; Bey, I.; Butler, T.; Cofala, J.; Collins, W.J.; Derwent, R.G.; Doherty, R.M.; Drevet, J.; Eskes, H.J.; Fiore, A.M.; Gauss, M.; Hauglustaine, D.A.; Horowitz, L.W.; Isaksen, I.S.A.; Lawrence, M.G.; Montanaro, V.; Muller, J.F.; Pitari, G.; Prather, M.J.; Pyle, J.A.; Rast, S.; Rodriguez, J.M.; Sanderson, M.G.; Savage, N.H.; Strahan, S.E.; Sudo, K.; Szopa, S.; Unger, N.; Noije, van T.P.C.; Zeng, G.

    2006-01-01

    We analyze present-day and future carbon monoxide (CO) simulations in 26 state-of-the-art atmospheric chemistry models run to study future air quality and climate change. In comparison with near-global satellite observations from the MOPITT instrument and local surface measurements, the models show

  5. Short-term effects of carbon monoxide on mortality : An analysis within the APHEA project

    NARCIS (Netherlands)

    Samoli, Evangelia; Touloumi, Giota; Schwartz, Joel; Anderson, Hugh Ross; Schindler, Christian; Forsberg, Bertil; Vigotti, Maria Angela; Vonk, Judith; Kosnik, Mitja; Skorkovsky, Jiri; Katsouyanni, Klea

    2007-01-01

    OBJECTIVES: We investigated the short-term effects of carbon monoxide on total and cardiovascular mortality in 19 European cities participating in the APHEA-2 (Air Pollution and Health: A European Approach) project. METHODS: We examined the association using hierarchical models implemented in two

  6. Microwave Radiometer for Spectral Observations of Mesospheric Carbon Monoxide at 115 GHz Over Kharkiv, Ukraine

    Science.gov (United States)

    Piddyachiy, Valeriy; Shulga, Valerii; Myshenko, Valeriy; Korolev, Alexey; Antyufeyev, Oleksandr; Shulga, Dmytro; Forkman, Peter

    2016-11-01

    We present the results of the development of high sensitivity microwave radiometer designed for observation of the atmospheric carbon monoxide (CO) emission lines at 115 GHz. The receiver of this radiometer has the double-sideband noise temperature of 250 K at a temperature of 10°C. To date, this is the best noise performance for uncooled Schottky diode mixer receiver systems. The designed radiometer was tested during the 2014-2015 period at observations of the carbon monoxide emission lines over Kharkiv, Ukraine (50° N, 36.3° E). These tests have shown the reliability of the receiver system, which allows us in the future to use designed radiometer for continuous monitoring of carbon monoxide. The first observations of the atmospheric carbon monoxide spectral lines over Kharkiv have confirmed seasonal changes in the CO abundance and gave us reasons to assume the spread of the influence of the polar vortex on the state of the atmosphere up to the latitude of 50° N where our measurement system is located.

  7. Carbon monoxide oxidation using Zn-Cu-Ti hydrotalcite-derived catalysts

    Indian Academy of Sciences (India)

    O Saber; T Zaki

    2014-07-01

    Multioxide catalysts of zinc, copper and titanium with different ratios obtained from layered double hydroxide (LDH) precursors were used in the oxidation of carbon monoxide. The catalysts were characterized by energy-dispersive X-ray spectrometry, X-ray diffraction, thermal analyses (TG, DTG and DTA) and scanning electron microscopy. X-ray diffraction showed different phases of double hydroxide structures. On increasing the percentage of zinc, hydrotalcite structure became the main phase in these samples. SEM images confirmed the presence of layered double hydroxide as plate-like structure. Experimental results indicated a sharp increase in the catalytic activities of the calcined samples towards the oxidation of carbon monoxide at temperatures in the range of 225-275°C. High conversion of carbon monoxide (90 ∼ 95%) was achieved at reaction temperature of 275°C by samples having ZnTiO3 as a main phase. These results suggested that hydrotalcite structure of Zn-Ti has a positive catalytic effect towards carbon monoxide oxidation.

  8. MODELLING OF CARBON MONOXIDE AIR POLLUTION IN LARG CITIES BY EVALUETION OF SPECTRAL LANDSAT8 IMAGES

    Directory of Open Access Journals (Sweden)

    M. Hamzelo

    2015-12-01

    Full Text Available Air pollution in large cities is one of the major problems that resolve and reduce it need multiple applications and environmental management. Of The main sources of this pollution is industrial activities, urban and transport that enter large amounts of contaminants into the air and reduces its quality. With Variety of pollutants and high volume manufacturing, local distribution of manufacturing centers, Testing and measuring emissions is difficult. Substances such as carbon monoxide, sulfur dioxide, and unburned hydrocarbons and lead compounds are substances that cause air pollution and carbon monoxide is most important. Today, data exchange systems, processing, analysis and modeling is of important pillars of management system and air quality control. In this study, using the spectral signature of carbon monoxide gas as the most efficient gas pollution LANDSAT8 images in order that have better spatial resolution than appropriate spectral bands and weather meters،SAM classification algorithm and Geographic Information System (GIS , spatial distribution of carbon monoxide gas in Tehran over a period of one year from the beginning of 2014 until the beginning of 2015 at 11 map have modeled and then to the model valuation ،created maps were compared with the map provided by the Tehran quality comparison air company. Compare involved plans did with the error matrix and results in 4 types of care; overall, producer, user and kappa coefficient was investigated. Results of average accuracy were about than 80%, which indicates the fit method and data used for modeling.

  9. 75 FR 54773 - Approval and Promulgation of Air Quality Implementation Plans; Minnesota; Carbon Monoxide (CO...

    Science.gov (United States)

    2010-09-09

    ... ambient monitoring data collected between 1998 and July of 2009, that the Twin Cities area is meeting both... Monoxide (CO) Limited Maintenance Plan for the Twin Cities Area AGENCY: Environmental Protection Agency... Minneapolis-St. Paul (Twin Cities) area. The one hour CO NAAQS and eight hour CO NAAQS are 35 parts...

  10. Inhalation Toxicology. 11. The Effect of Elevated Temperature on Carbon Monoxide Toxicity

    Science.gov (United States)

    1990-12-01

    TEMPERATURE ON CARBON MONOXIDE TOXICITY INTRODUCTION The use of the laboratory rat as an animal model for determining the toxicity of combustion gases is...response of rats during exercise. J Appl Physiol. 1968; 24:747-50. 7. Hubbard RW, Matthew WT, Linduska JD, et al. The laboratory rat as a model for

  11. 40 CFR 52.1164 - Localized high concentrations-carbon monoxide.

    Science.gov (United States)

    2010-07-01

    ... have developed and have begun to implement a program to identify urban and suburban core areas and... control strategies to insure that such air quality standards will be achieved at such areas. Plans shall... implemented strategies will not create carbon monoxide violations elsewhere in the vicinity after the measures...

  12. Modelling of Carbon Monoxide Air Pollution in Larg Cities by Evaluetion of Spectral LANDSAT8 Images

    Science.gov (United States)

    Hamzelo, M.; Gharagozlou, A.; Sadeghian, S.; Baikpour, S. H.; Rajabi, A.

    2015-12-01

    Air pollution in large cities is one of the major problems that resolve and reduce it need multiple applications and environmental management. Of The main sources of this pollution is industrial activities, urban and transport that enter large amounts of contaminants into the air and reduces its quality. With Variety of pollutants and high volume manufacturing, local distribution of manufacturing centers, Testing and measuring emissions is difficult. Substances such as carbon monoxide, sulfur dioxide, and unburned hydrocarbons and lead compounds are substances that cause air pollution and carbon monoxide is most important. Today, data exchange systems, processing, analysis and modeling is of important pillars of management system and air quality control. In this study, using the spectral signature of carbon monoxide gas as the most efficient gas pollution LANDSAT8 images in order that have better spatial resolution than appropriate spectral bands and weather meters،SAM classification algorithm and Geographic Information System (GIS ), spatial distribution of carbon monoxide gas in Tehran over a period of one year from the beginning of 2014 until the beginning of 2015 at 11 map have modeled and then to the model valuation ،created maps were compared with the map provided by the Tehran quality comparison air company. Compare involved plans did with the error matrix and results in 4 types of care; overall, producer, user and kappa coefficient was investigated. Results of average accuracy were about than 80%, which indicates the fit method and data used for modeling.

  13. Statistical parametric mapping in brain single photon computed emission tomography after carbon monoxide intoxication.

    Science.gov (United States)

    Watanabe, N; Nohara, S; Matsuda, H; Sumiya, H; Noguchi, K; Shimizu, M; Tsuji, S; Kinuya, S; Shuke, N; Yokoyama, K; Seto, H

    2002-04-01

    The purpose of this retrospective study was to assess regional cerebral blood flow in patients after carbon monoxide intoxication by using brain single photon emission computed tomography and statistical parametric mapping. Eight patients with delayed neuropsychiatric sequelae and ten patients with no neuropsychiatric symptoms after carbon monoxide intoxication were studied with brain single photon emission tomography imaging with 99mTc-hexamethyl-propyleneamine oxime. Forty-four control subjects were also studied. We used the adjusted regional cerebral blood flow images in relative flow distribution (normalization of global cerebral blood flow for each subject to 50 ml x 100 g(-1) x min(-1) with proportional scaling) to compare these groups with statistical parametric mapping. Using this technique, significantly decreased regional cerebral blood flow was noted extensively in the bilateral frontal lobes as well as the bilateral insula and a part of the right temporal lobe in the patients with delayed neuropsychiatric sequelae as compared with normal volunteers (Pparametric mapping is a useful technique for highlighting differences in regional cerebral blood flow in patients following carbon monoxide intoxication as compared with normal volunteers. The selectively reduced blood flow noted in this investigation supports the contention that the decrease following carbon monoxide intoxication may be prolonged and further worsen in the frontal lobe. In addition, the present study may help to clarify the characteristics of the pathophysiological alteration underlying delayed neuropsychiatric sequelae.

  14. Microwave Radiometer for Spectral Observations of Mesospheric Carbon Monoxide at 115 GHz Over Kharkiv, Ukraine

    Science.gov (United States)

    Piddyachiy, Valeriy; Shulga, Valerii; Myshenko, Valeriy; Korolev, Alexey; Antyufeyev, Oleksandr; Shulga, Dmytro; Forkman, Peter

    2017-03-01

    We present the results of the development of high sensitivity microwave radiometer designed for observation of the atmospheric carbon monoxide (CO) emission lines at 115 GHz. The receiver of this radiometer has the double-sideband noise temperature of 250 K at a temperature of 10°C. To date, this is the best noise performance for uncooled Schottky diode mixer receiver systems. The designed radiometer was tested during the 2014-2015 period at observations of the carbon monoxide emission lines over Kharkiv, Ukraine (50° N, 36.3° E). These tests have shown the reliability of the receiver system, which allows us in the future to use designed radiometer for continuous monitoring of carbon monoxide. The first observations of the atmospheric carbon monoxide spectral lines over Kharkiv have confirmed seasonal changes in the CO abundance and gave us reasons to assume the spread of the influence of the polar vortex on the state of the atmosphere up to the latitude of 50° N where our measurement system is located.

  15. [Suicidal carbon monoxide poisoning in an electric car. An unusual case report].

    Science.gov (United States)

    Bohnert, M; Zollinger, U

    1994-01-01

    The authors report a case of a man who committed suicide by poisoning with carbon monoxide in his electric vehicle. He applied a small motor generator with no exhaust normally used for charging the vehicle's batteries at home, that was found on the loading space behind the seat. This demonstrates the value of a thorough scene investigation.

  16. Anaesthetic properties of carbon monoxide and other gases in relation to plants, insects, and centipedes

    Energy Technology Data Exchange (ETDEWEB)

    Zimmerman, P.W.

    1935-01-01

    The anaesthetic effect of carbon monoxide, carbon dioxide, propylene, butylene, ethylene, and acetylene, when mixed with oxygen, was tested on ten different species of insects and centipedes. The lowest concentrations found to cause anaesthesia are given in per cent by volume as follows: propylene, for centipede, 30; katydid, 75; rose chafer, 60. Carbon monoxide, for centipede, 81.5; katydid, 89, rose chafer, 85. Butylene, for centipede, 5; katydid, 10; rose chafer, 40. Ethylene or acetylene, for centipede, katydid, and rose chafer, 100. Carbon dioxide, for rose chafer, 30. Ethylene was the most effective plant anaesthetic, 0.0005 per cent stopping growth movements of tomato and sunflower plants as shown by motion pictures; 0.001 per cent stopped elongation of sweet pea seedlings, while 0.00001 per cent retarded elongation nearly 50 per cent. The degree of retardation in growth from ethylene gas varied with the concentration and the plant species. Acetylene and propylene were about equally effective as plant anaesthetics. Both were approximately 10 times as effective as carbon monoxide. Mimosa pudica lost its capacity to respond to external stimuli while being exposed to 0.25 per cent of carbon monoxide, but became normal again upon being removed from the gas. 3 references, 4 tables.

  17. Oxalyl chloride as a practical carbon monoxide source for carbonylation reactions

    DEFF Research Database (Denmark)

    Hansen, Steffen V F; Ulven, Trond

    2015-01-01

    A method for generation of high-quality carbon monoxide by decomposition of oxalyl chloride in an aqueous hydroxide solution is described. The usefulness of the method is demonstrated in the synthesis of heterocycles and for hydroxy-, alkoxy-, amino-, and reductive carbonylation reactions...

  18. Carbon Monoxide Releasing Molecule-A1 (CORM-A1) Improves Neurogenesis

    DEFF Research Database (Denmark)

    Almeida, Ana S; Soares, Nuno L; Vieira, Melissa

    2016-01-01

    Cerebral ischemia and neurodegenerative diseases lead to impairment or death of neurons in the central nervous system. Stem cell based therapies are promising strategies currently under investigation. Carbon monoxide (CO) is an endogenous product of heme degradation by heme oxygenase (HO) activity...

  19. Rapid Evaluation of the Severity and Prognosis of Acute Carbon Monoxide Poisoning

    Directory of Open Access Journals (Sweden)

    Z. N. Marupov

    2010-01-01

    Full Text Available Objective: to assess whether cardiointervalography (CIG might be used to define the health status of patients with carbon monoxide poisoning. Subjects and methods. The autonomic nervous system (ANS was studied in 114 patients aged 16 to 80 years with carbon monohydrate poisoning who were treated at the N. V. Sklifosovsky Research Institute of Emergency Care, Moscow, in 2004—2009. Cardiointervalographic readings were analyzed in relation to condition severity and disease outcome. Results. Within the first hours after carbon monoxide poisoning, the function of the ANS was found to be impaired, which was associated with the development of hypersym-pathicotonia caused by the increased activity of its sympathetic part and the decreased tone of the parasympathet-ic one. The magnitude of hypersympathicotonia depended on the severity of poisoning and the outcome of the disease. The preponderance of ANS parasympathetic part tone suggests disturbed adaptive and compensatory mechanisms and poor prognosis. Conclusion. Cardiointervalography is recommended for the objective evaluation of the severity of carbon monoxide poisoning and the efficiency of performed treatment and prediction of the outcome of the disease. Key words: carbon monoxide, autonomic nervous system, cardiointervalography, adaptive and compensatory mechanisms.

  20. The management of lactose intolerance among primary care physicians and its correlation with management by gastroenterologists: the SEPD-SEMG national survey

    Directory of Open Access Journals (Sweden)

    Federico Argüelles-Arias

    2015-09-01

    Full Text Available Introduction and aims: The understanding of lactose intolerance (LI is limited in some professional settings. Sociedad Española de Patología Digestiva (SEPD and Sociedad Española de Medicina General (SEMG have developed a survey in order to: a Analyze primary care physicians (PCPs knowledge and clinical management; and b to compare results with those of a previous survey of Spanish gastroenterologists (GEs. Material and methods: An online questionnaire was sent to SEMG members with 27 items on various issues: Demographics, occupational characteristics, outlook on LI, diagnostic tests, treatment, and follow-up. Results were compared to those from a survey of GEs. Results: A total of 456 PCPs responded, versus 477 GEs. PCPs had an older mean age and longer professional experience. Level of understanding of LI was similar, albeit a higher proportion of PCPs lacked epidemiological awareness (p 0.001, and LI symptoms as overlapping those of irritable bowel syndrome (93.5 vs. 88.2%; p = 0.005, although symptoms perceived as suspicious of LI were similar in both groups. Dietary recommendations were recognized as the primary therapeutic approach. Conclusion: This study reveals the outlook of PCPs on LI, and allows comparison with that of GEs, as a basis for the development of strategies aimed at improving LI understanding, approach and management in our setting.

  1. Management of the clinical issue of constipation with abdominal complaints in adults: a national survey of Primary Care physicians and gastroenterologists

    Directory of Open Access Journals (Sweden)

    Enrique Rey

    Full Text Available Irritable bowel syndrome and functional constipation represent a relevant and common health issue. However, real-world clinical practice includes patients with constipation who may or may not have other abdominal complaints (pain, bloating, abdominal discomfort with variable frequency. The goal of the present study was to obtain information on the workload entailed by patients with constipation and associated abdominal complaints, predominant clinical behaviors, education needs, and potential daily practice aids both in Primary Care and gastroenterology settings. The clinical behavior of doctors is generally similar at both levels, despite differences in healthcare approach: use of empiric therapies and clinically guided diagnostic tests, with some differences in colonoscopy use (not always directly accessible from Primary Care. Regarding perceptions, general support and osmotic laxatives are most valued by PC doctors, whereas osmotic laxatives, combined laxatives, and linaclotide are most valued by GE specialists. Furthermore, over half of respondents considered differentiating both diagnoses as challenging. Finally, considerable education needs are self-acknowledged at both levels, as is a demand for guidelines and protocols to help in managing this issue in clinical practice. A strength of this study is its providing a joint photograph of the medical approach and the perceptions of constipation with abdominal discomfort from a medical standpoint. Weaknesses include self-declaration (no formal validation and a response rate potentially biased by professional motivation.

  2. The management of lactose intolerance among primary care physicians and its correlation with management by gastroenterologists: the SEPD-SEMG national survey.

    Science.gov (United States)

    Argüelles-Arias, Federico; Rodríguez Ledo, Pilar; Tenías, José María; Otero, Mercedes; Casellas, Francesc; Blay Cortés, Guadalupe; Lucendo, Alfredo; Domínguez-Jiménez, José Luis; Carballo, Fernando

    2015-09-01

    The understanding of lactose intolerance (LI) is limited in some professional settings. Sociedad Española de Patología Digestiva (SEPD) and Sociedad Española de Medicina General (SEMG) have developed a survey in order to: a) Analyze primary care physicians (PCPs) knowledge and clinical management; and b) to compare results with those of a previous survey of Spanish gastroenterologists (GEs). An online questionnaire was sent to SEMG members with 27 items on various issues: Demographics, occupational characteristics, outlook on LI, diagnostic tests, treatment, and follow-up. Results were compared to those from a survey of GEs. A total of 456 PCPs responded, versus 477 GEs. PCPs had an older mean age and longer professional experience. Level of understanding of LI was similar, albeit a higher proportion of PCPs lacked epidemiological awareness (p 0.001), and LI symptoms as overlapping those of irritable bowel syndrome (93.5 vs. 88.2%; p = 0.005), although symptoms perceived as suspicious of LI were similar in both groups. Dietary recommendations were recognized as the primary therapeutic approach. This study reveals the outlook of PCPs on LI, and allows comparison with that of GEs, as a basis for the development of strategies aimed at improving LI understanding, approach and management in our setting.

  3. Establishing a faith-based organisation nursing school within a national primary health care programme in rural Tanzania: an auto-ethnographic case study

    Directory of Open Access Journals (Sweden)

    Alexander Bischoff

    2016-05-01

    Full Text Available Background: In 2007, the Tanzanian government called for improvements in its primary health care services. Part of this initiative was to accelerate the training rate for nurses qualified to work in rural areas. The aim of this study was to reflect on the issues experienced whilst establishing and implementing a faith-based organisation (FBO nursing school and make recommendations for other similar initiatives. Design: This paper describes an auto-ethnographic case study design to identify the key difficulties involved with establishing and implementing a new nursing school, and which factors helped the project achieve its goals. Results: Six themes emerged from the experiences that shaped the course of the project: 1 Motivation can be sustained if the rationale of the project is in line with its aims. Indeed, the project's primary health care focus was to strengthen the nursing workforce and build a public–private partnership with an FBO. All these were strengths, which helped in the midst of all the uncertainties. 2 Communication was an important and often underrated factor for all types of development projects. 3 Managing the unknown and 4 managing expectations characterised the project inception. Almost all themes had to do with 5 handling conflicts. With so many participants having their own agendas, tensions were unavoidable. A final theme was 6 the need to adjust to ever-changing targets. Conclusions: This retrospective auto-ethnographic manuscript serves as a small-scale case study, to illustrate how issues that can be generalised to other settings can be deconstructed to demonstrate how they influence health development projects in developing countries. From this narrative of experiences, key recommendations include the following: 1 Find the right ratio of stakeholders, participants, and agendas, and do not overload the project; 2 Be alert and communicate as much as possible with staff and do not ignore issues hoping they will solve

  4. Assessing health-care providers' readiness for reporting quality and patient safety indicators at primary health-care centres in Lebanon: a national cross-sectional survey.

    Science.gov (United States)

    Alameddine, Mohamad; Saleh, Shadi; Natafgi, Nabil

    2015-05-22

    Successful endorsement of quality indicators hinges on the readiness and acceptability of care providers for those measures. This paper aims to assess the readiness of care providers in the primary health-care sector in Lebanon for the implementation of quality and patient safety indicators. A cross-sectional survey methodology was utilized to gather information from 943 clinical care providers working at 123 primary health-care centres in Lebanon. The questionnaire included two sections: the first assessed four readiness dimensions (appropriateness, management support, efficacy, and personal valence) of clinical providers to use quality and safety indicators using the Readiness for Organization Change (ROC) scale, and the second section assessed the safety attitude at the primary care centre utilizing the Agency of Health Research and Quality (AHRQ) Safety Attitude Questionnaire (SAQ)-Ambulatory version. Although two thirds (66%) of respondents indicated readiness for implementation of quality and patient safety indicators in their centres, there appear to be differences by professional group. Physicians displayed the lowest scores on all readiness dimensions except for personal valence which was the lowest among nurses (60%). In contrast, allied health professionals displayed the highest scores across all readiness dimensions. Generally, respondents reflected a positive safety attitude climate in the centres. Yet, there remain a few areas of concern related to punitive culture (only 12.8% agree that staff should not be punished for reported errors/incidents), continuity of care (41.1% believe in the negative consequences of lack in continuity of care process), and resources (48.1% believe that the medical equipment they have are adequate). Providers with the highest SAQ score had 2.7, 1.7, 7 and 2.4 times the odds to report a higher readiness on the appropriateness, efficacy, management and personal valence ROC subscales, respectively (P value quality and patient

  5. Carbon monoxide inhibits proliferation of pulmonary smooth muscle cells under hypoxia

    Institute of Scientific and Technical Information of China (English)

    甄国华; 张珍祥; 薛峥; 徐永健

    2003-01-01

    Objective To investigate the expression of inducible heme oxygenase (HO-1) gene in pulmonary artery smooth muscle cells (PASMCs) exposed to hypoxia, and the influence of carbon monoxide (CO) on the proliferation of PASMCs under hypoxic conditions.Methods Primary culture of rat PASMCs were passed every 3 days, and the 3-5 passages were used. After exposure to hypoxic conditions (95% N2, 5% CO2) 0, 12, 24 and 48 hours, the level of HO-1 mRNA was examined by reverse transcriptase polymerase chain reaction (RT-PCR). The volume of COHb in the medium was measured spectrophotometrically. The cyclic guanosine mono-phosphate (cGMP) concentration of cell extracts was determined by radioimmunoassay. PASMCs were divided into 5 groups, cultured under normoxia and hypoxia and treated with hemin, hemoglobin (Hb) and exogenous CO respectively. Then 3-(4, 5-cimethylthiazol-2-yl)-2, 5-diphenyl tetrazolium bromide (MTT) colorimetric assay and immunocytochemical staining were used to study the energy metabolism and the expression of proliferating cell nuclear antigen (PCNA) in PASMCs. Flow cytometry was used to analyze the cell cycle of PASMCs.Results After exposure to hypoxic conditions for 12, 24, and 48 hours, the HO-1 mRNA increased by 2.7%, 5.7% and 27.1% respectively (P<0.01). The carboxy-hemoglobin (COHb) in the medium increased by 13.8%, 31.0% and 93.1% (P<0.01); the cGMP concentrations were 2.7, 4.0 and 6.8-fold compared with the control group (P<0.01 and P<0.05). In comparison with the control group, the value of MTT colorimetric assay, the immunocytochemical staining of PCNA and the percentages of PASMCs in S and G2M phases in the hypoxic group were significantly higher (P<0.01). After treatment with Hemin and CO, the results of the above analysis decreased significantly (P<0.01 and P<0.05), but increased significantly after treatment with Hb (P<0.01 and P<0.05).Conclusions The expression of HO-1 gene in PASMCs is upregulated by hypoxia and the production of endogenous CO

  6. [Conceptions and typology of conflicts between workers and managers in the context of primary healthcare in the Brazilian Unified National Health System (SUS)].

    Science.gov (United States)

    Carvalho, Brígida Gimenez; Peduzzi, Marina; Ayres, José Ricardo de Carvalho Mesquita

    2014-07-01

    This study aimed to analyze perceptions of conflict between workers and managers in primary healthcare units and to present a typology of conflicts on the job. This was a comprehensive interpretive case study with a critical hermeneutic approach. Data collection techniques included: focus group with managers, workplace observation, and worker interviews, conducted from April to November 2011. The results were triangulated and indicated the coexistence of distinct concepts of conflict, typified in six modalities: lack of collaboration at work; disrespect resulting from asymmetrical relations between workers; problematic employee behavior; personal problems; asymmetry with other management levels; and inadequate work infrastructure. The relevance of (non)mutual recognition, as proposed by Axel Honneth, stood out in the interpretation of the causes and practical implications of these conflicts.

  7. Patient factors influencing the prescribing of lipid lowering drugs for primary prevention of cardiovascular disease in UK general practice: a national retrospective cohort study.

    Directory of Open Access Journals (Sweden)

    Jianhua Wu

    Full Text Available BACKGROUND: Guidelines indicate eligibility for lipid lowering drugs, but it is not known to what extent GPs' follow guidelines in routine clinical practice or whether additional clinical factors systematically influence their prescribing decisions. METHODS: A retrospective cohort analysis was undertaken using electronic primary care records from 421 UK general practices. At baseline (May 2008 patients were aged 30 to 74 years, free from cardiovascular disease and not taking lipid lowering drugs. The outcome was prescription of a lipid lowering drug within the next two years. The proportions of eligible and ineligible patients prescribed lipid lowering drugs were reported and multivariable logistic regression models were used to investigate associations between age, sex, cardiovascular risk factors and prescribing. RESULTS: Of 365,718 patients with complete data, 13.8% (50,558 were prescribed lipid lowering drugs: 28.5% (21,101/74,137 of those eligible and 10.1% (29,457/291,581 of those ineligible. Only 41.7% (21,101/50,558 of those prescribed lipid lowering drugs were eligible. In multivariable analysis prescribing was most strongly associated with increasing age (OR for age ≥ 65 years 4.21; 95% CI 4.05-4.39; diabetes (OR 4.49; 95% CI 4.35-4.64; total cholesterol level ≥ 7 mmol/L (OR 2.20; 95% CI 2.12-2.29; and ≥ 4 blood pressure measurements in the past year (OR 4.24; 95% CI 4.06-4.42. The predictors were similar in eligible and ineligible patients. CONCLUSIONS: Most lipid lowering drugs for primary prevention are prescribed to ineligible patients. There is underuse of lipid lowering drugs in eligible patients.

  8. Disulfide S-monoxides convert xanthine dehydrogenase into oxidase in rat liver cytosol more potently than their respective disulfides.

    Science.gov (United States)

    Sakuma, Satoru; Fujita, Junko; Nakanishi, Masahiko; Wada, Shun-ich; Fujimoto, Yohko

    2008-05-01

    Xanthine oxidase (XO)/xanthine dehydrogenase (XD) oxidizes oxypurines to uric acid, with only the XO form producing reactive oxygen species. In the present study, the effects of cystamine S-monoxide and cystine S-monoxide (disulfide S-monoxides) on the conversion of XD to XO in rat liver were examined. A partially purified enzyme fraction from the rat liver was incubated with xanthine in the presence or absence of NAD+, and the uric acid formed was measured by HPLC. Under basal conditions, XO activity represented about 15% of the total XO plus XD activity. Cystamine S-monoxide and cystine S-monoxide converted XD into XO in a dose-dependent manner, and the concentrations required to increase XO activity by 50% were approximately 1 and 2 microM, respectively. Their respective thiols (cysteamine and cysteine) and disulfides (cystamine and cystine) up to 10 microM showed weak or no effects on the activities of XO and XD and their conversion. Experiments utilizing a sulfhydryl reducing reagent (dithiothreitol) and sulfhydryl modifiers (4,4'-dithiodipyridine and 1-fluoro-2,4-dinitrobenzene) indicated that disulfide S-monoxides-induced conversion of XD to XO occurs via disulfide bridge formation in XD, but not the modification of sulfhydryl groups. These results suggest that disulfide S-monoxides have the potential to increase the generation of reactive oxygen species through the conversion of XD to XO in liver.

  9. Stable isotope composition of atmospheric carbon monoxide. A modelling study

    Energy Technology Data Exchange (ETDEWEB)

    Gromov, Sergey S.

    2014-11-01

    This study aims at an improved understanding of the stable carbon and oxygen isotope composition of the carbon monoxide (CO) in the global atmosphere by means of numerical simulations. At first, a new kinetic chemistry tagging technique for the most complete parameterisation of isotope effects has been introduced into the Modular Earth Submodel System (MESSy) framework. Incorporated into the ECHAM/MESSy Atmospheric Chemistry (EMAC) general circulation model, an explicit treatment of the isotope effects on the global scale is now possible. The expanded model system has been applied to simulate the chemical system containing up to five isotopologues of all carbon- and oxygen-bearing species, which ultimately determine the δ{sup 13}C, δ{sup 18}O and Δ{sup 17}O isotopic signatures of atmospheric CO. As model input, a new stable isotope-inclusive emission inventory for the relevant trace gases has been compiled. The uncertainties of the emission estimates and of the resulting simulated mixing and isotope ratios have been analysed. The simulated CO mixing and stable isotope ratios have been compared to in-situ measurements from ground-based observatories and from the civil-aircraft-mounted CARIBIC-1 measurement platform. The systematically underestimated {sup 13}CO/{sup 12}CO ratios of earlier, simplified modelling studies can now be partly explained. The EMAC simulations do not support the inferences of those studies, which suggest for CO a reduced input of the highly depleted in {sup 13}C methane oxidation source. In particular, a high average yield of 0.94 CO per reacted methane (CH{sub 4}) molecule is simulated in the troposphere, to a large extent due to the competition between the deposition and convective transport processes affecting the CH{sub 4} to CO reaction chain intermediates. None of the other factors, assumed or disregarded in previous studies, however hypothesised to have the potential in enriching tropospheric CO in {sup 13}C, were found significant

  10. Effect of different emission inventories on modeled ozone and carbon monoxide in Southeast Asia

    Science.gov (United States)

    Amnuaylojaroen, T.; Barth, M. C.; Emmons, L. K.; Carmichael, G. R.; Kreasuwun, J.; Prasitwattanaseree, S.; Chantara, S.

    2014-12-01

    In order to improve our understanding of air quality in Southeast Asia, the anthropogenic emissions inventory must be well represented. In this work, we apply different anthropogenic emission inventories in the Weather Research and Forecasting Model with Chemistry (WRF-Chem) version 3.3 using Model for Ozone and Related Chemical Tracers (MOZART) gas-phase chemistry and Global Ozone Chemistry Aerosol Radiation and Transport (GOCART) aerosols to examine the differences in predicted carbon monoxide (CO) and ozone (O3) surface mixing ratios for Southeast Asia in March and December 2008. The anthropogenic emission inventories include the Reanalysis of the TROpospheric chemical composition (RETRO), the Intercontinental Chemical Transport Experiment-Phase B (INTEX-B), the MACCity emissions (adapted from the Monitoring Atmospheric Composition and Climate and megacity Zoom for the Environment projects), the Southeast Asia Composition, Cloud, Climate Coupling Regional Study (SEAC4RS) emissions, and a combination of MACCity and SEAC4RS emissions. Biomass-burning emissions are from the Fire Inventory from the National Center for Atmospheric Research (NCAR) (FINNv1) model. WRF-Chem reasonably predicts the 2 m temperature, 10 m wind, and precipitation. In general, surface CO is underpredicted by WRF-Chem while surface O3 is overpredicted. The NO2 tropospheric column predicted by WRF-Chem has the same magnitude as observations, but tends to underpredict the NO2 column over the equatorial ocean and near Indonesia. Simulations using different anthropogenic emissions produce only a slight variability of O3 and CO mixing ratios, while biomass-burning emissions add more variability. The different anthropogenic emissions differ by up to 30% in CO emissions, but O3 and CO mixing ratios averaged over the land areas of the model domain differ by ~4.5% and ~8%, respectively, among the simulations. Biomass-burning emissions create a substantial increase for both O3 and CO by ~29% and ~16

  11. Patient satisfaction with primary health care - a comparison between the insured and non-insured under the National Health Insurance Policy in Ghana

    DEFF Research Database (Denmark)

    Fenny, Ama Pokuah; Enemark, Ulrika; Asante, Felix A

    2014-01-01

    Ghana has initiated various health sector reforms over the past decades aimed at strengthening institutions, improving the overall health system and increasing access to healthcare services by all groups of people. The National Health Insurance Scheme (NHIS) instituted in 2005, is an innovative...... system aimed at making health care more accessible to people who need it. Currently, there is a growing amount of concern about the capacity of the NHIS to make quality health care accessible to its clients. A number of studies have concentrated on the effect of health insurance status on demand...... for health services, but have been quiet on supply side issues. The main aim of this study is to examine the overall satisfaction with health care among the insured and uninsured under the NHIS. The second aim is to explore the relations between overall satisfaction and socio-demographic characteristics...

  12. Carbon monoxide is not always a poison gas for human organism: Physiological and pharmacological features of CO.

    Science.gov (United States)

    Olas, Beata

    2014-10-05

    Carbon monoxide (CO) is an odorless, colorless and non-irritating gas. Even a small amount of CO exposure is possibly associated with specific toxic effects. CO is also produced endogenously in the body as a byproduct of heme degradation catalyzed by heme oxygenase. More recently CO has been identified as a gasotransmitter in various biological systems. However, the biological role and the therapeutic potential of carbon monoxide is not clear. This review summarizes the negative and the positive functions of carbon monoxide in various biological systems, including cardiovascular system.

  13. Healthcare is primary.

    Science.gov (United States)

    Kumar, Raman

    2015-01-01

    India is undergoing a rapid transformation in terms of governance, administrative reforms, newer policy develoment, and social movements. India is also considered one of the most vibrant economies in the world. The current discourse in public space is dominated by issues such as economic development, security, corruption free governance, gender equity, and women safety. Healthcare though remains a pressing need of population; seems to have taken a backseat. In the era of decreasing subsidies and cautious investment in social sectors, the 2(nd) National Conference on Family Medicine and Primary Care 2015 (FMPC) brought a focus on "healthcare" in India. The theme of this conference was "Healthcare is Primary." The conference participants discussed on the theme of why healthcare should be a national priority and why strong primary care should remain at the center of healthcare delivery system. The experts recommended that India needs to strengthen the "general health system" instead of focusing on disease based vertical programs. Public health system should have capacity and skill pool to be able to deliver person centered comprehensive health services to the community. Proactive implementation of policies towards human resource in health is the need of the hour. As the draft National Health Policy 2015 is being debated, "family medicine" (academic primary care), the unfinished agenda of National Health Policy 2002, remains a priority area of implementation.

  14. Primary Episodic Ataxias

    Directory of Open Access Journals (Sweden)

    J Gordon Millichap

    2007-10-01

    Full Text Available The clinical and genetic diagnosis, genotype-phenotype correlations, pathophysiology and treatment of primary episodic ataxia syndromes are reviewed by researchers from Departments of Neurology, UCLA School of Medicine, Los Angeles, CA; National Hospital for Neurology, Queen Square, London, UK; Johns Hopkins University School of Medicine, Baltimore, MD; and University of Rochester School of Medicine, NY, USA.

  15. Comprehensive coronary risk determination in primary prevention: an imaging and clinical based definition combining computed tomographic coronary artery calcium score and national cholesterol education program risk score.

    Science.gov (United States)

    Nasir, Khurram; Vasamreddy, Chandra; Blumenthal, Roger S; Rumberger, John A

    2006-06-16

    Cardiovascular disease (CVD) is the leading cause of mortality and a major cause of morbidity. Coronary heart disease (CHD) accounts for nearly half of all CVD deaths. Currently estimation of risk in primary prevention is based on the Framingham risk equations, which inputs traditional risk factors and is helpful in predicting the development of CHD in asymptomatic individuals. However many individuals suffer events in the absence of established risk factors for atherosclerosis and broad based population risk estimations may have little precision when applied to a given individual. To meet the challenge of CHD risk assessment, several tools have been developed to identify atherosclerotic disease in its preclinical stages. This paper aims to incorporate information from coronary artery calcification (CAC) scoring from a computed tomographic "heartscan" (using Electron Beam Tomography (EBT) as the validated prototype) along with current Framingham risk profiling in order to refine risk on an absolute scale by combining imaging and clinical data to affect a more comprehensive calculation of absolute risk in a given individual. For CAC scores above the 75th percentile but or =55 years, women> or =65 years) a CAC = 0 will result in an age point score corresponding to the age-group whose median CAC score is zero i.e., 40-44 years for men and 55-59 years for women. The utilization of CAC scores allows the inclusion of sub-clinical disease definition into the context of modifiable risk factors as well as identifies high-risk individuals requiring aggressive treatment.

  16. Final report on CIPM key comparison CCM.FF-K6.2011: Comparison of the primary (national) standards of low-pressure gas flow

    Science.gov (United States)

    Benková, Miroslava; Makovnik, Stefan; Mickan, Bodo; Arias, Roberto; Chahine, Khaled; Funaki, Tatsuya; Li, Chunhui; Choi, Hae Man; Seredyuk, Denys; Su, Chun-Min; Windenberg, Christophe; Wright, John

    2014-01-01

    The comparison CCM.FF-K6.2011 was organized for the purpose of determination of the degree of equivalence of the national standards for low-pressure gas flow measurement over the range (2 to 100) m3/h. A rotary gas meter was used as a transfer standard. The measurements were provided at prescribed reference conditions. Eleven laboratories from four RMOs participated in this key comparison—EURAMET: PTB, Germany; SMU, Slovakia; LNE-LADG, France; SIM: NIST, USA; CENAM, Mexico; APMP: NMIJ AIST Japan; KRISS, Korea; NMI, Australia; NIM, China; CMS, Chinese Taipei; COOMET: GP GP Ivano-Frankivs'kstandart-metrologia, Ukraine and all participants reported independent traceability chains to the SI. All results were used in the determination of the key comparison reference value (KCRV) and the uncertainty of the KCRV. The reference value was determined at each flow separately following procedure A presented by M G Cox. The degree of equivalence with the KCRV was also calculated for each flow and laboratory. All reported results were consistent with the KCRV. This KCRV can now be used in the further regional comparisons. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  17. Outcome of patients with carbon monoxide poisoning at a far-east poison center.

    Directory of Open Access Journals (Sweden)

    Chung-Hsuan Ku

    Full Text Available Many cases of carbon monoxide poisoning in Taiwan are due to burning charcoal. Nevertheless, few reports have analyzed the mortality rate of these patients who survive to reach a hospital and die despite intensive treatment. Therefore, this study examined the clinical features, physiological markers, and outcomes after carbon monoxide poisoning and the associations between these findings.We analyzed the records of 261 patients who were referred for management of carbon monoxide intoxication between 2000 and 2010. Patients were grouped according to status at discharge as alive (survivor, n = 242 or dead (non-survivor, n = 19. Demographic, clinical, laboratory, and mortality data were obtained for analysis.Approximately half of the cases (49.4% attempted suicide by burning charcoal. Most of the patients were middle-aged adults (33±19 years, and were referred to our hospital in a relatively short period of time (6±10 hours. Carbon monoxide produced many serious complications after exposure: fever (26.1%, hypothermia (9.6%, respiratory failure (34.1%, shock (8.4%, myocardial infarction (8.0%, gastrointestinal upset (34.9%, hepatitis (18.4%, renal failure (25.3%, coma (18.0% and rhabdomyolysis (21.8%. Furthermore, the non-survivors suffered greater incidences of hypothermia (P<0.001, respiratory failure (P<0.001, shock (P<0.001, hepatitis ((P=0.016, renal failure (P=0.003, coma (P<0.001 than survivors. All patients were treated with high concentration of oxygen therapy using non-rebreather mask. However, hyperbaric oxygen therapy was only used in 18.8% of the patients. In a multivariate-Cox-regression model, it was revealed that shock status was a significant predictor for mortality after carbon monoxide poisoning (OR 8.696, 95% CI 2.053-37.370, P=0.003. Finally, Kaplan-Meier analysis confirmed that patients with shock suffered greater cumulative mortality than without shock (Log-rank test, Chi-square 147.404, P<0.001.The mortality rate for

  18. Novel pathway for N1-acetyl-5-methoxykynuramine: UVB-induced liberation of carbon monoxide from precursor N1-acetyl-N2-formyl-5-methoxykynuramine.

    Science.gov (United States)

    Seever, Katinka; Hardeland, Rüdiger

    2008-05-01

    Irradiation of the melatonin metabolite N(1)-acetyl-N(2)-formyl-5-methoxykynuramine (AFMK) with UV light of 254 nm causes the release of carbon monoxide (CO) and, thus, deformylation to N(1)-acetyl-5-methoxykynuramine (AMK). Liberation of CO was demonstrated by reduction of PdCl(2) to metallic palladium, under avoidance of actions by other reductants. Photochemical AMK formation was not due to UV-induced hydroxyl radicals, because the reaction also took place with high efficiency in ethanol and 2-propanol. Moreover, AMK was generated from AFMK by UVB on a dry thin layer chromatographic plate. Although AMK seems to be the major primary product generated by UVB radiation, prolonged exposure of AFMK led to various other products, especially formed by destruction of AMK, as shown by irradiation of this latter compound. With regard to the demonstration of melatonin in skin and substantial amounts of AFMK in keratinocytes, these findings may be of dermatologic relevance.

  19. Optimal Management Strategies for Primary HPV Testing for Cervical Screening: Cost-Effectiveness Evaluation for the National Cervical Screening Program in Australia

    Science.gov (United States)

    Hall, Michaela; Lew, Jie-Bin; Hughes, Suzanne; Yuill, Susan; Hammond, Ian; Saville, Marion; Canfell, Karen

    2017-01-01

    Background Several countries are implementing a transition to HPV testing for cervical screening in response to the introduction of HPV vaccination and evidence indicating that HPV screening is more effective than cytology. In Australia, a 2017 transition from 2-yearly conventional cytology in 18–20 to 69 years to 5-yearly primary HPV screening in 25 to 74 years will involve partial genotyping for HPV 16/18 with direct referral to colposcopy for this higher risk group. The objective of this study was to determine the optimal management of women positive for other high-risk HPV types (not 16/18) ('OHR HPV'). Methods We used a dynamic model of HPV transmission, vaccination, natural history and cervical screening to determine the optimal management of women positive for OHR HPV. We assumed cytology triage testing was used to inform management in this group and that those with high-grade cytology would be referred to colposcopy and those with negative cytology would receive 12-month surveillance. For those with OHR HPV and low-grade cytology (considered to be a single low-grade category in Australia incorporating ASC-US and LSIL), we evaluated (1) the 20-year risk of invasive cervical cancer assuming this group are referred for 12-month follow-up vs. colposcopy, and compared this to the risk in women with low-grade cytology under the current program (i.e. an accepted benchmark risk for 12-month follow-up in Australia); (2) the population-level impact of the whole program, assuming this group are referred to 12-month surveillance vs. colposcopy; and (3) the cost-effectiveness of immediate colposcopy compared to 12-month follow-up. Evaluation was performed both for HPV-unvaccinated cohorts and cohorts offered vaccination (coverage ~72%). Findings The estimated 20-year risk of cervical cancer is ≤1.0% at all ages if this group are referred to colposcopy vs. ≤1.2% if followed-up in 12 months, both of which are lower than the ≤2.6% benchmark risk in women with low

  20. DNA methyltransferase 3B promoter polymorphism and its susceptibility to primary hepatocellular carcinoma in the Chinese Han nationality population: A case-control study

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    AIM: To investigate the correlation between C/T single nucleotide polymorphism (SNP) in the promoter of the DNA methyltransferase 3B (DNMT3B) gene and risk for development and progression of primary hepatocellular carcinoma (HCC).METHODS: One hundred case subjects were selected consecutively from Tongji Hospital (Wuhan, China).from March to November 2006. They did not receive radiotherapy or chemotherapy for newly diagnosed and histopathologically confirmed HCC. One hundred and forty control subjects having no history of cancerous or genetic diseases were healthy volunteers to Wuhan Blood Center in the same period. Frequency was matched for sex, age, alcohol consumption and cigarette smoking status of the case subjects. C/T polymorphism of the DNMT3B promoter was analyzed using polymerase chain reaction-restriction fragment length polymorphism(PCR-RFLP) and sequencing analysis. The association between genotypes of DNMT3B and clinicopathological parameters among cases was also studied.RESULTS: The CC genotype was not detected in both HCC patients and controls. In control ubjects, the frequency of TT and CT genotypes was 99.3% and 0.7%respectively, and that of T and C alleles was 99.6%and 0.4% respectively. The frequency of CT genotype was higher in HCC (3.0%). The frequency of T and C alleles was 98.5% and 1.5% respectively. However, the genotype and allelotype distribution in HCC patients was not significantly different from that in controls.CONCLUSION: C/T polymorphism is not associated with the increased risk of HCC. DNMT3B enetic polymorphism is variable in different races, ethnic groups or geographic areas. Further study is needed to clarify the role of DNMT3B SNP in the development of HCC among other populations.

  1. Sjögren SER: National registry of the Spanish Society of Rheumatology of patients with primary Sjögren syndrome: Objectives and methodology.

    Science.gov (United States)

    Fernández Castro, Mónica; Andreu, Jose Luis; Sánchez-Piedra, Carlos; Martínez Taboada, Víctor; Olivé, Alejandro; Rosas, José; Sánchez-Alonso, Fernando

    2016-01-01

    To describe the objectives and methods of the Spanish Society of Rheumatology primary Sjögren syndrome (pSS) registry (SJOGREN-SER) METHODS: This is a multicenter descriptive transversal study of a cohort of pSS patients fulfilling European/American consensus criteria collected from Rheumatology clinics all over Spain. Patients were included by randomisation from an anonymised list provided by every department. Data were collected by reviewing clinical records and an interviewing the patients. Two hundred and ninety eight variables were investigated: epidemiological, clinical, serological characteristics, treatments and complications. Informed consent was obtained and local ethics committees approved the study. Variables were analysed by descriptive statistical methods, using means, medians, and rates, with their deviations and interquartile ranges (p25-p75). A total of 3 rheumatology departments participated in the registry. A total of 437 patients were included. And 95% of them were women, with a median age of 58. Median age at pSS 's diagnosis was 50 years. Dryness symptoms (95%) were the most frequent complaint and anti-Ro/SS-A were present in 94% of the cases. Only 27% of the patients fulfilled the new 2012 SICCA-ACR classification criteria. SJOGREN-SER has been designed in order to characterize a representative pSS Spanish cohort, in clinical daily practice, to analyze the magnitude and distribution of its manifestations, activity, accumulated damage and therapeutic management of the disease. This will allow broadening the knowledge of this disease and plan strategies of action in pSS. Copyright © 2015 Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología. All rights reserved.

  2. Patient satisfaction with primary health care - a comparison between the insured and non-insured under the National Health Insurance Policy in Ghana.

    Science.gov (United States)

    Fenny, Ama Pokuaa; Enemark, Ulrika; Asante, Felix A; Hansen, Kristian S

    2014-04-01

    Ghana has initiated various health sector reforms over the past decades aimed at strengthening institutions, improving the overall health system and increasing access to healthcare services by all groups of people. The National Health Insurance Scheme (NHIS) instituted in 2005, is an innovative system aimed at making health care more accessible to people who need it. Currently, there is a growing amount of concern about the capacity of the NHIS to make quality health care accessible to its clients. A number of studies have concentrated on the effect of health insurance status on demand for health services, but have been quiet on supply side issues. The main aim of this study is to examine the overall satisfaction with health care among the insured and uninsured under the NHIS. The second aim is to explore the relations between overall satisfaction and socio-demographic characteristics, health insurance and the various dimensions of quality of care. This study employs logistic regression using household survey data in three districts in Ghana covering the 3 ecological zones (coastal, forest and savannah). It identifies the service quality factors that are important to patients' satisfaction and examines their links to their health insurance status. The results indicate that a higher proportion of insured patients are satisfied with the overall quality of care compared to the uninsured. The key predictors of overall satisfaction are waiting time, friendliness of staff and satisfaction of the consultation process. These results highlight the importance of interpersonal care in health care facilities. Feedback from patients' perception of health services and satisfaction surveys improve the quality of care provided and therefore effort must be made to include these findings in future health policies.

  3. Standing orders for influenza and pneumococcal polysaccharide vaccination: Correlates identified in a national survey of U.S. Primary care physicians

    Directory of Open Access Journals (Sweden)

    Albert Steven M

    2012-03-01

    Full Text Available Abstract Background Standing orders programs (SOPs allow non-physician medical staff to assess eligibility and administer vaccines without a specific physician's order. SOPs increase vaccination rates but are underutilized. Method In 2009, correlates of SOPs use for influenza vaccine and pneumococcal polysaccharide vaccination (PPV were assessed in a nationally representative, stratified random sample of U.S. physicians (n = 880 in family and internal medicine who provided office immunization. The response rate was 67%. Physicians reporting no SOPs, only influenza SOPs, and joint influenza and PPV SOPs were compared using multinomial and logistic regression models to examine individual and practice-level correlates. Results 23% reported using SOPs consistently for both influenza vaccine and PPV, and 20% for influenza vaccination only, with the remainder not using SOPs. Practice-level factors that distinguished practices with joint influenza-PPV SOPs included perceived practice openness to change, strong practice teamwork, access to an electronic medical record, presence of an immunization champion in the practice, and access to nurse/physician assistant staff as opposed to medical assistants alone. Discussion Physicians in practices with SOPs for both vaccines reported greater awareness of ACIP recommendations and/or Medicare regulations and were more likely to agree that SOPs are an effective way to boost vaccination coverage. However, implementation of both influenza and PPV SOPs was also associated with a variety of practice-level factors, including teamwork, the presence of an immunization champion, and greater availability of clinical assistants with advanced training. Conclusions Practice-level factors are critical for the adoption of more complex SOPs, such as joint SOPs for influenza and PPV.

  4. Primary Productivity (PP_Master)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set included primary production for each subregion in the study (Georges Bank, Gulf of Maine, Southern New England, Middle Atlantic Bight) . The data came...

  5. Linking of Primary Care Records to Census Data to Study the Association between Socioeconomic Status and Cancer Incidence in Southern Europe: A Nation-Wide Ecological Study

    Science.gov (United States)

    Garcia-Gil, Maria; Elorza, Josep-Maria; Banque, Marta; Comas-Cufí, Marc; Blanch, Jordi; Ramos, Rafel; Méndez-Boo, Leonardo; Hermosilla, Eduardo; Bolibar, Bonaventura; Prieto-Alhambra, Daniel

    2014-01-01

    Background Area-based measures of economic deprivation are seldom applied to large medical records databases to establish population-scale associations between deprivation and disease. Objective To study the association between deprivation and incidence of common cancer types in a Southern European region. Methods Retrospective ecological study using the SIDIAP (Information System for the Development of Research in Primary Care) database of longitudinal electronic medical records for a representative population of Catalonia (Spain) and the MEDEA index based on urban socioeconomic indicators in the Spanish census. Study outcomes were incident cervical, breast, colorectal, prostate, and lung cancer in 2009–2012. The completeness of SIDIAP cancer recording was evaluated through linkage of a geographic data subset to a hospital cancer registry. Associations between MEDEA quintiles and cancer incidence was evaluated using zero-inflated Poisson regression adjusted for sex, age, smoking, alcoholism, obesity, hypertension, and diabetes. Results SIDIAP sensitivity was 63% to 92% for the five cancers studied. There was direct association between deprivation and lung, colorectal, and cervical cancer: incidence rate ratios (IRR) 1.82 [1.64–2.01], IRR 1.60 [1.34–1.90], IRR 1.22 [1.07–1.38], respectively, comparing the most deprived to most affluent areas. In wealthy areas, prostate and breast cancers were more common: IRR 0.92 [0.80–1.00], IRR 0.91 [0.78–1.06]. Adjustment for confounders attenuated the association with lung cancer risk (fully adjusted IRR 1.16 [1.08–1.25]), reversed the direction of the association with colorectal cancer (IRR 0.90 [0.84–0.95]), and did not modify the associations with cervical (IRR 1.27 [1.11–1.45]), prostate (0.74 [0.69–0.80]), and breast (0.76 [0.71–0.81]) cancer. Conclusions Deprivation is associated differently with the occurrence of various cancer types. These results provide evidence that MEDEA is a useful, area

  6. Linking of primary care records to census data to study the association between socioeconomic status and cancer incidence in Southern Europe: a nation-wide ecological study.

    Directory of Open Access Journals (Sweden)

    Maria Garcia-Gil

    Full Text Available BACKGROUND: Area-based measures of economic deprivation are seldom applied to large medical records databases to establish population-scale associations between deprivation and disease. OBJECTIVE: To study the association between deprivation and incidence of common cancer types in a Southern European region. METHODS: Retrospective ecological study using the SIDIAP (Information System for the Development of Research in Primary Care database of longitudinal electronic medical records for a representative population of Catalonia (Spain and the MEDEA index based on urban socioeconomic indicators in the Spanish census. Study outcomes were incident cervical, breast, colorectal, prostate, and lung cancer in 2009-2012. The completeness of SIDIAP cancer recording was evaluated through linkage of a geographic data subset to a hospital cancer registry. Associations between MEDEA quintiles and cancer incidence was evaluated using zero-inflated Poisson regression adjusted for sex, age, smoking, alcoholism, obesity, hypertension, and diabetes. RESULTS: SIDIAP sensitivity was 63% to 92% for the five cancers studied. There was direct association between deprivation and lung, colorectal, and cervical cancer: incidence rate ratios (IRR 1.82 [1.64-2.01], IRR 1.60 [1.34-1.90], IRR 1.22 [1.07-1.38], respectively, comparing the most deprived to most affluent areas. In wealthy areas, prostate and breast cancers were more common: IRR 0.92 [0.80-1.00], IRR 0.91 [0.78-1.06]. Adjustment for confounders attenuated the association with lung cancer risk (fully adjusted IRR 1.16 [1.08-1.25], reversed the direction of the association with colorectal cancer (IRR 0.90 [0.84-0.95], and did not modify the associations with cervical (IRR 1.27 [1.11-1.45], prostate (0.74 [0.69-0.80], and breast (0.76 [0.71-0.81] cancer. CONCLUSIONS: Deprivation is associated differently with the occurrence of various cancer types. These results provide evidence that MEDEA is a useful, area

  7. Linking of primary care records to census data to study the association between socioeconomic status and cancer incidence in Southern Europe: a nation-wide ecological study.

    Science.gov (United States)

    Garcia-Gil, Maria; Elorza, Josep-Maria; Banque, Marta; Comas-Cufí, Marc; Blanch, Jordi; Ramos, Rafel; Méndez-Boo, Leonardo; Hermosilla, Eduardo; Bolibar, Bonaventura; Prieto-Alhambra, Daniel

    2014-01-01

    Area-based measures of economic deprivation are seldom applied to large medical records databases to establish population-scale associations between deprivation and disease. To study the association between deprivation and incidence of common cancer types in a Southern European region. Retrospective ecological study using the SIDIAP (Information System for the Development of Research in Primary Care) database of longitudinal electronic medical records for a representative population of Catalonia (Spain) and the MEDEA index based on urban socioeconomic indicators in the Spanish census. Study outcomes were incident cervical, breast, colorectal, prostate, and lung cancer in 2009-2012. The completeness of SIDIAP cancer recording was evaluated through linkage of a geographic data subset to a hospital cancer registry. Associations between MEDEA quintiles and cancer incidence was evaluated using zero-inflated Poisson regression adjusted for sex, age, smoking, alcoholism, obesity, hypertension, and diabetes. SIDIAP sensitivity was 63% to 92% for the five cancers studied. There was direct association between deprivation and lung, colorectal, and cervical cancer: incidence rate ratios (IRR) 1.82 [1.64-2.01], IRR 1.60 [1.34-1.90], IRR 1.22 [1.07-1.38], respectively, comparing the most deprived to most affluent areas. In wealthy areas, prostate and breast cancers were more common: IRR 0.92 [0.80-1.00], IRR 0.91 [0.78-1.06]. Adjustment for confounders attenuated the association with lung cancer risk (fully adjusted IRR 1.16 [1.08-1.25]), reversed the direction of the association with colorectal cancer (IRR 0.90 [0.84-0.95]), and did not modify the associations with cervical (IRR 1.27 [1.11-1.45]), prostate (0.74 [0.69-0.80]), and breast (0.76 [0.71-0.81]) cancer. Deprivation is associated differently with the occurrence of various cancer types. These results provide evidence that MEDEA is a useful, area-based deprivation index for analyses of the SIDIAP database. This

  8. Is carbon monoxide-mediated cyclic guanosine monophosphate production responsible for low blood pressure in neonatal respiratory distress syndrome?

    NARCIS (Netherlands)

    van Bel, F; Latour, [No Value; Vreman, HJ; Wong, RJ; Stevenson, DK; Steendijk, P; Egberts, J; Krediet, TG

    Infant respiratory distress syndrome (RDS) involves inflammatory processes, causing an increased expression of inducible heme oxygenase with subsequent production of carbon monoxide (CO). We hypothesized that increased production of CO during RDS might be responsible for increased plasma levels of

  9. Non-convulsive status epilepticus in a patient with carbon-monoxide poisoning treated with hyperbaric oxygen therapy.

    Science.gov (United States)

    Marziali, Simone; Di Giuliano, Francesca; Picchi, Eliseo; Natoli, Silvia; Leonardis, Carlo; Leonardis, Francesca; Garaci, Francesco; Floris, Roberto

    2016-12-01

    The presentation of carbon monoxide poisoning is non-specific and highly variable. Hyperbaric oxygen therapy is used for the treatment of this condition. Various reports show the occurrence of self-limiting seizures after carbon monoxide poisoning and as a consequence of hyperbaric oxygen therapy. Contrary to the seizures, status epilepticus has been rarely observed in these conditions. The exact pathophysiology underlying seizures and status epilepticus associated with carbon monoxide poisoning and hyperbaric oxygen therapy is not really clear, and some elements appear to be common to both conditions. We describe a case of non-convulsive status epilepticus in a patient with carbon monoxide poisoning treated with hyperbaric oxygen therapy. The mechanism, MRI findings and implications are discussed.

  10. Scanning imaging absorption spectrometer for atmospheric chartography carbon monoxide total columns: statistical evaluation and comparison with chemistry transport model results

    NARCIS (Netherlands)

    de Laat, A.T.J.; Gloudemans, A.M.S.; Aben, I.; Krol, M.C.; Meirink, J.F.; van der Werf, G.R.; Schrijver, H.

    2007-01-01

    This paper presents a detailed statistical analysis of one year (September 2003 to August 2004) of global Scanning Imaging Absorption Spectrometer for Atmospheric Chartography (SCIAMACHY) carbon monoxide (CO) total column retrievals from the Iterative Maximum Likelihood Method (IMLM) algorithm, vers

  11. Scanning Imaging Absorption Spectrometer for Atmospheric Chartography carbon monoxide total columns: Statistical evaluation and comparison with chemistry transport model results

    NARCIS (Netherlands)

    Laat, de A.T.J.; Gloudemans, A.M.S.; Aben, I.; Krol, M.C.; Meirink, J.F.; Werf, van der G.R.; Schrijver, H.

    2007-01-01

    This paper presents a detailed statistical analysis of one year (September 2003 to August 2004) of global Scanning Imaging Absorption Spectrometer for Atmospheric Chartography (SCIAMACHY) carbon monoxide (CO) total column retrievals from the Iterative Maximum Likelihood Method (IMLM) algorithm, vers

  12. Hydrogen Oxidation on Gas Diffusion Electrodes for Phosphoric Acid Fuel Cells in the Presence of Carbon Monoxide and Oxygen

    DEFF Research Database (Denmark)

    Gang, Xiao; Li, Qingfeng; Hjuler, Hans Aage

    1995-01-01

    Hydrogen oxidation has been studied on a carbon-supported platinum gas diffusion electrode in a phosphoric acidelectrolyte in the presence of carbon monoxide and oxygen in the feed gas. The poisoning effect of carbon monoxide presentin the feed gas was measured in the temperature range from 80...... to 150°C. It was found that throughout the temperaturerange, the potential loss due to the CO poisoning can be reduced to a great extent by the injection of small amounts ofgaseous oxygen into the hydrogen gas containing carbon monoxide. By adding 5 volume percent (v/o) oxygen, an almost......CO-free performance can be obtained for carbon monoxide concentrations up to 0.5 v/o CO at 130°C, 0.2 v/o CO at 100°C,and 0.1 v/o CO at 80°C, respectively....

  13. Carbon Monoxide Poisoning in the Region of Fez-Boulemane, Morocco: Epidemiological Profile and Risk Factors (2009-2012

    Directory of Open Access Journals (Sweden)

    Awatef Tahouri

    2013-12-01

    How to cite this article: Tahouri A, Lyoussi B, Achour S. Carbon Monoxide Poisoning in the Region of Fez-Boulemane, Morocco: Epidemiological Profile and Risk Factors (2009-2012. Asia Pac J Med Toxicol 2013;2:131-5.

  14. Ethnic variations in incidence of asthma episodes in England & Wales:national study of 502,482 patients in primary care

    Directory of Open Access Journals (Sweden)

    Sheikh Aziz

    2005-10-01

    Full Text Available Summary Background Recent studies have demonstrated marked international variations in the prevalence of asthma, but less is known about ethnic variations in asthma epidemiology within individual countries and in particular the impact of migration on risk of developing asthma. Recent within country comparisons have however revealed that despite originating from areas of the world with a low risk for developing asthma, South Asian and Afro-Caribbean people in the UK are significantly (3× and 2× respectively more likely to be admitted to hospital for asthma related problems than Whites. Methods Using data from the Fourth National Study of Morbidity Statistics in General Practice, a one-percent broadly representative prospective cohort study of consultations in general practice, we investigated ethnic variations in incident asthma consultations (defined as new or first consultations, and compared consultation rates between those born inside and outside the UK (migrant status. Logistic regression models were used to examine the combined effects of ethnicity and migration on asthma incident consultations. Results Results showed significantly lower new/first asthma consultation rates for Whites than for each of the ethnic minority groups studied (mean age-adjusted consultation rates per 1000 patient-years: Whites 26.4 (95%CI 26.4, 26.4; South Asians 30.4 (95%CI 30.3, 30.5; Afro-Caribbeans 35.1 (95%CI 34.9, 35.3; and Others 27.8 (27.7, 28.0. Within each of these ethnic groups, those born outside of the UK showed consistently lower rates of incident asthma consultations. Modelling the combined effects of ethnic and migrant status revealed that UK-born South Asians and Afro-Caribbeans experienced comparable risks for incident GP consultations for asthma to UK-born Whites. Non-UK born Whites however experienced reduced risks (adjusted OR 0.82, 95%CI 0.69, 0.97 whilst non-UK born South Asians experienced increased risks (adjusted OR 1.33, 95%CI 1.04, 1

  15. Functional outcome, revision rates and mortality after primary total hip replacement--a national comparison of nine prosthesis brands in England.

    Directory of Open Access Journals (Sweden)

    Mark Pennington

    Full Text Available The number of prosthesis brands used for hip replacement has increased rapidly, but there is little evidence on their effectiveness. We compared patient-reported outcomes, revision rates, and mortality for the three most frequently used brands within each prosthesis type: cemented (Exeter V40 Contemporary, Exeter V40 Duration and Exeter V40 Elite Plus Ogee, cementless (Corail Pinnacle, Accolade Trident, and Taperloc Exceed, and hybrid (Exeter V40 Trilogy, Exeter V40 Trilogy, and CPT Trilogy.We used three national databases of patients who had hip replacements between 2008 and 2011 in the English NHS to compare functional outcome (Oxford Hip Score (OHS ranging from 0 (worst to 48 (best in 43,524 patients at six months. We analysed revisions and mortality in 187,201 patients. We used multiple regression to adjust for pre-operative differences. Prosthesis type had an impact on post-operative OHS and revision rates (both p<0.001. Patients with hybrid prostheses had the best functional outcome (mean OHS 39.4, 95%CI 39.1 to 39.7 and those with cemented prostheses the worst (37.7, 37.3 to 38.1. Patients with cemented prostheses had the lowest reported 5-year revision rates (1.3%, 1.2% to 1.4% and those with cementless prostheses the highest (2.2%, 2.1% to 2.4%. Differences in mortality according to prosthesis type were small and not significant (p = 0.06. Functional outcome varied according to brand among cemented (p = 0.05, with Exeter V40 Duration having the best and cementless prostheses (p = 0.01, with Corail Pinnacle having the best. Revision rates varied according to brand among hybrids (p = 0.05, with Exeter V40 Trident having the lowest.Functional outcomes were better with cementless cups and revision rates were lower with cemented stems, which underlies the good overall performance of hybrids. The hybrid Exeter V40 Trident seemed to produce the best overall results. This brand should be considered as a benchmark in randomised trials.

  16. Selective oxidation of carbon monoxide in the presence of butane and maleic anhydride

    Energy Technology Data Exchange (ETDEWEB)

    Corbin, D.R.; Bonifaz, C. (DuPont Company, Wilmington, DE (United States))

    1994-03-01

    The selective oxidation of carbon monoxide in the presence of butane and maleic anhydride has been studied over platinum- and palladium-containing zeolites as well as palladium-on-silica (Pd/SiO[sub 2]) catalysts. The results show that although a zeolite support is needed in many systems to effect a kinetic control to improve selectivity, thermodynamic control using Pd([approximately]2-4 ppm)/SiO[sub 2] is sufficient to give the desired selectivities in this system. In addition, a palladium-containing vanadium-phosphate catalyst was prepared that showed complete oxidation of carbon monoxide, conversion of butane to maleic anhydride, and no observable decomposition of the maleic anhydride. 14 refs., 4 tabs.

  17. Hydrogen bonding of formamide, urea, urea monoxide and their thio-analogs with water and homodimers

    Indian Academy of Sciences (India)

    Damanjit Kaur; Shweta Khanna

    2014-11-01

    Ab initio and DFT methods have been employed to study the hydrogen bonding ability of formamide, urea, urea monoxide, thioformamide, thiourea and thiourea monoxide with one water molecule and the homodimers of the selected molecules. The stabilization energies associated with themonohydrated adducts and homodimers’ formation were evaluated at B3LYP/6-311++G** and MP2/6-311++G∗∗ levels. The energies were corrected for zero-point vibrational energies and basis set superposition error using counterpoise method. Atoms in molecules study has been carried out in order to characterize the hydrogen bonds through the changes in electron density and laplacian of electron density. A natural energy decomposition and natural bond orbital analysis was performed to understand the nature of hydrogen bonding.

  18. Electricity generation from carbon monoxide and syngas in a microbial fuel cell.

    Science.gov (United States)

    Hussain, Abid; Guiot, Serge R; Mehta, Punita; Raghavan, Vijaya; Tartakovsky, Boris

    2011-05-01

    Electricity generation in microbial fuel cells (MFCs) has been a subject of significant research efforts. MFCs employ the ability of electricigenic bacteria to oxidize organic substrates using an electrode as an electron acceptor. While MFC application for electricity production from a variety of organic sources has been demonstrated, very little research on electricity production from carbon monoxide and synthesis gas (syngas) in an MFC has been reported. Although most of the syngas today is produced from non-renewable sources, syngas production from renewable biomass or poorly degradable organic matter makes energy generation from syngas a sustainable process, which combines energy production with the reprocessing of solid wastes. An MFC-based process of syngas conversion to electricity might offer a number of advantages such as high Coulombic efficiency and biocatalytic activity in the presence of carbon monoxide and sulfur components. This paper presents a discussion on microorganisms and reactor designs that can be used for operating an MFC on syngas.

  19. Unique case of fatal carbon monoxide poisoning in the absence of a combustible fossil fuel.

    Science.gov (United States)

    Morgan, D R; Poon, P; Titley, J; Jagger, S F; Rutty, G N

    2001-09-01

    A 37-year-old man died as a result of exposure to carbon monoxide within an apartment. An investigation of the apartment showed no gas appliances or gas supply to the apartment and no evidence of any combustion event to any part of the apartment or roof space. Inhalation of dichloromethane was excluded. Heating to the apartment was found to be via an electrical storage heater, the examination of which revealed that the cast-iron core and insulating material showed evidence of heat damage with significant areas devoid of carbon. This electric storage heater is hypothesized to be the source of carbon for the fatal production of carbon monoxide within the apartment.

  20. The Effect of Water Vapor on Flame Velocity in Equivalent Carbon Monoxide and Oxygen Mixtures

    Science.gov (United States)

    Fiock, Ernest F; King, H Kendall

    1936-01-01

    This report presents the results of an investigation to study the effect of water vapor upon the spatial speed of flame in equivalent mixtures of carbon monoxide and oxygen at various total pressures from 100 to 780 mm.hg. These results show that, within this pressure range, an increase in flame speed is produced by increasing the mole fraction of water vapor at least as far as saturation at 25 degrees c., and that the rate of this increase is greater the higher the pressure. It is evident that water vapor plays an important part in the explosive oxidation of carbon monoxide; the need for further experimental evidence as to the nature of its action is indicated.

  1. Vibrationally Excited Carbon Monoxide Produced via a Chemical Reaction Between Carbon Vapor and Oxygen

    Science.gov (United States)

    Jans, Elijah R.; Eckert, Zakari; Frederickson, Kraig; Rich, Bill; Adamovich, Igor V.

    2017-06-01

    Measurements of the vibrational distribution function of carbon monoxide produced via a reaction between carbon vapor and molecular oxygen has shown a total population inversion on vibrational levels 4-7. Carbon vapor, produced using an arc discharge to sublimate graphite, is mixed with an argon oxygen flow. The excited carbon monoxide is vibrationally populated up to level v=14, at low temperatures, T=400-450 K, in a collision-dominated environment, 15-20 Torr, with total population inversions between v=4-7. The average vibrational energy per CO molecule formed by the reaction is 0.6-1.2 eV/molecule, which corresponds to 10-20% of the reaction enthalpy. Kinetic modeling of the flow reactor, including state specific vibrational processes, was performed to infer the vibrational distribution of the products of the reaction. The results show viability of developing of a new chemical CO laser from the reaction of carbon vapor and oxygen.

  2. Alexithymia Associated With Bilateral Globus Pallidus Lesions After Carbon Monoxide Poisoning

    Directory of Open Access Journals (Sweden)

    Mei-Feng Huang

    2010-06-01

    Full Text Available Alexithymia refers to a person's inability to identify and describe feelings. We present a patient who developed alexithymia after carbon monoxide poisoning following a suicide attempt by burning charcoal in an enclosed space. Brain computed tomography revealed bilateral globus pallidus hypoxic lesions. Because of the time frame and the presence of brain structural lesions, the alexithymia in this patient was thought to be caused by bilateral globus pallidus hypoxic lesions resulting from carbon monoxide poisoning. The alexithymia in this patient did not respond to a variety of psychotropic drugs, including sertraline, venalfaxine, bupropion or methylphenidate. We suggest that alexithymia, which was associated with brain hypoxic lesions in this case, is resistant to treatment.

  3. Research progress in immunological mechanism of delayed encephalopathy after acute carbon monoxide poisoning

    Directory of Open Access Journals (Sweden)

    Kai FENG

    2014-10-01

    Full Text Available Delayed encephalopathy after acute carbon monoxide poisoning (DEACMP is a syndrome constituted by acute dementia, psychiatric symptoms, pyramidal and extrapyramidal symptoms, which can be developed after the original clinical symptoms of carbon monoxide poisoning recovered. Lots of studies have been done to explain the mechanisms of DEACMP, and more and more researches have demonstrated that the immunological mechanism may be involved in or play an important role on the pathogenesis of the process. This article will review the researches of immunological mechanism of DEACMP in recent years and give some prompts to clinical study in the future. doi: 10.3969/j.issn.1672-6731.2014.10.006

  4. Delayed neuropsychiatric syndrome after carbon monoxide poisoning: inclusion of hyperbaric oxygen therapy in the recovery protocol

    Directory of Open Access Journals (Sweden)

    Dante Lo Pardo

    2016-06-01

    Full Text Available The delayed neuropsychiatric syndrome can arise in the period from 4 days to 5 weeks following carbon monoxide poisoning, and is characterized by neuropsychological deficits, which in some cases become chronic. This case report describes an adult female who apparently suffered self-inflicted carbon monoxide poisoning. She was not treated with hyperbaric oxygen and developed delayed sequelae on day 20. The treatment started with 40 sessions of hyperbaric oxygen therapy and subsequently with neuropsychological rehabilitation and physiotherapy. The treatment resulted in a progressive and almost complete physical and psychological recovery as evidenced by neuropsychometric tests and diagnostic imaging performed in the follow-up. Recovery was attributed to hyperbaric oxygen therapy. Although further research is required, we propose hyperbaric oxygen therapy also in the recovery protocol in the treatment of delayed neuropsychiatric syndrome.

  5. Primary fibromyalgia

    DEFF Research Database (Denmark)

    Jacobsen, S; Jensen, L T; Foldager, M

    1990-01-01

    Serum concentrations of procollagen type III aminoterminal peptide have previously been reported to be low in some patients with primary fibromyalgia and the aim of this study was to determine if such patients differ clinically from primary fibromyalgia patients with normal levels of procollagen...... type III aminoterminal peptide. Subjective symptoms, tender points and dynamic muscle strength in 45 women with primary fibromyalgia were related to serum concentrations of procollagen type III aminoterminal peptide. Patients with low serum concentrations of procollagen type III aminoterminal peptide...... concentrations of procollagen type III aminoterminal peptide of primary fibromyalgia patients are connected to the disease impact....

  6. Diverse mechanisms underlying the regulation of ion channels by carbon monoxide

    OpenAIRE

    Peers, C; Boyle, J. P.; Scragg, J. L.; Dallas, M L; Al-Owais, M. M.; Hettiarachichi, N T; Elies, J; Johnson, E.; Gamper, N; Steele, D S

    2014-01-01

    Carbon monoxide (CO) is firmly established as an important, physiological signalling molecule as well as a potent toxin. Through its ability to bind metal-containing proteins, it is known to interfere with a number of intracellular signalling pathways, and such actions can account for its physiological and pathological effects. In particular, CO can modulate the intracellular production of reactive oxygen species, NO and cGMP levels, as well as regulate MAPK signalling. In this review, we con...

  7. Resveratrol Induces Hepatic Mitochondrial Biogenesis Through the Sequential Activation of Nitric Oxide and Carbon Monoxide Production

    OpenAIRE

    Kim, Seul-Ki; Joe, Yeonsoo; Min ZHENG; Kim, Hyo Jeong; Yu, Jae-Kyoung; Cho, Gyeong Jae; Chang, Ki Churl; Kim, Hyoung Kyu; Han, Jin; Ryter, Stefan W.; Chung, Hun Taeg

    2014-01-01

    Aims: Nitric oxide (NO) can induce mitochondrial biogenesis in cultured cells, through increased guanosine 3′,5′-monophosphate (cGMP), and activation of peroxisome proliferator-activated receptor gamma coactivator-1α (PGC-1α). We sought to determine the role of NO, heme oxygenase-1 (HO-1), and its reaction product (carbon monoxide [CO]) in the induction of mitochondrial biogenesis by the natural antioxidant resveratrol. Results: S-nitroso-N-acetylpenicillamine (SNAP), an NO donor, induced ...

  8. Hemeoxygenase-1 inhibits human myometrial contractility via carbon monoxide and is upregulated by progesterone during pregnancy.

    OpenAIRE

    Acevedo, C H; Ahmed, A

    1998-01-01

    Nitric oxide was proposed as an endogenous inhibitor of myometrial contractility during pregnancy. Carbon monoxide (CO) like nitric oxide increases cGMP and is generated during the degradation of heme to biliverdin IX by hemeoxygenases (HO). Here we report that the expression of both HO-1 (inducible) and HO-2 (constitutive) were > 15-fold higher in pregnant myometrium compared to nonpregnant myometrium (n = 4, P < 0.001, P < 0.005, respectively). Moreover, the activation of the HO-CO pathway ...

  9. Dielectric Properties of Lead Monoxide Filled Unsaturated Polyester Based Polymer Composites

    Science.gov (United States)

    Harish, V.; Kumar, H. G. Harish; Nagaiah, N.

    2011-07-01

    Lead monoxide filled isophthalate resin particulate polymer composites were prepared with different filler concentrations and investigated for physical, thermal, mechanical and gamma radiation shielding characteristics. This paper discusses about the dielectric properties of the composites. The present study showed that the dielectric constant (ɛ'), dielectric loss (ɛ″) and ac conductivity (σac) of isopthalate based unsaturated polyester resin increases with the increase in wt% PbO filler in polymer matrix.

  10. Synthesis of Diethyl Oxalate by a Coupling—Regeneration Reaction of Carbon Monoxide

    Institute of Scientific and Technical Information of China (English)

    FandongMeng; GenhuiXu; 等

    2002-01-01

    This article describes a process for the synthesis of diethyl oxalate by a copling reaction of carbon monoxide,catalyzed by palladium in the presence of ethyl nitrite ,The kinetics and mechanism of the coupling and regeneration reaction are also discussed ,This paper presents the results of a scale-up test of the catalyst and the process based on an a priori computer simulation.

  11. Carbon Monoxide Releasing Molecule-A1 (CORM-A1) Improves Neurogenesis

    DEFF Research Database (Denmark)

    Almeida, Ana S; Soares, Nuno L; Vieira, Melissa;

    2016-01-01

    Cerebral ischemia and neurodegenerative diseases lead to impairment or death of neurons in the central nervous system. Stem cell based therapies are promising strategies currently under investigation. Carbon monoxide (CO) is an endogenous product of heme degradation by heme oxygenase (HO) activit...... cell mechanisms involved in neuronal differentiation. In summary, CO appears as a promising therapeutic molecule to stimulate endogenous neurogenesis or to improve in vitro neuronal production for cell therapy strategies....

  12. Extended Molecular Dynamics Simulation of the Carbon Monoxide Migration in Sperm Whale Myoglobin

    OpenAIRE

    Bossa, Cecilia; Anselmi, Massimiliano; Roccatano, Danilo; Amadei, Andrea; Vallone, Beatrice; Brunori, Maurizio; Di Nola, Alfredo

    2004-01-01

    We report the results of an extended molecular dynamics simulation on the migration of photodissociated carbon monoxide in wild-type sperm whale myoglobin. Our results allow following one possible ligand migration dynamics from the distal pocket to the Xe1 cavity via a path involving the other xenon binding cavities and momentarily two additional packing defects along the pathway. Comparison with recent time resolved structural data obtained by Laue crystallography with subnanosecond to milli...

  13. UV-induced carbon monoxide emission from sand and living vegetation

    DEFF Research Database (Denmark)

    Bruhn, Dan; Albert, Kristian Rost; Mikkelsen, Teis Nørgaard

    2012-01-01

    The global burden of carbon monoxide, CO, is rather uncertain. In this paper we address the potential of UV-induced CO emission by terrestrial surfaces. Real-time measurements of [CO] were made with a cavity enhanced laser connected in closed loop to either an ecosystem chamber or a leaf scale......−1, almost two-thirds of the latest estimated global CO burden of 360 Tg yr−1 (IPCC, 2001)....

  14. Recovery of energy metabolism in rat brain after carbon monoxide hypoxia.

    OpenAIRE

    Brown, S D; Piantadosi, C. A.

    1992-01-01

    Carbon monoxide (CO) may inhibit mitochondrial electron transport in the brain and increase the toxic effects of the gas. This hypothesis was investigated in anesthetized rats during CO exposure and recovery at either normobaric or hyperbaric O2 concentrations. During exposure and recovery, we measured the oxidation level of cerebrocortical cytochrome c oxidase by differential spectroscopy and biochemical metabolites known to reflect aerobic energy provision in the brain. CO exposure (HbCO = ...

  15. Carbon Monoxide Effects onHuman Ventricle Action PotentialAssessed by Mathematical Simulations

    OpenAIRE

    Beatriz eTrenor; Karen eCardona; Javier eSaiz; Sridharan eRajamani; Luiz eBelardinelli; Wayne Rodney Giles

    2013-01-01

    Carbon monoxide (CO) that is produced in a number of different mammalian tissues is now known to have significant effects on the cardiovascular system. These include: i) vasodilation, ii) changes in heart rate and strength of contractions and iii) modulation of autonomic nervous system input to both the pacemaker and the working myocardium. Excessive CO in the environment is toxic and can initiate or mediate life threatening cardiac rhythm disturbances. Recent reports link these ventricular...

  16. Noninvasive Ambulatory Assessment of Cardiac Function and Myocardial Ischemia in Healthy Subjects Exposed to Carbon Monoxide

    Science.gov (United States)

    1994-06-30

    1007 by Paul N. Kizakevich, M.S., P.E. Principal Investigator with Linda Van Hoose, B.S.M.T., Michael L. McCartney, Sc.D., Karen Bolick, M.D., Warren...Calabro and D.E. Hutcheon . "Effects of Carbon Monoxide on the Vulnerability of the Ventricles to Drug-Induced Arrhythmias." J of Clin Pharma 1974;14(1):25

  17. P-chiral phosphine-sulfonate/palladium-catalyzed asymmetric copolymerization of vinyl acetate with carbon monoxide.

    Science.gov (United States)

    Nakamura, Akifumi; Kageyama, Takeharu; Goto, Hiroki; Carrow, Brad P; Ito, Shingo; Nozaki, Kyoko

    2012-08-01

    Utilization of palladium catalysts bearing a P-chiral phosphine-sulfonate ligand enabled asymmetric copolymerization of vinyl acetate with carbon monoxide. The obtained γ-polyketones have head-to-tail and isotactic polymer structures. The origin of the regio- and stereoregularities was elucidated by stoichiometric reactions of acylpalladium complexes with vinyl acetate. The present report for the first time demonstrates successful asymmetric coordination-insertion (co)polymerization of vinyl acetate.

  18. Reactions of Vanadocene-Carbyls with Carbon Monoxide, Xylylisocyanide and Carbon Dioxide

    NARCIS (Netherlands)

    Nieman, J.; Teuben, J.H.

    1985-01-01

    Vanadocene-allyl Cp2V(η1-C3H5) (1a) reacts with strong π-acceptor substrate ligands such as carbon monoxide, carbon dioxide and isonitriles. No reactions are observed with poorer π-acceptor substrates such as alkynes and nitriles. Reaction of 1a with CO gives Cp[η4-C5H5(C3H5)]V(CO)2, showing that

  19. Ferromagnetic semiconductor-metal transition in heterostructures of electron doped europium monoxide

    Energy Technology Data Exchange (ETDEWEB)

    Stollenwerk, Tobias

    2013-09-15

    In the present work, we develop and solve a self-consistent theory for the description of the simultaneous ferromagnetic semiconductor-metal transition in electron doped Europium monoxide. We investigate two different types of electron doping, Gadolinium impurities and Oxygen vacancies. Besides the conduction band occupation, we can identify low lying spin fluctuations on magnetic impurities as the driving force behind the doping induced enhancement of the Curie temperature. Moreover, we predict the signatures of these magnetic impurities in the spectra of scanning tunneling microscope experiments. By extending the theory to allow for inhomogeneities in one spatial direction, we are able to investigate thin films and heterostructures of Gadolinium doped Europium monoxide. Here, we are able to reproduce the experimentally observed decrease of the Curie temperature with the film thickness. This behavior is attributed to missing coupling partners of the localized 4f moments as well as to an electron depletion at the surface which leads to a reduction of the number of itinerant electrons. By investigating the influence of a metallic substrate onto the phase transition in Gadolinium doped Europium monoxide, we find that the Curie temperature can be increased up to 20%. However, as we show, the underlying mechanism of metal-interface induced charge carrier accumulation is inextricably connected to a suppression of the semiconductor-metal transition.

  20. CHANGE OF CARBON MONOXIDE IN PLASMA AND TISSUE DURING ACUTE HYPOXIA

    Institute of Scientific and Technical Information of China (English)

    丁学琴; 刘贵明; 王俊科; 盛卓人

    2003-01-01

    Objective.To investigate the role of endogenous carbon monoxide(CO)in hypoxia. Methods. After rats were inhaled with hypoxic gases and the heme oxygenase inhibitor ZnPPIX was administered,we measured the CO levels in plasma,liver,lung and kidney. Meanwhile plasma cGMP levels were observed. Furthermore,we recorded the changes of hemodynamic and blood gases. Results. Acute mild hypoxia(10%O2)significantly increased CO levels in plasma as well as liver,kidney and lung,while acute severe hypoxia(5%O2)significantly decreased CO levels in plasma as well as liver,kidney and lung. In addition,the former significantly elevated cGMP levels in plasma while the latter markedly reduced cGMP levels in plasma. The hemodynamic changes occurred in accordance with the changes of carbon monoxide. Conclusions. Our results indicate,for the first time ,that the endogenous carbon monoxide plays an important role in regulating the vessel tone during hypoxia.

  1. Evidence for iodine monoxide in the Antarctic snowpack from spectroscopic measurements

    Energy Technology Data Exchange (ETDEWEB)

    Friess, Udo; Deutschmann, Tim; Platt, Ulrich [Institut fuer Umweltphysik, Universitaet Heidelberg (Germany); Gilfedder, Ben [Institut fuer Umweltgeologie, TU-Braunschweig (Germany); Weller, Rolf [Alfred Wegener Institut fuer Polar- und Meeresforschung, Bremerhaven (Germany)

    2010-07-01

    Recent ground-based and space borne observations suggest the presence of significant amounts of iodine monoxide in the boundary layer of Antarctica, which are expected to have an impact on the ozone budget and might contribute to the formation of new airborne particles. So far, the source of these iodine radicals has been unknown. Here we present long-term measurements of iodine monoxide at the German Antarctic research station Neumayer, which indicate that the snowpack is the main source for iodine radicals. The measurements have been performed using multi-axis differential optical absorption spectroscopy (MAX-DOAS). Using a coupled atmosphere - snowpack radiative transfer model, the comparison of the signals observed from scattered skylight and from light reflected by the snowpack yields several ppb of iodine monoxide in the upper layers of the sunlit snowpack throughout the year. Snow pit samples from Neumayer Station contain up to 700 ng/l of total iodine, representing a sufficient reservoir for these extraordinarily high IO concentrations.

  2. Natural clinoptilolite exchanged with iron: characterization and catalytic activity in nitrogen monoxide reduction

    Directory of Open Access Journals (Sweden)

    Daria Tito-Ferro

    2016-12-01

    Full Text Available The aim of this work was to characterize the natural clinoptilolite from Tasajeras deposit, Cuba, modified by hydrothermal ion-exchange with solutions of iron (II sulfate and iron (III nitrate in acid medium. Besides this, its catalytic activity to reduce nitrogen monoxide with carbon monoxide/propene in the presence of oxygen was evaluated. The characterization was performed by Mössbauer and UV-Vis diffuse reflectance spectroscopies and adsorption measurements. The obtained results lead to conclude that in exchanged samples, incorporated divalent and trivalent irons are found in octahedral coordination. Both irons should be mainly in cationic extra-framework positions inside clinoptilolite channels as charge compensating cations, and also as iron oxy-hydroxides resulting from limited hydrolysis of these cations. The iron (III exchanged samples has a larger amount of iron oxy-hydroxides agglomerates. The iron (II exchanged samples have additionally iron (II sulfate adsorbed. The catalytic activity in the nitrogen monoxide reduction is higher in the exchanged zeolites than starting. Among all samples, those exchanged of iron (II has the higher catalytic activity. This lead to outline that, main catalytically active centers are associated with divalent iron.

  3. Changes in the Autonomic Nervous System in Patients with Carbon Monoxide Poisoning

    Directory of Open Access Journals (Sweden)

    A. V. Badalyan

    2009-01-01

    Full Text Available Objective: to examine changes in the autonomic nervous system (ANS function in patients with carbon monoxide poisoning in relation to the condition severity. Subjects and methods. The ANS was studied in 114 patients aged 15 to 82 years with carbon monohydrate poisoning who were treated at the N. V. Sklifosovsky Research Institute of Emergency Care, Moscow, in 2004—2008. Cardiointervalographic readings were analyzed in relation to the condition severity, the presence of thermal damages to the skin and upper airway, and that of blood alcohol. Results. Within the first hours after poisoning, the function of the ANS was found to be impaired, which was associated with the development of hypersympathicotonia caused by the increased activity of its sympathetic part and the decreased tone of the parasympathetic one. The magnitude of hypersympathicotonia depends on the severity of poisoning, on the presence of thermal damages to the upper respiratory tract and that of blood alcohol. The preponderance of the tone of the ANS parasympathetic part suggests the disturbance of adaptive and compensatory mechanisms and the likely poor prognosis of the poisoning. Conclusion. Cardiointervalography is recommended for the objective evaluation of the severity of carbon monoxide poisoning. Key words: carbon monoxide, autonomic nervous system, cardiointervalog-raphy, adaptive and compensatory mechanisms.

  4. Accidental carbon monoxide poisoning presenting without a history of exposure: A case report

    Directory of Open Access Journals (Sweden)

    Bennetto Luke

    2008-04-01

    Full Text Available Abstract Introduction Carbon monoxide poisoning is easy to diagnose when there is a history of exposure. When the exposure history is absent, or delayed, the diagnosis is more difficult and relies on recognising the importance of multi-system disease. We present a case of accidental carbon monoxide poisoning. Case presentation A middle-aged man, who lived alone in his mobile home was found by friends in a confused, incontinent state. Initial signs included respiratory failure, cardiac ischaemia, hypotension, encephalopathy and a rash, whilst subsequent features included rhabdomyolysis, renal failure, amnesia, dysarthria, parkinsonism, peripheral neuropathy, supranuclear gaze palsy and cerebral haemorrhage. Despite numerous investigations including magnetic resonance cerebral imaging, lumbar puncture, skin biopsy, muscle biopsy and electroencephalogram a diagnosis remained elusive. Several weeks after admission, diagnostic breakthrough was achieved when the gradual resolution of the patient's amnesia, encephalopathy and dysarthria allowed an accurate history to be taken for the first time. The patient's last recollection was turning on his gas heating for the first time since the spring. A gas heating engineer found the patient's gas boiler to be in a dangerous state of disrepair and it was immediately decommissioned. Conclusion This case highlights several important issues: the bewildering myriad of clinical features of carbon monoxide poisoning, the importance of making the diagnosis even at a late stage and preventing the patient's return to a potentially fatal toxic environment, and the paramount importance of the history in the diagnostic method.

  5. Toxicological Investigation of Acute Carbon Monoxide Poisoning in Four Occupants of a Fuming Sport Utility Vehicle

    Directory of Open Access Journals (Sweden)

    Martin Nnoli

    2014-11-01

    Full Text Available Background: This toxicological investigation involves a report on the death of four occupants of a sport utility vehicle on one of the major busy Federal roads of Nigeria where they were held for up to three hours in a traffic jam while the car was steaming. Methods: Autopsy was executed using the standard procedure and toxicological analysis was done using simple spectrophotometric method to establish the level of carboxyhaemoglobin (HbCO in peripheral blood in the four occupants. Results: The autopsy report indicated generalized cyanosis, sub-conjuctival hemorrhages, marked laryngo-trachea edema with severe hyperemia with frothy fluid discharges characteristic of carbon monoxide poisoning. Toxicological report of the level of HbCO in part per million (ppm in the peripheral blood of the four occupants was A= 650 ppm; B= 500 ppm; C= 480 ppm, and D= 495 ppm against the maximum permissible level of 50 ppm. Conclusion: The sudden death of the four occupants was due to excessive inhalation of the carbon monoxide gas from the exhaust fumes leaking into the cabin of the car. The poor road network, numerous potholes, and traffic jam in most of roads in Nigeria could have exacerbated a leaky exhaust of the smoky second hand SUV car leading to the acute carbon monoxide poisoning.

  6. Nation/non-nation

    DEFF Research Database (Denmark)

    Sonnichsen, André; Gad, Ulrik Pram

    2008-01-01

    Is nationality the only way of organizing political community? Given the ubiquity of the national principle, one might think so. But, in practice, the national principle is constantly challenged by what can be termed non-national identities. This article looks at manners in which such deviating...

  7. Molecular Beam Optical Zeeman Spectroscopy of Vanadium Monoxide, VO

    Science.gov (United States)

    Nguyen, Trung; Zhang, Ruohan; Steimle, Timothy

    2016-06-01

    Like almost all astronomical studies, exoplanet investigations are observational endeavors that rely primarily on remote spectroscopic sensing to infer the physical properties of planets. Most exoplanet related information is inferred from to temporal variation of luminosity of the parent star. An effective method of monitoring this variation is via Magnetic Doppler Imaging (MDI), which uses optical polarimetry of paramagnetic molecules or atoms. One promising paramagnetic stellar absorption is the near infrared spectrum of VO. With this in mind, we have begun a project to record and analyze the field-free and Zeeman spectrum of the band. A cold (approx. 20 K) beam of VO was probed with a single frequency laser and detected using laser induced fluorescence. The determined spectral parameters will be discussed and compared to those extracted from the analysis of a hot spectrum. Supported by the National Science Foundation under the Grant No. CHE-1265885. O. Kochukhov, N. Rusomarov, J. A. Valenti, H. C. Stempels, F. Snik, M. Rodenhuis, N. Piskunov, V. Makaganiuk, C. U. Keller and C. M. Johns-Krull, Astron. Astrophys. 574 (Pt. 2), A79/71-A79/12 (2015). S. V. Berdyugina, Astron. Soc. Pac. Conf. Ser. 437 (Solar Polarization 6), 219-235 (2011). S. V. Berdyugina, P. A. Braun, D. M. Fluri and S. K. Solanki, Astron. Astrophys. 444 (3), 947-960 (2005). A. S. C. Cheung, P. G. Hajigeorgiou, G. Huang, S. Z. Huang and A. J. Merer, J. Mol. Spectrosc. 163 (2), 443-458 (1994)

  8. Nationalism in Stateless Nations

    DEFF Research Database (Denmark)

    Thomsen, Robert Chr.

    previously independent countries, are excellent examples of this. Building on theories of national identity-formation and nationalism, it traces the development of cultural and political nationalism, and changing images of the national self. With a focus on important fomenting factors and actors...... - intellectuals, political parties and the media - the book combines historical, sociological, political and media studies analyses in an interdisciplinary investigation, providing a comprehensive account of the waxing and waning of nationalism....

  9. National Agriculture Imagery Program

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The National Agriculture Imagery Program (NAIP) acquires aerial imagery during the agricultural growing seasons in the continental U.S. A primary goal of the NAIP...

  10. Teacher of primary English

    CERN Multimedia

    2003-01-01

    Part-time teacher of primary English needed for September 2003 to teach English National Curriculum (KS2) and NLS to mother tongue or good second language English-speakers aged 7-10. 4 hours contact time per week, team planning, marking and meetings. Candidates should be English mother tongue qualified teachers, confident, flexible classroom practitioners and team players. For further details and how to apply see http://enpferney.org/staff_vacancies.htm English National Programme, Lycée International, Ferney-Voltaire (http://enpferney.org/)

  11. National-Scale Air Quality Data Assessment: Initial Findings from the Near-Road NO2 Monitoring Program

    Science.gov (United States)

    DeWinter, J. L.

    2015-12-01

    In 2010, the U.S. Environmental Protection Agency (EPA) revised the National Ambient Air Quality Standards (NAAQS) for nitrogen dioxide (NO2) to include a primary health-based standard for hourly NO2. NO2 is a reactive gas that is emitted from motor vehicles, such as cars, trucks, and off-road equipment, as well as non-mobile sources, and is known to adversely affect human respiratory health. In conjunction with the NAAQS revision, EPA has mandated air quality monitoring next to selected major roadways throughout the United States that are in large urban areas where peak hourly NO2 concentrations are expected. Monitoring began in phases during 2012-2015 and included nitrogen dioxide (NO2), carbon monoxide (CO), and particulate matter smaller than 2.5 microns (PM2.5) at 40 monitoring sites nationwide. We conducted a national-scale review of near-road air pollutant concentrations, identified areas where high concentrations of NO2, PM2.5, and CO occurred, and evaluated how concentrations varied by factors such as location, distance to roadway, fleet mix characteristics, and traffic volume. We present the findings from our national near-road data assessment for the 2014 monitoring year.

  12. Primary productivity

    Digital Repository Service at National Institute of Oceanography (India)

    Verlecar, X.N.; Parulekar, A.H.

    Photosynthetic production in the oceans in relation to light, nutrients and mixing processes is discussed. Primary productivity in the estuarine region is reported to be high in comparison to coastal and oceanic waters. Upwelling phenomenon...

  13. Baseline carbon monoxide and ozone in the northeast US over 2001–2010

    Directory of Open Access Journals (Sweden)

    Y. Zhou

    2015-10-01

    Full Text Available Baseline carbon monoxide (CO and ozone (O3 were studied at seven rural sites in the northeast US during varying periods over 2001–2010. Interannual and seasonal variations of baseline CO and O3 were examined for the effects of changes in anthropogenic emissions, stratospheric intrusion, transport pathways and O3 photochemistry. Baseline CO generally exhibited decreasing trends at most sites, except at Castle Spring (CS, an elevated (~ 400 m a.s.l. site in rural central New Hampshire. Over April 2001–December 2010, baseline CO at Thompson Farm (TF, Pinnacle State Park (PSP, and Whiteface Mountain (WFM decreased at rates ranging from −4.3 to −2.5 ppbv yr−1. Baseline CO decreased significantly at a rate of −2.3 ppbv yr−1 at Mt. Washington (MWO over April 2001–March 2009, and −3.5 ppbv yr−1 at Pack Monadnock (PM over July 2004–October 2010. Unlike baseline CO, baseline O3 did not display a significant long term trend at any of the sites, resulting probably from opposite trends in NOx emissions worldwide and possibly from the overall relatively constant mixing ratios of CH4 in the 2000s. In looking into long term trends by season, wintertime baseline CO at MWO and WFM, the highest sites, did not exhibit a significant trend, probably due to the competing effects of decreasing CO emissions in the US and increasing emissions in Asia. Springtime and wintertime baseline O3 at TF increased significantly at a rate of 2.4 and 2.7 ppbv yr−1, respectively, which was likely linked to nitrogen oxides (NOx emissions reductions over urban areas and possible resultant increases in O3 due to less titration by NO in urban plumes. The effects of meteorology on baseline O3 and CO were investigated. A negative correlation was found between springtime baseline O3 and the North Atlantic oscillation (NAO index. It was found that during positive NAO years, lower baseline O3 in the northeast US was linked to less solar radiation flux, weakened

  14. Primary hyperparathyroidism

    OpenAIRE

    Madkhali, Tarıq; Alhefdhi, Amal; Chen, Herbert; Elfenbein, Dawn

    2016-01-01

    Primary hyperparathyroidism is a common endocrine disorder caused by overactivation of parathyroid glands resulting in excessive release of parathyroid hormone. The resultant hypercalcemia leads to a myriad of symptoms. Primary hyperparathyroidism may increase a patient’s morbidity and even mortality if left untreated. During the last few decades, disease presentation has shifted from the classic presentation of severe bone and kidney manifestations to most patients now being diagnosed on rou...

  15. Unintentional carbon monoxide poisoning hospitalization and emergency department counts and rates by county, year, and fire-relatedness among California residents,2000-2007

    Data.gov (United States)

    California Environmental Health Tracking Program — This dataset contains case counts, rates, and confidence intervals of unintentional carbon monoxide poisoning (CO) inpatient hospitalizations and emergency...

  16. An Empirical Approach to Determining the Boundary Layer Bromine Monoxide (BrO) Abundance from Satellite Total Column Measurements

    Science.gov (United States)

    Simpson, W. R.; Donohoue, D.; Carlson, D. A.

    2009-12-01

    Unique chemistry in the Arctic boundary layer during springtime liberates bromine from sea salt, producing reactive halogen gases (e.g. atomic bromine and bromine monoxide radicals) that then drastically alter atmospheric oxidation pathways. This phenomenon causes ozone depletion events and affects mercury deposition to the snowpack. Satellite remote sensing (e.g. OMI and GOME2 observations) techniques can detect the total column abundance of BrO, which is generally the primary species of the reactive bromine family. However, BrO is also present in the stratosphere, so it is necessary to partition the satellite-observed BrO column abundance into boundary layer and non-boundary layer (primarily stratospheric) partial columns to be able to infer boundary layer abundances and hence chemical affects near the Earth's surface (i.e. ozone and mercury impacts). In this presentation, we describe an empirical method for partitioning the BrO total column and apply it globally during spring 2008. The method indicates that some BrO total column enhancements ("hotspots") are not actually enhancements in the boundary layer BrO abundance but occur aloft. Movies and a statistical analysis of the inferred boundary layer BrO abundance are presented. The method has been tested and performs well at the Barrow field site. However, in areas that lack routine ground truth BrO measurements (e.g. Hudson Bay, Canada), large tropospheric BrO abundances are indicated. It is not clear if these inferred boundary layer BrO events are real or if the simple empirical method described here is failing in those locations. Verification of this method over large spatial regions of the Arctic is needed.

  17. Effects of Switching to Electronic Cigarettes with and without Concurrent Smoking on Exposure to Nicotine, Carbon Monoxide, and Acrolein.

    Science.gov (United States)

    McRobbie, Hayden; Phillips, Anna; Goniewicz, Maciej L; Smith, Katie Myers; Knight-West, Oliver; Przulj, Dunja; Hajek, Peter

    2015-09-01

    Concern has been raised about the presence of toxicants in electronic cigarette (EC) aerosol, particularly carbonyl compounds (e.g., acrolein) that can be produced by heating glycerol and glycols used in e-liquids. We investigated exposure to carbon monoxide (CO), nicotine (by measuring cotinine in urine), and to acrolein (by measuring its primary metabolite, S-(3-hydroxypropyl)mercapturic acid (3-HPMA) in urine) before and after 4 weeks of EC (green smoke, a "cig-a-like" EC, labeled 2.4% nicotine by volume) use, in 40 smokers. Thirty-three participants were using EC at 4 weeks after quitting, 16 (48%) were abstinent (CO-validated) from smoking during the previous week (EC only users), and 17 (52%) were "dual users." A significant reduction in CO was observed in EC-only users [-12 ppm, 95% confidence interval (CI), -16 to -7, 80% decrease) and dual users (-12 ppm, 95%CI, -19 to -6, 52% decrease). Cotinine levels also declined, but to a lesser extent (EC-only users: -184 ng/mg creatinine; 95% CI, -733 to -365, 17% decrease; and dual users: -976 ng/mg creatinine; 95%CI, -1,682 to -270, 44% decrease). Mean 3-HPMA levels had decreased at 4 weeks by 1,280 ng/mg creatinine (95%CI, -1,699 to -861, 79% decrease) in EC-only users and by 1,474 ng/mg creatinine (95%CI, -2,101 to -847, 60% decrease) in dual users. In dual users, EC use significantly reduced exposure to CO and acrolein because of a reduction in smoke intake. EC may reduce harm even in smokers who continue to smoke, but long-term follow-up studies are needed to confirm this.

  18. Heme oxygenase-1 protects against Alzheimer's amyloid-β(1-42)-induced toxicity via carbon monoxide production.

    Science.gov (United States)

    Hettiarachchi, N; Dallas, M; Al-Owais, M; Griffiths, H; Hooper, N; Scragg, J; Boyle, J; Peers, C

    2014-12-11

    Heme oxygenase-1 (HO-1), an inducible enzyme up-regulated in Alzheimer's disease, catabolises heme to biliverdin, Fe2+ and carbon monoxide (CO). CO can protect neurones from oxidative stress-induced apoptosis by inhibiting Kv2.1 channels, which mediates cellular K+ efflux as an early step in the apoptotic cascade. Since apoptosis contributes to the neuronal loss associated with amyloid β peptide (Aβ) toxicity in AD, we investigated the protective effects of HO-1 and CO against Aβ(1-42) toxicity in SH-SY5Y cells, employing cells stably transfected with empty vector or expressing the cellular prion protein, PrP(c), and rat primary hippocampal neurons. Aβ(1-42) (containing protofibrils) caused a concentration-dependent decrease in cell viability, attributable at least in part to induction of apoptosis, with the PrP(c)-expressing cells showing greater susceptibility to Aβ(1-42) toxicity. Pharmacological induction or genetic over-expression of HO-1 significantly ameliorated the effects of Aβ(1-42). The CO-donor CORM-2 protected cells against Aβ(1-42) toxicity in a concentration-dependent manner. Electrophysiological studies revealed no differences in the outward current pre- and post-Aβ(1-42) treatment suggesting that K+ channel activity is unaffected in these cells. Instead, Aβ toxicity was reduced by the L-type Ca2+ channel blocker nifedipine, and by the CaMKKII inhibitor, STO-609. Aβ also activated the downstream kinase, AMP-dependent protein kinase (AMPK). CO prevented this activation of AMPK. Our findings indicate that HO-1 protects against Aβ toxicity via production of CO. Protection does not arise from inhibition of apoptosis-associated K+ efflux, but rather by inhibition of AMPK activation, which has been recently implicated in the toxic effects of Aβ. These data provide a novel, beneficial effect of CO which adds to its growing potential as a therapeutic agent.

  19. Carbon monoxide alleviates ethanol-induced oxidative damage and inflammatory stress through activating p38 MAPK pathway

    Energy Technology Data Exchange (ETDEWEB)

    Li, Yanyan; Gao, Chao; Shi, Yanru; Tang, Yuhan; Liu, Liang; Xiong, Ting; Du, Min [Department of Nutrition and Food Hygiene, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan 430030 (China); Ministry of Education Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan 430030 (China); Hubei Key Laboratory of Food Nutrition and Safety, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan 430030 (China); Xing, Mingyou [Department of Infectious Diseases, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan 430030 (China); Liu, Liegang [Department of Nutrition and Food Hygiene, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan 430030 (China); Ministry of Education Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan 430030 (China); Hubei Key Laboratory of Food Nutrition and Safety, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan 430030 (China); Yao, Ping, E-mail: yaoping@mails.tjmu.edu.cn [Department of Nutrition and Food Hygiene, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan 430030 (China); Ministry of Education Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan 430030 (China); Hubei Key Laboratory of Food Nutrition and Safety, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan 430030 (China)

    2013-11-15

    Stress-inducible protein heme oxygenase-1(HO-1) is well-appreciative to counteract oxidative damage and inflammatory stress involving the pathogenesis of alcoholic liver diseases (ALD). The potential role and signaling pathways of HO-1 metabolite carbon monoxide (CO), however, still remained unclear. To explore the precise mechanisms, ethanol-dosed adult male Balb/c mice (5.0 g/kg.bw.) or ethanol-incubated primary rat hepatocytes (100 mmol/L) were pretreated by tricarbonyldichlororuthenium (II) dimmer (CORM-2, 8 mg/kg for mice or 20 μmol/L for hepatocytes), as well as other pharmacological reagents. Our data showed that CO released from HO-1 induction by quercetin prevented ethanol-derived oxidative injury, which was abolished by CO scavenger hemoglobin. The protection was mimicked by CORM-2 with the attenuation of GSH depletion, SOD inactivation, MDA overproduction, and the leakage of AST, ALT or LDH in serum and culture medium induced by ethanol. Moreover, CORM-2 injection or incubation stimulated p38 phosphorylation and suppressed abnormal Tnfa and IL-6, accompanying the alleviation of redox imbalance induced by ethanol and aggravated by inflammatory factors. The protective role of CORM-2 was abolished by SB203580 (p38 inhibitor) but not by PD98059 (ERK inhibitor) or SP600125 (JNK inhibitor). Thus, HO-1 released CO prevented ethanol-elicited hepatic oxidative damage and inflammatory stress through activating p38 MAPK pathway, suggesting a potential therapeutic role of gaseous signal molecule on ALD induced by naturally occurring phytochemicals. - Highlights: • CO alleviated ethanol-derived liver oxidative and inflammatory stress in mice. • CO eased ethanol and inflammatory factor-induced oxidative damage in hepatocytes. • The p38 MAPK is a key signaling mechanism for the protective function of CO in ALD.

  20. Lack of pupil reflex and loss of consciousness predict 30-day neurological sequelae in patients with carbon monoxide poisoning.

    Directory of Open Access Journals (Sweden)

    Jian-Fang Zou

    Full Text Available Predicting the neurological sequelae of carbon monoxide poisoning (COP has not been well studied. We investigated the independent predictors of neurological sequelae in patients with COP and combined these predictors to predict the prognosis.This study was conducted at four hospitals in Shandong Province, China. Data were retrospectively collected from 258 patients with COP between November 1990 and October 2011. Thirty-day neurological sequelae were the primary endpoints.A lack of pupil reflex and a loss of consciousness appear to be independent predictors for neurological sequelae in patients with COP. The presence of either one had a sensitivity of 77.0% (95% confidence interval [CI]: 69.3-83.2, a specificity of 47.1% (95% CI: 38.3-56.0, positive predictive value (PPV of 62.9% (95% CI: 55.2-70.1, and a negative predictive value (NPV of 63.6% (95% CI: 52.6-73.4. With both predictors present, the sensitivity was 11.5% (95% CI: 6.9 to 18.3, the specificity was 99.2 (95% CI: 94.7-100.0, the PPV was 94.1% (95% CI: 69.2-99.7, and the NPV was 49.0% (95% CI: 42.5-55.5.The risk for neurological sequelae apparently increased with the number of independent predictors. In patients with both predictors, the risk for neurological sequelae was 94.1%. Almost all (99.2% patients with neither predictor had no neurological sequelae. This finding may help physicians make decisions about and dispositions for patients with COP. For patients with a higher risk, earlier treatment and more appropriate utilization of health care services, including hyperbaric oxygen, should be considered.