Home About us Contact
|
Home About us Contact | ||
|
|
||
Poisoning
Kinds of Poisoning Terms modified by Poisoning Selected AbstractsDETERMINATION OF HISTAMINE AND BACTERIAL ISOLATION IN MARLIN FILLETS (MAKAIRA NIGRICANS) IMPLICATED IN A FOODBORNE POISONINGJOURNAL OF FOOD SAFETY, Issue 3 2010H.C. CHEN ABSTRACT An incident of foodborne poisoning causing illness in seven victims due to ingestion of marlin fillets occurred in August, 2008, in Kaohsiung City, southern Taiwan. The two suspected marlin samples contained 47.8 and 43.5 mg/100 g of histamine, which is greater than the 5.0 mg/100 g allowable limit suggested by the U.S. Food and Drug Administration. Given the allergy-like symptoms of the victims and the high histamine content in the suspected marlin samples, this foodborne poisoning was strongly suspected to be due to histamine intoxication. Two histamine-producing bacterial strains capable of producing 3.10 ppm and 4.20 ppm of histamine in trypticase soy broth (TSB) supplemented with 1.0% l -histidine (TSBH) were identified as Bacillus subtilis by 16S rDNA sequencing with polymerase chain reaction amplification. However, major histamine-forming bacteria might have been killed during the preparation of fillets before serving and these two B. subtilis isolates might not be the main contributors to histamine accumulation in suspected fillets. PRACTICAL APPLICATIONS Based on the finding that high contents of histamine (>40 mg/100 g) were detected in the suspected marlin samples, we speculate the temperature abuse of the fillets before cooking contributed to the presence of high histamine levels in marlin fillets and resulted in foodborne poisoning. Although two histamine-producing Bacillus subtilis strains were isolated from suspected fish samples, both might not to be the main contributors to histamine accumulation because of low histamine production. These results re-emphasize proper handling temperature for seafoods and offer an important awareness which Makaira nigricans fillets could become a hazardous food item in causing histamine poisoning even though no quality deficiency was observed on the fillets. [source] Early Death Due to Severe Organophosphate Poisoning Is a Centrally Mediated ProcessACADEMIC EMERGENCY MEDICINE, Issue 4 2003Steven B. Bird MD Objective: To distinguish whether early death from severe organophosphate (OP) poisoning with dichlorvos is mediated through peripheral or central nervous system (CNS) actions. Methods: Wistar rats (n= 72) were randomized to pretreatment with either: normal saline (controls), peripheral anticholinergics (glycopyrrolate [low, medium, or high dose] or nebulized ipratropium bromide), or CNS + peripherally acting anticholinergics (diphenhydramine, nebulized atropine, or injected atropine). All treatments were given prior to a subcutaneous injection of 25 mg/kg dichlorvos (n= 8 per group). Survival was assessed at 10 minutes (early death) and 24 hours (delayed death). Kaplan-Meier (95% confidence intervals [95% CIs]) and chi-squared analysis was then performed to determine differences between treatments. Results: Regardless of treatment, all animals exhibited profound nicotinic effects (fasciculations) without obvious seizures within 2 minutes of poisoning. In rats pretreated with peripherally acting agents, the fasciculations were rapidly followed by reduced motor activity, sedation, and death. Mortality at 10 minutes for saline controls, glycopyrrolate, and ipratropium was 88%, 96%, and 100%, respectively. The single control animal surviving beyond 10 minutes went on to develop peripheral cholinergic manifestations, including hypersalivation, urination, and defecation. Only one of 24 animals treated with injected atropine, nebulized atropine, or diphenhydramine died during the early phase of poisoning; all others survived to 24 hours (p < 0.01). Conclusions: Death in acute, severe OP poisoning is prevented by pretreatment with anticholinergic agents that cross the blood,brain barrier, but not by agents with only peripheral actions. Early death due to OP poisoning appears to be a centrally mediated process. [source] Amiodarone Attenuates Fluoride-induced Hyperkalemia in VitroACADEMIC EMERGENCY MEDICINE, Issue 2 2003Mark Su MD Abstract Poisoning by hydrofluoric acid or fluoride salts results in hypocalcemia, hypomagnesemia, and hyperkalemia with subsequent cardiac dysrhythmias. In previous studies, quinidine attenuated fluoride-induced hyperkalemia in vitro, and enhanced survival in animals. Like quinidine, amiodarone is a potassium channel blocker, although amiodarone is more familiar to clinicians due to its recent inclusion in advanced cardiac life support (ACLS) protocols. Objectives: This in-vitro study of human erythrocytes was designed to determine whether amiodarone could attenuate fluoride-induced hyperkalemia. Methods: Six healthy volunteers each donated 60 mL of blood on three occasions. Each specimen was divided into 12 tubes, incubated at 37°C, and oxygenated with room air. An aqueous sodium fluoride (F,) solution was added to tubes 1,9. Incremental amounts of quinidine were added to tubes 1,4 (Q1,Q4) to attain calculated concentrations of 0.73 ,g/mL, 1.45 ,g/mL, 2.9 ,g/mL, and 5.8 ,g/mL, respectively. Incremental amounts of amiodarone were added to tubes 5,8 (A1,A4) to attain calculated concentrations of 0.38 ,g/mL, 0.75 ,g/mL, 1.5 ,g/mL, and 3.0 ,g/mL, respectively. Tubes 9,12 were controls for each of F,, amiodarone, quinidine alone, and no additive, respectively. Extracellular potassium concentration ([K+]) was followed, and an objective endpoint was defined as the rise in potassium concentration at 6 hours. Results: Fluoride produced a significant change in [K+] by 6 hours in all samples. Quinidine produced a J-shaped curve in its ability to attenuate the rise in [K+], with only one concentration, Q3, demonstrating significance versus tube 9 (control). Amiodarone also demonstrated a J-shaped dose,response effect, with statistical significance at A1, A2, and A3 versus tube 9 (control). There was no significant difference among the effective concentrations (Q3, A1, A2, and A3) of both drugs. Conclusions: In this in-vitro model using human blood, amiodarone and quinidine both attenuated F, -induced hyperkalemia. Further study is indicated to determine whether amiodarone enhances survival in F, -poisoned animals. [source] Diphenhydramine as a Protective Agent in a Rat Model of Acute, Lethal Organophosphate PoisoningACADEMIC EMERGENCY MEDICINE, Issue 12 2002Steven B. Bird MD Objective: To evaluate the effects of diphenhydramine chloride (DPH) on mortality in a rat model of acute, severe organophosphate poisoning (OP).Methods: Wistar rats (n = 40) were randomized to pretreatment with either normal saline (controls), 5 mg/kg atropine, 3 mg/kg DPH, 15 mg/kg DPH, or 30 mg/kg DPH given as a single intramuscular injection 5 minutes prior to a subcutaneous injection of 25 mg/kg dichlorvos (n = 8 per group). The primary endpoint was 10-minute survival. Survival at 24 hours was a secondary endpoint. Comparison of survival rates between groups was carried out by ANOVA and the Student-Newman-Keuls test. Results: Dichlorvos exposure resulted in profound fasciculations within 2 minutes of injection in all cohorts. In controls, fasciculations were followed by respiratory arrest within 10 minutes (0% survival). The rats receiving atropine pre-treatment exhibited similar fasciculations (nicotinic effects) without subsequent respiratory arrest, resulting in a significant improvement in survival (88%, p < 0.001). The DPH-treated rats exhibited a significant dose-dependent reduction in mortality, with the 3 mg/kg, 15 mg/kg, and 30 mg/kg groups demonstrating 0%, 25%, and 100% survival, respectively. There was no additional mortality between 10 minutes and 24 hours in any group. There was no significant difference in survival between the high-dose DPH and the atropine groups. Conclusions: Diphenhydramine chloride significantly reduced mortality in rats with acute, severe dichlorvos exposure. [source] Hyperbaric Oxygen Does Not Prevent Neurologic Sequelae after Carbon Monoxide PoisoningACADEMIC EMERGENCY MEDICINE, Issue 1 2002Benjamin Gilmer MS Abstract Delayed neurologic sequelae occur in up to 40% of severe carbon monoxide (CO) poisonings. Conflicting clinical data support the efficacy of hyperbaric oxygen (HBO) therapy in the acute treatment of CO poisoning. Objective: To determine whether oxygen therapy reduces neurologic sequelae after CO poisoning in mice. Methods: Male Swiss-Webster mice were exposed to CO at 1,000 ppm for 40 minutes and then 50,000 ppm until loss of consciousness (LOC) (4-9 additional minutes). Total time of both phases of CO exposure was 40-49 minutes. Treatment included HBO with 3 atmospheres (ATA) 100% oxygen, normobaric oxygen (NBO) with 1 ATA 100% oxygen, or ambient air 15 minutes after LOC. All animals underwent passive avoidance training and memory was assessed by measuring step-down latency (SDL) and step-up latency (SUL) seven days following CO exposure. Results: Carbon monoxide poisoning induced significant memory deficits (SDLCO= 156 sec; SULCO= 75%) compared with nonpoisoned (NP) animals (SDLNP= 272 sec; SULNP= 100%). Both HBO and NBO did not prevent these neurologic sequelae. Furthermore, no significant neurobehavioral differences were found between HBO and NBO. Histologic examination of the CA1 layer of the hippocampus for pyknotic cells showed significant damage from CO in the air-treated animals (9.6%) but not in the nonpoisoned animals (3.8%). No significant neuroprotection was seen histologically with NBO and HBO compared with ambient air. Conclusions: These results suggest that HBO is not effective in preventing neurologic sequelae in mice and that there is no benefit of HBO over NBO following severe CO neurotoxicity. [source] Characteristics of Headache Associated With Acute Carbon Monoxide PoisoningHEADACHE, Issue 3 2002Neil B. Hampson MD Objective.,To evaluate systematically the characteristics of headache due to acute exposure to carbon monoxide. Background.,Headache is the most commonly reported symptom in acute carbon monoxide poisoning. While it is often described as throbbing and diffuse, a systematic characterization of carbon monoxide-associated headache has never been published. Methods.,Patients referred for hyperbaric oxygen treatment of acute carbon monoxide poisoning were asked whether headache was part of their symptom complex. When present, specific details about the nature of the headache were collected from 100 consecutive patients through use of a standardized questionnaire. Results.,Information on carbon monoxide-associated headache was collected from 34 female and 66 male patients with a mean carboxyhemoglobin level of 21.3%± 9.3%. The most common location for pain was frontal (66%), although more than one location was involved in 58% of patients. Nature of the pain at any time during its course was dull in 72% of patients and sharp in 36%. Headache was throbbing in 41%, continuous in 74%, and intermittent in 16% of those evaluated. Peak intensity of pain did not correlate with the carboxyhemoglobin level. Headache improved prior to hyperbaric oxygen treatment in 72%, resolving entirely in 21%. Of those with residual headache, pain improved with hyperbaric oxygen in 97%, resolving entirely in 44%. Conclusions.,The headache accompanying acute carbon monoxide poisoning is extremely variable in nature. "Classic" throbbing, diffuse headaches were rarely described by patients. There are no patterns which can be considered characteristic to aid in the diagnosis of carbon monoxide-induced headache. Similarly, no trait was identified which might allow elimination of carbon monoxide poisoning from the differential diagnosis of headache. [source] Domain Poisoning: The Redundancy of Current Models of Assessment through ArtINTERNATIONAL JOURNAL OF ART & DESIGN EDUCATION, Issue 3 2006Tom Hardy With the National Foundation for Educational Research concluding that schools which include Contemporary Art Practice (CAP) in their curriculum add significant value to their students' art experience, [1] and at a time when much of the discussion around contemporary art questions the value of the art object itself, this article addresses the question: how are we to engage students with the contemporary and, at the same time, make value judgments of their own work? And, while the professional fine art world subscribes increasingly to the ,rhizomatic' [2] template of art processes, how do we square this with current assessment criteria which require that students produce work where the preparation and finished product occupy separate domains and rely on ,procedures and practices that reach back to the nineteenth century'? [3] By way of a postscript to the inconclusive findings of the Eppi-centre art and design review group [4], this article will also address what we have lost in the drive for domain-based assessment and how to regain some of the ground lost since the introduction of Curriculum 2000. [source] Poisoning in Zimbabwe: a survey of eight major referral hospitalsJOURNAL OF APPLIED TOXICOLOGY, Issue 2 2002D. Tagwireyi Abstract A retrospective study of the pattern of poisoning cases admitted to eight major urban referral hospitals in Zimbabwe over a 2-year period (1998,1999 inclusive) was conducted to describe the pattern of poisoning at these centres. There were a total of 2764 hospital admissions due to poisoning, involving a total of 2846 toxic agents. Accidental poisoning (AP) and deliberate self-poisoning (DSP) accounted for 48.9% (1352 cases) and 41.3% (1142 cases), respectively. With AP, the highest number of cases (45.9%) occurred in children below the age of 5 years, with half of these due to chemicals, mainly paraffin. In the DSP group, however, more than 60% of all cases occurred in the 16,25-year age group. In addition, twice as many females as males were admitted for DSP compared with an overall male/female ratio of 1 : 1.2. Pesticides (31.4%) and pharmaceuticals (30.4%) were the most common groups of toxic agents responsible for the hospital admissions. Unknown toxins, natural toxins and pesticides showed the highest mortality rates (15.4%, 8.3% and 6.7%, respectively). Compared with the last major survey of poisoning in Zimbabwe, the pattern of poisoning at referral hospitals has changed over the last decade, with an increase in pesticide and pharmaceutical cases and a marked fall in cases of traditional medicine poisoning. Educational and legislative interventions may be required to address these changes. There is the need also to investigate further the high mortality rates associated with traditional medicine poisoning. Copyright © 2002 John Wiley & Sons, Ltd. [source] Identification of Tetrodotoxin and Fish Species in an Adulterated Dried Mullet Roe Implicated in Food PoisoningJOURNAL OF FOOD SCIENCE, Issue 1 2003Y.W. Hsieh ABSTRACT: There was 1 victim of neurotoxic food poisoning from an adulterated dried mullet roe in Kaohsiung, Taiwan, in March 2001. The victim exhibited typical neurotoxic symptoms. The residue of dried mullet roe retained by the victim was assayed for toxicity and mitochondrial DNA. Its toxicity was 3450 mouse units per gram. The toxin was partially purified and identified as tetrodotoxin and derivative. The sequence of the 376-nucleotide region in the cytochrome b gene of the mitochondrial DNA exhibited the same genotype and the same restriction site for SapI as that of the toxic puffer fish Lagocephalus lunaris. [source] Nitrous Oxide Determination in Postmortem Biological Samples: A Case of Serial Fatal Poisoning in a Public Hospital,JOURNAL OF FORENSIC SCIENCES, Issue 1 2010Diana Poli Ph.D. Abstract:, In a public hospital, eight cases of fatal poisoning by nitrous oxide (N2O) occurred under oxygen administration, due to an erroneous swapping of the lines in the gas system. The aim of the study was to clarify the factors involved in asphyxia by characterizing gases from different lines and measuring N2O concentrations in postmortem biological samples from bodies exhumed. Analyses carried out on the gas system confirmed the erroneous substitution of O2 line with N2O and air line with O2. Consequently, high N2O amounts were revealed in several tissues and gaseous biological samples. All specimens were analyzed by headspace gas chromatography technique. A rigorous quantitative analysis was possible only in blood (11.29,2152.04 mg/L) and urine (95.11 mg/L) and in air samples from stomach and trachea (from 5.28 to 83.63 g/m3). This study demonstrates that N2O can be detected in biological samples even 1 month after death. [source] A Case of Fatal Aconitine Poisoning by Monkshood Ingestion,JOURNAL OF FORENSIC SCIENCES, Issue 2 2008Ravi Pullela B.Sc. Abstract:, Accidental aconitine poisoning is extremely rare in North America. This report describes the confirmation of a case of accidental aconitine poisoning using a liquid chromatography,tandem mass spectrometry (LC-MS/MS) method. The case involved a 25-year-old man who died suddenly following a recreational outing with friends where he consumed a number of wild berries and plants including one that was later identified as Monkshood (Aconitum napellus). Postmortem blood and urine samples were available for analysis. All routine urine and blood toxicology screens were negative. The LC-MS/MS method allowed sensitive quantification of aconitine, the main toxin in A. napellus, and showed 3.6 and 149 ,g/L in blood and urine, respectively. These concentrations were similar to that reported in other aconitine-related deaths. This case illustrates the dangers of consuming unidentified plants, and documents concentrations of aconitine in blood and urine in a fatal case of A. napallus -related poisoning. [source] Suicidal Asphyxiation by Inhalation of Automobile Emission without Carbon Monoxide PoisoningJOURNAL OF FORENSIC SCIENCES, Issue 5 2006Stephen J. DeRoux M.D. ABSTRACT: Reported herein is the suicidal asphyxiation of a young man due to exhaustion of oxygen in the interior of a sealed automobile into which the exhaust emissions were diverted. His blood carboxyhemaglobin concentration was less than 5% saturation. The car was equipped with a catalytic converter and when tested, the exhaust carbon monoxide concentration was 0.01%. [source] Pallidoreticular-Rubral Brain Damage on Magnetic Resonance Imaging After Carbon Monoxide PoisoningJOURNAL OF NEUROIMAGING, Issue 2 2002Cristiano Gandini MD [source] Poisoning the minds of the lower ordersJOURNAL OF THE HISTORY OF THE BEHAVIORAL SCIENCES, Issue 2 2001Mark Goldie fellow in history No abstract is available for this article. [source] Decimal reduction times of Pyrodinium bahamense var. compressum and Escherichia coli in chlorine- and ultraviolet-treated seawaterLETTERS IN APPLIED MICROBIOLOGY, Issue 5 2001M.P.V. Azanza Aims:,Decimal reduction times (D -values) of the vegetative cells of Pyrodinium bahamense var. compressum and Escherichia coli in ultraviolet- and chlorine-treated seawater were established. Methods and Results:,The cells of the test organisms were exposed to ultraviolet- and chlorine-treated seawater and maintained at 20,35 ppt salinity and 20 to 35°C. The dinoflagellate cells which cause Paralytic Shellfish Poisoning (PSP) were found to be more resilient than the bacterial cells. Ultraviolet treatment was found to be more effective than chlorine to both test organisms. Irreversible morphological changes in the treated dinoflagellate cells were noted, including protoplast discoloration, cellular membrane leakage and damage to the thecal armour. Conclusions:,The vegetative cells of both test organisms in seawater were more sensitive to ultraviolet treatment than to chlorine exposure. Generally, the dinoflagellate cells were less susceptible than bacterial cells to both disinfection treatments. Significance and Impact of the Study:,Results of this study may have significant implications in depuration procedures for molluscs and cleaning protocols for ballast waters of ships. [source] Acute Percutaneous Lactic Acid Poisoning in a ChildPEDIATRIC DERMATOLOGY, Issue 3 2006Manuela Esteban Ramírez M.D. We report a young girl with lamellar ichthyosis and symptoms of poisoning, with clinical signs of irritability, agitation, myoclonia, and difficulty in walking, accompanied by lactic acidosis as a result of the more frequent than recommended application of emollients containing lactic acid. The clinical symptoms resolved upon discontinuation of the topical treatment. Among the possible causes of metabolic acidosis, health care providers should be aware of the possibility of percutaneous poisoning. [source] External cause-specific summaries of occupational fatal injuries.AMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 3 2003Part II: An analysis of years of potential life lost Abstract Background Fatal injury surveillance data provide an opportunity to assess the impact of occupational injuries and may indicate which industries or occupations are appreciably more hazardous than others, and thus should be given priority in public health intervention. Methods Fatalities from the National Traumatic Occupational Fatality surveillance system served as the basis for examining external cause (E-code) specific impact summaries. Years of potential life lost (YPLL) were calculated for fatal injuries in the years 1983,1994. Industries and occupations were compared with respect to frequency of fatal injuries. In addition, injuries in categories of external causes are examined across all industries and occupations. Results Machinery, electric current, homicide, falls, and transportation-related are the external cause groups highlighted by high frequency/rate of occurrence. Electric current event groups are also characterized by high average YPLL. Poisoning, conflagration, and lightning were also identified in several occupations as having high associated average YPLL. Conclusions The external-cause-specific analysis of average YPLL identified industries and occupations where, on average, younger workers were dying in fatal injuries. Noteworthy in this assessment were homicides and falls. The YPLL measure coupled with more commonly employed indices (e.g., rates) may provide a fuller description of the impact of occupational fatal injuries. Am. J. Ind. Med. 43:251,261, 2003. Published 2003 Wiley-Liss, Inc. [source] Occult Carbon Monoxide Poisoning in ENT Practice: A Word of CautionTHE LARYNGOSCOPE, Issue 1 2003Article first published online: 2 JAN 200 No abstract is available for this article. [source] Titelbild: Determination of Arsenic Poisoning and Metabolism in Hair by Synchrotron Radiation: The Case of Phar Lap (Angew. Chem.ANGEWANDTE CHEMIE, Issue 25 201025/2010) Nach achtzig Jahren hat eine Obduktion das Geheimnis um den Tod des berühmten Rennpferds Phar Lap gelüftet. I. Kempson und D. Henry beschreiben in ihrer Zuschrift auf S.,4333,ff. auffällige Arsenverteilungen und -verbindungen, die darauf hindeuten, dass Phar Lap das Gift Stunden vor seinem unerwarteten qualvollen Ende eingenommen hat. Diese außergewöhnliche Haaranalyse beleuchtet metabolische Prozesse nach der Arsenaufnahme. [source] Determination of Arsenic Poisoning and Metabolism in Hair by Synchrotron Radiation: The Case of Phar Lap,ANGEWANDTE CHEMIE, Issue 25 2010Neues Beweismaterial zum Tod des Rennpferds Phar Lap (siehe Photo) lieferten hochauflösende Röntgen-Fluoreszenz(XRF)- und Röntgen-Nahkantenabsorptions(XANES)-Analysen von Mähnenhaaren mithilfe von Synchrotronstrahlung. Die Ergebnisse deuten auf Arsenaufnahme und -metabolismus hin , das Rennpferd erlag folglich einer Vergiftung. [source] Poisoning of companion animals by garden and house plants in Queensland: a veterinary practice surveyAUSTRALIAN VETERINARY JOURNAL, Issue 11 2007RA Mckenzie No abstract is available for this article. [source] Kinetics and Efficacy of an Organophosphorus Hydrolase in a Rodent Model of Methyl-parathion PoisoningACADEMIC EMERGENCY MEDICINE, Issue 7 2010Chip Gresham MD ACADEMIC EMERGENCY MEDICINE 2010; 17:736,740 © 2010 by the Society for Academic Emergency Medicine Abstract Objectives:, Organophosphorus (OP) pesticides exert a tremendous health burden, particularly in the developing world. Limited resources, the severity of intentional OP ingestions, and a paucity of beneficial therapies all contribute to the morbidity and mortality of this broad class of chemicals. A novel theoretical treatment for OP poisoning is the use of an enzyme to degrade the parent OP in the circulation after poisoning. The aims of this study were to determine the pharmacokinetics and efficacy of an OP hydrolase (OpdA) in a rodent model of severe methyl-parathion poisoning. Methods:, Two animal models were used. First, Wistar rats were administered two different doses of the hydrolase (0.15 and 1.5 mg/kg), and the ex vivo hydrolytic activity of plasma was determined by a fluorometric method. Second, an oral methyl-parathion animal poisoning model was developed to mimic severe human poisoning, and the efficacy of postpoisoning OpdA (as measured by survival to 4 and 24 hours) was determined. Results:, The half-life of OpdA in the Wistar rat was dependent on the dose administered and ranged between 45.0 and 57.9 minutes. The poisoning model of three times the lethal dose to 50% of the population (3 × LD50) of methyl-parathion resulted in 88% lethality at 4 and 24 hours. Using a single dose of 0.15 mg/kg OpdA 10 minutes after poisoning resulted in 100% survival at 4 hours (p = 0.001 vs. placebo), but 0% at 24 hours postpoisoning (p = NS vs. placebo). Conclusions:, The OP hydrolase OpdA exhibits pharmacokinetics suitable for repeated dosing and increases short-term survival after severe methyl-parathion poisoning. [source] Knowledge of Treatment Group Does Not Bias Assessment of Time to Seizure in an Animal Model of Cocaine PoisoningACADEMIC EMERGENCY MEDICINE, Issue 7 2010Kennon J. Heard MD ACADEMIC EMERGENCY MEDICINE 2010; 17:E75,E77 © 2010 by the Society for Academic Emergency Medicine Abstract Objectives:, Blinded outcome assessment decreases bias in human clinical trials. The necessity of blinded outcome assessment on animal studies is unknown. The authors determined the effect of knowledge of treatment group on assessment of time to seizure in an animal model of cocaine poisoning. Methods:, Four subjects observed 20 animal experiments where all animals were administered a high dose of cocaine and placebo. For each experiment, two of the observers were told the animal had been treated with placebo and two were told the animal had been treated with a medication expected to delay the onset of seizures. Each observer recorded the time from cocaine administration to onset of seizure. The median time to seizure was compared between observers told the animal received placebo and those told the animal received active treatment. Results:, Seizures were reported by all subjects in 12 animals and by no subjects in five animals, and there was disagreement in three animals. The reported median time to seizure was similar for observers told that the animals were treated with placebo and those told they were treated with study medication. Conclusions:, It is feasible to determine whether unblinded assessments are biased in an animal study. Knowledge of treatment group did not bias the assessment of time to seizure in this animal model. [source] A Rapid Qualitative Test for Suspected Ethylene Glycol PoisoningACADEMIC EMERGENCY MEDICINE, Issue 7 2008Heather Long MD Abstract Objectives:, Many hospitals must send out ethylene glycol (EG) samples to a reference laboratory, and delays in diagnosis and treatment may occur. A qualitative colorimetric test (ethylene glycol test [EGT] kit), already in use by veterinarians, gives results in 30 minutes with little expertise or cost. The EGT reliably detects the presence of EG in spiked human serum samples. The objective of this study was to prospectively assess the sensitivity and specificity of the EGT kit in actual clinical samples submitted for EG testing by the criterion standard gas chromatography (GC). Methods:, Blood samples from patients with suspected toxic alcohol poisoning submitted to a reference laboratory were tested by GC. An investigator blinded to the GC results tested the same sample with the EGT kit following the manufacturer's instructions and using the internal control. Three physicians also blinded to the GC results categorized the sample as positive for EG, negative, or inconclusive. Interrater reliability was assessed with a kappa statistic (,). Results of the EGT kit testing were then compared to those from GC testing. Results:, Data are reported on 24 samples submitted. By GC, 15 samples were confirmed for EG (range 27,281 mg/dL), 5 were confirmed for methanol (ME; range 64,101 mg/dL), and 4 were negative for both alcohols. The EGT was unanimously positive in all confirmed EG samples and negative in all ME samples. In one of the negative samples, an ambiguous result occurred and was counted as a false-positive. Interobserver agreement with the EGT was high (, = 0.909; 95% confidence interval [CI] = 0.735 to 1.0). Sensitivity and specificity were 100% (95% CI = 70% to 100%) and 88.8% (95% CI = 52% to 100%), respectively. Conclusions:, The EGT appears to be a reliable qualitative test in cases of suspected human EG poisoning. [source] Pretreating Rats with Parenteral Ophthalmic Antimuscarinic Agents Decreases Mortality from Lethal Organophosphate PoisoningACADEMIC EMERGENCY MEDICINE, Issue 4 2007Sean M. Bryant MD No abstract is available for this article. [source] Mortality in a Swedish rubber tire manufacturing plant: Occupational risks or an "unhealthy worker" effect?AMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 8 2006Gun Wingren PhD Abstract Background In this cohort study a classification of 12 work categories, with specified common exposures, is used to evaluate the mortality among workers in a Swedish rubber tire plant. Methods Mortality among the cohort members is compared with expected values from national rates. Standardized mortality ratios (SMR) were calculated for the total cohort, for sub-cohorts and with the inclusion of a latency requirement. Results Male workers had increased risks for total mortality, circulatory death, respiratory death, mental disorders, epilepsy, injuries/poisoning, and for alcohol-related death. Many risks were noted among workers exposed to dust, fumes, or vapor. No trend in risk with increasing duration of employment was seen. Discussion Some established risks for rubber workers could be related to some specified work categories. The highest risks were noted among workers having a very short duration of employment indicating a possible "unhealthy worker effect" associated with life-style factors or to tasks offered to unskilled workers. Am. J. Ind. Med. 2006. © 2006 Wiley-Liss, Inc. [source] Emergency Department Utilization in the United States and Ontario, CanadaACADEMIC EMERGENCY MEDICINE, Issue 6 2007DrPH, Guohua Li MD Objectives:The current crisis in the emergency care system is characterized by worsening emergency department (ED) overcrowding. Lack of health insurance is widely perceived to be a major contributing factor to ED overcrowding in the United States. This study aimed to compare ED visit rates in the United States and Ontario, Canada, according to demographic and clinical characteristics. Methods:This was a cross sectional study consisting of a nationally representative sample of 40,253 ED visits included in the 2003 National Hospital Ambulatory Medical Care Survey in the United States, and all ED visits recorded during 2003 by the National Ambulatory Care Reporting System in Ontario, Canada. The main outcome was the number of ED visits per 100 population per year. Results:The annual ED visit rate in the United States was 39.9 visits (95% confidence interval = 37.2 to 42.6) per 100 population, virtually identical to the rate in Ontario, Canada (39.7 visits per 100 population). In both the United States and Ontario, Canada, those aged 75 years and older had the highest ED visit rate and women had a slightly higher ED visit rate than men. The most common discharge diagnosis was injury/poisoning, accounting for 25.6% of all ED visits in the United States and 24.7% in Ontario, Canada. Overall, 13.9% of ED patients in the United States were admitted to hospitals, compared with 10.5% in Ontario, Canada. Conclusions:ED visit rates and patterns are similar in the United States and Ontario, Canada. Differences in health insurance coverage may not have a substantial impact on the overall utilization of emergency care. [source] A Review of Feral Cat Eradication on IslandsCONSERVATION BIOLOGY, Issue 2 2004MANUEL NOGALES efecto de depredación; erradicación; Felis catus; gato asilvestrado; islas Abstract:,Feral cats are directly responsible for a large percentage of global extinctions, particularly on islands. We reviewed feral cat eradication programs with the intent of providing information for future island conservation actions. Most insular cat introductions date from the nineteenth and twentieth centuries, whereas successful eradication programs have been carried out in the last 30 years, most in the last decade. Globally, feral cats have been removed from at least 48 islands: 16 in Baja California (Mexico), 10 in New Zealand, 5 in Australia, 4 in the Pacific Ocean, 4 in Seychelles, 3 in the sub-Antarctic, 3 in Macaronesia (Atlantic Ocean), 2 in Mauritius, and 1 in the Caribbean. The majority of these islands (75%; n= 36) are small (,5 km2). The largest successful eradication campaign took place on Marion Island (290 km2), but cats have been successfully removed from only 10 islands (21%) of ,10 km2. On Cousine Island (Seychelles) cat density reached 243 cats/km2, but on most islands densities did not exceed 79.2 cats/km2 (n= 22; 81%). The most common methods in successful eradication programs were trapping and hunting (often with dogs; 91% from a total of 43 islands). Frequently, these methods were used together. Other methods included poisoning (1080; monofluoracetate in fish baits; n= 13; 31%), secondary poisoning from poisoned rats (n= 4; 10%), and introduction of viral disease (feline panleucopaenia; n= 2; 5%). Impacts from cat predation and, more recently, the benefits of cat eradications have been increasingly documented. These impacts and benefits, combined with the continued success of eradication campaigns on larger islands, show the value and role of feral cat eradications in biodiversity conservation. However, new and more efficient techniques used in combination with current techniques will likely be needed for success on larger islands. Resumen:,Los gatos asilvestrados han sido responsables directos de un gran número de extinciones, particularmente en islas. En este estudio, se revisan los programas de erradicación de este felino con el fin de ofrecer información de utilidad en futuras acciones de conservación en islas. La mayor parte de las introducciones datan de los siglos diecinueve y veinte, mientras que las erradicaciones han sido realizadas básicamente durante los últimos 30 años, y sobre todo en la última década. Los gatos asilvestrados han sido erradicados de al menos 48 islas: 16 de ellas en Baja California (México), 10 en Nueva Zelanda, 5 en Australia, 4 en el Océano Pacífico, 4 en Seychelles, 3 en la Región Subantártica, 3 en Macaronesia (Océano Atlántico), 2 en Mauricio, y una en el Caribe. La mayoría de éstas (75%; n= 36) son de reducidas dimensiones (,5 km2), mientras que la más extensa es Marion Island (290 km2). En tan sólo 10 islas (21%) , 10 km2 se ha podido erradicar este depredador. En Cousine Island (Seychelles) la densidad de gatos alcanzó 243 individuos/km2; sin embargo, en la mayoría de las islas, las densidades no excedieron los 79,2 individuos/km2 (n= 22; 81%). Los métodos más comúnmente empleados fueron el trampeo y la caza, a menudo con perros (91% de un total de 43 islas). Con frecuencia dichas prácticas fueron empleadas conjuntamente. Otros métodos incluyeron venenos (1080, monofluoracetato de sodio en cebos de pescado: n= 13; 31%), envenenamiento secundario con ratas envenenadas (n= 4; 10%) y el virus de la leucemia felina (n= 2; 5%). La información sobre el efecto negativo de los gatos en islas y, más recientemente, el beneficio de su erradicación, se ha ido dando a conocer paulatinamente, poniendo de manifiesto su importancia en la conservación de la biodiversidad insular. No obstante, la combinación de técnicas nuevas y más eficientes junto con las habituales, será necesaria para el éxito de la erradicación de los gatos en islas de grandes dimensiones. [source] Demography of the California Condor: Implications for ReestablishmentCONSERVATION BIOLOGY, Issue 4 2000Vicky J. Meretsky The most prominent mortality factor was lead poisoning resulting from ingestion of bullet fragments in carcasses. Successful captive breeding has allowed many birds to be released to the wild since 1992, based originally on an assumption that exposure to lead could be prevented by food subsidy. The mortality of released birds, however, has generally exceeded levels needed for population stability calculated from simple population models. Collision with overhead wires was the most frequent cause of death in releases before 1994. Lead poisoning again surfaced as a problem starting in 1997 as older birds began feeding on carcasses outside the subsidy program. Although poisonings have been treated successfully by chelation therapy in recaptured birds, food subsidy is proving an ineffective solution to lead exposure. The best long-term solution appears to be either the creation of large reserves where hunting is prohibited or the restriction of hunting to nontoxic ammunition in release areas. Until sources of lead contamination are effectively countered, releases cannot be expected to result in viable populations. In addition, problems involving human-oriented behavior have resulted in the permanent removal of many released birds from the wild. The most promising reduction in human-oriented behavior has been achieved in one release of aversively conditioned, parent-reared birds. Rigorous evaluation of the factors reducing attraction to humans and human structures has been hampered by confounding of techniques in releases. Behavioral problems could be more quickly overcome by adoption of a comprehensive experimental approach. Resumen: Las poblaciones silvestres remanentes del cóndor de California (Gymnogyps californianus) de los anõs 80 exhibieron una disminución poblacional rápida debido a altas tasas de mortalidad de individuos adultos e inmaduros. El factor de mortalidad más prominente fue el envenenamiento por plomo ocasionado por la ingestión de fragmentos de municiones en cadáveres. La reproducción exitosa en cautiverio ha permitido muchas liberaciones en ambientes silvestres desde 1992, bajo el argumento de que la exposición al plomo puede ser prevenida mediante el subsidio de alimento. Sin embargo, la mortalidad de aves liberadas ha excedido generalmente los niveles necesarios para alcanzar una estabilidad poblacional calculada a partir de modelos poblacionales simples. Las colisiones con alambres en lo alto fueron la causa más frecuente de las muertes en liberaciones anteriores a 1994. A partir de 1997, el envenenamiento con plomo surgió una vez más como un problema, puesto que las aves de edad avanzada comenzaron a alimentarse de cadáveres fuera del programa de subsidio. A pesar de que el envenenamiento ha sido tratado exitosamente mediante terapia de quelación de las aves recapturadas, el subsidio de alimento ha probado ser una solución ineficaz contra la exposición al plomo. Las mejores soluciones de largo plazo aparentan ser la creación de reservas grandes donde la caza sea prohibida o se restrinja la caza a municiones no tóxicas en las áreas de liberación. Solo una vez que la contaminación por plomo sea contrarrestada efectivamente, no se podrá esperar que las liberaciones resulten en poblaciones viables. Además, los problemas de conductas orientadas hacia humanos ha resultado en la remoción permanente de muchas aves liberadas de zonas silvestres. La reducción más prometedora de conductas orientadas hacia humanos ha sido obtenida en una liberación de aves criadas por sus padres y condicionadas adversamente. La evaluación rigurosa de los factores que reducen la atracción hacia humanos y estructuras de humanos ha sido obstaculizada por la confusión de técnicas en las liberaciones. Los problemas de conducta podrían ser superados más rápidamente mediante la adopción de una estrategia experimental comprensiva. [source] Endothelially Derived Nitric Oxide Affects the Severity of Early Acetaminophen-induced Hepatic Injury in MiceACADEMIC EMERGENCY MEDICINE, Issue 5 2006Steven D. Salhanick MD Abstract Objectives: The precise mechanism of hepatocellular toxicity following acetaminophen (APAP) poisoning remains unclear. Nitric oxide is implicated in APAP toxicity as an inflammatory signaling molecule and as a precursor to the free radical peroxynitrate. The effects of inducible nitric oxide synthase (iNOS)-derived NO in APAP toxicity are known; however, the role of endothelial nitric oxide synthase (eNOS)-derived NO is unknown. The authors sought to evaluate the effect of eNOS-derived NO during APAP toxicity. Methods: C57BL6/J mice deficient in eNOS (eNOS KO) or iNOS (iNOS KO) and wild-type mice (WT) were treated with 300 mg/kg APAP. Alanine aminotransferase levels and plasma nitrate and nitrite levels were measured. Hypoxia inducible factor (HIF)-1, and Glucose Transporter 1 (Glut-1) levels were determined by Western blot. Results: Alanine aminotransferase levels were significantly elevated in all treated animals. Alanine aminotransferase levels were significantly lower in eNOS KO and iNOS KO than in treated WT animals. Plasma nitrate/nitrite levels were significantly higher in WT animals than in iNOS KO and eNOS KO animals. HIF-1, expression was increased in WT mice and decreased in iNOS KO mice. Glut-1 is a downstream, indirect marker of HIF function. Glut-1 expression was increased in WT and eNOS KO mice. Conclusions: Deficiency of either iNOS or eNOS results in decreased NO production and is associated with reduced hepatocellular injury following APAP poisoning. HIF-1, and Glut-1 levels are increased following APAP poisoning, implying that HIF-1, is functional during the pathogenic response to APAP poisoning. [source] | ||||||||||||||||||||||||||||||||||||||||||||||