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1.
Environ Monit Assess ; 185(2): 1341-53, 2013 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-22552493

RESUMEN

Ecologically relevant toxicity tests may provide the best protection of sensitive aquatic fauna, but without established culturing or test methodology for such organisms, results may be unreliable and difficult to repeat. Further, field-collected organisms may not be feasible for routine testing purposes, as often required for permitted discharges. This study examined the feasibility of testing two field-collected mayflies, Isonychia bicolor and Maccaffertium spp., over a 1-year period. Seasonal comparisons of availability indicated I. bicolor and Maccaffertium spp. were most abundant during the winter months, resulting in 31 and 49 % of total organisms collected in 2009, while summer was the most difficult time to collect either species. Initial testing in January 2009 resulted in the highest no observable effect concentration (NOEC) values for survivorship (8 g NaCl for I. bicolor and 4 and 8 g NaCl/L for Maccaffertium spp.) when tested at 9 °C. Subsequent tests conducted at 20-23 °C resulted in 7-day NOEC values substantially lower (mean = 1.44 and 1.59 g NaCl/L). Geometric means of exuviae indicated a dose-dependent response for I. bicolor exposed to NaCl, while no dose-dependent response was observed for Maccaffertium spp. with average number of molts varying from 4.93 in the 0.5 g NaCl/L concentration to 3.80 for control organisms followed by 2.24 (1 g NaCl/L). Averages again increased to 3.09 in the 2 g NaCl/L concentration, but declined in the highest concentrations (4-10 g NaCl/L). Based on the results of this feasibility study, field-collected mayflies appear to be too unpredictable in test responses, and therefore, such tests would be unreliable as stand-alone indicators of effluent toxicity.


Asunto(s)
Monitoreo del Ambiente/métodos , Insectos , Pruebas de Toxicidad/normas , Contaminantes Químicos del Agua/toxicidad , Animales , Monitoreo del Ambiente/normas , Estaciones del Año , Sensibilidad y Especificidad , Cloruro de Sodio/toxicidad
2.
Arch Environ Contam Toxicol ; 51(2): 197-205, 2006 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-16783618

RESUMEN

The Clinch River system of southwestern Virginia and northeastern Tennessee is among the most biodiverse aquatic ecosystems of the United States, but its fauna are in decline. Unionidae (freshwater mussel) species are a major component of the Clinch's aquatic community, and their decline is well documented. Point-source discharges within the Clinch drainage are few, and primary stressors on the biota are believed to originate from non-point sources that are transported into the mainstem by tributaries. Currently, the relative influences of tributaries as stressors on aquatic biota are unclear. We studied 19 major tributaries of the free-flowing Upper Clinch River, developed an Ecotoxicological Rating (ETR) utilizing eight parameters, and assessed stream quality among land use categories using the ETR rating system. Biological, toxicological, habitat, and chemical variables were measured in each tributary, near its confluence with the Clinch. Geographic Information System software was used to quantify land use within each tributary watershed; all tributary watersheds are predominately forested, but agricultural, mining, and developed land uses (urban, transportation) are also present. ETRs indicated that the tributaries draining mining-influenced watersheds had greater potential impact on the mainstem than those draining agricultural or forested watersheds, because of poor benthic macroinvertebrate scores. ETRs ranged from 44 to 63, on a 100-point scale, for mining-influenced tributaries compared to agricultural (57-86) and forested tributaries (64-91). Mean ETRs for the mining-influenced tributaries (51) were significantly different than ETRs from agricultural and forested streams (75 and 80, respectively), and the presence of developed land uses had no significant relationship with ETRs.


Asunto(s)
Minería , Ríos , Contaminantes Químicos del Agua/toxicidad , Agricultura , Animales , Corbicula/efectos de los fármacos , Corbicula/crecimiento & desarrollo , Daphnia/efectos de los fármacos , Daphnia/fisiología , Monitoreo del Ambiente , Reproducción/efectos de los fármacos , Árboles , Unionidae , Urbanización , Virginia , Abastecimiento de Agua
3.
Arch Environ Contam Toxicol ; 49(2): 155-62, 2005 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-16001150

RESUMEN

The United States Environmental Protection Agency has defined national in-stream water-quality criteria (WQC) for 157 pollutants. No WQC to protect aquatic life exist for total dissolved solids (TDS). Some water-treatment processes (e.g., pH modifications) discharge wastewaters of potentially adverse TDS into freshwater systems. Strong correlations between specific conductivity, a TDS surrogate, and several biotic indices in a previous study suggested that TDS caused by a coal-mine effluent was the primary stressor. Further acute and chronic testing in the current study with Ceriodaphnia dubia in laboratory-manipulated media indicated that the majority of the effluent toxicity could be attributed to the most abundant ions in the discharge, sodium (1952 mg/L) and/or sulfate (3672 mg/L), although the hardness of the effluent (792 +/- 43 mg/L as CaCO3) ameliorated some toxicity. Based on laboratory testing of several effluent-mimicking media, sodium- and sulfate-dominated TDS was acutely toxic at approximately 7000 microS/cm (5143 mg TDS/L), and chronic toxicity occurred at approximately 3200 microS/cm (2331 mg TDS/L). At a lower hardness (88 mg/L as CaCO3), acute and chronic toxicity end-points were decreased to approximately 5000 microS/cm (3663 mg TDS/L) and approximately 2000 microS/cm (1443 mg TDS/L), respectively. Point-source discharges causing in-stream TDS concentrations to exceed these levels may risk impairment to aquatic life.


Asunto(s)
Minas de Carbón , Daphnia/efectos de los fármacos , Agua Dulce/química , Iones/toxicidad , Pruebas de Toxicidad/métodos , Contaminantes Químicos del Agua/toxicidad , Animales , Cloro/toxicidad , Daphnia/crecimiento & desarrollo , Sodio/toxicidad , Soluciones , Sulfatos/toxicidad
4.
Environ Monit Assess ; 95(1-3): 37-55, 2004 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-15195819

RESUMEN

Many studies investigating the ecotoxicological impacts of industrial effluents on fresh-water biota utilize standardized test species such as the daphnids, Ceriodaphnia dubia, Daphnia magna, and the fathead minnow, Pimephales promelas. Such species may not be the most predictive or ecologically relevant gauges of the responses of instream benthic macroinvertebrates to certain stressors, such as total dissolved solids. An indigenous species approach should be adopted, using a sensitive benthic collector-filterer following development of practical laboratory bioassays. In the Leading Creek Watershed (southeast Ohio), an aggregated approximately 99% reduction in mean mayfly abundance for all impacted sites was observed below a coal-mine effluent with mean specific conductivity (SC) of 8,109 (7,750-8,750) microS cm(-1). The mayfly, Isonychia, was exposed for 7-days to a simulation of this effluent, in lotic microcosms. Based on lowest observable adverse effect concentrations, Isonychia survival was a more sensitive endpoint to SC (1,562 microS cm(-1)) than were 7-day C. dubia survival and fecundity (3,730 microS cm(-1)). Isonychia molting, a potentially more sensitive endpoint, was also examined. Using traditional test species to assess discharges to surface water alone may not adequately protect benthic macroinvertebrate assemblages in systems impaired by discharges high in SC.


Asunto(s)
Bioensayo , Minas de Carbón , Monitoreo del Ambiente/métodos , Insectos , Metales/toxicidad , Contaminantes Químicos del Agua/toxicidad , Animales , Ohio , Estados Unidos
5.
Arch Environ Contam Toxicol ; 44(3): 324-31, 2003 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-12712291

RESUMEN

The U.S. Environmental Protection Agency has not recommended water quality criteria (WQC) to protect aquatic life from elevated sodium and sulfate concentrations, such as those associated with the coal-processing effluent of Meigs County Mine #31. This discharge, received by a tributary of the Leading Creek Watershed (SE Ohio), had a mean specific conductivity (SC) of 8,109 (7,750-8,750) microS/cm and total metal concentrations below acute WQC. The mean 48-h LC(50) for Ceriodaphnia dubia in the effluent was 6,713 +/- 99 microS/cm; mean 48-h survival was 44% for study sites downstream of the effluent. The best indicators of impairment used in this study were Ceriodaphnia fecundity, in situ Corbicula fluminea growth, EPT minus Hydropsychidae (richness and relative abundance), and relative Ephemeroptera abundance. Mayflies, reduced by more than 99% below the effluent, were absent from all but the furthest downstream study site. SC was strongly correlated with Corbicula growth (r = -0.9755, p = 0.0009) and EPT minus Hydropsychidae richness (r = -0.8756, p < 0.0001), suggesting the effluent was primarily responsible for biotic impairment. Our results indicated that SC levels, a measure of dissolved solids, in the Leading Creek Watershed that exceeded approximately 3,700 microS/cm impaired sensitive aquatic fauna.


Asunto(s)
Minas de Carbón , Agua Dulce/química , Invertebrados/crecimiento & desarrollo , Contaminantes Químicos del Agua/toxicidad , Animales , Escarabajos/efectos de los fármacos , Escarabajos/crecimiento & desarrollo , Daphnia/efectos de los fármacos , Daphnia/crecimiento & desarrollo , Invertebrados/efectos de los fármacos , Moluscos/efectos de los fármacos , Moluscos/crecimiento & desarrollo , Ohio , Perciformes/crecimiento & desarrollo
7.
Arch Environ Contam Toxicol ; 42(4): 416-22, 2002 May.
Artículo en Inglés | MEDLINE | ID: mdl-11994782

RESUMEN

Our aim was to quantify impairment to invertebrate predator populations, particularly to Acroneuria sp. (Plecoptera, Perlidae), downstream of an acid mine drainage-impacted tributary to the North Fork of the Powell River, southwestern Virginia. Predatory insects comprised 9.0 +/- 1.3% of the total abundance at the three stations upstream of the impacted tributary, but were significantly reduced (p = 0.0039) downstream (3.9 +/- 0.6%). Acroneuria sp. populations followed the same trend, with the upstream average (2.3 and 2.8%) being significantly higher (p < 0.05) than the downstream averages (0.2 and 0%) during 1999 and 2000, respectively. Using correlation analysis, we evaluated the relationship between the percent abundance of Acroneuria sp. throughout this reach and metal concentrations in water, sediment, and biological tissues (invertebrate predators and primary consumers). Water column aluminum (Al) concentration was the only parameter that was significantly correlated with percent Acroneuria sp. abundance, with correlation coefficients of -0.845 and -0.873 during 1999 and 2000, respectively. While this correlation exists, it may not indicate a causal relationship, and experiments should be conducted to determine the long-term toxicity of various Al species to perlid stoneflies.


Asunto(s)
Aluminio/toxicidad , Insectos/efectos de los fármacos , Contaminantes Químicos del Agua/toxicidad , Aluminio/farmacocinética , Animales , Cadena Alimentaria , Sedimentos Geológicos/química , Concentración de Iones de Hidrógeno , Insectos/química , Minería , Dinámica Poblacional , Virginia , Agua/análisis , Contaminantes Químicos del Agua/farmacocinética
8.
Inj Prev ; 7(1): 62-5, 2001 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-11289538

RESUMEN

OBJECTIVES: To describe the circumstances of fatal unintentional firearm injuries in a statewide population in a region of the United States with high firearm fatality rates and to compare to similar data from an earlier period in the same state. METHODS: Analyses of North Carolina medical examiner database (1985-94) and review of medical examiner case reports (1990-94) and comparison to similar data from 1979-82. RESULTS: A total of 390 unintentional shooting deaths occurred (0.59/100,000 population) between 1985-94 with the highest rate in the ages 15-24. Between 1990-94, handguns were responsible for 59% of these deaths compared to 40% in the 1979-82 period. Younger victims were more likely to be shot by family or friends, though, 53% of all deaths were self inflicted. In 45 cases, the person firing the weapon was reported to believe that the gun was unloaded or had the safety device activated. CONCLUSIONS: This study demonstrates changes in patterns of unintentional firearm fatalities in North Carolina in two decades, particularly the increase in incidence of events involving handguns. The results highlight the need for additional attention to efforts governing access to firearms, particularly handguns; technological advances in designing safer guns, and additional emphasis on safe storage policies and practices.


Asunto(s)
Accidentes/mortalidad , Armas de Fuego/estadística & datos numéricos , Heridas por Arma de Fuego/mortalidad , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Causas de Muerte , Niño , Preescolar , Estudios Transversales , Femenino , Humanos , Lactante , Masculino , Persona de Mediana Edad , North Carolina/epidemiología , Vigilancia de la Población
9.
Environ Pollut ; 111(3): 377-88, 2001.
Artículo en Inglés | MEDLINE | ID: mdl-11202742

RESUMEN

The Ely Creek watershed in Lee County, VA, USA, contains an abundance of abandoned mined land areas with acid mine drainage (AMD) that contaminate the majority of the creek and its confluence into Stone Creek. Acidic pH measurements ranged from 2.73 to 5.2 at several stations throughout the watershed. Sediments had high concentrations of iron (approximately 10,000 mg kg-1), aluminum (approximately 1,500 mg kg-1), magnesium (approximately 400 mg kg-1) and manganese (approximately 150 mg kg-1), and habitat was partially to non-supporting at half of the stations due to sedimentation. Benthic macroinvertebrate surveys at six of 20 stations sampled in the watershed yielded no macroinvertebrates, while eight others had total abundances of only one to nine organisms. Four reference stations contained > or = 100 organisms and at least 13 different taxa. Asian clam in situ toxicity testing supported field survey results. Laboratory, 10-day survival/impairment sediments tests with Daphnia magna and Chironomus tentans and 48-h water column bioassays with Ceriodaphnia dubia indicated environmental stress to a lesser degree. Ten parameters that were directly influenced by AMD through physical, chemical, ecological and toxicological endpoints were assimilated into an ecotoxicological rating (ETR) to form a score of 0-100 points for the 20 sampling stations, and the lower the score the greater the AMD stress. Twelve of the 15 sampling stations influenced by AMD received an ETR score of 13.75-57.5, which were categorized as severely stressed (i.e. comprised the < 60 percentile category) and worthy of the highest priority for future ecological restoration activities in the watershed.


Asunto(s)
Ácidos/toxicidad , Invertebrados/efectos de los fármacos , Metales Pesados/toxicidad , Minería , Contaminantes Químicos del Agua/análisis , Contaminantes Químicos del Agua/toxicidad , Ácidos/análisis , Animales , Bivalvos/efectos de los fármacos , Bivalvos/crecimiento & desarrollo , Chironomidae/efectos de los fármacos , Chironomidae/crecimiento & desarrollo , Daphnia/efectos de los fármacos , Daphnia/crecimiento & desarrollo , Ecosistema , Ambiente , Monitoreo del Ambiente/métodos , Invertebrados/crecimiento & desarrollo , Metales Pesados/análisis , Sensibilidad y Especificidad , Contaminantes del Suelo/análisis , Análisis de Supervivencia , Virginia
10.
Environ Pollut ; 111(3): 447-52, 2001.
Artículo en Inglés | MEDLINE | ID: mdl-11202749

RESUMEN

This study involves a site characterization followed by biomonitoring with the zebra mussel, Dreissena polymorpha, at the Times Beach confined placement facility (CPF), located in Buffalo, NY. The contaminant of interest was tributyltin (TBT) and the degradation products dibutyltin (DBT) and monobutyltin (MBT). At study initiation (Day 0) TBT levels in the baseline mussels were 5.86 +/- 0.43 ng Sn/g, DBT levels were 2.25 +/- 0.37 ng Sn/g. No MBT was detected in the Day 0 baseline samples. Caged reference mussels placed back in the Black Rock Channel Lock and retrieved on Days 19 and 34 had TBT, DBT, and MBT levels which did not differ significantly from the Day 0 baseline levels. Mussels placed at the Times Beach CPF had TBT concentrations that were significantly lower at both Days 19 (3.65 +/- 0.90 ng Sn/g) and 34 (3.50 +/- 1.03 ng Sn/g) than the Day 0 baseline analysis (5.86 +/- 0.43 ng Sn/g). The results of this study indicate that butyltins were detected at the CPF site in the sediment (7.33 +/- 5.70 ng Sn/g) but not the water column (not detected at 0.01 microgram/l). In this study the zebra mussel was able to depurate TBT even in the presence of contaminated sediment. TBT may be bioaccumulated from the sediments. However, the initial levels in the mussels were so high, levels actually dropped as sediment-tissue equilibria levels were reached by the mussels.


Asunto(s)
Bivalvos/metabolismo , Monitoreo del Ambiente/métodos , Compuestos Organometálicos/farmacocinética , Contaminantes del Suelo/farmacocinética , Estaño/análisis , Contaminantes Químicos del Agua/farmacocinética , Análisis de Varianza , Animales , Biotransformación , New York , Compuestos Organometálicos/análisis , Agua de Mar/análisis , Contaminantes del Suelo/análisis , Contaminantes Químicos del Agua/análisis
11.
Ambul Pediatr ; 1(3): 169-77, 2001.
Artículo en Inglés | MEDLINE | ID: mdl-11888395

RESUMEN

OBJECTIVE: To identify barriers to enrollment into Colorado's Child Health Insurance Plan (CHP+) for non-Hispanic (NH), Hispanic (H), and uninsured families. DESIGN: Telephone survey of 1) random samples of families who requested an application but did not complete it (N = 273 NH, N = 159 H) and 2) families with uninsured children identified by random-digit-dial statewide surveys (N = 165). RESULTS: Major reasons for not enrolling included 1) got other insurance (NH 16.5%; H 27.2% P <.01), 2) thought household income was too high to qualify (NH 21.0%; H 11.9% P =.01), and 3) paperwork (NH 13.4%; H 14.7%, P = NS). Of those who thought their income was too high (N = 76, 17.6%), 58.5% appeared eligible based on reported income. Of uninsured families, only 41.7% had heard of CHP+. Of those who had never applied, major remediable reasons included not knowing enough about the program (20.9%) and thinking household income was too high (9.3%). CONCLUSIONS: Effective marketing and education to increase awareness of CHP+ and ensure understanding of eligibility are critical to the success of the program.


Asunto(s)
Servicios de Salud del Niño/estadística & datos numéricos , Comportamiento del Consumidor/estadística & datos numéricos , Accesibilidad a los Servicios de Salud , Asistencia Médica/estadística & datos numéricos , Pacientes no Asegurados , Planes Estatales de Salud/estadística & datos numéricos , Niño , Servicios de Salud del Niño/economía , Colorado , Humanos , Estados Unidos
12.
Arch Environ Contam Toxicol ; 38(3): 305-10, 2000 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-10667927

RESUMEN

Acid mine drainage (AMD) is produced when pyrite (FeS(2)) is oxidized on exposure to oxygen and water to form ferric hydroxides and sulfuric acid. If produced in sufficient quantity, iron precipitate, heavy metals (depending on soil mineralogy), and sulfuric acid may contaminate surface and ground water. A previous study of an AMD impacted watershed (Puckett's Creek, Powell River drainage, southwestern Virginia, USA) conducted by these researchers indicated that both water column and sediment toxicity were significantly correlated with benthic macroinvertebrate community impacts. Sites that had toxic water or sediment samples had significantly reduced macroinvertebrate taxon richness. The present study was designed to investigate the relative acute toxicity of acid mine drainage (AMD) water column and sediments to a single test organism (Daphnia magna) and to determine which abiotic factors were the best indicators of toxicity in this system. Nine sampling stations were selected based on proximity to major AMD inputs in the watershed. In 48-h exposures, sediment samples from three stations were acutely toxic to D. magna, causing 64-100% mortality, whereas water samples from five stations caused 100% mortality of test organisms. Forty-eight-hour LC50 values ranged from 35 to 63% for sediment samples and 27 to 69% for water column samples. Sediment iron concentration and several water chemistry parameters were the best predictors of sediment toxicity, and water column pH was the best predictor of water toxicity. Based on these correlations and on the fact that toxic sediments had high percent water content, water chemistry appears to be a more important adverse influence in this system than sediment chemistry.


Asunto(s)
Daphnia/fisiología , Minería , Contaminantes Químicos del Agua/toxicidad , Animales , Sedimentos Geológicos , Concentración de Iones de Hidrógeno , Dosificación Letal Mediana
13.
Int J Epidemiol ; 28(5): 853-8, 1999 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-10597982

RESUMEN

OBJECTIVE: To estimate the number of strokes in Leicestershire and investigate possible differences between South Asian and white patients. DESIGN: Prospective incidence sample survey. SETTING: Leicestershire. PARTICIPANTS: Acute stroke cases occurring in registered populations of 12 'high Asian' and 11 'low Asian' general practices. RESULTS: The age-specific incidence rates of stroke in Leicestershire were similar to those of the Oxford Community Stroke Project. South Asian patients were less likely to be living alone at home before their stroke and they tended to be younger than whites. However, only 12% of South Asian patients with a stroke were not admitted to hospital within 7 days of their stroke compared to 23% of white patients (chi2 = 3.24, d.f. = 1, P = 0.07). Only 21% of South Asian patients died within 28 days of their stroke compared to 33% of white patients (age-adjusted odds ratio = 0.37; 95% CI: 0.14-0.97). CONCLUSIONS: Overlapping case-finding was crucial to finding all 'possible' strokes and this required close collaborative working between general practices, community health services, hospitals and the health authority. Relatively fewer South Asian patients were managed in the community in the first 7 days. Interestingly, South Asian patients were less likely than white patients to die within 28 days. This is an area worthy of further research.


Asunto(s)
Accidente Cerebrovascular/etnología , Población Blanca , Adolescente , Adulto , Distribución por Edad , Anciano , Anciano de 80 o más Años , Intervalos de Confianza , Medicina Familiar y Comunitaria/estadística & datos numéricos , Femenino , Humanos , Incidencia , India/etnología , Masculino , Persona de Mediana Edad , Oportunidad Relativa , Vigilancia de la Población , Modelos de Riesgos Proporcionales , Estudios Prospectivos , Factores de Riesgo , Muestreo , Distribución por Sexo , Accidente Cerebrovascular/epidemiología , Tasa de Supervivencia , Reino Unido/epidemiología
14.
JAMA ; 281(20): 1889-90; author reply 1890-1, 1999 May 26.
Artículo en Inglés | MEDLINE | ID: mdl-10349887
16.
Ann Emerg Med ; 32(1): 51-9, 1998 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-9656949

RESUMEN

STUDY OBJECTIVE: To characterize trends in annual estimates of nonfatal firearm-related injuries treated in US hospital emergency departments and to compare trends in quarterly rates of such injuries with those of firearm-related fatalities in the US population. METHODS: Data on nonfatal firearm-related injuries were obtained from the National Electronic Injury Surveillance System (NEISS) by review of medical records for June 1, 1992, through May 31, 1995. Data on firearm-related fatalities were obtained from the National Vital Statistics System for January 1, 1985, through December 31, 1995. NEISS comprises 91 hospitals that represent a stratified probability sample of all hospitals in the United States and its territories that have at least six beds and provide 24-hour emergency service. The main outcome measures were numbers, percentages, and quarterly population rates for nonfatal and fatal firearm-related injuries. RESULTS: An estimated 288,538 nonfatal firearm-related injuries (95% confidence interval [CI], 169,776 to 407,300) were treated in EDs during the 3-year study period. The annual number of non-fatal firearm-related injuries increased from 99,025 for June 1992 through May 1993 (95% CI, 58,266 to 139,784) to 101,669 for June 1993 through May 1994 (95% CI, 59,822 to 143,516), then decreased to 87,844 for June 1994 through May 1995 (95% CI, 51,687 to 124,001). Before the third quarter of 1993, quarterly nonfatal and fatal firearm-related injury rates in the total US population and quarterly nonfatal firearm assaultive injury and firearm homicide rates for males aged 15 to 24 years were observed to be on the rise. Since then, these rates have significantly declined. CONCLUSION: Analysis of national trends indicates that non-fatal and fatal firearm-related injuries are declining in the United States, although the rate of firearm-related deaths remains high, especially among males aged 15 to 24 years, in relation to other leading causes of injury death. An assessment of factors responsible for the decline in firearm-related injuries is needed to design further prevention efforts.


Asunto(s)
Servicio de Urgencia en Hospital/estadística & datos numéricos , Armas de Fuego/estadística & datos numéricos , Heridas por Arma de Fuego/mortalidad , Adolescente , Adulto , Distribución por Edad , Factores de Edad , Anciano , Causas de Muerte , Femenino , Humanos , Masculino , Persona de Mediana Edad , Mortalidad/tendencias , Prevalencia , Factores Sexuales , Estados Unidos/epidemiología , Heridas por Arma de Fuego/epidemiología , Heridas por Arma de Fuego/etnología
20.
Am J Dent ; 10(6): 268-71, 1997 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-9590913

RESUMEN

PURPOSE: To determine whether ingestion of a tooth whitener containing 6% hydrogen peroxide as bleaching agent affected the gastric mucosa of adult, female laboratory rats. MATERIALS AND METHODS: Thirty-six fasting rats were intubated with a single bolus (5 g/kg body weight) of the tooth whitener Natural White which contains 6% hydrogen peroxide. Thirty-two control rats received deionized water. Rats were necropsied 15 minutes, 2 hours, 1 and 2 weeks after whitener ingestion. The gastric mucosa was examined histologically and blood hematocrit, glucose, BUN, and bilirubin measured. RESULTS: Six of the 36 rats died within 2 hours of receiving whitener. Within 15 minutes of whitener ingestion, stomachs were grossly bloated with gas. Histological observation showed that gastric mucosal cells were vacuolated and gastric glands dilated. After 2 hours, gastric epithelial and glandular cells had sloughed off into the gastric lumen. Mean blood glucose and hematocrit were significantly (P < 0.05) elevated (233 +/- 41 mg/ml and 50.5 +/- 0.9%) over mean control values (129 +/- 8 mg/ml and 42.8 +/- 2.4%). Within 1 week, the stomachs of experimental rats were no longer bloated, the gastric mucosa appeared normal histologically, but mean blood hematocrit was significantly (P < 0.05) decreased (38.0 +/- 1.5%) from mean control value (43.3 +/- 0.5%). There were no significant differences in mean blood values 2 weeks after whitener ingestion.


Asunto(s)
Peróxido de Hidrógeno/toxicidad , Medicamentos sin Prescripción/toxicidad , Blanqueamiento de Dientes/efectos adversos , Enfermedad Aguda , Análisis de Varianza , Animales , Femenino , Mucosa Gástrica/efectos de los fármacos , Mucosa Gástrica/patología , Intoxicación/sangre , Intoxicación/etiología , Intoxicación/patología , Ratas , Ratas Sprague-Dawley , Factores de Tiempo
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