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1.
Br Poult Sci ; 63(6): 847-856, 2022 Dec.
Article in English | MEDLINE | ID: mdl-35946320

ABSTRACT

1. The following study was conducted to evaluate the tolerability of tall oil fatty acid (TOFA) to broiler chickens, at three graded levels as a nutritional additive in complete feed.2. 256 one-day-old female and male Cobb 500 broiler chickens were assigned to four dietary treatment groups with TOFA at 0 (control), 1.0, 3.0, or 5.0 g/kg within a complete feed for 45 d.3. Birds were weighed individually on days 0, 16, 31 and 45, and the feed intake, bird weight gain, and feed conversion ratio were calculated for the respective starter, grower and finisher phases and over the whole study. On day 45, blood samples were drawn from each bird for haematology and blood chemistry measurements. Two birds per pen were subjected to gross pathological examination and sampling of several tissues for histopathology, including weighing the liver.4. The dietary treatments did not affect zootechnical performance variables or mortality over the whole study period. Bird performance was typical for the breed.5. Haematology, clinical chemistry and histopathology did not reveal any changes associated with dietary TOFA dosing. However, the 5.0 g/kg dose level increased the relative weight of the liver, as a percentage of final body weight, compared to the control group, but there was lack of corresponding histopathology findings.6. In conclusion, the study indicated that oral administration of TOFA for 45 d in feed was well tolerated by the birds at dietary levels of up to 5.0 g/kg.


Subject(s)
Chickens , Dietary Supplements , Animals , Male , Female , Diet/veterinary , Fatty Acids , Animal Feed/analysis , Animal Nutritional Physiological Phenomena
2.
Br Poult Sci ; 63(2): 218-225, 2022 Apr.
Article in English | MEDLINE | ID: mdl-34404304

ABSTRACT

1. The following experiments were conducted to evaluate the effects of nonanoic acid (NA) in broilers and laying hens, at practical levels as a flavouring in complete feed.2. In the first experiment, 1100, one-day-old Ross 308 chicks, half male and female, were randomly assigned to 50 floor pens containing 22 chicks each. Chicks were fed one of five treatment diets containing either 0 (control), 100, 300, 500 or 1,000 mg NA/kg complete feed for 42 days.3. The NA treatment had no effect on ADFI, but there was a linear relationship with ADG and FCR. No differences were observed in blood parameters or tissue pathology among treatment groups.4. In a second study, 150 Hyline hens aged 24 weeks old were randomly assigned to 50 pens containing three birds each. Laying hens were fed one of five treatment diets containing 0 (control), 100, 300, 500 or 1,000 mg NA/kg complete feed for 56 days.5. Treatment with NA has no effect on live weight, ADFI or egg production in laying hens, and there were no observed changes in tissue pathology.6. The results supported the toleration of NA in broilers or layers at dietary levels of up to 1,000 mg/kg.


Subject(s)
Animal Feed , Chickens , Animal Feed/analysis , Animals , Diet/veterinary , Fatty Acids , Female , Male
3.
Int J Legal Med ; 134(2): 691-695, 2020 Mar.
Article in English | MEDLINE | ID: mdl-31970481

ABSTRACT

INTRODUCTION: Edged weapons are a known domestic threat to the police forces of the UK. This threat is mitigated by wearing stab-resistant body armour that is either worn overtly or covertly depending on role. Although the UK military have traditionally focused their body armour design upon ballistic and fragmentation threats, future roles may require protection against an edged weapon threat. Since 2017, UK police body armour requirements for anatomical coverage for both edged weapon and ballistic threats are now based upon the requirements of UK military. This revised coverage may need additional research to determine minimum distances to essential structures. METHOD: Three entry locations and penetration vectors were chosen using the limited available information in the literature, in combination with a specialist in edged weapons defence. One hundred twenty CT trauma scans of male military service personnel were subsequently analysed to ascertain minimum distances from skin surface to the first structure encountered that is included in essential coverage (heart, aorta, vena cava, liver and spleen) at 3 specific entry points. RESULTS: Individuals ranged between 18 and 46 years, with a mean body mass index of 24.8. The absolute minimum depth from skin surface to a structure within the auspice of essential coverage was 17 mm to the liver in entry point 3 and 19 mm to the heart in entry point 2. CONCLUSIONS: Minimum distances to critical structures were significantly larger than those described in previous studies on civilians. This study will be used to supplement existing evidence to support existing UK police requirements for stab-resistant body armour. Using the weapon entry sites and vectors described in this study, overmatching to a behind armour depth of 17 mm would cover all of this population in this study.


Subject(s)
Military Personnel , Protective Clothing/standards , Tomography, X-Ray Computed , Wounds, Stab , Adolescent , Adult , Equipment Design/standards , Humans , Male , Middle Aged , Police , United Kingdom , Weapons , Young Adult
4.
J R Army Med Corps ; 162(4): 270-5, 2016 Aug.
Article in English | MEDLINE | ID: mdl-26106013

ABSTRACT

INTRODUCTION: Defining the minimum anatomical structural coverage required to protect from ballistic threats is necessary to enable objective comparisons between body armour designs. Current protection for the axilla and arm is in the form of brassards, but no evidence exists to justify the coverage that should be provided by them. METHOD: A systematic review was undertaken to ascertain which anatomical components within the arm or axilla would be highly likely to lead to either death within 60 min or would cause significant long-term morbidity. RESULTS: Haemorrhage from vascular damage to the axillary or brachial vessels was demonstrated to be the principal cause of mortality from arm trauma on combat operations. Peripheral nerve injuries are the primary cause of long-term morbidity and functional disability following upper extremity arterial trauma. DISCUSSION: Haemorrhage is managed through direct pressure and the application of a tourniquet. It is therefore recommended that the minimum coverage should be the most proximal extent to which a tourniquet can be applied. Superimposition of OSPREY brassards over these identified anatomical structures demonstrates that current coverage provided by the brassards could potentially be reduced.


Subject(s)
Arm , Axilla , Hemorrhage/prevention & control , Military Personnel , Protective Clothing , Wounds, Gunshot/prevention & control , Arm/anatomy & histology , Arm Injuries/prevention & control , Axilla/anatomy & histology , Axilla/injuries , Axillary Artery/anatomy & histology , Axillary Artery/injuries , Brachial Artery/anatomy & histology , Brachial Artery/injuries , Equipment Design , Hemorrhage/mortality , Humans , Wounds, Gunshot/mortality , Wounds, Penetrating/mortality , Wounds, Penetrating/prevention & control
5.
J R Army Med Corps ; 162(4): 284-90, 2016 Aug.
Article in English | MEDLINE | ID: mdl-26272950

ABSTRACT

INTRODUCTION: Body armour is a type of equipment worn by military personnel that aims to prevent or reduce the damage caused by ballistic projectiles to structures within the thorax and abdomen. Such injuries remain the leading cause of potentially survivable deaths on the modern battlefield. Recent developments in computer modelling in conjunction with a programme to procure the next generation of UK military body armour has provided the impetus to re-evaluate the optimal anatomical coverage provided by military body armour against high energy projectiles. METHODS: A systematic review of the literature was undertaken to identify those anatomical structures within the thorax and abdomen that if damaged were highly likely to result in death or significant long-term morbidity. These structures were superimposed upon two designs of ceramic plate used within representative body armour systems using a computerised representation of human anatomy. RESULTS AND CONCLUSIONS: Those structures requiring essential medical coverage by a plate were demonstrated to be the heart, great vessels, liver and spleen. For the 50th centile male anthropometric model used in this study, the front and rear plates from the Enhanced Combat Body Armour system only provide limited coverage, but do fulfil their original requirement. The plates from the current Mark 4a OSPREY system cover all of the structures identified in this study as requiring coverage except for the abdominal sections of the aorta and inferior vena cava. Further work on sizing of plates is recommended due to its potential to optimise essential medical coverage.


Subject(s)
Abdominal Injuries/prevention & control , Equipment Design , Military Personnel , Protective Clothing , Thoracic Injuries/prevention & control , Wounds, Gunshot/prevention & control , Aorta/anatomy & histology , Aorta/injuries , Heart/anatomy & histology , Heart Injuries/prevention & control , Humans , Liver/anatomy & histology , Liver/injuries , Spleen/anatomy & histology , Spleen/injuries , Wounds, Penetrating/prevention & control
6.
J R Army Med Corps ; 161(1): 22-6, 2015 Mar.
Article in English | MEDLINE | ID: mdl-24556749

ABSTRACT

INTRODUCTION: Protecting the neck from explosively propelled fragments has traditionally been achieved through a collar attached to the ballistic vest. An Enhanced Protection Under Body Armour Combat Shirt (EP-UBACS) collar has been identified as an additional method of providing neck protection but limited evidence as to its potential medical effectiveness exists to justify its procurement. METHOD: Entry wound locations and resultant medical outcomes were determined using Abbreviated Injury Scale (AIS) for all fragmentation neck wounds sustained by UK soldiers between 01 January 2010 and 31 December 2011. Data were prospectively entered into a novel computerised tool base and comparisons made between three EP-UBACS neck collar designs in terms of predicted reduction in AIS scores. RESULTS: All collars reduced AIS scores, with the greatest reduction provided by designs incorporating increased standoff from the neck and an additional semi-circle of ballistic material underneath the collar at the front and back. DISCUSSION: This technique confirms that reinforcing the neck collar of an EP-UBACS would be expected to reduce injury severity from neck wounds. However, without knowledge of entry wound locations for injuries to other body areas as well as the use of AIS scores without clinical or pathological verification its further use in the future may be limited. The ability to overlay any armour design onto a standardised human was potentially the most useful part of this tool and we would recommend developing this technique using underlying anatomical structures and not just the skin surface.


Subject(s)
Computer-Aided Design , Military Personnel , Neck Injuries/prevention & control , Protective Devices , Wounds, Gunshot/prevention & control , Abbreviated Injury Scale , Blast Injuries/prevention & control , Equipment Design , Humans , United Kingdom
7.
Appl Ergon ; 119: 104323, 2024 Sep.
Article in English | MEDLINE | ID: mdl-38824829

ABSTRACT

In 2015, the VIRTUS helmet was introduced to UK Armed Forces and will ultimately replace the Mark 7 combat helmet. The VIRTUS helmet has a reduced trimline compared to the Mark 7 helmet and can incorporate attachments such as a visor, mandible guard and nape protection. An anonymous questionnaire was provided to 200 UK Armed Forces personnel deployed to four locations on Operation TORAL in Afghanistan between September and October 2019. This is the first User feedback survey assessing the VIRTUS helmet in an operational environment. Users were measured to ascertain the fit of their helmet and asked to rate perceived helmet mass and comfort using a 5-point Likert scale. Users were also asked whether the VIRTUS helmet was better than previous helmets and about their use of the nape protection. The VIRTUS helmet was perceived to be an improvement over previously issued UK combat helmets in terms of both comfort and mass.


Subject(s)
Head Protective Devices , Military Personnel , Humans , United Kingdom , Military Personnel/psychology , Surveys and Questionnaires , Male , Adult , Equipment Design , Afghan Campaign 2001- , Female , Afghanistan , Young Adult , Consumer Behavior , Feedback
8.
BMJ Mil Health ; 168(5): 399-403, 2022 Oct.
Article in English | MEDLINE | ID: mdl-33109734

ABSTRACT

Developments in military personal armour have aimed to achieve a balance between anatomical coverage, protection and mobility. When death is likely to occur within 60 min of injury to anatomical structures without damage control surgery, then these anatomical structures are defined as 'essential'. However, the medical terminology used to describe coverage is challenging to convey in a Systems Requirements Document (SRD) for acquisition of new armour and to ultimately translate to the correct sizing and fitting of personal armour. Many of those with Ministry of Defence responsible for the procurement of personal armour and thereby using SRDs will likely have limited medical knowledge; therefore, the potentially complex medical terminology used to describe the anatomical boundaries must be translated into easily recognisable and measurable external landmarks. We now propose a complementary classification for ballistic protection coverage, termed threshold and objective, based on the feasibility of haemorrhage control within the prehospital environment.


Subject(s)
Emergency Medical Services , Hemorrhage , Equipment Design , Feasibility Studies , Hemorrhage/prevention & control , Humans , Torso
9.
J Obstet Gynaecol ; 31(3): 229-31, 2011.
Article in English | MEDLINE | ID: mdl-21417646

ABSTRACT

The objective to this study was to assess whether consultant presence made a difference to the outcome of the mode of delivery when a woman was taken to theatre at full dilatation. During March to September 2009, the chance of a woman having a vaginal delivery if the consultant was present when they were taken to theatre at full dilatation was 70% (7/10), however in their absence, the chance of vaginal delivery was only 30% (12/40) (p < 0.05). Caesareans at full dilatation were associated with a higher rate of postpartum haemorrhage and longer hospital stay. This study shows that an increased consultant presence on labour ward, as advocated by the RCOG, could lead to a decrease in caesarean section at full dilatation.


Subject(s)
Cesarean Section/statistics & numerical data , Delivery, Obstetric/methods , Labor Stage, First , Referral and Consultation , Cesarean Section/adverse effects , Delivery, Obstetric/statistics & numerical data , Female , Humans , Labor Presentation , Length of Stay , Obstetrical Forceps , Postpartum Hemorrhage , Pregnancy , Retrospective Studies
10.
BMJ Mil Health ; 167(3): 163-167, 2021 Jun.
Article in English | MEDLINE | ID: mdl-32086264

ABSTRACT

INTRODUCTION: Severe haemorrhage from the arm that is unresponsive to direct pressure necessitates the application of a tourniquet. Detachable arm protection, referred to as brassards, are used by the UK Armed Forces to protect the upper arm from fragmentation threats. However, the coverage they originally provided was based on limited medical evidence. Medical consensus has determined that the dimensions of arm protection should in future be related to how far up the arm a tourniquet can be applied. METHOD: CT scans of 120 male Armed Forces personnel were analysed to ascertain the vertical distances from acromion process to the point at which a tourniquet can applied, equating to the anterior axillary fold. These values were statistically compared with those derived from the 2007 UK Military anthropometric survey using a paired t-test. Additional distances were added to account for tourniquet width and slippage, with the total value compared with VIRTUS brassard length. RESULTS: No significant difference (p<0.01) was found in mean acromion to axilla length (114 mm) compared with that found in the anthropometric survey confirming sample validity. The deltoid insertion lay 24 mm below the axillary fold for the 50th percentile value from CT. Essential arm coverage for the 99th percentile male in this study was calculated as 201 mm. CONCLUSIONS: Based on this research, a single new brassard for the VIRTUS body armour and load carriage system was recommended and manufactured based on the 99th percentile. This is over 30% shorter than the existing VIRTUS brassard, reducing the overall weight burden for the soldier and improving heat dispersion, integration and interoperability. The new brassard has been issued to Armed Forces personnel since October 2018. The reduced mass of ballistic protective material in conjunction with requiring only a single size of brassard has already saved the Ministry of Defence £20 000 in procurement costs.


Subject(s)
Body Size , Protective Clothing/standards , Upper Extremity/physiology , Adult , Anthropometry/methods , Equipment Design/methods , Humans , Linear Models , Male , Protective Clothing/statistics & numerical data , Tomography, X-Ray Computed/methods , Tomography, X-Ray Computed/statistics & numerical data , United Kingdom
11.
Biophys Chem ; 126(1-3): 186-96, 2007 Mar.
Article in English | MEDLINE | ID: mdl-16837123

ABSTRACT

Isothermal titration calorimetry, ITC, has been used to determine the thermodynamics (DeltaG, DeltaH, and -TDeltaS) for binding netropsin to a number of DNA constructs. The DNA constructs included: six different 20-22mer hairpin forming sequences and an 8-mer DNA forming a duplex dimer. All DNA constructs had a single -AT-rich netropsin binding with one of the following sequences, (A(2)T(2))(2), (ATAT)(2), or (AAAA/TTTT). Binding energetics are less dependent on site sequence than on changes in the neighboring single stranded DNA (hairpin loop size and tail length). All of the 1:1 complexes exhibit an enthalpy change that is dependent on the fractional saturation of the binding site. Later binding ligands interact with a significantly more favorable enthalpy change (partial differential DeltaH(1-2) from 2 to 6 kcal/mol) and a significantly less favorable entropy change (partial differential (-TDeltaS(1-2))) from -4 to -9 kcal/mol). The ITC data could only be fit within expected experimental error by use of a thermodynamic model that includes two independent binding processes with a combined stoichiometry of 1 mol of ligand per 1 mol of oligonucleotide. Based on the biophysical evidence reported here, including theoretical calculations for the energetics of "trapping" or structuring of a single water molecule and molecular docking computations, it is proposed that there are two modes by which flexible ligands can bind in the minor groove of duplex DNA. The higher affinity binding mode is for netropsin to lay along the floor of the minor groove in a bent conformation and exclude all water from the groove. The slightly weaker binding mode is for the netropsin molecule to have a slightly more linear conformation and for the required curvature to be the result of a water molecule that bridges between the floor of the minor groove and two of the amidino nitrogens located at one end of the bound netropsin molecule.


Subject(s)
DNA/chemistry , Netropsin/chemistry , Nucleic Acid Conformation , Thermodynamics , Base Sequence , Calorimetry , Ligands , Oligonucleotides/chemistry , Protein Conformation
12.
Biochem Biophys Rep ; 12: 158-165, 2017 Dec.
Article in English | MEDLINE | ID: mdl-29090277

ABSTRACT

Linker histones (H1) are the basic proteins in higher eukaryotes that are responsible for the final condensation of chromatin. In contrast to the nucleosome core histone proteins, the role of H1 in compacting DNA is not clearly understood. In this study ITC was used to measure the binding constant, enthalpy change, and binding site size for the interactions of H10, or its C-terminal (H10-C) and globular (H10-G) domains to highly polymerized calf-thymus DNA at temperatures from 288 K to 308 K. Heat capacity changes, ΔCp, for these same H10 binding interactions were estimated from the temperature dependence of the enthalpy changes. The enthalpy changes for binding H10, H10-C, or H10-G to CT-DNA are all endothermic at 298 K, becoming more exothermic as the temperature is increased. The ΔH for binding H10-G to CT-DNA is exothermic at temperatures above approximately 300 K. Osmotic stress experiments indicate that the binding of H10 is accompanied by the release of approximately 35 water molecules. We estimate from our naked DNA titration results that the binding of the H10 to the nucleosome places the H10 protein in close contact with approximately 41 DNA bp. The breakdown is that the H10 carboxyl terminus interacts with 28 bp of linker DNA on one side of the nucleosome, the H10 globular domain binds directly to 7 bp of core DNA, and shields another 6 linker DNA bases, 3 bp on either side of the nucleosome where the linker DNA exits the nucleosome core.

13.
Chem Commun (Camb) ; 53(76): 10500-10503, 2017 Sep 21.
Article in English | MEDLINE | ID: mdl-28828448

ABSTRACT

Light emitting semiconducting quantum dots show great promise as solar cells, optoelectronic devices and multimodal imaging probes. Here we demonstrate successful grafting of a thiol-functionalised GdIII MRI contrast agent onto the surface of core-multishell CdSe/CdS/ZnS quantum dots. The resulting nanoprobe exhibits intense photoluminescence and unprecedentedly large T1 relaxivity of 6800 mM-1 s-1 per nanoparticle due to secure implanting of ca. 620 magnetic centers per quantum dot unit.

14.
Chem Commun (Camb) ; 53(55): 7816-7819, 2017 Jul 06.
Article in English | MEDLINE | ID: mdl-28653058

ABSTRACT

Using a surface science approach, the selectivity in the Ullmann cross-coupling of aryl halides on Cu(111) has been understood and controlled. The binding strength of the reactants and repulsion between them dictates which organometallic intermediates form, and hence the product distribution. Cross coupling can be maximized at low reactant concentrations.

15.
Injury ; 47(9): 1932-8, 2016 Sep.
Article in English | MEDLINE | ID: mdl-27343133

ABSTRACT

INTRODUCTION: Military body armour is designed to prevent the penetration of ballistic projectiles into the most vulnerable structures within the thorax and abdomen. Currently the OSPREY and VIRTUS body armour systems issued to United Kingdom (UK) Armed Forces personnel are provided with a single size front and rear ceramic plate regardless of the individual's body dimensions. Currently limited information exists to determine whether these plates overprotect some members of the military population, and no method exists to accurately size plates to an individual. METHOD: Computed Tomography (CT) scans of 120 male Caucasian UK Armed Forces personnel were analysed to measure the dimensions of internal thoraco-abdominal anatomical structures that had been defined as requiring essential medical coverage. The boundaries of these structures were related to three potential anthropometric landmarks on the skin surface and statistical analysis was undertaken to validate the results. RESULTS: The range of heights of each individual used in this study was comparable to previous anthropometric surveys, confirming that a representative sample had been used. The vertical dimension of essential medical coverage demonstrated good correlation to torso height (suprasternal notch to iliac crest) but not to stature (r(2)=0.53 versus 0.04). Horizontal coverage did not correlate to either measure of height. Surface landmarks utilised in this study were proven to be reliable surrogate markers for the boundaries of the underlying anatomical structures potentially requiring essential protection by a plate. CONCLUSIONS: Providing a range of plate sizes, particularly multiple heights, should optimise the medical coverage and thus effectiveness of body armour for UK Armed Forces personnel. The results of this work provide evidence that a single width of plate if chosen correctly will provide the essential medical coverage for the entire military population, whilst recognising that it still could overprotect the smallest individuals. With regards to anthropometric measurements; it is recommended, based on this work, that torso height is used instead of stature for sizing body armour. Coverage assessments should now be undertaken for side protection as well as for other non-Caucasian populations and females, with anthropometric surveys utilising the three landmarks recommended in this study.


Subject(s)
Blast Injuries/prevention & control , Computer-Aided Design , Equipment Design , Military Personnel , Protective Clothing , Tomography, X-Ray Computed , Wounds, Gunshot/prevention & control , Anthropometry , Aorta , Female , Heart , Humans , Liver , Male , Spleen , United Kingdom
16.
Sci Rep ; 6: 20480, 2016 Feb 09.
Article in English | MEDLINE | ID: mdl-26857581

ABSTRACT

The development of simple routes to emissive solid-state materials is of paramount interest, and in this report we describe the biosynthesis of infrared emitting quantum dots in a living plant via a mutual antagonistic reaction. Exposure of common Allium fistulosum to mercury and tellurium salts under ambient conditions resulted in the expulsion of crystalline, non-passivated HgTe quantum dots that exhibited emissive characteristics in the near-infrared spectral region, a wavelength range that is important in telecommunications and solar energy conversion.


Subject(s)
Allium/chemistry , Infrared Rays , Quantum Dots/chemistry
17.
Br J Oral Maxillofac Surg ; 53(1): 3-7, 2015 Jan.
Article in English | MEDLINE | ID: mdl-25441496

ABSTRACT

The wearing of eye protection by United Kingdom soldiers in Afghanistan has reduced the morbidity caused by explosive fragments. However, the remaining face remains uncovered because there is a lack of evidence to substantiate the procurement of methods to protect it. Using a new computerised tool we entered details of the entry sites of surface wounds caused by explosive fragments in all UK soldiers who were injured in the face between 1 January 2010 and 31 December 2011. We compared clinical and predicted immediate and long term outcomes (as defined by the Abbreviated Injury Score (AIS) and the Functional Capacity Index (pFCI), respectively). We also used the tool to predict how additional protection in the form of a visor and mandible guard would affect outcomes. A soldier wearing eye protection was 9 times (1.03/0.12) less likely to sustain an eye injury than one without. However, 38% of soldiers in this series were not wearing eye protection at the time of injury. There was no significant difference between the AIS and pFCI scores predicted by the tool and those found clinically. There is limited evidence to support the use of a mandible guard; its greatest asset is better protection of the nose, but a visor would be expected to reduce long-term morbidity more than eye protection alone, and we recommend future trials to assess its acceptability to users. We think that use of this novel tool can help in the selection of future methods of ballistic facial protection.


Subject(s)
Blast Injuries/prevention & control , Explosions , Facial Injuries/prevention & control , Military Personnel , Personal Protective Equipment , Abbreviated Injury Scale , Blast Injuries/classification , Computer-Aided Design , Equipment Design , Eye Injuries, Penetrating/classification , Eye Injuries, Penetrating/prevention & control , Eye Protective Devices , Facial Injuries/classification , Forecasting , Head Protective Devices , Humans , Imaging, Three-Dimensional/methods , Lasers , Male , Mandibular Injuries/prevention & control , Nose/injuries , Prospective Studies , Registries , Treatment Outcome , United Kingdom
18.
Injury ; 46(4): 629-33, 2015 Apr.
Article in English | MEDLINE | ID: mdl-25683212

ABSTRACT

INTRODUCTION: There is a requirement in the Ministry of Defence for an objective method of comparing the area of coverage of different body armour designs for future applications. Existing comparisons derived from surface wound mapping are limited in that they can only demonstrate the skin entry wound location. The Coverage of Armour Tool (COAT) is a novel three-dimensional model capable of comparing the coverage provided by body armour designs, but limited information exists as to which anatomical structures require inclusion. The aim of this study was to assess the utility of COAT, in the assessment of neck protection, using clinically relevant injury data. METHOD: Hospital notes and post mortem records of all UK soldiers injured by an explosive fragment to the neck between 01 Jan 2006 and 31 December 2012 from Iraq and Afghanistan were analysed to determine which anatomical structures were responsible for death or functional disability at one year post injury. Using COAT a comparison of three ballistic neck collar designs was undertaken with reference to the percentage of these anatomical structures left exposed. RESULTS: 13/81 (16%) survivors demonstrated complications at one year, most commonly upper limb weakness from brachial plexus injury or a weak voice from laryngeal trauma. In 14/94 (15%) soldiers the neck wound was believed to have been the sole cause of death, primarily from carotid artery damage, spinal cord transection or rupture of the larynx. COAT objectively demonstrated that despite the larger OSPREY collar having almost double the surface area than the two-piece prototype collar, the percentage area of vulnerable cervical structures left exposed only reduced from 16.3% to 14.4%. DISCUSSION: COAT demonstrated its ability to objectively quantify the potential effectiveness of different body armour designs in providing coverage of vulnerable anatomical structures from different shot line orientations. To improve its utility, it is recommended that COAT be further developed to enable weapon and tissue specific information to be modelled, and that clinically significant injuries to other body regions are also incorporated.


Subject(s)
Blast Injuries/prevention & control , Computer-Aided Design , Military Personnel , Neck Injuries/prevention & control , Protective Clothing , Protective Devices/standards , Abbreviated Injury Scale , Adult , Autopsy , Equipment Design , Female , Humans , Male , United Kingdom , Wounds, Gunshot/prevention & control
19.
J Histochem Cytochem ; 24(10): 1085-92, 1976 Oct.
Article in English | MEDLINE | ID: mdl-61989

ABSTRACT

Light microscopic immunocytochemistry was used to identify Paneth cells by their lysozyme content and to detect immunoglobulin antigens within a subpopulation of these cells. Antisera specific for the heavy chains of rat or human immunoglobulin A and for immunoglobulin light chain antigens produced specific staining of rat Paneth cells. The distribution of immunoglobulin staining varied between adjacent Paneth cells in the same crypt and between Paneth cells in adjacent crypts, as well as between Paneth cell populations of different animals. No staining of rat Paneth cells was detected using antisera specific for the heavy chain of immunoglobulins G or M. The specific staining of Paneth cells for immunoglobulin A and light chain antigens was blocked by absorption of each antiserum with its respective purified antigen. Absorption of these antisera with purified rat lysozyme did not affect staining and thereby eliminated the possibility of immunologic cross-reactivity between lysozyme and immunoglobulin antigens. It is suggested, in light of current concepts of Paneth cell function, that the immunoglobulin staining of Paneth cells may reflect their ability to phagocytize immunoglobulin A-coated microorganisms or immune complexes containing immunoglobulin A.


Subject(s)
Duodenum/immunology , Ileum/immunology , Immunoglobulin A/analysis , Jejunum/immunology , Animals , Duodenum/cytology , Fluorescent Antibody Technique , Ileum/cytology , Jejunum/cytology , Rats , Staining and Labeling
20.
J Dent Res ; 60(9): 1661-7, 1981 Sep.
Article in English | MEDLINE | ID: mdl-6943159

ABSTRACT

Overall, these results support the view that dental-facial esthetics and self-perceptions of occlusal appearance, as well as attitudes toward malocclusion and orthodontic treatment, are important factors in the individual's decision to obtain orthodontic treatment. The data indicate that psychosocial variables not directly related to occlusal problems and treatment, do not add significantly to the description of differences between those who seek treatment and those who do not. While these analyses did not include a number of variables--such as socioeconomic factors or attitudes of significant others--which may also be important in predicting individual response to malocclusion, they do suggest strongly that psychosocial factors directly related to need for treatment are probably most productively assessed in terms of self-perceptions of occlusal appearance and attitudes regarding dental malrelations and their treatment.


Subject(s)
Orthodontics, Corrective/psychology , Adolescent , Attitude to Health , Esthetics, Dental , Female , Humans , Male , Malocclusion/psychology , Self Concept , Social Desirability , Social Perception
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