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1.
J Trauma Acute Care Surg ; 79(4 Suppl 2): S152-6, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26131788

RESUMO

BACKGROUND: Chemical, biologic, radiologic, nuclear, and explosive (CBRNE) incidents require specialized training. The low frequency of these events leads to significant skill decay among first responders. To address skill decay and lack of experience with these high-impact events, educational modules were developed for mobile devices to provide just-in-time training to first responders en route to a CBRNE event. This study assessed the efficacy and usability of the mobile training. METHODS: Ninety first responders were randomized to a control or an intervention group. All participants completed a pretest to measure knowledge of CBRNE topics. The intervention group then viewed personal protective equipment and weapons of mass destruction field management videos as an overview. Both groups were briefed on a disaster scenario (chemical nerve agent, radiologic, or explosives) requiring them to triage, assess, and manage a patient. Intervention group participants watched a mobile training video corresponding to the scenario. The control group did not receive prescenario video training. Observers rated participant performance in each scenario. After completing the scenarios, all participants answered a cognitive posttest. Those in the intervention group also answered a questionnaire on their impressions of the training. RESULTS: The intervention group outperformed the control group in the explosives and chemical nerve agent scenarios; the differences were statistically significant (explosives, mean of 26.32 for intervention and 22.85 for control, p < 0.01; nerve agent, mean of 23.14 for intervention and 16.61 for control, p < 0.01). There was no statistically significant difference between the groups in the radiologic scenario (mean, 12.7 for intervention and 11.8 for control; p = 0.51). The change in pretest to posttest cognitive scores was significantly higher in the intervention group than in the control group (t = 3.28, p < 0.05). CONCLUSION: Mobile just-in-time training improved first-responder knowledge of CBRNE events and is an effective tool in helping first responders manage simulated explosive and chemical agent scenarios. LEVEL OF EVIDENCE: Therapeutic/care management study, level II.


Assuntos
Serviços Médicos de Emergência/organização & administração , Medicina de Emergência/educação , Socorristas/educação , Competência Profissional , Armas de Destruição em Massa , Adulto , Planejamento em Desastres , Feminino , Humanos , Masculino , Inquéritos e Questionários , Gravação em Vídeo
2.
Environ Sci Technol ; 40(21): 6561-7, 2006 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-17144278

RESUMO

There has been much controversy regarding the origins of the natural polycyclic aromatic hydrocarbon (PAH) and chemical biomarker background in Prince William Sound (PWS), Alaska, site of the 1989 Exxon Valdez oil spill. Different authors have attributed the sources to various proportions of coal, natural seep oil, shales, and stream sediments. The different probable bioavailabilities of hydrocarbons from these various sources can affect environmental damage assessments from the spill. This study compares two different approaches to source apportionment with the same data (136 PAHs and biomarkers) and investigate whether increasing the number of coal source samples from one to six increases coal attributions. The constrained least-squares (CLS) source allocation method that fits concentrations meets geologic and chemical constraints better than partial least-squares (PLS) which predicts variance. The field data set was expanded to include coal samples reported by others, and CLS fits confirm earlier findings of low coal contributions to PWS.


Assuntos
Monitoramento Ambiental/métodos , Hidrocarbonetos/química , Hidrocarbonetos Policíclicos Aromáticos/análise , Alaska , Disponibilidade Biológica , Biomarcadores , Carbono , Carvão Mineral , Hidrocarbonetos/farmacocinética , Análise dos Mínimos Quadrados , Modelos Estatísticos , Modelos Teóricos , Poluição da Água
3.
Mar Environ Res ; 60(4): 422-36, 2005 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-15924992

RESUMO

Polycyclic aromatic hydrocarbons (PAH) were measured in mussels (Mytilus trossulus) collected between 1990 and 2002 from 11 sites on the shores of Prince William Sound (PWS), Alaska, that were heavily oiled by the 1989 Exxon Valdez oil spill (EVOS). This study, utilizing the methods of the NOAA Status and Trends Mussel Watch Program, found that concentrations of PAH released from spill remnants have decreased dramatically with time and by 2002 were at or near the range of total PAH (TPAH) of 3-355 ng/g dry weight obtained for mussels from unoiled reference sites in PWS. Time-series TPAH data indicate a mean TPAH half-life in mussel tissues of 2.4 years with a range from 1.4 to 5.3, yielding an annual mean loss of bioaccumulated TPAH of 25%. The petroleum-derived TPAH fraction in mussel tissues has decreased with time, reflecting the decreasing release of EVOS residues in shoreline sediments. These results show that PAH from EVOS residues that remain buried in shoreline sediments after the early 1990s are in a form and at locations that have a low accessibility to mussels living in the intertidal zone.


Assuntos
Bivalves/química , Petróleo , Hidrocarbonetos Policíclicos Aromáticos/análise , Hidrocarbonetos Policíclicos Aromáticos/farmacocinética , Acidentes , Alaska , Animais , Disponibilidade Biológica , Monitoramento Ambiental , Sedimentos Geológicos/química , Meia-Vida , Navios
4.
Environ Sci Technol ; 38(14): 3958-64, 2004 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-15298206

RESUMO

To evaluate the sources, transport, bioremediation, fate, and effects of spilled petroleum and petroleum products, environmental studies often measure parent and alkylated polycyclic aromatic hydrocarbons (PAH), alkanes, and chemical biomarkers (e.g., triterpanes). Accurate data for low analyte concentrations are required when environmental samples contain hydrocarbons from multiple sources that need to be resolved and quantified. The accuracy and usefulness of the analyses can be improved by lowering the method detection limits (MDLs) for these compounds. Misidentification of hydrocarbon source can result when the MDLs are too high. Modifications to standard analytical methods (i.e., U.S. Environmental Protection Agency Method 8270) can lower MDLs by factors ranging from 10 to 1000. This reduction has important implications for ecological-risk assessments. Modifications having the greatest impact on the MDL include GCMS analysis in the selected-ion-monitoring mode (SIM), increased sample size, column cleanup of the extract, and decreased preinjection volume (volume of final extract prior to injection into instrument). In one study in which a benthic sediment sample was spiked with low levels of topped (heated to remove more volatile PAH that are naturally enriched in crude oil) Alaska North Slope crude, MDLs for individual PAH analytes and biomarkers were determined to be less than 0.5 ng/g (ppb) dry weight and less than 5 ppb dry weightfor individual alkanes. Similar results were obtained when the sediment was spiked with the 16 EPA priority pollutants. In addition, a method has been developed to estimate MDLs for source-specific alkylated PAH analytes and chemical biomarker compounds for which standards are not commercially available or are prohibitively expensive. These improved analytical techniques have been used to identify and quantify low levels of hydrocarbons, derived from both natural and anthropogenic sources, found in the benthic sediments of Prince William Sound, AK.


Assuntos
Monitoramento Ambiental/métodos , Sedimentos Geológicos/química , Petróleo/análise , Hidrocarbonetos Policíclicos Aromáticos/análise , Poluentes Químicos da Água/análise , Cromatografia Gasosa-Espectrometria de Massas , Padrões de Referência , Valores de Referência
5.
J Chem Phys ; 120(9): 4297-305, 2004 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-15268599

RESUMO

Rotationally resolved infrared absorption spectra for the 1(0)(1) band of jet cooled cobalt tricarbonyl nitrosyl have been observed and analyzed. Several longitudinal modes of a Pb-salt diode laser were utilized to measure 105 rovibrational transitions for this particular vibrational band centered near 2112 cm(-1). Spectra were optimized using both argon and helium carrier gases and these experiments eventually led to rovibrational transitions being assigned to four different K subbands, specifically the K = 0, 3, 6, and 9 subbands. An iterative least-squares analysis of the spectroscopic data yielded the following molecular parameters nu0 = 2111.7457(9) cm(-1), B0 = 0.034747(12) cm(-1), B1 = 0.034695(15) cm(-1), C1 = 0.03380(9) cm(-1), and D1K = 6.3(9) x 10(-6) cm(-1) (where 3sigma uncertainties are listed in parenthesis).

6.
Environ Toxicol Chem ; 23(12): 2916-29, 2004 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-15648767

RESUMO

Bioavailable hydrocarbons in the Exxon Valdez oil spill zone in Prince William Sound (PWS; AK, USA) shorelines were at or near background levels in 2002, as indicated by low concentrations of polycyclic aromatic hydrocarbons (PAHs) in mussels (Mytilus trossulus) collected from sites throughout PWS. Total PAH (TPAH) minus parent naphthalene concentrations in mussels collected in 1998 to 2002 from sites oiled in 1989 were at or near reference-site values. Both oiled and reference sites included locations associated with past human and industrial activity (HA). Inclusion of the unoiled HA sites in the range of reference sites that define prespill conditions is consistent with federal regulations. For the period from 1998 to 2002, the geometric mean of TPAH concentrations for 218 mussel samples collected from 72 sites, including four HA sites that had been heavily oiled in 1989, is 54 ng/g dry weight (range, 2-1,190 ng/g). The maximum mussel TPAH concentrations are equivalent to a weathered-oil exposure dose to intertidal foragers that is one to three orders of magnitude less than the doses shown to cause sublethal effects in surrogate species. The geometric mean of TPAH concentrations for mussel samples from 28 locations not oiled in 1989 and unaffected by human use (NHA sites) is 28 ng/g (range, 3-355 ng/g), whereas the geometric mean of TPAH concentrations for mussel samples from 14 locations not oiled in 1989 and affected by human use (HA sites) is 106 ng/g (range, 2-12,056 ng/g). The range of data for the unoiled HA and NHA sites defines the background of bioavailable PAHs to mussels on western PWS shorelines that would have prevailed if the oil spill had not occurred. The low PAH concentrations in mussels from sites known to have subsurface oil residues demonstrates the low bioavailability of these spill remnants and, thus, are a low additional risk to foraging wildlife. The present study shows continuous exposure from four- to six-ring PAHs originating at HA sites in western PWS. At low concentrations, these PAHs are known to cause adverse biological effects. However, in the context of PWS, oiled and HA sites represent a small percentage (approximately 0.1-0.2%) of the total PWS shoreline.


Assuntos
Bivalves/química , Monitoramento Ambiental/estatística & dados numéricos , Hidrocarbonetos Policíclicos Aromáticos/análise , Poluentes Químicos da Água/análise , Acidentes , Alaska , Animais , Sedimentos Geológicos/análise , Petróleo , Valores de Referência , Medição de Risco , Água do Mar
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