Ocular injuries from fireworks: the 11-year experience of a US level I trauma center.

PurposeCharacterize ocular trauma and visual outcomes from firework injuries at a level I trauma center.MethodsRetrospective review of all firework injuries at Harborview Medical Center between 2003 and 2013.ResultsThree hundred and twenty-seven patients sustained firework injuries, of which 100 (31%) sustained ocular injuries. The average age of all patients who sustained fireworks injuries was 24.2 years, 89% were male and 54% of injuries occurred within 48 h of 4 July. Ocular injuries were most commonly caused by mortars (24%) and rockets (22%). Rockets were associated with four times the frequency of ocular injuries as compared with non-ocular injuries (P<0.001). Spectators were more likely to sustain ocular injuries than non-ocular injuries (P=0.001). The most common injuries sustained were corneal abrasions (67%), hyphemas (42%), eyelid injuries (39%), and ruptured globes (17%). Twenty-eight percent of patients with ocular injuries required surgical intervention. Ruptured globes occurred in 17% of patients, with the majority being complex corneoscleral lacerations. Fifty-eight percent of patients who sustained ruptured globes were left with no light perception in the affected eye. Average follow-up was 188 days. Average visual acuity significantly improved from logMAR 1.8±1.6 at presentation to logMAR 1.3±1.8 at last follow-up.ConclusionsFirework-related ocular trauma frequently results in vision-threatening pathology. Prompt referral to and treatment by ophthalmologists is critical. This study documents the dangers inherent in the personal use of fireworks and provides data that may help guide public policy to decrease the frequency of these devastating injuries.

Anaerobic degradation of phenanthrene and pyrene in mangrove sediment.

This study investigated the anaerobic degradation of the polycyclic aromatic hydrocarbons (PAHs) phenanthrene and pyrene in mangrove sediment from Taiwan. The anaerobic degradation of PAH was enhanced by the addition of acetate, lactate, pyruvate, sodium chloride, cellulose, or zero-valent iron. However, it was inhibited by the addition of humic acid, di-(2-ethylhexyl) phthalate (DEHP), nonylphenol, or heavy metals. Of the microorganism strains isolated from the sediment samples, we found that strain MSA3 (Clostridium pascui), expressed the best ability to biodegrade PAH. The inoculation of sediment with the strain MSA3 could enhance PAH degradation.

Biodegradation of phenanthrene and pyrene from mangrove sediment in subtropical Taiwan.

This study investigated the effects of various factors on the biodegradation of the polycyclic aromatic hydrocarbons (PAHs) phenanthrene and pyrene, and characterized the structure of the microbial community in mangrove sediment from subtropical Taiwan. The degradation of PAH was enhanced by the addition of brij 30, tween 80, yeast extract, hydrogen peroxide, sodium chloride or cellulose. However, PAH degradation was inhibited by the addition of humic acid, di-(2-ethylhexyl), phthalate (DEHP) or nonylphenol. Our results also showed that the addition of various substrates changed the microbial community in mangrove sediment. The strains MS2 (Dyella ginsengisoli) and MS4 (Bacillus pumilus) were the constantly dominant bacteria under various treatments in the mangrove sediment.

A study of the effects of chewing patterns on occlusal wear.

The chewing cycle is a functional movement, closely related to occlusion, the neuromuscular system and the central nervous system. Although actual chewing paths are complicated and vary from individual to individual, there are two typical patterns. One is more vertical in nature and is similar to a chopping movement. The other is a more lateral type that is similar to a grinding movement. The purpose of this study was to evaluate the effects of chewing patterns on occlusal wear. Fifteen subjects exhibiting a chopping-chewing pattern and 15 subjects exhibiting a grinding-chewing pattern were selected using a jaw tracking device. The occlusal wear values, obtained by both ordinal and Woda's arbitrary scales, and frequencies of non-working facets were calculated for each group. The occlusal wear values in all teeth and in each segment, obtained by the use of the ordinal scale did not vary significantly between the chopping and the grinding type group. However, the occlusal wear values of the grinding type group in all teeth and in posterior teeth segments, obtained by the use of Woda's arbitrary scale, were significantly greater than those of the chopping type group. Frequencies of non-working facets in posterior teeth showed no significant differences between the groups.

Continuous monitoring of erythrocyte sedimentation process: a new possible mechanism of erythrocyte sedimentation.

An automated system is constructed to record the complete course of erythrocyte sedimentation process. In this system a light source and a paired photodetector are employed to monitor the change of light transmittance at the junction of plasma and the sedimenting red blood cell column, thus providing a continuous record of erythrocyte sedimentation as a function of time. Differentiation of this sedimentation--time curve yields a velocity--time curve of erythrocyte sedimentation. Frequently recorded "spikes" on top of the velocity--time curve imply the episodes of very rapid fall of erythrocytes in the sedimentation tube that cannot be explained by the currently accepted theory of erythrocyte sedimentation based mainly on Stokes' law, and a new mechanism of rouleau coalescing and fracturing is proposed to account for them.