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1.
Clin Pediatr (Phila) ; 63(1): 135-145, 2024 01.
Artículo en Inglés | MEDLINE | ID: mdl-37212493

RESUMEN

Reports of children's play-related injuries have remained stagnant according to epidemiology studies of the past 3 decades. This article provides a unique look into the context of playground injuries within an entire school district, demonstrating the prevalence of these injuries. This study reports that playgrounds are the leading location of school injury, comprising one-third of all elementary school injuries. This study found that while head/neck injuries were the most commonly injured body region within the playground environment, the proportion of head/neck injuries decreased with age, whereas the proportion of extremity injuries increased with age. At least 1 upper extremity injury required outside medical attention for every 4 that were treated on-site, making upper extremity injuries roughly twice as likely to require outside medical attention as injuries to other body regions. The data in this study are useful for interpreting injury patterns in the context and evaluation of existing safety standards for playgrounds.


Asunto(s)
Traumatismos del Brazo , Traumatismos del Cuello , Heridas y Lesiones , Niño , Humanos , Juego e Implementos de Juego , Traumatismos del Brazo/epidemiología , Parques Recreativos , Instituciones Académicas
2.
J Am Chem Soc ; 145(17): 9718-9728, 2023 May 03.
Artículo en Inglés | MEDLINE | ID: mdl-37084330

RESUMEN

Zeolite-supported metal nanocluster catalysts have attracted significant attention due to their broad application in heterogeneously catalyzed reactions. The preparation of highly dispersed metal catalysts commonly involves the use of organic compounds and requires the implementation of complicated procedures, which are neither green nor deployable at the large scale. Herein, we present a novel facile method (vacuum-heating) which employs a specific thermal vacuum processing protocol of catalysts to promote the decomposition of metal precursors. The removal of coordinated H2O via vacuum-heating restricts the formation of intermediates (metal-bound OH species), resulting in catalysts with a uniform, metal nanocluster distribution. The structure of the intermediate was determined by in situ Fourier transform infrared, temperature-programmed decomposition, and X-ray absorption spectroscopy (XAS) measurements. This alternative synthesis method is eco-friendly and cost-effective as the procedure occurs in the absence of organic compounds. It can be widely used for the preparation of catalysts from different metal species (Ni, Fe, Cu, Co, Zn) and precursors and is readily scaled-up.

3.
J Neural Eng ; 20(3)2023 05 09.
Artículo en Inglés | MEDLINE | ID: mdl-37084719

RESUMEN

Objective.Brain-machine interfaces (BMIs) have shown promise in extracting upper extremity movement intention from the thoughts of nonhuman primates and people with tetraplegia. Attempts to restore a user's own hand and arm function have employed functional electrical stimulation (FES), but most work has restored discrete grasps. Little is known about how well FES can control continuous finger movements. Here, we use a low-power brain-controlled functional electrical stimulation (BCFES) system to restore continuous volitional control of finger positions to a monkey with a temporarily paralyzed hand.Approach.We delivered a nerve block to the median, radial, and ulnar nerves just proximal to the elbow to simulate finger paralysis, then used a closed-loop BMI to predict finger movements the monkey was attempting to make in two tasks. The BCFES task was one-dimensional in which all fingers moved together, and we used the BMI's predictions to control FES of the monkey's finger muscles. The virtual two-finger task was two-dimensional in which the index finger moved simultaneously and independently from the middle, ring, and small fingers, and we used the BMI's predictions to control movements of virtual fingers, with no FES.Main results.In the BCFES task, the monkey improved his success rate to 83% (1.5 s median acquisition time) when using the BCFES system during temporary paralysis from 8.8% (9.5 s median acquisition time, equal to the trial timeout) when attempting to use his temporarily paralyzed hand. In one monkey performing the virtual two-finger task with no FES, we found BMI performance (task success rate and completion time) could be completely recovered following temporary paralysis by executing recalibrated feedback-intention training one time.Significance.These results suggest that BCFES can restore continuous finger function during temporary paralysis using existing low-power technologies and brain-control may not be the limiting factor in a BCFES neuroprosthesis.


Asunto(s)
Interfaces Cerebro-Computador , Animales , Extremidad Superior , Cuadriplejía , Movimiento/fisiología , Haplorrinos , Primates
4.
Eur J Epidemiol ; 37(12): 1233-1250, 2022 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-36335560

RESUMEN

COVID-19 research has relied heavily on convenience-based samples, which-though often necessary-are susceptible to important sampling biases. We begin with a theoretical overview and introduction to the dynamics that underlie sampling bias. We then empirically examine sampling bias in online COVID-19 surveys and evaluate the degree to which common statistical adjustments for demographic covariates successfully attenuate such bias. This registered study analysed responses to identical questions from three convenience and three largely representative samples (total N = 13,731) collected online in Canada within the International COVID-19 Awareness and Responses Evaluation Study ( www.icarestudy.com ). We compared samples on 11 behavioural and psychological outcomes (e.g., adherence to COVID-19 prevention measures, vaccine intentions) across three time points and employed multiverse-style analyses to examine how 512 combinations of demographic covariates (e.g., sex, age, education, income, ethnicity) impacted sampling discrepancies on these outcomes. Significant discrepancies emerged between samples on 73% of outcomes. Participants in the convenience samples held more positive thoughts towards and engaged in more COVID-19 prevention behaviours. Covariates attenuated sampling differences in only 55% of cases and increased differences in 45%. No covariate performed reliably well. Our results suggest that online convenience samples may display more positive dispositions towards COVID-19 prevention behaviours being studied than would samples drawn using more representative means. Adjusting results for demographic covariates frequently increased rather than decreased bias, suggesting that researchers should be cautious when interpreting adjusted findings. Using multiverse-style analyses as extended sensitivity analyses is recommended.


Asunto(s)
COVID-19 , Humanos , COVID-19/epidemiología , COVID-19/prevención & control , Sesgo de Selección , Sesgo , Encuestas y Cuestionarios , Proyectos de Investigación
5.
BMC Med Res Methodol ; 22(1): 251, 2022 09 26.
Artículo en Inglés | MEDLINE | ID: mdl-36162985

RESUMEN

BACKGROUND: In the context of the COVID-19 pandemic, social science research has required recruiting many prospective participants. Many researchers have explicitly taken advantage of widespread public interest in COVID-19 to advertise their studies. Leveraging this interest, however, risks creating unrepresentative samples due to differential interest in the topic. In this study, we investigate the design of survey recruitment materials with respect to the views of resultant participants. METHODS: Within a pan-Canadian survey (stratified random mail sampling, n = 1969), the design of recruitment invitations to prospective respondents was experimentally varied, with some prospective respondents receiving COVID-specific recruitment messages and others receiving more general recruitment messages (described as research about health and health policy). All respondents participated, however, in the same survey, allowing comparison of both demographic and attitudinal features between these groups. RESULTS: Respondents recruited via COVID-19 specific postcards were more likely to agree that COVID-19 is serious and believe that they were likely to contract COVID-19 compared to non-COVID respondents (odds = 0.71, p = 0.04; odds = 0.74, p = 0.03 respectively; comparing health to COVID-19 framed respondents). COVID-19 specific respondents were more likely to disagree that the COVID-19 threat was exaggerated compared to the non-COVID survey respondents (odds = 1.44, p = 0.02). CONCLUSIONS: COVID-19 recruitment framing garnered a higher response rate, as well as a sample with greater concern about coronavirus risks and impacts than respondents who received more neutrally framed recruitment materials.


Asunto(s)
COVID-19 , Canadá/epidemiología , Humanos , Pandemias , Estudios Prospectivos , Sesgo de Selección , Encuestas y Cuestionarios
6.
Int Urogynecol J ; 33(12): 3543-3553, 2022 12.
Artículo en Inglés | MEDLINE | ID: mdl-35254469

RESUMEN

INTRODUCTION AND HYPOTHESIS: Human menopause transition and post-menopausal syndrome, driven by reduced ovarian activity and estrogen levels, are associated with an increased risk for symptoms including but not limited to sexual dysfunction, metabolic disease, and osteoporosis. Current treatments are limited in efficacy and may have adverse consequences, so investigation for additional treatment options is necessary. Previous studies have demonstrated that percutaneous tibial nerve stimulation (PTNS) and electro-acupuncture near the tibial nerve are minimally invasive treatments that increase vaginal blood perfusion or serum estrogen in the rat model. We hypothesized that PTNS would protect against harmful reproductive and systemic changes associated with menopause. METHODS: We examined the effects of twice-weekly PTNS (0.2 ms pulse width, 20 Hz, 2× motor threshold) under ketamine-xylazine anesthesia in ovariectomized (OVX) female Sprague-Dawley rats on menopause-associated physiological parameters including serum estradiol, body weight, blood glucose, bone health, and vaginal blood perfusion. Rats were split into three groups (n = 10 per group): (1) intact control (no stimulation), (2) OVX control (no stimulation), and (3) OVX stimulation (treatment group). RESULTS: PTNS did not affect serum estradiol levels, body weight, or blood glucose. PTNS transiently increased vaginal blood perfusion during stimulation for up to 5 weeks after OVX and increased areal bone mineral density and yield load of the right femur (side of stimulation) compared to the unstimulated OVX control. CONCLUSIONS: PTNS may ameliorate some symptoms associated with menopause. Additional studies to elucidate the full potential of PTNS on menopause-associated symptoms under different experimental conditions are warranted.


Asunto(s)
Glucemia , Densidad Ósea , Humanos , Ratas , Femenino , Animales , Ratas Sprague-Dawley , Nervio Tibial/fisiología , Menopausia , Estrógenos , Peso Corporal , Estradiol , Perfusión , Ovariectomía/efectos adversos
7.
Vaccines (Basel) ; 9(12)2021 Nov 30.
Artículo en Inglés | MEDLINE | ID: mdl-34960162

RESUMEN

Managing the COVID-19 pandemic-and other communicable diseases-involves broad societal uptake of vaccines. As has been demonstrated, however, vaccine uptake is often uneven and incomplete across populations. This is a substantial challenge that must be addressed by public health efforts. To this point, significant research has focused on demographic and attitudinal correlates with vaccine hesitancy to understand uptake patterns. In this study, however, we advance understandings of individual decision-making processes involved in vaccine uptake through a mixed-methods investigation of the role of timing in COVID-19 vaccine choices. In the first step, a survey experiment, we find the timing of vaccine rollout (i.e., when a vaccine becomes available to the respondent) has a significant impact on public decision-making. Not only is there a higher level of acceptance when the vaccine becomes available at a later time, but delayed availability is correlated with both lower levels of 'desire to wait' and 'total rejection' of the vaccine. In a second step, we explore associated qualitative data, finding that temporal expressions (i.e., professing a desire to wait) can serve as a proxy for underlying non-temporal rationales, like concerns around safety, efficacy, personal situations, or altruism. By identifying these patterns, as well as the complexities of underlying factors, through a mixed-methods investigation, we can inform better vaccine-related policy and public messaging, as well as enhance our understanding of how individuals make decisions about vaccines in the context of COVID-19.

8.
Can J Public Health ; 112(4): 706-713, 2021 08.
Artículo en Inglés | MEDLINE | ID: mdl-34129213

RESUMEN

SETTING: Planning and designing thermally comfortable outdoor spaces is increasingly important in the context of climate change, particularly as children are more vulnerable than adults to environmental extremes. However, existing playground standards focus on equipment and surfacing to reduce acute injuries, with no mention of potential negative health consequences related to heat illness, sun exposure, and other thermal extremes. The goal of this project was to develop proposed guidelines for designing thermally comfortable playgrounds in Canada for inclusion within the CAN/CSA-Z614 Children's playground equipment and surfacing standard. INTERVENTION: The project to develop guidance for thermally comfortable playgrounds was initiated with a municipal project in Windsor, Ontario, to increase shade, vegetation, and water features at parks and playgrounds to provide more comfortable experiences amid the increased frequency of hot days (≥30°C). The lack of available information to best manage environmental conditions led to a collaborative effort to build resources and raise awareness of best practices in the design of thermally comfortable playgrounds. OUTCOMES: A group of multidisciplinary experts developed technical guidance for improving thermal comfort at playgrounds, including a six-page thermal comfort annex adopted within a national playground and equipment standard. The annex has been used by Canadian schools in a competition to design and implement green playgrounds. IMPLICATIONS: Both the technical report and the thermal comfort annex provide increased awareness and needed guidance for managing environmental conditions at playgrounds. Thermally safe and comfortable play spaces will help ensure that Canada's playgrounds are designed to minimize environmental health risks for children.


RéSUMé: CONTEXTE: À l'ère des changements climatiques, le confort thermique n'a jamais été si important pour la planification et l'aménagement d'espaces extérieurs, surtout car les enfants sont plus sensibles que les adultes aux chaleurs brûlantes. Cependant, les normes qui encadrent actuellement les aires de jeu s'articulent autour d'une logique de prévention de traumatismes. Elles portent donc principalement sur les équipements et leurs revêtements plutôt que sur les conséquences des canicules, des malaises liés à la chaleur et des insolations. L'objectif du présent projet est de rédiger un projet de directives pour favoriser le confort thermique des aires de jeu au Canada et d'intégrer ces directives à la norme CAN/CSA-Z614 Aires et équipements de jeu. INTERVENTION: Les origines du projet remontent à une action municipale à Windsor, en Ontario. Celle-ci avait pour but d'augmenter la quantité de zones d'ombres, de végétation et de jeux d'eau dans les parcs et les aires de jeu en vue de favoriser le confort thermique vu la fréquence croissante des canicules (≥30°C). Le constat de lacunes d'informations autour de la gestion des conditions écologiques a suscité une concertation pour créer des ressources et faire rayonner des pratiques d'aménagement optimales pour l'amélioration du confort thermique des aires de jeu. RéSULTATS: Une équipe transversale d'experts a rédigé des directives techniques pour améliorer le confort thermique des aires de jeu, ainsi qu'une annexe de six pages sur la question qui a été intégrée à une norme nationale. Dans le cadre d'un concours, des écoles canadiennes se sont servies de l'annexe comme référentiel pour penser et aménager des aires de jeu vertes. IMPLICATIONS: Le rapport technique et l'annexe mettent en valeur le besoin d'encadrer la gestion des facteurs environnementaux des aires de jeu. L'amélioration du confort thermique de ces espaces et la réduction des risques environnementaux permettent de protéger la santé des enfants au Canada.


Asunto(s)
Entorno Construido , Juego e Implementos de Juego , Temperatura , Entorno Construido/normas , Canadá , Niño , Guías como Asunto , Humanos , Juego e Implementos de Juego/lesiones
10.
Environ Sci Process Impacts ; 22(10): 2084-2094, 2020 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-32909592

RESUMEN

Chlorpyrifos (CPF) is a widely used pesticide; however, limited experimental work has been completed on its thermal decomposition. CPF is known to decompose into 3,5,6-trichloro-2-pyridinol (TCpyol) together with ethylene and HOPOS. Under oxidative conditions TCpyol can decompose into the dioxin-like 2,3,7,8-tetrachloro-[1,4]-dioxinodipyridine (TCDDPy). With CPF on the cusp of being banned in several jurisdictions worldwide, the question might arise as to how to safely eliminate large stockpiles of this pesticide. Thermal methods such as incineration or thermal desorption of pesticide-contaminated soils are often employed. To assess the safety of thermal methods, information about the toxicants arising from thermal treatment is essential. The present flow reactor study reports the products detected under inert and oxidative conditions from the decomposition of CPF representative of thermal treatments and of wildfires in CPF-contaminated vegetation. Ethylene and TCpyol are the initial products formed at temperatures between 550 and 650 °C, although the detection of HOPOS as a reaction product has proven to be elusive. During pyrolysis of CPF in an inert gas, the dominant sulfur-containing product detected from CPF is carbon disulfide. Quantum chemical analysis reveals that ethylene and HOPOS undergo a facile reaction to form thiirane (c-C2H4S) which subsequently undergoes ring opening reactions to form precursors of CS2. At elevated temperatures (>650 °C), TCpyol undergoes both decarbonylation and dehydroxylation reactions together with decomposition of its primary product, TCpyol. A substantial number of toxicants is observed, including HCN and several nitriles, including cyanogen. No CS2 is observed under oxidative conditions - sulfur dioxide is the fate of S in oxidation of CPF, and quantum chemical studies show that SO2 formation is initiated by the reaction between HOPOS and O2. The range of toxicants produced in thermal decomposition of CPF is summarised.


Asunto(s)
Cloropirifos , Dioxinas , Insecticidas , Plaguicidas , Dibenzodioxinas Policloradas , Estrés Oxidativo
11.
Sci Rep ; 10(1): 11401, 2020 07 09.
Artículo en Inglés | MEDLINE | ID: mdl-32647241

RESUMEN

Urodynamic studies, used to understand bladder function, diagnose bladder disease, and develop treatments for dysfunctions, are ideally performed with awake subjects. However, in small and medium-sized animal models, anesthesia is often required for these procedures and can be a research confounder. This study compared the effects of select survival agents (dexmedetomidine, alfaxalone, and propofol) on urodynamic (Δpressure, bladder capacity, bladder compliance, non-voiding contractions, bladder pressure slopes) and anesthetic (change in heart rate [∆HR], average heart rate [HR], reflexes, induction/recovery times) parameters in repeated cystometrograms across five adult male cats. The urodynamic parameters under isoflurane and α-chloralose were also examined in terminal procedures for four cats. Δpressure was greatest with propofol, bladder capacity was highest with α-chloralose, non-voiding contractions were greatest with α-chloralose. Propofol and dexmedetomidine had the highest bladder pressure slopes during the initial and final portions of the cystometrograms respectively. Cats progressed to a deeper plane of anesthesia (lower HR, smaller ΔHR, decreased reflexes) under dexmedetomidine, compared to propofol and alfaxalone. Time to induction was shortest with propofol, and time to recovery was shortest with dexmedetomidine. These agent-specific differences in urodynamic and anesthetic parameters in cats will facilitate appropriate study-specific anesthetic choices.


Asunto(s)
Anestésicos/farmacología , Gatos/fisiología , Urodinámica/efectos de los fármacos , Periodo de Recuperación de la Anestesia , Anestésicos/administración & dosificación , Animales , Cloralosa/farmacología , Dexmedetomidina/administración & dosificación , Dexmedetomidina/farmacología , Relación Dosis-Respuesta a Droga , Agonistas de Receptores de GABA-A/administración & dosificación , Agonistas de Receptores de GABA-A/farmacología , Frecuencia Cardíaca/efectos de los fármacos , Isoflurano/farmacología , Masculino , Modelos Animales , Contracción Muscular/efectos de los fármacos , Músculo Liso/efectos de los fármacos , Pregnanodionas/administración & dosificación , Pregnanodionas/farmacología , Presión , Propofol/administración & dosificación , Propofol/farmacología , Vejiga Urinaria/efectos de los fármacos , Vejiga Urinaria/fisiología
12.
PLoS One ; 15(3): e0230170, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32163469

RESUMEN

Treatment options are limited for the approximately 40% of postmenopausal women worldwide who suffer from female sexual dysfunction (FSD). Neural stimulation has shown potential as a treatment for genital arousal FSD, however the mechanisms for its improvement are unknown. One potential cause of some cases of genital arousal FSD are changes to the composition of the vaginal microbiota, which is associated with vulvovaginal atrophy. The primary hypothesis of this study was that neural stimulation may induce healthy changes in the vaginal microbiome, thereby improving genital arousal FSD symptoms. In this study we used healthy rats, which are a common animal model for sexual function, however the rat vaginal microbiome is understudied. Thus this study also sought to examine the composition of the rat vaginal microbiota. Treatment rats (n = 5) received 30 minutes of cutaneous electrical stimulation targeting the genital branch of the pudendal nerve, and Control animals (n = 4) had 30-minute sessions without stimulation. Vaginal lavage samples were taken during a 14-day baseline period including multiple estrous periods and after twice-weekly 30-minute sessions across a six-week trial period. Analysis of 16S rRNA gene sequences was used to characterize the rat vaginal microbiota in baseline samples and determine the effect of stimulation. We found that the rat vaginal microbiota is dominated by Proteobacteria, Firmicutes, and Actinobacteria, which changed in relative abundance during the estrous cycle and in relationship to each other. While the overall stimulation effects were unclear in these healthy rats, some Treatment animals had less alteration in microbiota composition between sequential samples than Control animals, suggesting that stimulation may help stabilize the vaginal microbiome. Future studies may consider additional physiological parameters, in addition to the microbiome composition, to further examine vaginal health and the effects of stimulation.


Asunto(s)
Ciclo Estral/fisiología , Nervio Pudendo/fisiología , Roedores/microbiología , Vagina/microbiología , Vagina/fisiología , Animales , Nivel de Alerta/fisiología , Bacterias/genética , Estimulación Eléctrica/métodos , Femenino , Microbiota/genética , ARN Ribosómico 16S/genética , Ratas , Ratas Sprague-Dawley
13.
J Sch Nurs ; 36(5): 369-375, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-30722719

RESUMEN

Research supports recess, however, playground injuries are prevalent with more than 200,000 cases per year requiring medical attention. School playgrounds are among the leading location for injury. The purpose was to identify the safety and risk factors of playground environments and impact attenuation characteristics of surfacing materials. Results demonstrated 46% playground spaces protected students from traffic. Results found 75% of playgrounds were exposed to full sun, and unitary surface materials were up to 49°F warmer than the air temperature. There was an increase in the probability of risk whether equipment height was over 9 ft for loose fill surfacing materials or over 6 ft for unitary surfaces. Loose strings or ropes looped over equipment were found on 23% of playgrounds. This study provides discussion and data pertaining to numerous aspects of playground safety. Strategies for school nurses are shared to shape policies and education for playground safety practices.


Asunto(s)
Lesiones Accidentales/prevención & control , Juego e Implementos de Juego/lesiones , Seguridad , Instituciones Académicas , Seguridad de Equipos , Humanos , Factores de Riesgo , Propiedades de Superficie , Estados Unidos
14.
Environ Sci Technol ; 53(23): 13742-13747, 2019 Dec 03.
Artículo en Inglés | MEDLINE | ID: mdl-31670504

RESUMEN

With health concerns developing about the use of glyphosate (phosphonomethylglycine, PMG), the world's most used herbicide, the possibility of destruction of stockpiles via incineration arises. Little is known, however, about the possible toxic products of decomposition. We have performed a quantum chemical computation of the mechanism of thermal decomposition of PMG. Two initiation channels, one producing sarcosine and the other producing N-methylaminomethylphosphonic acid, have been located. Both the initial products decompose to dimethylamine (DMA), and the mechanism of further decomposition and toxic products is explored. Global potential energy surfaces for the initial decomposition of DMA are presented together with chemical kinetic modeling wherein the rate constants employed have been calculated from the quantum chemical data. Time and temperature evolution of the expected toxic products are presented and discussed.


Asunto(s)
Herbicidas , Pirólisis , Glicina/análogos & derivados , Incineración , Glifosato
15.
Chemosphere ; 225: 209-216, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-30877915

RESUMEN

This paper examines the gas phase thermal decomposition of dieldrin and associated formation of toxic combustion products including polychlorinated dibenzo-p-dioxin and dibenzofuran (PCDD/F). Volatile Organic Carbon (VOC) analysis revealed the formation of pentachlorostyrene (PCS), hexachlorostyrene (HCS) and polychlorinated naphthalene as toxic combustion products generated during the combustion of dieldrin. The thermal pyrolysis of dieldrin resulted in the formation of chlorinated benzenes and chlorinated phenols, which are known PCDD/F precursors. The formation of PCDD/F commenced around 823 K @ 5s residence time and results indicate a preference for the formation of PCDF over PCDD under all experimental conditions studied. Subsequent experiments, to examine the yield of PCDD/F as a function of temperature, reveal the progressive chlorination of PCDD/F with temperatures up to 923 K. Octachlorodibenzofuran (OCDF) was the major dioxin congener detected in the oxidation of dieldrin. The highest toxicity factor for dioxin formation was recorded at 923 K with a 6% O2 content in the feed gas and corresponds to 6.24 ng TEQ WHO 2005/mg of dieldrin and total PCDD/F concentration of 96.8 ng/mg of dieldrin.


Asunto(s)
Dibenzofuranos Policlorados/química , Dieldrín/química , Dibenzodioxinas Policloradas/química , Temperatura , Dibenzofuranos Policlorados/toxicidad , Oxidación-Reducción , Dibenzodioxinas Policloradas/toxicidad
16.
Am J Emerg Med ; 37(3): 427-432, 2019 03.
Artículo en Inglés | MEDLINE | ID: mdl-29887192

RESUMEN

PURPOSE: While generally reducing morbidity and mortality, TASER® electrical weapons have risks associated with their usage, including burn injuries and head and cervical trauma associated with uncontrolled falls. The primary non-fatal complications appear to be significant eye injury but no analysis of the mechanisms or suggested treatments has been published. METHODS: We used a biomechanical model to predict the risk of eye injury as a function of distance from the weapon muzzle to the eye. We compared our model results to recently published epidemiological findings. We also describe the typical presentation and suggest treatment options. RESULTS: The globe rupture model predicted that a globe rupture can be expected (50% risk) when the eye is within 6 m of the muzzle and decreases rapidly beyond that. This critical distance is 9 m for lens and retinal damage which is approximately the range of the most common probe cartridges. Beyond 9 m, hyphema is expected along with a perforation by the dart portion of the probe. Our prediction of globe rupture out to 6 m (out of a typical range of 9 m) is consistent with the published risk of enucleation or unilateral blindness being 69 ±â€¯18%, with an eye penetration. CONCLUSIONS: Significant eye injury is expected from a penetration by an electrical weapon probe at close range. The risk decreases rapidly at extended distances from the muzzle. Not all penetrating globe injuries from electrical weapon probes will result in blindness.


Asunto(s)
Lesiones por Armas Conductoras de Energía/patología , Lesiones Oculares Penetrantes/patología , Adolescente , Adulto , Fenómenos Biomecánicos , Ceguera/etiología , Ceguera/patología , Enucleación del Ojo , Lesiones Oculares Penetrantes/etiología , Femenino , Balística Forense , Humanos , Masculino , Persona de Mediana Edad , Modelos Biológicos , Policia/legislación & jurisprudencia , Estados Unidos , Adulto Joven
17.
Environ Sci Technol ; 52(13): 7327-7333, 2018 07 03.
Artículo en Inglés | MEDLINE | ID: mdl-29846064

RESUMEN

Thermal decomposition of the pesticide, chlorpyrifos (CPf) and its major degradation product, 3,5,6-trichloro-2-pyridinol (TCpyol), has been studied by quantum chemical calculation using density functional methods at the M06-2X/GTLarge//M06-2 X/6-31+G(d,p) level of theory. Chlopyrifos was found to undergo a series of unimolecular stepwise elimination reactions releasing two molecules of ethylene and finally HOPOS to form TCpyol. TCpyol underwent oxidative decomposition initiated by abstraction of its phenolic H atom by O2. Two phenoxy radicals so produced underwent combination leading to the formation of 2,3,7,8-tetrachloro-[1,4]dioxinodipyridine (TCDDpy). Via Smiles rearrangement both cis and trans TCDDpy are formed. Kinetic models have been constructed to model the decomposition of CPf into TCpyol and of the latter into cis and trans TCDDpy. Modeled results are compared with the experiments of Sakiyama et al. ( Organohalogen Compounds, 2012, 74, 1441-1444).


Asunto(s)
Cloropirifos , Dioxinas , Plaguicidas , Dibenzodioxinas Policloradas , Cinética
18.
J Forensic Leg Med ; 55: 52-57, 2018 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-29462744

RESUMEN

PURPOSE: While generally reducing morbidity and mortality, electrical weapons have risks associated with their usage, including burn injuries and trauma associated with uncontrolled fall impacts. However, the prevalence of significant eye injury has not been investigated. METHODS: We searched for incidents of penetrating eye injury from TASER® conducted electrical weapon (CEW) probes via open source media, litigation filings, and a survey of CEW law-enforcement master instructors. RESULTS: We report 20 previously-unpublished cases of penetrating eye injury from electrical weapon probes in law-enforcement field uses. Together with the 8 previously published cases, there are a total of 28 cases out of 3.44 million field uses, giving a demonstrated CEW field-use risk of penetrating eye injury of approximately 1:123 000. Confidence limits [85 000, 178 000] by Wilson score interval. There have been 18 cases of total unilateral blindness or enucleation. We also present legal decisions on this topic. CONCLUSIONS: The use of electrical weapons presents a rare but real risk of total or partial unilateral blindness from electrical weapon probes. Catastrophic eye injuries appear to be the dominant non-fatal complication of electronic control.


Asunto(s)
Lesiones por Armas Conductoras de Energía/epidemiología , Lesiones Oculares Penetrantes/epidemiología , Adolescente , Adulto , Ceguera/epidemiología , Ceguera/etiología , Lesiones por Armas Conductoras de Energía/etiología , Enucleación del Ojo/estadística & datos numéricos , Lesiones Oculares Penetrantes/etiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Policia/legislación & jurisprudencia , Prevalencia , Adulto Joven
19.
ACS Omega ; 3(5): 5362-5374, 2018 May 31.
Artículo en Inglés | MEDLINE | ID: mdl-31458745

RESUMEN

Catalysts of iron oxide on γ-alumina and silica which were prepared by an incipient wetness impregnation technique have been investigated in an effort to understand how the surface chemical properties are influenced by the nature of the supports. Surprisingly, this is the first study to compare in depth the influence of the supports on physicochemical parameters such as acidity, site nuclearity, and reducibility. In this study, surface characterisation techniques including N2 physisorption at -196 °C, ammonia temperature-programmed desorption, inductively coupled plasma optical emission spectrometry, temperature-programmed reduction with hydrogen, CO-chemisorption, scanning electron microscopy, transmission electron microscopy, and NO adsorption by in situ Fourier transform infrared spectroscopy have been performed to understand the different surface reactions occurring over the two different supports. The aim of this study is to ascertain the primary differences between these two catalysts using several catalyst characterization techniques and correlate their chemical and structural differences to their catalytic activity in the conversion of 2-chlorophenol. The results disclose a higher density of acid sites, a smaller particle size of iron oxide, stabilization of Fe(II) aluminate after reduction on the alumina surface, and finally, the formation of isolated iron cations on the surface of alumina which are notably absent on the silica-supported catalyst.

20.
Glob Chall ; 2(9): 1800018, 2018 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31565349

RESUMEN

The complex socio-environmental issues faced by society - including climate change, resource management, and fostering resiliency in landscapes that intermix human and natural features - are difficult challenges that demand contextually appropriate evidence-based interventions. Institutional arrangements for providing scientific advice range from individual science advisors to large scientific committees or advisory councils, with a great deal of variation in their formal and informal structures. Regardless of the structuring of advisors, however, these arrangements face a common challenge: being required to speak to a wide range of issues in a time-sensitive manner, each of which has extensive stakeholder communities, deep disciplinary knowledge, and many complicating attributes. It is argued that creating a formally associated, supporting boundary organization that is tasked with supporting the advisory functions can help to resolve this challenge and improve the overall quality of advice offered. Using a case study - the California Ocean Science Trust and its advice on coastal and ocean management issues - it is argued that boundary organizations can help science advisors maintain links with disparate stakeholder communities, adjudicate between competing forms of expertise, help to provide nuance in grappling with the tensions between science and politics, and support an "honest broker" advising function.

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