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1.
Environ Res ; 217: 114936, 2023 01 15.
Artigo em Inglês | MEDLINE | ID: mdl-36442524

RESUMO

Annually, millions of hectares of land are affected by wildfires worldwide, disrupting ecosystems functioning by affecting on-site vegetation, soil, and above- and belowground biodiversity, but also triggering erosive off-site impacts such as water-bodies contamination or mudflows. Here, we present a soil erosion assessment following the 2017's wildfires at the European scale, including an analysis of vegetation recovery and soil erosion mitigation potential. Results indicate a sharp increase in soil losses with 19.4 million Mg additional erosion in the first post-fire year when compared to unburned conditions. Over five years, 44 million Mg additional soil losses were estimated, and 46% of the burned area presented no signs of full recovery. Post-fire mitigation could attenuate these impacts by 63-77%, reducing soil erosion to background levels by the 4th post-fire year. Our insights may help identifying target policies to reduce land degradation, as identified in the European Union Soil, Forest, and Biodiversity strategies.


Assuntos
Incêndios , Incêndios Florestais , Ecossistema , Solo , Florestas , Europa (Continente)
2.
J Helminthol ; 97: e68, 2023 Aug 24.
Artigo em Inglês | MEDLINE | ID: mdl-37612585

RESUMO

Phyllodistomum pepirense n. sp. is described from the urinary bladder of Hoplias malabaricus (Bloch, 1794), sampled in the Jacaré-Pepira River in São Paulo state, Brazil. The isolates of the new species were recovered as a monophyletic group in the phylogenetic analysis of the 28S rRNA gene, which showed the new species as the sister taxa of Phyllodistomum virmantasi Pinacho-Pinacho, Sereno-Uribe, Hernández-Orts, García-Varela & Pérez-Ponce de León, 2021, a species sampled from an eleotrid fish in Southeastern Mexico. The new species differs morphologically from P. virmantasi by having a larger body size, slightly lobed testes and ovary, a mostly intercaecal uterus, slightly diverticulated caeca, and vitelline masses irregularly shaped. The new species is also readily distinguished from other species of Phyllodistomum Braun, 1899 reported from freshwater fishes in Brazil - namely, P. rhamdiae Amato & Amato, 1993 and P. spatula Odhner, 1902. The new species is herein described based on morphological characteristics, molecular data from D1-D3 domains of the 28S rRNA gene, host association, and geographical distribution.


Assuntos
Caraciformes , Trematódeos , Animais , Feminino , Brasil , Filogenia , Trematódeos/genética , Tamanho Corporal , RNA Ribossômico 28S/genética
3.
Int J Legal Med ; 136(4): 1037-1049, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35013768

RESUMO

Further to a previous publication by the European Council of Legal Medicine (ECLM) concerning on-site forensic and medico-legal scene and corpse investigation, this publication provides guidance for forensic medical specialists, pathologists and, where present, coroners' activity at a scene of death inspection and to harmonize the procedures for a correct search, detection, collection, sampling and storage of all elements which may be useful as evidence, and ensure documentation of all these steps. This ECLM's inspection form provides a checklist to be used on-site for the investigation of a corpse present at a crime or suspicious death scene. It permits the collection of all relevant data not only for the pathologist, but also for forensic anthropologists, odontologists, geneticists, entomologists and toxicologists, thus supporting a collaborative work approach. Detailed instructions for the completion of forms are provided.


Assuntos
Entomologia , Medicina Legal , Antropologia , Cadáver , Medicina Legal/métodos , Patologia Legal , Humanos
4.
Ecotoxicology ; 30(10): 2036-2042, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34533674

RESUMO

The evaluation of sediment quality through biological testing of the aqueous fraction can be applied in dredging situations and is associated with a small number of confounding factors. The use of test organisms that are relatively resistant to contaminants is recommended when working with complex mixtures such as sediments. In this study, the sensitivity of the mysid Mysidopsis juniae to ammonia (NH3) and metals was investigated in acute toxicity laboratory tests and the results were compared to those obtained in the traditional test with sea urchin embryos and larvae. The ability of the toxicity identification and evaluation (TIE) technique, with the use of EDTA and sodium thiosulfate, to indicate the factors responsible for adverse effects was determined. The results indicate that mysids are almost 5 times more resistant than the sea urchin to ammonia (NH3), more sensitive to Cd2+ and Ni2+ and more resistant to Zn2+ and Pb2+. With the TIE technique and with the use of EDTA as a complexing agent, a greater resolution was observed in the diagnosis of the presence of the metals Cd2+ and Ni2+, which could be applied to the aqueous fraction of the sediment.


Assuntos
Poluentes Químicos da Água , Amônia , Animais , Crustáceos , Sedimentos Geológicos , Metais/análise , Testes de Toxicidade Aguda , Poluentes Químicos da Água/análise , Poluentes Químicos da Água/toxicidade
5.
Int J Legal Med ; 133(1): 317-322, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-29951880

RESUMO

Article 25 of the Charter of Fundamental Rights of the European Union (adopted in Nice on 7 December 2000) recognizes and respects the rights of older people to lead a life of dignity and independence and to participate in social and cultural life. It also highlights the importance of prevention and recognition of elder abuse, especially since exposure to violence is likely as the population ages, either in familial or in institutional settings. Elder abuse has some issues in common with child abuse but in spite of this fact currently is less recognized. Health professionals have a major role to play in early detection and management of cases of elder abuse. This protocol summarizes some key concepts and approaches to assist in the timely detection and investigation of elder abuse cases by healthcare professionals and forensic practitioners.


Assuntos
Abuso de Idosos/diagnóstico , Abuso de Idosos/legislação & jurisprudência , Idoso , Europa (Continente) , Avaliação Geriátrica , Humanos , Consentimento Livre e Esclarecido , Anamnese , Inquéritos e Questionários
6.
Acta Virol ; 63(3): 292-300, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31507195

RESUMO

Dengue, considered the most important arthropod-borne viral disease affecting humans, is transmitted by the bite of mosquitoes of the genus Aedes and caused by one of the four distinct serotypes of dengue virus (DENV-1, -2, -3 and -4). Infection with one of the four serotypes provides lifelong homotypic immunity. However, immunity against the heterologous serotypes is transient. As a consequence, secondary infection may lead to severer manifestations due to cross-reactivity of antibodies and T-cells. Over 500,000 people are hospitalized every year and around 2,5 million, living in endemic areas, are at risk of infection. Given the background, the development of vaccines and anti-DENV drugs is of the utmost importance, as is the characterization of an animal model for testing them. The purpose of this study was to investigate ultrastructural alterations caused by DENV secondary infection in BALB/c mice heart. To achieve our goal, six BALB/c mice were infected with DENV-1 and, 4 months later, reinfected with DENV-2. Uninfected mice were used as negative controls. Heart samples were collected and processed for ultrastructural and histopathological analysis. Our results showed edema, endothelium activation characterized by the presence of transport vesicles, free platelets in interstitium, mitochondria presenting rarefied matrix and degenerated cristae, and disorganization of muscle fibers. These results point not only to BALB/c mice susceptibility to DENV infection, but also to the fact that, although it is not an often reported occurrence, dengue can lead to heart damage. Keywords: dengue; experimental model; reinfection; BALB/c mice.


Assuntos
Coinfecção , Vírus da Dengue , Dengue , Miocárdio , Animais , Dengue/patologia , Dengue/virologia , Modelos Animais de Doenças , Coração/virologia , Camundongos , Camundongos Endogâmicos BALB C , Miocárdio/patologia
7.
Int J Legal Med ; 132(6): 1671-1674, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-29468380

RESUMO

Sexual assault is a complex situation with medical, psychological, and legal aspects. Forensic experts play a major role in terms of forensic and gynecological medical examination and evidence collection in order to maintain the chain of custody. Victims should be examined by a specially trained medico-legal examiner in order to avoid multiple examinations in the surroundings that do not meet minimum health standards. The evolution and treatment of sexual assault victims are time-intensive and should optimally be provided by a team that includes a forensic medical doctor. These guidelines will be of interest to forensic medical doctors who will have responsibility for the examination and assessment of victims of sexual violence and can be used as a day-to-day service document and/or a guide to develop health service for victims of sexual violence.


Assuntos
Vítimas de Crime , Medicina Legal/normas , Exame Físico/normas , Delitos Sexuais , Documentação/normas , Feminino , Humanos , Masculino , Anamnese , Manejo de Espécimes/normas
8.
Acta Psychiatr Scand ; 137(2): 109-115, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-29280477

RESUMO

OBJECTIVE: To assess the prospective associations of mood disorders and suicidality in a community sample of young adults from south Brazil. METHOD: Prospective population-based cohort study. Young adults (18-24 years old) were recruited and followed up on 5 years later; people were interviewed at their homes. Suicidality, as well as mood and anxiety disorders, was assessed using the Mini-International Neuropsychiatric Interview. The impact of mood episodes on suicidality was both evaluated when they occurred in the same wave (a current episode) and when suicidality occurred prospectively, with suicidality measured at follow-up (a past episode). RESULTS: The sample included 1560 young adults at baseline, with 1244 reassessed at follow-up (80.6%). Depressive episodes, both current and past, had a significant impact on suicidality in the final multivariable model. Manic episodes, however, were less consistently associated with suicidality. CONCLUSION: Depressive episodes have a strong, independent, and robust association with prospective suicidality. The association between manic episodes and suicidality, on the other hand, was dependent on the analysis and deserves further exploration.


Assuntos
Transtorno Bipolar/epidemiologia , Transtorno Depressivo/epidemiologia , Suicídio/estatística & dados numéricos , Adolescente , Adulto , Transtornos de Ansiedade/epidemiologia , Brasil/epidemiologia , Feminino , Seguimentos , Humanos , Masculino , Estudos Prospectivos , Fatores Socioeconômicos , Adulto Jovem
9.
Environ Res ; 165: 365-378, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-29803019

RESUMO

Wildfires have become a recurrent threat for many Mediterranean forest ecosystems. The characteristics of the Mediterranean climate, with its warm and dry summers and mild and wet winters, make this a region prone to wildfire occurrence as well as to post-fire soil erosion. This threat is expected to be aggravated in the future due to climate change and land management practices and planning. The wide recognition of wildfires as a driver for runoff and erosion in burnt forest areas has created a strong demand for model-based tools for predicting the post-fire hydrological and erosion response and, in particular, for predicting the effectiveness of post-fire management operations to mitigate these responses. In this study, the effectiveness of two post-fire treatments (hydromulch and natural pine needle mulch) in reducing post-fire runoff and soil erosion was evaluated against control conditions (i.e. untreated conditions), at different spatial scales. The main objective of this study was to use field data to evaluate the ability of different erosion models: (i) empirical (RUSLE), (ii) semi-empirical (MMF), and (iii) physically-based (PESERA), to predict the hydrological and erosive response as well as the effectiveness of different mulching techniques in fire-affected areas. The results of this study showed that all three models were reasonably able to reproduce the hydrological and erosive processes occurring in burned forest areas. In addition, it was demonstrated that the models can be calibrated at a small spatial scale (0.5 m2) but provide accurate results at greater spatial scales (10 m2). From this work, the RUSLE model seems to be ideal for fast and simple applications (i.e. prioritization of areas-at-risk) mainly due to its simplicity and reduced data requirements. On the other hand, the more complex MMF and PESERA models would be valuable as a base of a possible tool for assessing the risk of water contamination in fire-affected water bodies and for testing different land management scenarios.


Assuntos
Incêndios , Florestas , Solo , Hidrologia , Região do Mediterrâneo
10.
J Anim Physiol Anim Nutr (Berl) ; 102(2): e686-e694, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29072374

RESUMO

An experiment was performed using 1,000 laying Japanese quails to assess the availability of two alternative dietary methionine sources. Treatment 01 = Basal Feed that is deficient in digestible methionine + cystine (Met + Cys). The other treatments were constituted by Met + Cys levels of 0.8, 1.60 and 2.40 g/kg, supplemented with DL-Methionine-99%, HMTBA-88% and HMTBA-84%, being 10 treatments in total. The following characteristics were studied: feed intake (g/bird/day), egg production (egg/day × 100), egg weight (g/egg), egg mass (g/egg), feed conversion per egg dozen (kg feed/dozen eggs), feed conversion per egg mass (kg feed/kg eggs), relative yolk weight (g/100 g of egg), relative albumen weight (g/100 g of egg), relative shell weight (g/100 g of egg), shell thickness (mm) and specific gravity (g/cm3 ). In general result comment, supplemental methionine sources must be included in the poultry diet. The different methionine sources affect the performance of quails, and the increase in the levels within each source improves the performance variables. Significant effect was observable on performance variables and egg quality variables, being that DLM-99% is superior to the other sources. The HMTBA-88% source is superior to the HMTBA-84% source for the same aforementioned variables. In conclusion, the bioefficacy values of the HMTBA-88% and HMTBA-84% sources compared to the DLM-99% source on an equimolar basis were 81 and 79%, respectively, for the performance variables, and 83 and 74 while the methionine sources were equivalent for the variables related to egg quality.


Assuntos
Coturnix/fisiologia , Metionina/análogos & derivados , Metionina/farmacocinética , Animais , Ovos/normas , Feminino , Metionina/administração & dosagem , Oviposição
11.
J Chem Phys ; 146(2): 024102, 2017 Jan 14.
Artigo em Inglês | MEDLINE | ID: mdl-28088162

RESUMO

We use accurate quantum scattering calculations to elucidate the role of short-range molecule-field interactions in atom-molecule inelastic collisions and abstraction chemical reactions at low temperatures. We consider two examples: elastic and inelastic scattering of NH(Σ3) molecules with Mg(S1) atoms in a magnetic field; reactive scattering LiF + H → Li + HF in an electric field. Our calculations suggest that, for non-reactive collision systems and abstraction chemical reactions, the molecule-field interactions cannot generally be neglected at short range because the atom-molecule potential passes through zero at short range. An important exception occurs for Zeeman transitions in atom-molecule collisions at magnetic fields ≲1000 G, for which the molecule-field couplings need only be included at large ρ outside the range of the atom-molecule interaction. Our results highlight the importance of an accurate description of ρ-dependent molecule-field interactions in quantum scattering calculations on molecular collisions and chemical reactions at low temperatures.

12.
Am J Forensic Med Pathol ; 38(3): 211-218, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28692478

RESUMO

Ascertaining the vital origin of skin wounds is one of the most challenging problems in forensic pathology. The forensic literature describes biomarkers and methods for differentiating vital and postmortem wounds, although no clear conclusions have been reached. The aim of this study was to characterize human vital wounds by analyzing the concentrations of metallic ions and the expression of P-selectin and cathepsin D in skin wounds in the ligature marks in a cohort of suicidal hangings for which vitality was previously demonstrated.A total of 71 skin wounds were analyzed within a postmortem interval of 19 to 36 hours. The concentration of Fe, Zn, Mg, and Ca and the expression of P-selectin and cathepsin D were analyzed together and separately. The majority of autopsied suicidal hangings were men (86%) with complete hanging mode (60.7%) in which there was a high frequency of subcutaneous injuries (78.3%). High concentrations of Ca and Mg compared with Fe and Zn were found. Ca and Zn concentrations decreased, and Fe concentration increased with the seriousness of the injury. A high percentage of moderately negative expression of both proteins was correlated with subcutaneous injury and low or medium concentrations of Fe.In conclusion, the joint study of metallic ions and proteins allows to characterize and to differentiate an injured vital wound of noninjured skin, especially when the damage in the tissue affects to the majority of the structures of the skin, but these results will need to be complemented with other biomarkers in time-controlled samples to further help in the differentiation of vital and postmortem wounds.


Assuntos
Asfixia/patologia , Lesões do Pescoço/patologia , Pele/metabolismo , Suicídio , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Cálcio/metabolismo , Catepsina D/metabolismo , Feminino , Humanos , Imuno-Histoquímica , Ferro/metabolismo , Magnésio/metabolismo , Masculino , Pessoa de Meia-Idade , Selectina-P/metabolismo , Mudanças Depois da Morte , Pele/lesões , Adulto Jovem , Zinco/metabolismo
13.
Bull Environ Contam Toxicol ; 98(2): 190-195, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-28025689

RESUMO

This study investigated to what extent a single exposure to low doses of ionizing radiation can induce genotoxic damage in irradiated adult zebrafish (Danio rerio) and its non-irradiated F1 progeny. Four groups of adult zebrafish were irradiated with a single dose of X-rays at 0 (control), 100, 500 and 1000 mGy, respectively, and couples of each group were allowed to reproduce following irradiation. Blood of parental fish and whole-body offspring were analysed by the comet assay for detection of DNA damage. The level of DNA damage in irradiated parental fish increased in a radiation dose-dependent manner at day 1 post-irradiation, but returned to the control level thereafter. The level of DNA damage in the progeny was directly correlated with the parental irradiation dose. Results highlight the genotoxic risk of a single exposure to low-dose ionizing radiation in irradiated individuals and also in its non-irradiated progeny.


Assuntos
Exposição à Radiação , Radiação Ionizante , Peixe-Zebra/genética , Animais , Ensaio Cometa , Dano ao DNA , Relação Dose-Resposta à Radiação , Raios gama , Reprodução
14.
Int J Legal Med ; 130(1): 13-22, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26342284

RESUMO

The manuscript presents the International Guidelines developed by the Working Group on Personal Injury and Damage under the patronage of the International Academy of Legal Medicine (IALM) regarding the Methods of Ascertainment of any suspected Whiplash-Associated Disorders (WAD).The document includes a detailed description of the logical and methodological steps of the ascertainment process as well as a synoptic diagram in the form of Flow Chart.


Assuntos
Traumatismos em Chicotada/diagnóstico , Humanos , Anamnese/normas , Exame Físico/normas , Escala Visual Analógica
15.
J Am Acad Dermatol ; 75(2): 398-403, 2016 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26946988

RESUMO

BACKGROUND: Chronic paronychia is an inflammatory process of the periungual folds that lasts longer than 6 weeks. It manifests as hypertrophy of the proximal and lateral nailfolds, absence of cuticle, progressive retraction of the proximal nailfold, and onychodystrophy. Surgical treatment is recommended if there has been insufficient response to 6 months of appropriate medical therapies. OBJECTIVE: We describe a new surgical technique that removes the fibrotic tissue without complete excision of the proximal and lateral nailfold, minimizing nailfold retraction and recovery time. METHODS: We present a case series of 34 fingers (9 patients) treated with this new technique. RESULTS: All nailfolds healed well without complications. At the end of the follow-up, all fingers, apart from 2, were relieved of the preoperative symptoms. The length of the ungual plate was maintained in all patients, with no retraction of the nailfolds. LIMITATIONS: Follow-up period of 6 months and small sample size are limitations of this study. CONCLUSION: This surgical technique can provide an alternative treatment for chronic paronychia, with good prognosis during follow up-period and optimal cosmetic results.


Assuntos
Paroniquia/cirurgia , Retalhos Cirúrgicos , Adulto , Idoso , Doença Crônica , Feminino , Fibrose/cirurgia , Seguimentos , Humanos , Pessoa de Meia-Idade , Dor Pós-Operatória/tratamento farmacológico , Paroniquia/patologia , Estudos Prospectivos
16.
J Anim Physiol Anim Nutr (Berl) ; 100(3): 590-600, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26614118

RESUMO

The aim of this study was to evaluate the effect of protein reduction and supplementation of l-glutamic acid in male broiler diets. A total of 648 chicks of the Cobb 500 strain were distributed in a completely randomized design with six treatments and six replications with eighteen birds per experimental unit. The study comprised pre-starter (1-7 days), starter (8-21 days), growth (22-35 days) and final (36-45 days) phases. The first treatment consisted of a control diet formulated according to the requirements of essential amino acids for each rearing phase. The second and third treatments had crude protein (CP) reduced by 1.8 and 3.6 percentage points (pp) in relation to the control diet respectively. In the fourth treatment, l-glutamic acid was added to provide the same glutamate level as the control diet, and in the last two treatments, the broilers were supplemented with 1 and 2 pp of glutamate above that of the control diet respectively. The reduction in CP decreased the performance of broilers and the supplementation of l-glutamic acid did not influence performance when supplied in the diets with excess of glutamate. The lowest excreted nitrogen values were observed in the control diet, and treatments 2 and 3, respectively, in comparison with treatments with the use of l-glutamic acid (5 and 6). Retention efficiency of nitrogen was better in the control diet and in the treatment with a reduction of 1.8 pp of CP. It was verified that the serum uric acid level decreased with the CP reduction. A reduction in CP levels of up to 21.3%, 18.8%, 18.32% and 17.57% is recommended in phases from 1 to 7, 8 to 21, 22 to 35 and at 36 to 42 days, respectively, with a level of glutamate at 5.32%, 4.73%, 4.57%, 4.38%, also in these phases.


Assuntos
Ração Animal/análise , Galinhas/crescimento & desenvolvimento , Dieta/veterinária , Proteínas Alimentares/farmacologia , Ácido Glutâmico/farmacologia , Nitrogênio/metabolismo , Fenômenos Fisiológicos da Nutrição Animal , Animais , Proteínas Alimentares/administração & dosagem , Ácido Glutâmico/administração & dosagem , Masculino
17.
Community Dent Health ; 32(2): 77-82, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26263599

RESUMO

UNLABELLED: Pregnancy is a period in which several physical and emotional changes occur. These changes in pregnant women's mouths promote changes that need to be known by dentists, so that they can provide the necessary care to women. PURPOSE: To gather data from published studies on the knowledge of dentists about the oral health of pregnant women. METHODS: Papers published between 2003 and 2013 containing surveys on the topic under study were searched. Fourteen studies were selected and grouped into work areas. RESULTS: Dentists have doubts and fears about the care of pregnant women, to a greater or lesser degree, especially with regard to the use of X-rays, prescriptions and ideal gestational period of treatment. CONCLUSION: The results suggest a need to improve dentists' knowledge regarding dental care of pregnant women especially as during pregnancy women may acquire new habits relevant to the oral health of their children.


Assuntos
Odontólogos , Educação em Odontologia , Saúde Bucal , Gestantes , Atitude do Pessoal de Saúde , Assistência Odontológica , Odontólogos/psicologia , Feminino , Humanos , Padrões de Prática Odontológica , Gravidez , Cuidado Pré-Natal
18.
J Obstet Gynaecol ; 35(2): 146-9, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25153007

RESUMO

To appreciate the Portuguese circumstances concerning situations of obstetric medico-legal conflicts and to evaluate the influence of the quality of files in expert conclusions, an analysis of all cases of obstetric medical responsibility from 2001-11 was carried out. File quality was evaluated by absence or insufficiency of clinical information supplied, by poor quality of document copies and by the registered incongruities among all the health professionals involved. Clinical files sent for forensic analysis were defective in most cases (89.5%). In about 11% of cases, expert opinion was inconclusive as a result of the poor quality of the clinical files sent for technical and scientific analysis. This situation is particularly serious in cases where the reason for the dispute was asphyxia, traumatic lesions of the newborn following instrumented delivery or shoulder dystocia and maternal sequelae, where the lack or absence of information, and poor quality copies were significantly associated with inconclusive opinions.


Assuntos
Documentação/normas , Responsabilidade Legal , Prontuários Médicos/normas , Obstetrícia/legislação & jurisprudência , Aborto Induzido/efeitos adversos , Traumatismos do Nascimento/etiologia , Prova Pericial , Feminino , Hipóxia Fetal/etiologia , Humanos , Prontuários Médicos/legislação & jurisprudência , Portugal , Gravidez , Complicações na Gravidez/etiologia , Diagnóstico Pré-Natal
19.
Anaesthesia ; 69(1): 72-6, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-24224548

RESUMO

We describe the management of a 62-year-old man who developed severe pain, cramps, paraplegia and pulmonary oedema after the accidental administration of potassium chloride into the subarachnoid space. In addition to supportive treatment, we performed cerebrospinal fluid lavage with saline 0.9%. The patient recovered well without any permanent injury.


Assuntos
Raquianestesia/efeitos adversos , Erros de Medicação/efeitos adversos , Cloreto de Potássio/intoxicação , Irrigação Terapêutica/métodos , Anestésicos Locais , Bupivacaína , Embalagem de Medicamentos , Humanos , Injeções Espinhais , Masculino , Pessoa de Meia-Idade , Paraplegia/induzido quimicamente , Paraplegia/terapia
20.
Phys Rev Lett ; 108(14): 142502, 2012 Apr 06.
Artigo em Inglês | MEDLINE | ID: mdl-22540788

RESUMO

We obtained the total radiation widths of s-wave resonances through an R-matrix analysis of (147)Sm(n,γ) cross sections. Distributions of these widths differ markedly for resonances below and above E(n)=300 eV, which is in stark contrast to long-established theory. We show that this change, as well as a similar change in the neutron-width distribution reported previously, is reflected in abrupt increases in both the average (147)Sm(n,γ) cross section and fluctuations about the average near 300 eV. Such effects could have important consequences for applications such as nuclear astrophysics and nuclear criticality safety.

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