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2.
Nature ; 434(7031): 346-51, 2005 Mar 17.
Artículo en Inglés | MEDLINE | ID: mdl-15772652

RESUMEN

Images from the Mars Express HRSC (High-Resolution Stereo Camera) of debris aprons at the base of massifs in eastern Hellas reveal numerous concentrically ridged lobate and pitted features and related evidence of extremely ice-rich glacier-like viscous flow and sublimation. Together with new evidence for recent ice-rich rock glaciers at the base of the Olympus Mons scarp superposed on larger Late Amazonian debris-covered piedmont glaciers, we interpret these deposits as evidence for geologically recent and recurring glacial activity in tropical and mid-latitude regions of Mars during periods of increased spin-axis obliquity when polar ice was mobilized and redeposited in microenvironments at lower latitudes. The data indicate that abundant residual ice probably remains in these deposits and that these records of geologically recent climate changes are accessible to future automated and human surface exploration.


Asunto(s)
Clima , Medio Ambiente Extraterrestre/química , Sedimentos Geológicos , Cubierta de Hielo , Marte , Nieve , Sedimentos Geológicos/química , Fotograbar , Vuelo Espacial , Factores de Tiempo
3.
Int J Pediatr Otorhinolaryngol ; 67 Suppl 1: S179-82, 2003 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-14662191

RESUMEN

BACKGROUND: To develop design criteria for consumer products, based on foreign body injury and fatality data, to prevent airway obstruction injuries to children. METHOD: Beginning in 1988, RAM Consulting has created a worldwide database of foreign body injuries. This ongoing project now includes approximately 7000 data points from 51 children's hospitals in 15 countries located on five continents. Statistical analysis of these data, especially in terms of size, shape and consistency of the object and obstruction location and severity of injury for the patient has allowed the creation of an injury prevention criterion. RESULTS: Analysis of these data reveals that adoption of an injury prevention criteria based on the use of a 1.50 in. (38.10 mm) diameter gauge for non-spherical objects and a 1.75 in. (44.50 mm) diameter gauge for spherical objects would greatly reduce airway obstruction injuries to children. Furthermore, the data show that this criterion is independent of country and culture. However, the data suggest that a child's exposure to the "mix" of objects that may cause airway obstruction varies with the country and culture of the child. For example, coins are well represented in the database, however, some countries make more coins than other countries and the exposure level may have made the difference in the occurrence of incidents. CONCLUSIONS: Airway obstruction injuries from consumer products could be greatly decreased by the adoption of the presented injury prevention criteria that is founded in a statistical analysis of known objects that have caused injury. This criteria is dependent on object characteristics and is independent of the country or culture of the child.


Asunto(s)
Cuerpos Extraños/epidemiología , Heridas y Lesiones/epidemiología , Heridas y Lesiones/prevención & control , Adolescente , Obstrucción de las Vías Aéreas/etiología , Niño , Preescolar , Seguridad de Productos para el Consumidor/normas , Femenino , Salud Global , Humanos , Lactante , Recién Nacido , Masculino , Estudios Retrospectivos , Índice de Severidad de la Enfermedad , Heridas y Lesiones/clasificación
4.
Ann Otol Rhinol Laryngol ; 109(9): 797-802, 2000 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-11007079

RESUMEN

Accidental strangulation is a preventable problem, and there is limited scientific understanding of its mechanism in children. If the amount of external pressure that occludes the airway can be determined, design changes may be made to allow for production of household objects that would break apart at safe pressure levels. A force gauge was applied to the suprahyoid region in 90 children under standardized anesthesia. Three blinded observers performed the study. The anesthesiologist maintained the airway and used a stethoscope to auscultate for breath sounds and monitor the CO2 curves to evaluate obstruction. The recorder noted the numbers from the gauge. A single observer applied the force gauge. Age was the most significant variable in occluding the airway. Obstruction appears to occur at the level of the larynx. Increased knowledge regarding the external pressure required for airway occlusion would allow for the design and manufacture of products with a reduced potential for accidental strangulation.


Asunto(s)
Prevención de Accidentes , Obstrucción de las Vías Aéreas/prevención & control , Asfixia/prevención & control , Obstrucción de las Vías Aéreas/complicaciones , Asfixia/complicaciones , Preescolar , Femenino , Humanos , Lactante , Masculino , Cuello
5.
Int J Pediatr Otorhinolaryngol ; 49 Suppl 1: S321-2, 1999 Oct 05.
Artículo en Inglés | MEDLINE | ID: mdl-10577830

RESUMEN

BACKGROUND: Accidental strangulation is a preventable problem with limited scientific understanding in children. Children's clothing and household furniture have the potential to cause strangulation. Localizing the site of obstruction would provide understanding and insight to preventing this unfortunate event. METHODS: While undergoing the application of pressure to the submental and suprahyoid region in eight patients flexible endoscopy was performed to evaluate the location of obstruction. RESULTS: Submental pressure occluded the nasopharynx and oropharynx. Suprahyoid pressure occluded the larynx. CONCLUSIONS: In suspension strangulation, airway obstruction appears to occur at the level of the larynx involving the epiglottis and the arytenoids. Increased knowledge regarding site of airway occlusion may help to decrease the hazard of accidental strangulation.


Asunto(s)
Accidentes Domésticos/prevención & control , Obstrucción de las Vías Aéreas/fisiopatología , Obstrucción de las Vías Aéreas/etiología , Obstrucción de las Vías Aéreas/prevención & control , Asfixia/etiología , Asfixia/fisiopatología , Niño , Preescolar , Femenino , Humanos , Lactante , Masculino
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