Where children and adolescents drown in Queensland: a population-based study

PubMed Central

Wallis, Belinda A; Watt, Kerrianne; Franklin, Richard C; Nixon, James W; Kimble, Roy M

2015-01-01

Objective This retrospective population-based study examined drowning location by the site of immersion for both fatal and non-fatal drowning events in Queensland. Drowning location is not routinely collected, and this study used data linkage to identify drowning sites. The resulting enhanced quality data quantify drowning incidence for specific locations by geographic region, age group and by severity for the first time. Design Linked data were accessed from the continuum of care (prehospital, emergency, hospital admission and death data) on fatal and non-fatal drowning episodes in children aged 0–19 years in Queensland for the years 2002–2008 inclusive. Results Drowning locations ranked in order of overall incidence were pools, inland water, coastal water, baths and other man-made water hazards. Swimming pools produced the highest incidence rates (7.31/100 000) for overall drowning events and were more often privately owned pools and in affluent neighbourhoods. Toddlers 0–4 years were most at risk around pools (23.94/100 000), and static water bodies such as dams and buckets—the fatality ratios were highest at these 2 locations for this age group. Children 5–14 years incurred the lowest incidence rates regardless of drowning location. Adolescents 15–19 years were more frequently involved in a drowning incident on the coast shoreline, followed by inland dynamic water bodies. Conclusions Linked data have resulted in the most comprehensive data collection on drowning location and severity to date for children in the state of Queensland. Most mortality and morbidity could have been prevented by improving water safety through engaged supervision around pools and bath time, and a heightened awareness of buckets and man-made water hazards around the farm home for young children. These data provide a different approach to inform prevention strategies. PMID:26610762

Drowning Mortality and Morbidity Rates in Children and Adolescents 0-19yrs: A Population-Based Study in Queensland, Australia

PubMed Central

Wallis, Belinda A.; Watt, Kerrianne; Franklin, Richard C.; Nixon, James W.; Kimble, Roy M.

2015-01-01

Objective To redress the lack of Queensland population incidence mortality and morbidity data associated with drowning in those aged 0-19yrs, and to understand survival and patient care. Design, Setting and Participants Retrospective population-based study used data linkage to capture both fatal and non-fatal drowning cases (N = 1299) among children aged 0-19years in Queensland, from 2002-2008 inclusive. Patient data were accessed from pre-hospital, emergency department, hospital admission and death data, and linked manually to collate data across the continuum of care. Main Outcome Measures Incidence rates were calculated separately by age group and gender for events resulting in death, hospital admission, and non-admission. Trends over time were analysed. Results Drowning death to survival ratio was 1:10, and two out of three of those who survived were admitted to hospital. Incidence rates for fatal and non-fatal drowning increased over time, primarily due to an increase in non-fatal drowning. There were non-significant reductions in fatal and admission rates. Rates for non-fatal drowning that did not result in hospitalisation more than doubled over the seven years. Children aged 5-9yrs and 10-14yrs incurred the lowest incidence rates 6.38 and 4.62 (expressed as per 100,000), and the highest rates were among children aged 0-4yrs (all drowning events 43.90; fatal 4.04; non-fatal 39.85–comprising admission 26.69 and non-admission 13.16). Males were over-represented in all age groups except 10-14yrs. Total male drowning events increased 44% over the seven years (P<0.001). Conclusion This state-wide data collection has revealed previously unknown incidence and survival ratios. Increased trends in drowning survival rates may be viewed as both positive and challenging for drowning prevention and the health system. Males are over-represented, and although infants and toddlers did not have increased fatality rates, they had the greatest drowning burden demonstrating the need for continued drowning prevention efforts. PMID:25714360

A Framework for Addressing Implementation Gap in Global Drowning Prevention Interventions: Experiences from Bangladesh

PubMed Central

Alonge, Olakunle; He, Siran; Wadhwaniya, Shirin; Rahman, Fazlur; Rahman, Aminur; Arifeen, Shams El

2014-01-01

ABSTRACT Drowning is the commonest cause of injury-related deaths among under-five children worldwide, and 95% of deaths occur in low- and middle-income countries (LMICs) where there are implementation gaps in the drowning prevention interventions. This article reviews common interventions for drowning prevention, introduces a framework for effective implementation of such interventions, and describes the Saving of Lives from Drowning (SoLiD) Project in Bangladesh, which is based on this framework. A review of the systematic reviews on drowning interventions was conducted, and original research articles were pulled and summarized into broad prevention categories. The implementation framework builds upon two existing frameworks and categorizes the implementing process for drowning prevention interventions into four phases: planning, engaging, executing, and evaluating. Eleven key characteristics are mapped in these phases. The framework was applied to drowning prevention projects that have been undertaken in some LMICs to illustrate major challenges to implementation. The implementation process for the SoLiD Project in Bangladesh is used as an example to illustrate the practical utilization of the framework. Drowning interventions, such as pool fencing and covering of water hazards, are effective in high-income countries; however, most of these interventions have not been tested in LMICs. The critical components of the four phases of implementing drowning prevention interventions may include: (i) planning—global funding, political will, scale, sustainability, and capacity building; (ii) engaging—coordination, involvement of appropriate individuals; (iii) executing—focused action, multisectoral actions, quality of execution; and (iv) evaluating—rigorous monitoring and evaluation. Some of the challenges to implementing drowning prevention interventions in LMICs include insufficient funds, lack of technical capacity, and limited coordination among stakeholders and implementers. The SoLiD Project in Bangladesh incorporates some of these lessons and key features of the proposed framework. The framework presented in this paper was a useful tool for implementing drowning prevention interventions in Bangladesh and may be useful for adaptation in drowning and injury prevention programmes of other LMIC settings. PMID:25895188

A population based study of drowning in Canada.

PubMed

Clemens, Tessa; Tamim, Hala; Rotondi, Michael; Macpherson, Alison K

2016-07-13

Although water-related fatality rates have changed over time, the epidemiology of drowning in Canada has not recently been examined. In spite of the evidence supporting varying drowning death rates by age, information on how characteristics of drowning incidents differ by age group remains limited. The primary objective of this study was to examine the epidemiology of drowning in Canada. A secondary objective was to describe the characteristics of these drowning incidents as they vary by age group. A retrospective descriptive analysis was conducted using data that were collected for incidents occurring in Canada between January 1, 2008 and December 31, 2012. The main outcome variable was a water-related fatality, in the majority of cases (94 %) the primary cause of death was drowning. Age specific frequencies, proportions and rates per 100,000 population were calculated and compared among six age groups. There were 2392 unintentional water-related fatalities identified in Canada between 2008 and 2012. Death rates (per 100,000) varied by age group 0-4 (1.05), 5-14 (0.57), 15-19 (1.27), 20-34 (1.70), 35-64 (1.44), 65+ (1.74). The male to female ratio was 5:1. Differences in the characteristics of drowning by age group were identified across: sex, body of water, urban versus rural location, time of year, activity type, purpose of activity, alcohol involvement, personal flotation device use, accompaniment, and whether a rescue was attempted. The study results suggest that there may be a need for drowning prevention strategies that are tailored to specific age groups. Rural areas in Canada may also benefit from targeted drowning prevention.

The legacy of fear: is fear impacting fatal and non-fatal drowning of African American children?

PubMed

Irwin, Carol C; Irwin, Richard L; Ryan, Timothy D; Drayer, Joris

2011-01-01

African American children’s rates for fatal and non-fatal drowning events are alarmingly elevated, with some age groups having three times the rate as compared to White peers. Adequate swimming skills are considered a protective agent toward the prevention of drowning, but marginalized youth report limited swimming ability. This research examined minority children’s and parents/caregivers’ fear of drowning as a possible variable associated with limited swimming ability. Results confirmed that there were significant racial differences concerning the fear of drowning, and adolescent African American females were notably more likely to fear drowning while swimming than any other group. The “fear of drowning” responses by parents/ caregivers of minority children were also significantly different from their White counterparts.

A promising microbiological test for the diagnosis of drowning.

PubMed

Lucci, Arturo; Campobasso, Carlo P; Cirnelli, Antonello; Lorenzini, Giulio

2008-11-20

A number of biological and chemical tests have been developed over the years to determine whether a person was drowned. This study focuses on the potential of a microbiological test for detecting common bacterial markers of water faecal pollution such as faecal coliforms (FC) and faecal streptococci (FS) as possible indicators of drowning. A promising previous study was carried out on central and peripheral blood samples of 42 drowned victims (20 cases in saltwater and 22 cases in freshwater) and 30 not-drowned bodies. To improve the accuracy of our previous results and also in order to investigate a possible cause of a false positive due to pulmonary passive diffusion and subsequently endogenous or exogenous bacterial invasion of the blood in the post-mortem interval (PMI), the FC and FS test was applied to bodies submerged in water but died from causes other than drowning. In the present study, blood samples collected from the left ventricle (LV), right ventricle (RV), femoral artery (FA) and, femoral vein (FV) of 10 drowned victims (5 cases in freshwater and 5 cases in seawater) and 3 not-drowned individuals with bodies submerged in water for a while after death have been analysed. Preliminary results are in agreement with other reports dealing with diatoms and marine bacteria that suggest to exclude the hypothesis of a passive penetration of sufficient quantities of drowning medium into circulation after death or during the agonal period. Based on our results there is also no evidence of a relevant dissemination of endogenous micro-flora from the gastrointestinal tract affecting the FS and FC test. There are still several other factors that could influence the applicability of post-mortem FS and FC cultures for the diagnosis of drowning and they need further investigations. The present article provides only a glimpse of the potential of the FS and FC test as bacteriological method for the diagnosis of drowning.

The Hidden Tragedy of Rivers: A Decade of Unintentional Fatal Drowning in Australia

PubMed Central

Leggat, Peter A.

2016-01-01

Objective(s) Describe unintentional drowning deaths in rivers, creeks and streams (rivers) in Australia and identify risk factors to inform prevention. Design & Setting This study is a cross-sectional, total population audit of all unintentional fatal drownings in Australian rivers between 1-July-2002 and 30-June-2012 using Australian coronial data. A modified Bonferroni test has been applied, deeming statistical significance p<0.03 and p<0.04 respectively. Results Rivers (n = 770; 26.6%) were the leading location among the 2,892 people who died from unintentional fatal drowning. This is a rate of 0.37/100,000 people / annum. Within river drowning deaths common groups include; males (80.4%), adults (85.3%), adults who have consumed alcohol (25.5%), people who fell in (21.3%), people involved in non-aquatic transport incidents (18.2%) and locals (74.0%). Children were 1.75 times more likely than adults (p<0.04) to drown in rivers as a result of a fall and adults 1.50 times more likely to drown in rivers as a result of watercraft incidents when compared to children. When compared to males, females were 2.27 and 4.45 times respectively more likely to drown in rivers as a result of incidents involving non-aquatic transport (p<0.04) and being swept away by floodwaters (p<0.04). Males were 2.66 and 4.27 times respectively more likely to drown in rivers as a result of watercraft incidents (p<0.04) and as a result of jumping in (p<0.04) when compared to females. Conclusion(s) While rivers are the leading location for drowning in Australia, little is understood about the risks. This study has identified key groups (males, adults, locals) and activities. While males were more likely to drown, the risk profile for females differed. PMID:27517313

Layering of stomach contents in drowning cases in post-mortem computed tomography compared to forensic autopsy.

PubMed

Gotsmy, Walther; Lombardo, Paolo; Jackowski, Christian; Brencicova, Eva; Zech, Wolf-Dieter

2018-04-24

In forensic autopsy, the analysis of stomach contents is important when investigating drowning cases. Three-layering of stomach contents may be interpreted as a diagnostic hint to drowning due to swallowing of larger amounts of water or other drowning media. The authors experienced frequent discrepancies of numbers of stomach content layering in drowning cases between post-mortem computed tomography (PMCT) and autopsy in forensic casework. Therefore, the goal of this study was to compare layering of stomach contents in drowning cases between PMCT and forensic autopsy. Drowning cases (n = 55; 40 male, 15 female, mean age 45.3 years; mean amount of stomach content 223 ml) that received PMCT prior to forensic autopsy were retrospectively analyzed by a forensic pathologist and a radiologist. Number of layers of stomach content in PMCT were compared to number of layers at forensic autopsy. In 28 of the 55 evaluated drowning cases, a discrepancy between layering of stomach contents at autopsy compared to PMCT was observed: 1 layer at autopsy (n = 28): 50% discrepancy to PMCT, 2 layers (n = 20): 45% discrepancy, and 3 layers (n = 7): 71.4% discrepancy. Sensitivity of correctly determining layering (as observed at forensic autopsy) in PMCT was 52% (positive predictive value 44.8%). Specificity was 46.6% (negative predictive value 53.8%). In a control group (n = 35) of non-drowning cases, three-layering of stomach contents was not observed. Discrepancies of observed numbers of stomach content layers between PMCT and forensic autopsy are a frequent finding possibly due to stomach content sampling technique at autopsy and movement of the corpse prior to PMCT and autopsy. Three-layering in PMCT, if indeed present, may be interpreted as a hint to drowning.

Alcohol and Other Risk Factors for Drowning among Male Active Duty U.S. Army Soldiers

PubMed Central

Bell, Nicole S.; Amoroso, Paul J.; Yore, Michelle M.; Senier, Laura; Williams, Jeffrey O.; Smith, Gordon S.; Theriault, Alexis

2007-01-01

Background Risk factors for drowning are largely undocumented among military populations. Hypothesis Accident report narratives will provide important information about the role of alcohol use and other behaviors in drownings among active duty male U.S. Army soldiers. Methods Using a case series design, we describe drowning deaths reported to the U.S. Army Safety Center (1980–1997), documenting associated demographic factors, alcohol use, and other risk-taking behaviors. Results Drowning victims (n = 352) were disproportionately young, black, and single, with less time-in-service, and no college experience. Most drownings occurred off-duty (89%). Alcohol use was involved in at least 31% of the cases overall. Alcohol use was also associated with a 10-fold increase in reckless behavior (OR 9.6, 95% CI 4.5–20.7) and was most common among drownings in Europe (OR = 4.3, 95% CI 1.5–13.4). Most drownings occurred where no lifeguard was present (68%), but almost two-thirds occurred in the presence of others, with CPR initiated in less than one-third of these cases. Drownings involving minority victims were less likely to involve alcohol, but more likely to occur in unauthorized swimming areas. While most drownings did not involve violations of safety rules, over one-third of the cases involved some form of reckless behavior, particularly for those under age 21. Conclusions Intervention programs should be tailored to meet the needs of the demographic subgroups at highest risk since behavioral risk factors vary by race and age. CPR training and skills maintenance can improve survival rates. Narrative data are important for developing hypotheses and understanding risk factors for injuries. PMID:11763109

Asphyxia by Drowning Induces Massive Bleeding Due To Hyperfibrinolytic Disseminated Intravascular Coagulation.

PubMed

Schwameis, Michael; Schober, Andreas; Schörgenhofer, Christian; Sperr, Wolfgang Reinhard; Schöchl, Herbert; Janata-Schwatczek, Karin; Kürkciyan, Erol Istepan; Sterz, Fritz; Jilma, Bernd

2015-11-01

To date, no study has systematically investigated the impact of drowning-induced asphyxia on hemostasis. Our objective was to test the hypothesis that asphyxia induces bleeding by hyperfibrinolytic disseminated intravascular coagulation. Observational study. A 2,100-bed tertiary care facility in Vienna, Austria, Europe. All cases of drowning-induced asphyxia (n=49) were compared with other patients with cardiopulmonary resuscitation (n=116) and to patients with acute promyelocytic leukemia (n=83). Six drowning victims were investigated prospectively. To study the mechanism, a forearm-ischemia model was used in 20 volunteers to investigate whether hypoxia releases tissue plasminogen activator. None. Eighty percent of patients with drowning-induced asphyxia developed overt disseminated intravascular coagulation within 24 hours. When compared with nondrowning cardiac arrest patients, drowning patients had a 13 times higher prevalence of overt disseminated intravascular coagulation at admission (55% vs 4%; p<0.001). Despite comparable disseminated intravascular coagulation scores, acute promyelocytic leukemia patients had higher fibrinogen but lower d-dimer levels and platelet counts than drowning patients (p<0.001). Drowning victims had a three-fold longer activated partial thromboplastin time (124 s; p<0.001) than both nondrowning cardiac arrest and acute promyelocytic leukemia patients. Hyperfibrinolysis was reflected by up to 1,000-fold increased d-dimer levels, greater than 5-fold elevated plasmin antiplasmin levels, and a complete absence of thrombelastometric clotting patterns, which was reversed by antifibrinolytics and heparinase. Thirty minutes of forearm-ischemia increased tissue plasminogen activator 31-fold (p<0.001). The vast majority of drowning patients develops overt hyperfibrinolytic disseminated intravascular coagulation, partly caused by hypoxia induced tissue plasminogen activator release. Antifibrinolytics and heparinase partially reverse the abnormal clotting patterns. Severe activated partial thromboplastin time prolongation may be a marker of combined hyperfibrinolytic afibrinogenemia and autoheparinization in drowning-related asphyxia.

Unintentional drownings among New York State residents, 1988-1994.

PubMed Central

Browne, Marilyn L.; Lewis-Michl, Elizabeth L.; Stark, Alice D.

2003-01-01

OBJECTIVE: This study examines situations in which drownings occur (environmental risk factors) and the victims' personal risk factors (age, gender, use of personal flotation device, medical condition, alcohol or drug use) to provide guidance for future drowning prevention efforts. METHODS: The authors investigated 883 non-bathtub drownings among New York State residents for the years 1988 to 1994 using medical examiner, coroner, police, and/or hospital records in addition to death certificate data. RESULTS: Males, children ages 0-4 years, and African American males ages 5-14 years residing in New York State outside New York City experienced the highest rates of drowning. The majority of drownings occurred in a natural body of water for all age groups, with the exception of children ages 0-4 years. Most drownings among children ages 0-4 years occurred in residential swimming pools. The child usually gained access to the pool via inadequate fencing, an open or ineffective gate, or a ladder (to an above-ground pool) left in the "down" position. Less than 10% of victims of watercraft-related drownings were wearing personal flotation devices. Blood alcohol concentration (BAC) tests were positive for 44% of 250 persons 15 years of age and older for whom valid toxicology results were provided; 30% had BACs of 100 mg/dl or more. CONCLUSIONS: Suggested prevention efforts include stricter enforcement of fencing requirements for residential swimming pools and drowning prevention education stressing personal flotation device use while boating and the danger of mixing alcohol and water-related activities. PMID:12941857

Are drowned donors marginal donors? A single pediatric center experience.

PubMed

Kumm, Kayla R; Galván, N Thao N; Koohmaraie, Sarah; Rana, Abbas; Kueht, Michael; Baugh, Katherine; Hao, Liu; Yoeli, Dor; Cotton, Ronald; O'Mahony, Christine A; Goss, John A

2017-09-01

Drowning, a common cause of death in the pediatric population, is a potentially large donor pool for OLT. Anecdotally, transplant centers have deemed these organs high risk over concerns for infection and graft dysfunction. We theorized drowned donor liver allografts do not portend worse outcomes and therefore should not be excluded from the donation pool. We reviewed our single-center experience of pediatric OLTs between 1988 and 2015 and identified 33 drowned donor recipients. These OLTs were matched 1:2 to head trauma donor OLTs from our center. A chart review assessed postoperative peak AST and ALT, incidence of HAT, graft and recipient survival. Recipient survival at one year between patients with drowned donor vs head trauma donor allografts was not statistically significant (94% vs 97%, P=.63). HAT incidence was 6.1% in the drowned donor group vs 7.6% in the control group (P=.78). Mean postoperative peak AST and ALT was 683 U/L and 450 U/L for drowned donors vs 1119 U/L and 828 U/L in the matched cohort. These results suggest drowned donor liver allografts do not portend worse outcomes in comparison with those procured from head trauma donors. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Pediatric Drowning: A Standard Operating Procedure to Aid the Prehospital Management of Pediatric Cardiac Arrest Resulting From Submersion.

PubMed

Best, Rebecca R; Harris, Benjamin H L; Walsh, Jason L; Manfield, Timothy

2017-05-08

Drowning is one of the leading causes of death in children. Resuscitating a child following submersion is a high-pressure situation, and standard operating procedures can reduce error. Currently, the Resuscitation Council UK guidance does not include a standard operating procedure on pediatric drowning. The objective of this project was to design a standard operating procedure to improve outcomes of drowned children. A literature review on the management of pediatric drowning was conducted. Relevant publications were used to develop a standard operating procedure for management of pediatric drowning. A concise standard operating procedure was developed for resuscitation following pediatric submersion. Specific recommendations include the following: the Heimlich maneuver should not be used in this context; however, prolonged resuscitation and therapeutic hypothermia are recommended. This standard operating procedure is a potentially useful adjunct to the Resuscitation Council UK guidance and should be considered for incorporation into its next iteration.

Socio-demographic, environmental and caring risk factors for childhood drowning deaths in Bangladesh.

PubMed

Hossain, Mosharaf; Mani, Kulanthayan K C; Sidik, Sherina Mohd; Hayati, K S; Rahman, A K M Fazlur

2015-09-10

Drowning contributes to incapacity and early death in many countries. In low- and middle-income countries, children are the most susceptible to fatalities. Over 50 % of the global drowning deaths occur among children aged under 15 years old with children aged between 1 and 4 years of age being most at risk. In Bangladesh, drowning rates are 10 to 20 times more than those in other developing countries. The object of this study is to determine the socio-demographic, environmental and caring hazard issues for child drowning in Bangladesh. A case-control study was conducted, with data collected from the Bangladesh Health and Injury Survey (BHIS) to identify the social-demographic and environmental factors associated with childhood drowning. The participants represented 171,366 households from seven divisions of Bangladesh-Dhaka, Rajshahi, Chittagong, Barisal, Sylhet, Khulna and Rangpur. The survey was conducted between January and December of 2003. A total of 141 children drowning were identified in the year preceding the survey. Data were analysed using descriptive statistics and logistic regression analysis. The odds ratios with 95% CI intervals were estimated for various associated factors for child drowning deaths. In Bangladesh, in 2003, the incidence of drowning deaths was 104.8 per 100,000 among those aged less than 5 years; 168.7 per 100,000 in rural areas; male 32.4 per 100,000; 112.7 per 100,000 between 10:00 a.m. and 2:00 p.m.; and cannot swim 134.9 per 100,000. The socio-demographic danger factors for child drowning deaths were: being male (OR = 1.45, 95% CI = 1.34-1.78), aged less than 5 years (OR = 2.89, 95% CI = 1.89-3.11), urban areas (OR = 0.67, 95% CI = 0.67-1.87), and mother being illiterate (OR = 1.69, 95% CI = 1.01-2.81). Significant environmental and caring factors included mother/caregiver not being the accompanying person (OR = 25.4, 95% CI = 14.4-45.3) and children cannot swim (OR = 4.5, 95% CI = 1.25-19.4). Drowning is the single largest reason for the mortality of children aged less than five years. There is a need to educate Bangladeshi parents and encourage behavioural change concerning supervision. The Government should use mass media to raise awareness about drowning among the community with a focus on rural areas. Policies should focus on increasing supervision by mothers/care persons, swimming skills, and should target illiterate mothers. Therefore, there is an immediate need for the Bangladeshi Government to address the problem of drowning.

Risk profile for drowning deaths in children in the Indian state of Bihar: results from a population-based study.

PubMed

Dandona, Rakhi; Kumar, G Anil; George, Sibin; Kumar, Amit; Dandona, Lalit

2018-05-19

We report on incidence of drowning deaths and related contextual factors in children from a population-based study in the Indian state of Bihar which estimated the causes of death using verbal autopsy (VA). Interviews were conducted for deaths in 1-14 years population that occurred from January 2012 to March 2014 in 109 689 households (87.1% participation) in 1017 clusters representative of the state. The Population Health Metrics Research Consortium shortened VA questionnaire was used for interview and cause of death was assigned using the SmartVA automated algorithm. The annualised unintentional drowning death incidence, activity prior to drowning, the body of water where drowning death had occurred and contextual information are reported. The survey covered 224 077 children aged 1-14 years. Drowning deaths accounted for 7.2%, 12.5% and 5.8% of all deaths in 1-4, 5-9 and 10-14 years age groups, respectively. The adjusted incidence of drowning deaths was 14.3 (95% CI 14.0 to 14.7) per 100 000 children, with it being higher in urban (16.1, 95% CI 14.8 to 17.3) areas. Nearly half of the children drowned in a river (5.9, 95% CI 5.6 to 6.1) followed by in a pond (2.8, 95% CI 2.6 to 2.9). Drowning death incidence was the highest while playing (5.1, 95% CI 4.9 to 5.4) and bathing (4.0, 95% CI 3.8 to 4.2) with the former accounting for more deaths in 1-4 years age group. Sixty per cent of children were already dead when found. None of these deaths were reported to the civil registration system to obtain death certificate. The findings from this large representative sample of children document the magnitude of and variations in unintentional drowning deaths in Bihar. Urgent targeted drowning interventions are needed to address the risk in children. Gross under-reporting of drowning deaths in children in India needs attention. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Formative research to develop theory-based messages for a Western Australian child drowning prevention television campaign: study protocol

PubMed Central

Denehy, Mel; Crawford, Gemma; Leavy, Justine; Nimmo, Lauren; Jancey, Jonine

2016-01-01

Introduction Worldwide, children under the age of 5 years are at particular risk of drowning. Responding to this need requires the development of evidence-informed drowning prevention strategies. Historically, drowning prevention strategies have included denying access, learning survival skills and providing supervision, as well as education and information which includes the use of mass media. Interventions underpinned by behavioural theory and formative evaluation tend to be more effective, yet few practical examples exist in the drowning and/or injury prevention literature. The Health Belief Model and Social Cognitive Theory will be used to explore participants' perspectives regarding proposed mass media messaging. This paper describes a qualitative protocol to undertake formative research to develop theory-based messages for a child drowning prevention campaign. Methods and analysis The primary data source will be focus group interviews with parents and caregivers of children under 5 years of age in metropolitan and regional Western Australia. Qualitative content analysis will be used to analyse the data. Ethics and dissemination This study will contribute to the drowning prevention literature to inform the development of future child drowning prevention mass media campaigns. Findings from the study will be disseminated to practitioners, policymakers and researchers via international conferences, peer and non-peer-reviewed journals and evidence summaries. The study was submitted and approved by the Curtin University Human Research Ethics Committee. PMID:27207621

Retrospective evaluation of prehospital triage, presentation, interventions and outcome in paediatric drowning managed by a physician staffed helicopter emergency medical service.

PubMed

Garner, Alan A; Barker, Claire L; Weatherall, Andrew D

2015-11-06

Drowning patients may benefit from the advanced airway management capabilities that can be provided by physician staffed helicopter emergency medical services. The aim of this study is to describe paediatric drowning patients treated by such a service examining tasking systems, initial physiology at the incident scene, survival and neurological outcome. Retrospective analysis of paediatric drowning victims over a 5- year period. Case identification system, patient age, site of drowning, presence or absence of cardiac output, first Glasgow Coma Scale (GCS) score and interventions were collected from prehospital notes, and survival and neurological outcomes from hospital and rehabilitation notes. The P-HEMS direct case identification system operating in parallel with a central control system identified all severe drowning cases but 3 of 7 cases (43%) were missed when the central control system operated in isolation. All severe drowning cases (22) identified for P-HEMS response were intubated and transported directly to a paediatric specialist centre. Intubation required adjuvant anaesthesia in 10 (45%) cases. All children with GCS greater than eight on arrival of the P-HEMS survived neurologically intact. Seven of eight children with a GCS between four and seven survived without neurological impairment and all children with a GCS greater than three survived. Four of twelve asystolic children survived including one child who at 18 months post drowning is neurologically normal. All children who survived had return of spontaneous circulation prior to arrival in the emergency department. P-HEMS played a significant role in the management of severe paediatric drowning in this case series. Requirement for P-HEMS only interventions were high and all identified cases were transferred directly to a paediatric specialist centre. Discontinuation of the P-HEMS direct case identication system that operated during the majority of the study period resulted in deterioration in system performance with some paediatric drowning cases subsequently not identified for P-HEMS response being transported to adult hospitals.

Fatal Drownings in Fiji.

PubMed

Murray, Kathryn; Carter, Peter

2017-01-01

Drowning is a newly comprehended public health concern in Fiji. Defined as "the process of experiencing respiratory impairment from submersions or immersion in liquid," drowning has been identified as one of Fiji's 5 leading causes of death for those aged 1 to 29 years. The aim of this article was to develop the most parsimonious model that can be used to explain the number of monthly fatal drowning cases in Fiji. Based on a cross-section of 187 drowning incidents from January 2012 to April 2015, this observational study found the number of monthly drownings in Fiji was significantly affected by monthly rainfall ( P = .008, 95% confidence interval = 0.10-0.62) and the number of days comprising public holidays/weekends ( P = .018, 95% confidence interval = 0.06-0.60). Furthermore, the multiple coefficient of determination ( r 2 = .4976) indicated that almost half the variation in drownings was explained by rainfall and public holidays/weekend periods. Inadequate supervision, an inability to identify or carry out safe rescue techniques, and limited water-safety knowledge were identified as common risk factors. To overcome this preventable cause of death, technically guided interventions need to be actively embedded into a range of government policies and community health promotions, disaster management, and education programs.

Molecular pathology of pulmonary surfactants and cytokines in drowning compared with other asphyxiation and fatal hypothermia.

PubMed

Miyazato, Takako; Ishikawa, Takaki; Michiue, Tomomi; Maeda, Hitoshi

2012-07-01

Drowning involves complex fatal factors, including asphyxiation and electrolyte/osmotic disturbances, as well as hypothermia in cold water. The present study investigated the molecular pathology of pulmonary injury due to drowning, using lung specimens from forensic autopsy cases of drowning (n = 21), acute mechanical asphyxia due to neck compression and smothering (n = 24), and hypothermia (cold exposure, n = 11), as well as those of injury (n = 23), intoxication (n = 13), fire fatality (n = 18), and acute cardiac death (n = 9) for comparison. TaqMan real-time reverse transcription polymerase chain reaction was used to quantify messenger RNA (mRNA) expressions of pulmonary surfactant-associated proteins A and D (SP-A and SP-D), tumor necrosis factor (TNF)-α, interleukin (IL)-1β, and IL-10. SP-A and SP-D mRNA levels were lower for drowning, mechanical asphyxiation, fire fatality, and acute cardiac deaths than for hypothermia and injury. TNF-α, IL-1β, and IL-10 mRNA levels were higher for drowning or for drowning and injury than for other groups; there was no significant difference between fire fatality, involving airway injury due to inhalation of hot/irritant gases, and other control groups. These observations suggest characteristic molecular biological patterns of pulmonary injury involving suppression of pulmonary surfactants and activation of early-phase mediators of inflammation in drowning, with high mRNA expression levels of pulmonary surfactants in fatal hypothermia; however, there was no significant difference among these markers in immunohistochemical detection, except for SP-A. These mRNA expressions can be used as markers of pulmonary injury to assist in investigations of the pathophysiology of drowning and fatal hypothermia in combination with other biochemical and biological markers.

A challenging case of invasive pulmonary aspergillosis after near-drowning: a case report and literature review

PubMed Central

Jenks, Jeffrey D.; Preziosi, Michael

2015-01-01

Near-drowning, a relatively common event, is often complicated by subsequent pneumonia. While endogenous and exogenous bacteria are typical pathogens, rarely fungi are as well. We report a complicated case of invasive pulmonary aspergillosis in a 30-year-old man after a near-drowning event. We also review the medical literature for similar cases. All cases of invasive pulmonary aspergillosis after near-drowning reported in the literature involve Aspergillus fumigatus. The majority of cases involved submersion in stagnant water after a motor vehicle accident (MVA). Treatment varied considerably, with amphotericin B used in the majority of cases. Morbidity was considerable with prolonged hospitalization occurring in every case, and mortality occurring in fifty percent of the reported cases. Although a rare complication of near-drowning, invasive pulmonary aspergillosis can occur and lead to significant morbidity and mortality. After near-drowning A. fumigatus isolated from the respiratory tract should be assumed to be a true pathogen and treated accordingly. PMID:26392737

Improving Pool Fencing Legislation in Queensland, Australia: Attitudes and Impact on Child Drowning Fatalities

PubMed Central

2017-01-01

Four-sided, non-climbable pool fencing is an effective strategy for preventing children from drowning in home swimming pools. In 2009, the Queensland Government introduced legislation to improve the effectiveness of pool fencing. This study explores community attitudes towards the effectiveness of these legislative changes and examines child (<5 years) drowning deaths in pools. Data from the 2011 Queensland Computer-Assisted Telephone Interviewing (CATI) Social Survey include results from questions related to pool ownership and pool fencing legislation. Fatal child drowning cases between 1 January 2005 and 31 December 2015 were sourced from coronial data. Of the 1263 respondents, 26/100 households had a pool. A total of 58% believed tightening legislation would be effective in reducing child drowning deaths. Pool owners were more likely to doubt the effectiveness of legislation (p < 0.001) when compared to non-pool owners. Perceptions of effectiveness did not differ by presence of children under the age of five. There were 46 children who drowned in Queensland home pools (7.8/100,000 pools with children residing in the residence/annum) between 2005 and 2015. While pool owners were less likely to think that tightening the legislation would be effective, the number of children drowning in home swimming pools declined over the study period. Drowning prevention agencies have more work to do to ensure that the most vulnerable (young children in houses with swimming pools) are protected. PMID:29186787

Bathtub drowning: An 11-year retrospective study in the state of Maryland.

PubMed

Okuda, Takahisa; Wang, Zhuo; Lapan, Sheldon; Fowler, David R

2015-08-01

A bathtub drowning is one of the leading causes of death in a bathtub. The purpose of this study was to evaluate how reliable the drowning-related signs could be for identifying a bathtub drowning in the cases of death in the bathtub. Performing a retrospective review of 92 deaths in the bathtub in Maryland, 71.7 percent were the presence of bathtub drowning and 28.3 percent were the absence of bathtub drowning. Three leading contributory causes of death were cardiovascular disease, drug/alcohol-related death, and seizure disorder in both groups. There was a statistically significant difference between the groups in relation to a history of recovery from the water (95.5% and 38.4%, p<0.001), foam in the air way (33.3% and 15.4%, p<0.05), watery fluid in the sphenoid sinuses (81.8% and 11.5%, p<0.05), hyperinflated lungs (36.4% and 3.8%, p<0.01), and watery fluid in the stomach contents (40.9% and 3.8%, p<0.01). More than triple overlapped drowning-related signs could be beneficial for the diagnosis of a bathtub drowning. A comprehensive investigation incorporating a thorough scene investigation, gathering of the victim's medical and psychosocial history, and a meticulous full autopsy is necessary to elucidate both the cause and manner of death in these cases of death in the bathtub. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Competitive Swimming and Racial Disparities in Drowning

PubMed Central

Myers, Samuel L.; Cuesta, Ana M.; Lai, Yufeng

2018-01-01

This paper provides compelling evidence of an inverse relationship between competitive swimming rates and drowning rates using Centers for Disease Control and Prevention (CDC) data on fatal drowning rates and membership rates from USA Swimming, the governing organization of competitive swimming in the United States. Tobit and Poisson regression models are estimated using panel data by state from 1999–2007 separately for males, females, African Americans and whites. The strong inverse relationship between competitive swimming rates and unintentional deaths through fatal drowning is most pronounced among African Americans males.

Drowning is an apparent and unexpected recurrent cause of mass mortality of Common starlings (Sturnus vulgaris)

PubMed Central

Lawson, Becki; Duff, J. Paul; Beckmann, Katie M.; Chantrey, Julian; Peck, Kirsi M.; Irvine, Richard M.; Robinson, Robert A.; Cunningham, Andrew A.

2015-01-01

Drowning is infrequently reported as a cause of death of wild birds and such incidents typically involve individual, rather than multiple, birds. Over a 21-year period (1993 to 2013 inclusive), we investigated 12 incidents of mortality of multiple (2 − 80+) Common starlings (Sturnus vulgaris) in Great Britain that appeared to be due to drowning. More than ten birds were affected in ten of these reported incidents. These incidents always occurred during the spring and early summer months and usually involved juvenile birds. In all cases, circumstantial evidence and post-mortem examinations indicated drowning to be the most likely cause of death with no underlying disease found. A behavioural explanation seems likely, possibly related to the gregarious nature of this species combined with juvenile inexperience in identifying water hazards. A review of data from the ringed bird recovery scheme across Great Britain (1909–2013 inclusive) of both starlings and Common blackbirds (Turdus merula), also a common garden visitor, identified additional suspected drowning incidents, which were significantly more common in the former species, supporting a species predisposition to drowning. For each species there was a marked seasonal peak from April to August. Drowning should be included as a differential diagnosis when investigating incidents of multiple starling mortality, especially of juveniles. PMID:26601771

Epidemiology of drowning in Isfahan province, center of Iran

PubMed Central

Sheikhazadi, Ardeshir; Ghadyani, Mohammad Hasan

2009-01-01

BACKGROUND: Drowning is a preventable cause of morbidity and mortality. We studied drowning deaths in Isfahan province, focusing on the activity victims were involved in and the setting of the incident. METHODS: Retrospective analysis was done on all drowning deaths referred to Legal Medicine Organization of Isfahan province over a period of 5 years from 1 January 2002 to 31 December 2006. RESULTS: During these 5 years, 355 persons suffered fatal drowning in Isfahan province. The annual incidence rate was 1.6 per 100000 population (2.6 & 0.4 for males and females, respectively). Mean age was 21.99 ± 14.86 and M/F ratio was 6.5:1. Most victims were 15-24 and 5-14 years of age (172 and 62 decedents, 3.0 and 1.8 per 100000 popula-tion/year, respectively). Most incidents occurred in natural settings, of which rivers, canals, lakes and ponds were the most common sites, respectively. The most frequently connected activity was swimming and wading, followed by accidental fall into water. The manner of death was found as following: 85.1% accidental, 1.7% suicidal, 0.3% homicidal and 12.9% undetermined. CONCLUSIONS: Although the drowning related mortality in Isfahan province is comparable to developed countries, effective prevention of drowning with better programming and policies might reduce its rate. PMID:21772866

This Much Water: a qualitative study using behavioural theory to develop a community service video to prevent child drowning in Western Australia.

PubMed

Denehy, Mel; Leavy, Justine E; Jancey, Jonine; Nimmo, Lauren; Crawford, Gemma

2017-07-31

Drowning in children under the age of 5 is a frequently occurring, yet preventable event. This research used behavioural theory to test the suitability and appropriateness of a drowning prevention message in a community service video. This qualitative study used content analysis of focus groups. Constructs from the Health Belief Model guided the data analysis. Community organisations and playgrounds in Perth, Western Australia. Participants were parents or carers of at least one child under 5 years residing in Western Australia. Seven focus groups (n=57) were conducted with eight participants in each group. Most participants were parents (96%), female (95%), aged between 25 and 34 years (63%) and were born in Australia (68%). Participants indicated the community service video was credible in communicating the message that young children were susceptible to drowning in shallow water and that various water hazards existed in and around the home. However, a range of external factors, such as the child's age, type of water hazard, presence of siblings and other environmental factors, influenced risk perceptions. Child drowning was seen as a serious issue. Controlling access to water and the role of supervision were understood to be important factors in preventing drowning. The lack of published drowning prevention interventions shaped by behavioural theory limits the understanding of best practice. Using constructs from the Health Belief Model, this research confirmed the perceived seriousness, devastating and unforgettable consequence of drowning; however, findings were mixed regarding cues to action. Future development of drowning prevention media messages should test strategies to increase susceptibility and self-efficacy among the target group and explore the impact of different message senders. The findings provide a valuable understanding of possible messages and their execution for use in media campaigns, as one component of an effective public health intervention to prevent child drowning underpinned by behavioural theory. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Formative research to develop theory-based messages for a Western Australian child drowning prevention television campaign: study protocol.

PubMed

Denehy, Mel; Crawford, Gemma; Leavy, Justine; Nimmo, Lauren; Jancey, Jonine

2016-05-20

Worldwide, children under the age of 5 years are at particular risk of drowning. Responding to this need requires the development of evidence-informed drowning prevention strategies. Historically, drowning prevention strategies have included denying access, learning survival skills and providing supervision, as well as education and information which includes the use of mass media. Interventions underpinned by behavioural theory and formative evaluation tend to be more effective, yet few practical examples exist in the drowning and/or injury prevention literature. The Health Belief Model and Social Cognitive Theory will be used to explore participants' perspectives regarding proposed mass media messaging. This paper describes a qualitative protocol to undertake formative research to develop theory-based messages for a child drowning prevention campaign. The primary data source will be focus group interviews with parents and caregivers of children under 5 years of age in metropolitan and regional Western Australia. Qualitative content analysis will be used to analyse the data. This study will contribute to the drowning prevention literature to inform the development of future child drowning prevention mass media campaigns. Findings from the study will be disseminated to practitioners, policymakers and researchers via international conferences, peer and non-peer-reviewed journals and evidence summaries. The study was submitted and approved by the Curtin University Human Research Ethics Committee. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Drowned carbonate platforms in the Huon Gulf, Papua New Guinea

NASA Astrophysics Data System (ADS)

Webster, Jody M.; Wallace, Laura; Silver, Eli; Applegate, Bruce; Potts, Donald; Braga, Juan Carlos; Riker-Coleman, Kristin; Gallup, Christina

2004-11-01

The western Huon Gulf, Papua New Guinea, is an actively subsiding foreland basin dominated by drowned carbonate platforms. We investigated these platforms using new high-resolution multibeam, side-scan sonar and seismic data, combined with submersible observations and previously published radiometric and sedimentary facies data. The data reveal 14 distinct drowned carbonate platforms and numerous pinnacles/banks that increase in age (˜20-450 kyr) and depth (0.1-2.5 km) NE toward the Ramu-Markham Trench. Superimposed on this overall downward flexing of the platforms toward the trench is a systematic tilting of the deep platforms 15 m/km toward the NW and the shallow platforms 2 m/km toward the SE. This may reflect the encroaching thrust load from the NW (Finisterre Range) and spatial variations in the flexural rigidity of the underlying basement. The drowned platforms form a complex system of promontories and reentrants, with abundant pinnacles and banks preserved at similar depths seaward of the main platforms. This configuration closely mimics the present-day Huon coastline and its seaward islands fringed by modern coral reefs. The platforms retain structural, morphologic, and sedimentary facies evidence of primary platform growth, drowning, and subsequent backstepping, despite some lateral erosion of the platform margins (<100 m slope defacement) by mass wasting. Both platforms and pinnacles are composite features containing multiple terrace levels and notches, corresponding to multiple phases of growth, emergence, and drowning in response to rapid climatic and sea level changes during the evolution of each structure. On the basis of all observational and numerical modeling data, we propose a chronology for the initiation, growth, and drowning of the 14 platforms. Over shorter timescales (≤100 kyr) the rate and amplitude of eustatic sea level changes are critical in controlling initiation, growth, drowning or subaerial exposure, subsequent reinitiation, and final drowning of the platforms. However, continued tectonic subsidence and basement substrate morphology influence the overall backstepping geometry and subsequent tilting of the platforms over longer timescales (≥100-500 kyr).

Drowning in Pretoria, South Africa: A 10-year review.

PubMed

Morris, N K; du Toit-Prinsloo, L; Saayman, G

2016-01-01

Drowning is classified as the 3rd leading cause of accidental deaths worldwide and is deemed to be a preventable cause of death. Bodies retrieved from a water medium pose several challenges to the forensic pathologist with the diagnosis of drowning being primarily one of exclusion. The aim of this study was to do a retrospective descriptive case audit of bodies retrieved from water and immersion related deaths, which were investigated at the Pretoria Medico-Legal Laboratory (PMLL) over a 10 year period (January 2002 through December 2011). A total of 346 cases were identified for inclusion into this study. In 6% (20) of these cases, the death was not related to drowning; in 14% (48) no clear cause of death could be ascertained and in 278 cases (80%) the cause of death was considered to have been due to drowning. Infants (under 1 year, of age) constituted 41 (15%) of the cases; toddlers (aged 1-2 years) comprised 52 (19%) cases; children (aged 2-13 years) 49 (18%) cases; adolescents (aged 13-18 years) comprised 10 (3%) cases; adults (above 18, years) made up 126 (45%) of the cases. The majority of the drownings, occurred in swimming pools [125 cases (38%)]. In infants 23 (56%) of, drownings occurred in swimming pools followed by buckets [7 cases (17%)]. Sixty-nine per cent of toddler drownings (36 cases) occurred in swimming, pools. In the adult population, 40 (32%) of cases occurred in pools and 35 cases (28%) in rivers. Positive blood alcohol results were recorded in 48, (42%) out of 113 cases where the test was requested, 40 (35%) of these, cases higher than 0.05 g per 100 ml. This study suggests that many drowning deaths in Pretoria may be preventable by introducing greater public awareness of the risks and instituting relatively simple, protective measures. Copyright © 2015 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

Let's Go Under! Teaching Water Safety Skills Using a Behavioral Treatment Package

ERIC Educational Resources Information Center

Levy, Kimberly M.; Ainsleigh, Susan A.; Hunsinger-Harris, Melissa L.

2017-01-01

Drowning is a leading cause of unintentional death among children worldwide. Children with autism spectrum disorder (ASD) are at higher risk for incidents of drowning then their non-disabled peers. Mastering water safety skills, such as underwater submersion, has been associated with a decreased risk for incidents of drowning. Using a combined…

Assessing the duration of drowning episodes during the Early Cretaceous

NASA Astrophysics Data System (ADS)

Godet, A.; Föllmi, K. B.

2013-12-01

Drowning unconformities are stratigraphic key surfaces in the history of carbonate platforms. They mostly consist in the deposition of deep marine facies on top of shallow marine limestones. Although large-scale depositional geometries mimic lowstand systems track architecture, these sedimentary turnovers are developed in relation with major sea level rise, inducing an increase in the rate of creation of accommodation space that outpaces the capacity of carbonate to keep up. This so-called paradox of carbonate platform drowning implies that other parameters than purely eustatic fluctuations are involved in the demise of shallow marine ecosystems. Worldwide and at different time during Earth history, in-depth studies of drowning unconformities revealed that changes in nutrient input, clastic delivery, temperature, or a combination of them may be responsible for a decrease in light penetration in the water column and the progressive suffocation and poisoning of photosynthetic carbonate producers. The examination of such case examples from various stratigraphic intervals and palaeogeographical settings thus helps in identifying and hierarchizing potential triggering mechanisms for drowning unconformities. This is complemented by new data from Early Cretaceous successions from the Helvetic Alps. During this time period, the Helvetic carbonate platform developed along the northern Tethyan margin using both photozoan and heterozoan communities. Phases of healthy production were interrupted by several drowning episodes. The latter are marked in the sedimentary record by condensation and associated phosphogenesis and glauconitisation. From the earliest Valanginian to the early to late Barremian, three drowning unconformities reflect the intermittent installation of a more humid climate and subsequent enhanced trophic conditions, which first induced a switch from photozoan to heterozoan communities and then to long-lasting drowning phases. The latter encompass several sea level rise and fall cycles, and may be linked to strengthened upwelling currents. Moreover during the late Hauterivian - early Barremian time period, the correlation of platform carbonates with basinal sediments, by means of bio-, chemo- and sequence stratigraphy, allows to estimate the duration of a drowning episode. With the return to more oligotrophic conditions during the late Barremian, photozoan, Urgonian-type communities took up again. Their development has been abruptly stopped at the end of the early Aptian by a major emersion phase. The subsequent drowning is documented in various peritethyan areas. This initial crisis is followed by three other drowning phases that ultimately led to the replacement of shallow ecosystems by a deeper marine sedimentation in the Cenomanian. This long-term trend in the evolution of the Helvetic carbonate platform and of other peritethyan ecosystems may have been driven by more global phenomena.

[Value of specific 16S rDNA fragment of algae in diagnosis of drowning: an experiment with rabbits].

PubMed

Li, Peng; Xu, Qu-Yi; Chen, Ling; Liu, Chao; Zhao, Jian; Wang, Yu-Zhong; Yu, Zheng-Liang; Hu, Sun-Lin; Wang, Hui-Jun

2015-08-01

To establish a method for amplifying specific 16S rDNA fragment of algae related with drowning and test its value in drowning diagnosis. Thirty-five rabbits were randomly divided into 3 the drowning group (n=15), postmortem water immersion group (n=15, subjected to air embolism before seawater immersion), and control group(n=5, with air embolism only). Twenty samples of the liver tissues from human corpses found in water were also used, including 14 diatom-positive and 6 diatom-negative samples identified by microwave digestion-vacuum filtration-automated scanning electron microscopy (MD-VF-Auto SEM). Seven known species of algae served as the control algae (Melosira sp, Nitzschia sp, Synedra sp, Navicula sp, Microcystis sp, Cyclotella meneghiniana, and Chlorella sp). The total DNA was extracted from the tissues and algae to amplify the specific fragment of algae followed by 8% polyacrylamide gelelectrophoresis and sliver-staining. In the drowning group, algae was detected in the lungs (100%), liver (86%), and kidney (86%); algae was detected in the lungs in 2 rabbits in the postmortem group (13%) and none in the control group. The positivity rates of algae were significantly higher in the drowning group than in the postmortem group (P<0.05). Of the 20 tissue samples from human corps found in water, 15 were found positive for algae, including sample that had been identified as diatom-negative by MD-VF-Auto SEM. All the 7 control algae samples yielded positive results in PCR. The PCR-based method has a high sensitivity in algae detection for drowning diagnosis and allows simultaneous detection of multiple algae species related with drowning.

Cognitive performance in transient global hypoxic brain injury due to moderate drowning.

PubMed

Nucci, Mariana Penteado; Lukasova, Katerina; Vieira, Gilson; Sato, João Ricardo; Amaro Júnior, Edson

2018-06-01

Drowning is a serious and frequently neglected public health threat. Primary respiratory impairment after submersion often leads to brain dysfunction. Depending on the period of global hypoxia (respiratory failure), clinical aspects of neurological dysfunction are evident on the first evaluation after the water rescue. Nowadays, many neuropsychological assessments after drowning are inconclusive, with some studies reporting only minor neurological or cognitive impairments. The aim of this study is to identify measures in neuropsychological tests that most contribute to classify volunteers as moderate drowning subjects or healthy controls. To the best of our knowledge, this study is the first neuropsychological prospective case-control study of moderate drowning in a country with large coastal cities. Fifteen moderate drowning patients (DP), who met the inclusion criteria, were compared with 18 healthy controls (HC). All subjects were assessed on memory, learning, visual spatial ability, executive function, attention, and general intellectual functioning and underwent structural magnetic resonance (MR) imaging of the brain at 3.0 T, in order to exclude subjects with anatomic abnormalities. Neuropsychological tests assessing learning, execution function, and verbal fluency-Rey Auditory Verbal Learning Test (RAVLT) general learning ability, Digit Span total, Phonological Verbal Fluency (total FAS correct), and Brief Visuospatial Memory Test Revised (BVMT) correct recognition-have the strongest discriminating ability, using predictive models via the partial least squares (PLS) approach for data classification, while the other tests have shown similar predictive values between groups. Learning, execution function, and verbal fluency domains were the most critically affected domains. Serious impairments in the same domains have already been reported in severe drowning cases, and we hypothesize that subtle alterations found in moderate drowning cases, although not sufficient to be detected in daily routine, may possibly have a negative impact on cognitive reserve.

Alcohol and its contributory role in fatal drowning in Australian rivers, 2002-2012.

PubMed

Peden, Amy E; Franklin, Richard C; Leggat, Peter A

2017-01-01

Examine the prevalence of alcohol and its contributory role in unintentional fatal river drowning in Australia to inform strategies for prevention. Cases of unintentional fatal river drowning in Australia, 1-July-2002 to 30-June-2012, were extracted from the National Coronial Information System. Cases with positive alcohol readings found through autopsy or toxicology reports were retained for analysis. Discrete analysis was conducted on cases with a Blood Alcohol Content (BAC) of ≥0.05% (0.05grams of alcohol in every 100 millilitres of blood). Alcohol was known to be involved in 314 cases (40.8%), 279 recorded a positive BAC, 196 (70.3%) recorded a BAC of ≥0.05%. 40.3% of adult victims had a BAC of ≥0.20%. Known alcohol involvement was found to be more likely for victims who drowned as a result of jumping in (χ 2 =7.8; p<0.01), identify as Aboriginal and Torres Strait Islander (χ 2 =8.9; p<0.01) and drowned in the evening (χ 2 =7.8; p<0.01) and early morning (χ 2 =16.1; p<0.01) hours. The number of people who drown with alcohol in their bloodstream is concerning and challenging for prevention. To assist with the prevention of alcohol related river drowning improved data quality, as well as a greater understanding of alcohol's contribution and consumption patterns at rivers (especially those <18 years of age) is required. Alcohol contributes to fatal unintentional drowning in Australian rivers. Although prevention is challenging, better data and exposure studies are the next step to enhance prevention efforts. Copyright © 2016 Elsevier Ltd. All rights reserved.

Association Between Swimming Lessons and Drowning in Childhood

PubMed Central

Brenner, Ruth A.; Taneja, Gitanjali Saluja; Haynie, Denise L.; Trumble, Ann C.; Qian, Cong; Klinger, Ron M.; Klebanoff, Mark A.

2014-01-01

Objective To estimate the association between swimming lessons and the risk of drowning among children aged 1 to 19 years. Design Case-control study. Setting Cases were identified from medical examiners’/ coroners’ offices between mid-2003 and mid-2005. Jurisdictions included the states of Maryland and North Carolina, 14 districts (33 counties) in Florida, 3 counties in California, 1 county in Texas, and 1 county in New York. Participants Cases were children and adolescents aged 1 to 19 years who died of unintentional drowning. Interviews were conducted with 88 families of children who drowned and 213 matched controls. Main Exposure Swimming lessons. Main Outcome Measure Death due to unintentional drowning. Drownings that were intentional, of undetermined intent, or that occurred under conditions in which swimming ability was unlikely to impact risk (eg, in ice water or bathtubs) were excluded. Results Of the 61 cases in the 1- to 4-year age group, 2 (3%) had participated in formal swimming lessons vs 35 of 134 matched controls (26%) (adjusted odds ratio [OR], 0.12; 95% confidence interval [CI], 0.01–0.97). Among the 27 cases aged 5 to 19 years, 7 (27%) had ever taken formal swimming lessons vs 42 of 79 matched controls (53%) (adjusted OR, 0.36; 95% CI, 0.09–1.51). In adjusted analyses, there was no statistically significant association between informal instruction and drowning risk. Conclusions Participation in formal swimming lessons was associated with an 88% reduction in the risk of drowning in the 1- to 4-year-old children, although our estimates were imprecise and 95% CIs included risk reductions ranging from 3% to 99%. PMID:19255386

Rip current related drowning deaths and rescues in Australia 2004-2011

NASA Astrophysics Data System (ADS)

Brighton, B.; Sherker, S.; Brander, R.; Thompson, M.; Bradstreet, A.

2013-04-01

Rip currents are a common hazard to beachgoers found on many beaches around the world, but it has proven difficult to accurately quantify the actual number of rip current related drowning deaths in many regions and countries. Consequently, reported estimates of rip current drowning can fluctuate considerably and are often based on anecdotal evidence. This study aims to quantify the incidence of rip current related drowning deaths and rescues in Australia from 2004 to 2011. A retrospective search was undertaken for fatal and non-fatal rip-related drowning incidents from Australia's National Coronial Information System (NCIS), Surf Life Saving Australia's (SLSA, 2005-2011) SurfGuard Incident Report Database (IRD), and Media Monitors for the period 1 July 2004 to 30 June 2011. In this time, rip currents were recorded as a factor in 142 fatalities of a total of 613 coastal drowning deaths (23.2%), an average of 21 per year. Rip currents were related to 44% of all beach-related drowning deaths and were involved in 57.4% of reported major rescues in Australian locations where rips occur. A comparison with international operational statistics over the same time period describes rip-related rescues as 53.7% of the total rescues in the US, 57.9% in the UK and 49.4% in New Zealand. The range 49-58% is much lower than 80-89% traditionally cited. The results reported are likely to underestimate the size of the rip current hazard, because we are limited by the completeness of data on rip-related events; however this is the most comprehensive estimate to date. Beach safety practitioners need improved data collection and standardized definitions across organisations. The collection of drowning data using consistent categories and the routine collection of rip current information will allow for more accurate global comparisons.

Drowning fatalities in childhood: the role of pre-existing medical conditions.

PubMed

Franklin, Richard C; Pearn, John H; Peden, Amy E

2017-10-01

This study is an analysis of the contribution of pre-existing medical conditions to unintentional fatal child (0-14 years) drowning and a of critique prevention stratagems, with an exploration of issues of equity in recreation. This study is a total population, cross-sectional audit of all demographic, forensic and on-site situational details surrounding unintentional fatal drowning of children 0-14 years in Australia for the period of 1 July 2002 to 30 June 2012. Data were sourced from the National (Australia) Coronial Information System. Age-specific disease patterns in the general population were obtained from the Australian Institute of Health and Welfare. Four hundred and sixty-eight children drowned during the study period. Fifty-three (11.3%) had a pre-existing medical condition, of whom 19 suffered from epilepsy, 13 from autism and 5 with non-specific intellectual disabilities. Epilepsy is a risk factor in childhood drowning deaths, with a prevalence of 4.1% of drowning fatalities, compared with 0.7%-1.7% among the general 0-14 years population (relative risk: 2.4-5.8). Epilepsy was deemed to be contributory in 16 of 19 cases (84.2% of epilepsy cases) with a median age of 8 years. Asthma and intellectual disabilities were under-represented in the drowning cohort. Except for epilepsy, this research has indicated that the risks of drowning while undertaking aquatic activities are not increased in children with pre-existing medical conditions. Children with pre-existing medical conditions can enjoy aquatic activities when appropriately supervised. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Preventing deaths in Alaska's commercial fishing industry.

PubMed

Conway, G A; Lincoln, J M; Jorgensen, S A; Klatt, M L; Manwaring, J C

1998-01-01

The arctic and sub-arctic waters of Alaska provide a very hazardous work setting, with special hazards posed by great distances, seasonal darkness, cold waters, high winds, brief fishing seasons, and icing. Our intent is to reduce the remarkably high occupational fatality rate (200/100,000/year in 1991-1992) among Alaska's commercial fishing workers. Over 90% of these deaths have been due to drowning or drowning plus hypothermia, primarily associated with vessel capsizings and sinkings. Comprehensive surveillance for commercial fishing occupational fatalities was established during 1991 in Alaska. During 1990 through 1994, the U.S. Commercial Fishing Industry Vessel Safety Act of 1988 required the implementation of comprehensive prevention measures for all fishing vessels in offshore cold waters, including immersion suits and other personal flotation devices, survival craft (life rafts), emergency position-indicating radio beacons, and crew training in emergency response and first aid. Parallel to this, voluntary training efforts by nonprofit organizations have greatly increased. During 1990-1994, drowning was the leading cause of occupational death in Alaska. During this period, 117 fishers died, 101 of them from drowning or drowning/hypothermia. During 1991-1994, there was a substantial decrease in Alaskan commercial fishing-related deaths, from 34 in 1991 to 35 in 1992, 22 in 1993, and 10 in 1994. While man-overboard drownings and some other categories of deaths (falls, fires) have continued to occur, the most marked progress has been in vessel-related events. Specific measures tailored to prevent drowning in vessel capsizings and sinkings in Alaska's commercial fishing industry have been very successful so far. Additional efforts must be made to reduce the frequency of vessel events and to prevent man-overboard events and drownings associated with them.

[Recommendations for the prevention of drowning].

PubMed

Rubio, B; Yagüe, F; Benítez, M T; Esparza, M J; González, J C; Sánchez, F; Vila, J J; Mintegi, S

2015-01-01

Drowning is the second leading cause of non-intentional death in children under the age of 19 in Europe. Weather conditions in Spain allow an extended period of contact with water, therefore increasing the risk of drowning (due to the increased exposure), and constitutes the second leading cause of accidental death in children less than 14 years of age. In children younger than 5 years, drowning occurs mostly in pools belonging to private homes or communities, while in older children, drowning is often linked to aquatic recreational activities in lakes, sea, rivers and canals, and at times associated with alcohol consumption. In this article, the Committee on Safety and Non-Intentional Injury Prevention in Childhood of the Spanish Association of Pediatrics provides a series of architectonic, educational and legislative recommendations to prevent such incidents. Copyright © 2014 Asociación Española de Pediatría. Published by Elsevier Espana. All rights reserved.

Quenching tank: Accidental drowning in hot quenching oil.

PubMed

Mugadlimath, Anand B; Sane, Mandar Ramchandra; Zine, Kailash U; Hiremath, Rekha M

2017-06-01

We describe an unusual case of drowning in fluid other than water in an industrial setting. A 26-year-old man was working in an industry which performs surface treatment of mechanical steel parts with quenching oil. He fell into the quenching oil (which was hot due to immersion of red hot metal parts), and as he was working alone in the particular section, there was a fatal outcome. A medico-legal autopsy was performed. The causes of death were found to be multiple, with the association of drowning, extensive superficial burns and asphyxia due to laryngeal oedema. To our knowledge, it is the first report of drowning in hot quenching oil, and only nine previous observations of drowning in industrial environments have been reported in the international literature. Even though rare, these kinds of accidental deaths can be prevented in dangerous industries with proper precautions and strict adherence to standard operating procedures.

Association between wearing a personal floatation device and death by drowning among recreational boaters: a matched cohort analysis of United States Coast Guard data.

PubMed

Cummings, P; Mueller, B A; Quan, L

2011-06-01

To estimate the association between wearing a personal floatation device (PFD) and death by drowning among recreational boaters. Matched cohort study analysis of Coast Guard data. United States. Recreational boaters during 2000-2006. Risk ratio (RR) for drowning death comparing boaters wearing a PFD with boaters not wearing a PFD. Approximately 4915 boater records from 1809 vessels may have been eligible for our study, but because of missing records and other problems, the analysis was restricted to 1597 boaters in 625 vessels with 878 drowning deaths. The adjusted RR was 0.51 (95% CI 0.35 to 0.74). If the estimated association is causal, wearing a PFD may potentially prevent one in two drowning deaths among recreational boaters. However, this estimate may be biased because many vessels had to be excluded from the analysis.

Sports related to drowning.

PubMed

Szpilman, David; Orlowski, James P

2016-09-01

Aquatic sports are included in the top list of risky practices as the environment per se carries a possibility of death by drowning if not rescued in time. Not only are aquatic sports related to a high risk of death, but also all sports practiced on the water, over the water and on ice. Whatever the reason a person is in the water, drowning carries a higher possibility of death if the individual is unable to cope with the water situation, which may simply be caused by an inability to stay afloat and get out of the water or by an injury or disease that may lead to physical inability or unconsciousness. The competitive nature of sports is a common pathway that leads the sports person to exceed their ability to cope with the environment or simply misjudge their physical capability. Drowning involves some principles and medical interventions that are rarely found in other medical situations as it occurs in a deceptively hostile environment that may not seem dangerous. Therefore, it is essential that health professionals are aware of the complete sequence of action in drowning. This article focuses on the pulmonary injury in sports and recreational activities where drowning plays the major role. Copyright ©ERS 2016.

Fatal river drowning: the identification of research gaps through a systematic literature review

PubMed Central

Leggat, Peter A

2016-01-01

Introduction Drowning is a leading cause of unintentional death. Rivers are a common location for drowning. Unlike other location-specific prevention efforts (home swimming pools and beaches), little is known about prevention targeting river drowning deaths. Methods A systematic literature review was undertaken using English language papers published between 1980 and 2014, exploring gaps in the literature, with a focus on epidemiology, risk factors and prevention strategies for river drowning. Results Twenty-nine papers were deemed relevant to the study design including 21 (72.4%) on epidemiology, 18 (62.1%) on risk factors and 10 (34.5%) that proposed strategies for prevention. Risk factors identified included age, falls into water, swimming, using watercraft, sex and alcohol. Discussion Gaps were identified in the published literature. These included a lack of an agreed definition for rivers, rates for fatal river drowning (however, crude rates were calculated for 12 papers, ranging from 0.20 to 1.89 per 100 000 people per annum), and consensus around risk factors, especially age. There was only one paper that explored a prevention programme; the remaining nine outlined proposed prevention activities. There is a need for studies into exposure patterns for rivers and an agreed definition (with consistent coding). Conclusions This systematic review has identified that river drowning deaths are an issue in many regions and countries around the world. Further work to address gaps in the published research to date would benefit prevention efforts. PMID:26728005

Drowning unconformities: Palaeoenvironmental significance and involvement of global processes

NASA Astrophysics Data System (ADS)

Godet, Alexis

2013-07-01

Drowning unconformities are stratigraphic key surfaces in the history of carbonate platforms. They mostly consist in the deposition of deep marine facies on top of shallow marine limestones. Although large-scale depositional geometries mimic lowstand systems track architecture, these sedimentary turnovers are developed in relation with major sea level rise, inducing an increase in the rate of creation of accommodation space that outpaces the capacity of carbonate to keep up. This so-called paradox of carbonate platform drowning implies that parameters other than purely eustatic fluctuations are involved in the demise of shallow marine ecosystems. Worldwide and at different times during Earth history, in-depth studies of drowning unconformities revealed that changes in nutrient input, clastic delivery, temperature, or a combination of them may be responsible for a decrease in light penetration in the water column and the progressive suffocation and poisoning of photosynthetic carbonate producers. The examination of such case examples from various stratigraphic intervals and palaeogeographical settings thus helps in identifying and hierarchizing potential triggering mechanisms for drowning unconformities. This is complemented by new data from Early Cretaceous successions from the Helvetic Alps. During this time period, the Helvetic carbonate platform developed along the northern Tethyan margin using both photozoan and heterozoan communities. Phases of healthy production were interrupted by several drowning episodes. The latter are marked in the sedimentary record by condensation and associated phosphogenesis and glauconitisation. From the earliest Valanginian to the early to late Barremian, three drowning unconformities reflect the intermittent installation of a more humid climate and subsequent enhanced trophic conditions, which first induced a switch from photozoan to heterozoan communities and then to long-lasting drowning phases. The latter encompass several sea level rise and fall cycles, and may be linked to strengthened upwelling currents. With the return to more oligotrophic conditions during the late Barremian, photozoan, Urgonian-type communities took up again. Their development has been abruptly stopped at the end of the early Aptian by a major emersion phase. The subsequent drowning is documented in various peritethyan areas. This initial crisis is followed by three other drowning phases that ultimately led to the replacement of shallow ecosystems by a deeper marine sedimentation in the Cenomanian. This long-term trend in the evolution of the Helvetic carbonate platform and of other peritethyan ecosystems may have been driven by more global phenomena. In particular, the progressive opening of the northern and equatorial Atlantic may have impacted sea level by creating new oceanic basins. The emplacement of submarine volcanic plateaus may have triggered sea level rise and fertilized deep oceanic waters through hydrothermal processes. Drowning unconformities thus record the interplay of local with long-term processes, and constitute regional sedimentary archives of global phenomena.

New evidence of Hawaiian coral reef drowning in response to meltwater pulse-1A

NASA Astrophysics Data System (ADS)

Sanborn, Kelsey L.; Webster, Jody M.; Yokoyama, Yusuke; Dutton, Andrea; Braga, Juan C.; Clague, David A.; Paduan, Jennifer B.; Wagner, Daniel; Rooney, John J.; Hansen, John R.

2017-11-01

Fossil coral reefs are valuable recorders of glacio-eustatic sea-level changes, as they provide key temporal information on deglacial meltwater pulses (MWPs). The timing, rate, magnitude, and meltwater source of these sea-level episodes remain controversial, despite their importance for understanding ocean-ice sheet dynamics during periods of abrupt climatic change. This study revisits the west coast of the Big Island of Hawaii to investigate the timing of the -150 m H1d terrace drowning off Kawaihae in response to MWP-1A. We present eight new calibrated 14C-AMS ages, which constrain the timing of terrace drowning to at or after 14.75 + 0.33/-0.42 kyr BP, coeval with the age of reef drowning at Kealakekua Bay (U-Th age 14.72 ± 0.10 kyr BP), 70 kms south along the west coast. Integrating the chronology with high-resolution bathymetry and backscatter data, detailed sedimentological analysis, and paleoenvironmental interpretation, we conclude the H1d terrace drowned at the same time along the west coast of Hawaii in response to MWP-1A. The timing of H1d reef drowning is within the reported uncertainty of the timing of MWP-1A interpreted from the IODP Expedition 310 Tahitian reef record.

Development of Abnormality Detection System for Bathers using Ultrasonic Sensors

NASA Astrophysics Data System (ADS)

Ohnishi, Yosuke; Abe, Takehiko; Nambo, Hidetaka; Kimura, Haruhiko; Ogoshi, Yasuhiro

This paper proposes an abnormality detection system for bather sitting in bathtub. Increasing number of in-bathtub drowning accidents in Japan draws attention. Behind this large number of bathing accidents, Japan's unique social and cultural background come surface. For majority of people in Japan, bathing serves purpose in deep warming up of body, relax and enjoyable time. Therefore it is the custom for the Japanese to soak in bathtub. However overexposure to hot water may cause dizziness or fainting, which is possible to cause in-bathtub drowning. For drowning prevention, the system detects bather's abnormal state using an ultrasonic sensor array. The array, which has many ultrasonic sensors, is installed on the ceiling of bathroom above bathtub. The abnormality detection system uses the following two methods: posture detection and behavior detection. The function of posture detection is to estimate the risk of drowning by monitoring bather's posture. Meanwhile, the function of behavior detection is to estimate the risk of drowning by monitoring bather's behavior. By using these methods, the system detects bathers' different state from normal. As a result of experiment with a subject in the bathtub, the system was possible to detect abnormal state using subject's posture and behavior. Therefore the system is useful for monitoring bather to prevent drowning in bathtub.

Drowning among the lakeside fishing communities in Uganda: results of a community survey.

PubMed

Kobusingye, Olive; Tumwesigye, Nazarius Mbona; Magoola, Joseph; Atuyambe, Lynn; Olange, Olakunle

2017-09-01

The study aimed to determine the drowning burden in four Ugandan lakeside districts; the prevalence of life jacket use, and community knowledge and attitudes regarding water safety. Subjects were recruited as they disembarked from boats. A structured questionnaire was used for demographics, experience on water, details of incidents in water, and awareness of drowning prevention measures. Focus group discussions (FGDs) and key informant interviews were held. The study interviewed 544 participants; 81.1% male, 86.8% below 45 years, and 51.1% involved in the fishing industry. A quarter (26.1%) of the respondents were observed wearing life jackets as they disembarked. Participants who had been in a boat that nearly capsized (57.8%), or that actually capsized (21.7%), were no more likely to wear life jackets than those who had not had these experiences. Three quarters (73.2%) did not know how to call for rescue, and only 48.7% could swim. There drowning fatality rate in this community was 502 deaths per 100,000 population. Majority of drowning events occurred during transportation (51.7%) or fishing (39.0%). The most frequently mentioned factors were stormy weather and overloading. Drowning is a common threat to young adults in the fishing communities around Lake Victoria. Few preventive interventions are in place.

Fatal river drowning: the identification of research gaps through a systematic literature review.

PubMed

Peden, Amy E; Franklin, Richard C; Leggat, Peter A

2016-06-01

Drowning is a leading cause of unintentional death. Rivers are a common location for drowning. Unlike other location-specific prevention efforts (home swimming pools and beaches), little is known about prevention targeting river drowning deaths. A systematic literature review was undertaken using English language papers published between 1980 and 2014, exploring gaps in the literature, with a focus on epidemiology, risk factors and prevention strategies for river drowning. Twenty-nine papers were deemed relevant to the study design including 21 (72.4%) on epidemiology, 18 (62.1%) on risk factors and 10 (34.5%) that proposed strategies for prevention. Risk factors identified included age, falls into water, swimming, using watercraft, sex and alcohol. Gaps were identified in the published literature. These included a lack of an agreed definition for rivers, rates for fatal river drowning (however, crude rates were calculated for 12 papers, ranging from 0.20 to 1.89 per 100 000 people per annum), and consensus around risk factors, especially age. There was only one paper that explored a prevention programme; the remaining nine outlined proposed prevention activities. There is a need for studies into exposure patterns for rivers and an agreed definition (with consistent coding). This systematic review has identified that river drowning deaths are an issue in many regions and countries around the world. Further work to address gaps in the published research to date would benefit prevention efforts. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Successful liver transplantation from donor with Plesiomonas shigelloides sepsis after freshwater drowning: case report and review of literature on gram-negative bacterial aspiration during drowning and utilization of organs from bacteremic donors.

PubMed

Bonatti, Hugo; Sifri, Costi; Sawyer, Robert G

2012-04-01

Plesiomonas shigelloides is a freshwater, non-fermentative gram-negative bacillus associated with diarrheal disease. Rare cases of invasive infection in human beings usually involve immunosuppressed individuals. We report a patient who underwent successful liver transplantation (LT) using a graft from a 14-year-old boy who had drowned in a freshwater lake. PUBMED was searched for both reported drowning victims with sepsis and outcomes of LT using organs from infected donors. Our patient received prophylactic piperacillin-tazobactam, which was switched to cefepime one day after transplantation when gram-negative bacteria grew in blood cultures of the donor. The next day, the organism was identified as P. shigelloides resistant to third- and fourth-generation cephalosporins; ciprofloxacin was given for seven days, and surveillance cultures remained negative. After an uneventful course the patient was discharged on day 10 after LT without signs of infection and is alive with a well-functioning graft. Literature review revealed one case of P. shigelloides in a potential allograft, in which the organism was isolated from heart valves of a drowning victim; the organs were discarded. Reports of freshwater drowning show that bacteremia is universally found post-mortem. Isolated pathogens correspond to specimens from the drowning site, with Aeromonas spp. being the most common and many other microorganisms described anecdotally. Livers from infected donors have been used, in most cases with good results if the recipient and, when possible, donor were treated appropriately; however, cases of fatal pathogen transmission have been reported. This is the first reported case of a LT using a graft from a donor with P. shigelloides sepsis. Drowning victims should be considered potentially infected with rare pathogens and therefore represent extended-criteria donors.

Croup

MedlinePlus

... information applies to you and to get more information on this subject. Featured ContentSecondary DrowningRead Article >>Secondary DrowningSensory Processing Disorder (SPD)Read Article >>Sensory Processing Disorder (SPD) ...

Rickets

MedlinePlus

... information applies to you and to get more information on this subject. Featured ContentSecondary DrowningRead Article >>Secondary DrowningSensory Processing Disorder (SPD)Read Article >>Sensory Processing Disorder (SPD) ...

Diaper Rash

MedlinePlus

... information applies to you and to get more information on this subject. Featured ContentSecondary DrowningRead Article >>Secondary DrowningSensory Processing Disorder (SPD)Read Article >>Sensory Processing Disorder (SPD) ...

Infant Jaundice

MedlinePlus

... information applies to you and to get more information on this subject. Featured ContentSecondary DrowningRead Article >>Secondary DrowningSensory Processing Disorder (SPD)Read Article >>Sensory Processing Disorder (SPD) ...

Meckel's Diverticulum

MedlinePlus

... information applies to you and to get more information on this subject. Featured ContentSecondary DrowningRead Article >>Secondary DrowningSensory Processing Disorder (SPD)Read Article >>Sensory Processing Disorder (SPD) ...

Shortness of Breath

MedlinePlus

... information applies to you and to get more information on this subject. Featured ContentSecondary DrowningRead Article >>Secondary DrowningSensory Processing Disorder (SPD)Read Article >>Sensory Processing Disorder (SPD) ...

Spitting Up in Babies

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... information applies to you and to get more information on this subject. Featured ContentSecondary DrowningRead Article >>Secondary DrowningSensory Processing Disorder (SPD)Read Article >>Sensory Processing Disorder (SPD) ...

Drowning

MedlinePlus

... Preschoolers are most likely to drown in a swimming pool. People who have seizure disorders are also ... near any body of water, including tubs Not swimming or boating when under the influence of alcohol ...

Water safety and drowning

MedlinePlus

... among people of all ages. Learning and practicing water safety is important to prevent drowning accidents. ... Water safety tips for all ages include: Learn CPR . Never swim alone. Never dive into water unless ...

How to Care for Your Baby's Teeth

MedlinePlus

... information applies to you and to get more information on this subject. Featured ContentSecondary DrowningRead Article >>Secondary DrowningSensory Processing Disorder (SPD)Read Article >>Sensory Processing Disorder (SPD) ...

Unintentional Drowning

MedlinePlus

... area unsupervised. If you are in and around natural water settings: Use U.S. Coast Guard approved life ... Swimming Pools CDC Feature Article: Drowning Risks in Natural Water Settings CDC: Recreational Water Illnesses (RWIs) CDC ...

Prevention of needless deaths from drowning.

PubMed

Modell, Jerome H

2010-07-01

To determine whether faulty pool maintenance and substandard lifeguard performance critically delayed retrieval and resuscitation of a significant number of pool drowning victims. One hundred and eighty drowning incidents that resulted in litigation from 1998 to 2008 were studied to determine whether faulty pool maintenance and/or substandard lifeguard performance delayed retrieval and thereby contributed to the death of these persons. A total of 180 swimming pools-commercial and private-were included. Ninety-seven of these pools were manned by lifeguards. Subjects who underwent the drowning process and suffered severe brain injury or death were reviewed to determine the rescue and resuscitation attempts by lifeguards or bystanders at the pool. One hundred and seventy-seven of the 180 persons who underwent the drowning process died. Cases were analyzed as to whether faulty pool maintenance and/or substandard lifeguard performance contributed to their demise. At fault were cloudy or dirty water; drain pipes that created underwater suction to trap victims; inadequate fencing around pools through which small children gained access; permitting small children to be at the pool without adult supervision; permitting dangerous exercises such as hyperventilation while underwater swimming, resulting in shallow water blackout; lifeguards not being attentive, being distracted by other persons, performing nonrelated chores, leaving their positions without proper relief, while failure to enter the water when told persons were submerged. Faculty pool maintenance and substandard lifeguard performance critically delayed retrieval and resuscitation of a significant number of pool drowning victims.

The alterations in adenosine nucleotides and lactic acid in striated muscles of rats during Rigor mortis following death with drowning or cervical dislocation.

PubMed

Pençe, Halime Hanim; Pençe, Sadrettin; Kurtul, Naciye; Yilmaz, Necat; Kocoglu, Hasan; Bakan, Ebubekir

2003-01-01

In this study, adenosine triphosphate (ATP), adenosine diphosphate (ADP), adenosine monophosphate (AMP) and lactic acid in the muscles of masseter, triceps, and quadriceps obtained from right and left sides of Spraque-Dawley rats following death were investigated. The samples were taken immediately and 120 minutes after death occurred. The rats were killed either by cervical dislocation or drowning. ATP concentrations in the muscles of masseter, triceps, and quadriceps were lower in samples obtained 120 minutes after death than in those obtained immediately after death. ADP, AMP, and lactic acid concentrations in these muscles were higher in samples obtained 120 minutes after death than those obtained immediately after death. A positive linear correlation was determined between ATP and ADP concentrations in quadriceps muscles of the rats killed with cervical dislocation and in triceps muscles of the rats killed with drowning. When rats killed with cervical dislocation and with drowning were compared, ADP, AMP, and lactic acid concentrations were lower in the former than in the latter for both times (immediately and 120 minutes after death occurred). In the case of drowning, ATP is consumed faster because of hard exercise or severe physical activity, resulting in a faster rigor mortis. Higher lactic acid levels were determined in muscles of the rats killed with drowning than the other group. In the control and electric shock rats, ATP decreased in different levels in the three different muscle types mentioned above in control group, being much decline in masseter and then in quadriceps. This may be caused by lower mass and less glycogen storage of masseter. No different ATP levels were measured in drowning group with respect to the muscle type possibly because of the severe activity of triceps and quadriceps and because of smaller mass of masseter. One can conclude that the occurrence of rigor mortis is closely related to the mode of death.

[Drowning mortality trends in children younger than 5 years old in Mexico, 1979-2008].

PubMed

Báez-Báez, Guadalupe Laura; Orozco-Valerio, María de Jesús; Dávalos-Guzmán, Julio César; Méndez-Magaña, Ana Cecilia; Celis, Alfredo

2012-01-01

To describe mortality trends from drowning in children younger than 5 years old. Mortality records of children younger than 5 years old were obtained from the National Health Information (SINAIS) system of Mexico from 1979 to 2008. Cause of death by asphyxia was established according to the International Classification of Diseases (ICD 9th and 10th). We analyzed age, sex, federal state, year and place where the event occurred. Fatal drowning diminished from 7.64 in 1979 to 3.59 deaths per 100,000 in 2008. This trend was observed throughout the assessment period and in all federal states. Children younger than 2 years showed the highest rate of death. Mortality was higher in males than females (1.7:1). A great proportion of events happen at home. Drowning mortality among children less than 5 years old in Mexico shows a downward trend in all states.

Evaluation of a Drowning Prevention Program Based on Testimonial Videos: A Randomized Controlled Trial

PubMed Central

Pang, Shulan; Schwebel, David C.

2016-01-01

Objective Unintentional drowning is the most common cause of childhood death in rural China. Global intervention efforts offer mixed results regarding the efficacy of educational programs. Methods Using a randomized controlled design, we evaluated a testimonial-based intervention to reduce drowning risk among 280 3rd- and 4th-grade rural Chinese children. Children were randomly assigned to view either testimonials on drowning risk (intervention) or dog-bite risk (control). Safety knowledge and perceived vulnerability were measured by self-report questionnaires, and simulated behaviors in and near water were assessed with a culturally appropriate dollhouse task. Results Children in the intervention group had improved children’s safety knowledge and simulated behaviors but not perceived vulnerability compared with controls. Conclusions The testimonial-based intervention’s efficacy appears promising, as it improved safety knowledge and simulated risk behaviors with water among rural Chinese children. PMID:26546476

Histological findings and immunohistochemical surfactant protein A (SP-A) expression in asphyxia: its application in the diagnosis of drowning.

PubMed

Pérez-Cárceles, M D; Sibón, A; Vizcaya, M A; Osuna, E; Gómez-Zapata, M; Luna, A; Martínez-Díaz, F

2008-09-01

The histopathological alterations that permit the diagnosis of death by asphyxia are very unspecific, although pulmonary alterations are of great importance in this respect. The postmortem diagnosis of drowning, particularly, continues to be one of the most difficult in forensic pathology. The aim of this study is to jointly evaluate microscopic findings and immunohistochemical surfactant protein A (SP-A) expression in the upper and lower lobes of lungs in different causes of death, and their possible application to the diagnosis of drowning. We studied 120 cadavers from subjects with a mean age of 48.73 years (SD 19.45; range 2-86 years), and with a mean post-mortem interval of 30 hours (SD 39.59; range 3-216 hours). According to the scene, cause and circumstances of death, and autopsy findings, cases were classified into groups as follows: (a) drowning (n=47); (b) other asphyxia (n=44) and (c) other causes (n=29). In the upper and lower lobes of lungs, histological studies of H&E staining and immunohistochemical surfactant protein A expression were made. The presence and severity of congestion, haemorrhage and oedema, together with immunohistochemical SP-A expression, may have a diagnostic value in differentiating asphyxia and drowning from other causes of death, and drowning from other types of asphyxia. Our findings suggest that both lobes should be investigated to establish the diagnosis, although the findings in the upper lobe might be the most important for differentiating the exact cause of death.

Drowned reefs and antecedent karst topography, Au'au channel, S.E. Hawaiian Islands

USGS Publications Warehouse

Grigg, R.W.; Grossman, E.E.; Earle, S.A.; Gittings, S.R.; Lott, D.; McDonough, J.

2002-01-01

During the last glacial maximum (LGM), about 21,000 years ago, the Hawaiian Islands of Maui, Lanai, and Molokai were interconnected by limestone bridges, creating a super-island known as Maui-Nui. Approximately 120 m of sea-level rise during the Holocene Transgression flooded, and then drowned, these bridges separating the islands by inter-island channels. A new multibeam high-resolution bathymetric survey of the channels between the islands, coupled with observations and video-transects utilizing DeepWorker-2000 submersibles, has revealed the existence of numerous drowned reef features including concentric solution basins, solution ridges (rims), sand and sediment plains, and conical-shaped reef pinnacles. The concentric basins contain flat lagoon-like bottoms that are rimmed by steep-sided limestone walls. Undercut notches rim the basins at several depths, marking either sea-level still stands or paleo-lake levels. All of the solution basins shallower than 120 m were subaerial at the LGM, and at one stage or another may have been shallow shoreline lakes. Today, about 70 drowned reef pinnacles are scattered across the Maui-Lanai underwater bridge and all are situated in wave-sheltered positions. Most drowned during the interval between 14,000 and 10,000 years ago when sea-level rise averaged 15 mm/year. Virtually all of the surficial topography in the Au'au Channel today is a product of karst processes accentuated by marginal reef growth during the Holocene. Both the submerged basins and the drowned reefs represent an archive of sea-level and climate history in Hawaii during the late Quaternary.

Annual mass drownings of the Serengeti wildebeest migration influence nutrient cycling and storage in the Mara River

PubMed Central

Rosi, Emma J.; Post, David M.

2017-01-01

The annual migration of ∼1.2 million wildebeest (Connochaetes taurinus) through the Serengeti Mara Ecosystem is the largest remaining overland migration in the world. One of the most iconic portions of their migration is crossing of the Mara River, during which thousands drown annually. These mass drownings have been noted, but their frequency, size, and impact on aquatic ecosystems have not been quantified. Here, we estimate the frequency and size of mass drownings in the Mara River and model the fate of carcass nutrients through the river ecosystem. Mass drownings (>100 individuals) occurred in at least 13 of the past 15 y; on average, 6,250 carcasses and 1,100 tons of biomass enter the river each year. Half of a wildebeest carcass dry mass is bone, which takes 7 y to decompose, thus acting as a long-term source of nutrients to the Mara River. Carcass soft tissue decomposes in 2–10 wk, and these nutrients are mineralized by consumers, assimilated by biofilms, transported downstream, or moved back into the terrestrial ecosystem by scavengers. These inputs comprise 34–50% of the assimilated diet of fish when carcasses are present and 7–24% via biofilm on bones after soft tissue decomposition. Our results show a terrestrial animal migration can have large impacts on a river ecosystem, which may influence nutrient cycling and river food webs at decadal time scales. Similar mass drownings may have played an important role in rivers throughout the world when large migratory herds were more common features of the landscape. PMID:28630330

2015 revised Utstein-style recommended guidelines for uniform reporting of data from drowning-related resuscitation: An ILCOR advisory statement.

PubMed

Idris, Ahamed H; Bierens, Joost J L M; Perkins, Gavin D; Wenzel, Volker; Nadkarni, Vinay; Morley, Peter; Warner, David S; Topjian, Alexis; Venema, Allart M; Branche, Christine M; Szpilman, David; Morizot-Leite, Luiz; Nitta, Masahiko; Løfgren, Bo; Webber, Jonathon; Gräsner, Jan-Thorsten; Beerman, Stephen B; Youn, Chun Song; Jost, Ulrich; Quan, Linda; Dezfulian, Cameron; Handley, Anthony J; Hazinski, Mary Fran

2017-09-01

Utstein-style guidelines use an established consensus process, endorsed by the international resuscitation community, to facilitate and structure resuscitation research and publication. The first "Guidelines for Uniform Reporting of Data From Drowning" were published over a decade ago. During the intervening years, resuscitation science has advanced considerably, thus making revision of the guidelines timely. In particular, measurement of cardiopulmonary resuscitation elements and neurological outcomes reporting have advanced substantially. The purpose of this report is to provide updated guidelines for reporting data from studies of resuscitation from drowning. An international group with scientific expertise in the fields of drowning research, resuscitation research, emergency medical services, public health, and development of guidelines met in Potsdam, Germany, to determine the data that should be reported in scientific articles on the subject of resuscitation from drowning. At the Utstein-style meeting, participants discussed data elements in detail, defined the data, determined data priority, and decided how data should be reported, including scoring methods and category details. The template for reporting data from drowning research was revised extensively, with new emphasis on measurement of quality of resuscitation, neurological outcomes, and deletion of data that have proved to be less relevant or difficult to capture. The report describes the consensus process, rationale for selecting data elements to be reported, definitions and priority of data, and scoring methods. These guidelines are intended to improve the clarity of scientific communication and the comparability of scientific investigations. Copyright © 2017 European Resuscitation Council, American Heart Association, Inc. Published by Elsevier B.V. All rights reserved.

Characteristics of drowning deaths in North Carolina.

PubMed

Patetta, M J; Biddinger, P W

1988-01-01

A retrospective study of 1,052 unintentional drowning deaths in North Carolina during the period from 1980 through 1984 was carried out, with emphasis on the victims' activity and alcohol consumption, and the settings of the accidents. The data suggest that many drownings are preventable, and reinforce the etiologic importance of ethanol consumption in such deaths. The overall drowning rate for North Carolina residents during the period covered by the study was 3.2 per 100,000 persons. Nonwhite males had the highest rate, 8.8 per 100,000 population. The next highest rate was for white males, 4.7 per 100,000. Swimming and wading, involved in 41 percent of the drowning deaths, was the most frequently associated activity. Fishing was involved in 15 percent of the deaths, and motor vehicle accidents with 8 percent. Most occurred in freshwater settings, notably lakes and ponds, 39 percent, and rivers and creeks, 29 percent. Of the 752 victims 15 years and older tested for blood ethanol, 53 percent had positive tests and 38 percent had blood alcohol concentrations of 100 milligrams per deciliter or greater. Significant percentages of victims 15 years and older with blood alcohol concentrations greater than 100 milligrams per deciliter were found in all settings and activity groups.

Home drowning among preschool age Mexican children.

PubMed Central

Celis, A.

1997-01-01

OBJECTIVES: To estimate the risk of drowning by different bodies of water in and near the home for children aged 1 to 4 years. SETTING: The Metropolitan Area of Guadalajara, Mexico. METHODS: A population case-control study. Cases (n=33) were children 1 to 4 years old who drowned at their home; controls (n=200) were a random sample of the general population. RESULTS: The risk of drowning for children whose parents reported having a water well at home was almost seven times that of children in homes without a water well (adjusted odds ratio (OR)=6.8, 95% confidence interval (CI)=2.2 to 20.5). Risk ratio estimates for other bodies of water were: swimming pools (OR=5.8, 95% CI=0.9 to 37.5), water barrel (OR=2.4, 95% CI=1.0 to 5.6), underground cistern (OR=2.1, 95% CI=0.8 to 5.2), and a basin front (courtyard pool to store water) of 35 or more litres (OR=1.8, 95% CI=0.8 to 4.4). CONCLUSION: Drowning at home is frequent in the Metropolitan Area of Guadalajara, but the causes are different from those reported in developed countries. Accordingly, the preventive strategies must also be different. Images PMID:9493619

Evolution of the Northern Nicaragua Rise during the Oligocene Miocene: Drowning by environmental factors

NASA Astrophysics Data System (ADS)

Mutti, Maria; Droxler, André W.; Cunningham, Andrew D.

2005-04-01

Possible causes to explain platform drowning have been hotly debated by carbonate sedimentologists for more than a decade now. In this paper, we present multiple evidence to explain the drowning of a carbonate megabank that covered most of the modern Northern Nicaragua Rise (NNR) during an interval spanning from late Oligocene to early Miocene by the interaction of several environmental factors. The recovery during ODP Leg 165 of late Oligocene to middle Miocene sedimentary sequences in the sub-seafloor of the modern channels and basin, Pedro Channel and Walton Basin, respectively, that dissect the NNR (Site 1000) and south of the rise in the Colombian Basin (Site 999), combined with information from dredged rock samples, allows us to explore in more detail the timing and possible mechanisms responsible for the drowning of the megabank and its relationship to Miocene climate change. The modern system of isolated banks and shelves dissected by a series of intervening seaways and basins on the NNR has evolved from a continuous, shallow-water carbonate “megabank” that extended from the Honduras/Nicaraguan mainland to the modern island of Jamaica. Available information suggests that this megabank broke apart and partially drowned in the late part of the late Oligocene at around 27 Ma and finally foundered during the late early Miocene around 20 Ma, resulting in limited neritic coral growth in the areas where the modern isolated carbonate banks and shelves are occurring today. Available information also suggests that the southern and central parts of Pedro Channel were already a deep-water area before the major episode of platform drowning, and its formation predates the initiation of the Caribbean Current. However, after the partial drowning of the megabank, the channel has become a major pathway for the Caribbean Current. Stratigraphic units identified in deep-water carbonates sampled at ODP Sites 999 and 1000 help to constrain the environmental setting leading to the drowning of the banks. Changes in lithology and mass accumulation rates of both the carbonate and non-carbonate fraction parallel stable isotope shifts and likely indicate regional changes in climate and circulation during the late Oligocene middle Miocene interval. Carbonate mass accumulation rates (MARs) at Site 999 suggest increased regional productivity during the early Miocene. Terrigenous MARs at both Sites 999 and 1000 show a general increase from the Burdigalian through the Serravallian. The temporal association among episodes of neritic platform deposition, followed by increased productivity as identified by higher carbonate MARs and positive excursion in carbon isotopes, suggests that oceanographic changes such as local upwelling and nutrification have led to the partial drowning of the NNR “megabank”.

Evaluation of a Drowning Prevention Program Based on Testimonial Videos: A Randomized Controlled Trial.

PubMed

Shen, Jiabin; Pang, Shulan; Schwebel, David C

2016-06-01

Unintentional drowning is the most common cause of childhood death in rural China. Global intervention efforts offer mixed results regarding the efficacy of educational programs. Using a randomized controlled design, we evaluated a testimonial-based intervention to reduce drowning risk among 280 3rd- and 4th-grade rural Chinese children. Children were randomly assigned to view either testimonials on drowning risk (intervention) or dog-bite risk (control). Safety knowledge and perceived vulnerability were measured by self-report questionnaires, and simulated behaviors in and near water were assessed with a culturally appropriate dollhouse task. Children in the intervention group had improved children's safety knowledge and simulated behaviors but not perceived vulnerability compared with controls. The testimonial-based intervention's efficacy appears promising, as it improved safety knowledge and simulated risk behaviors with water among rural Chinese children. © The Author 2015. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Drones for Provision of Flotation Support in Simulated Drowning.

PubMed

Bäckman, Anders; Hollenberg, Jacob; Svensson, Leif; Ringh, Mattias; Nordberg, Per; Djärv, Therese; Forsberg, Sune; Hernborg, Olof; Claesson, Andreas

The feasibility and potential of using drones for providing flotation devices in cases of drowning have not yet been assessed. We hypothesize that a drone carrying an inflatable life buoy is a faster way to provide flotation compared with traditional methods. The purpose of this study is to explore the feasibility and efficiency of using a drone for delivering and providing flotation support to conscious simulated drowning victims. A simulation study was performed with a simulated drowning victim 100 m from the shore. A drone (DJI Phantom 4; dji, Shenzhen, China) equipped with an inflatable life buoy of 60 N was compared with traditional surf rescue swimming for providing flotation. The primary outcome was delay (minutes:seconds). A total number of 30 rescues were performed with a median time to delivery of the floating device of 30 seconds (interquartile range [IQR] = 24-32 seconds) for the drone compared with 65 seconds (IQR = 60-77 seconds) with traditional rescue swimming (P < .001). The drone had an accuracy of 100% in dropping the inflatable life buoy < 5 m from the victim, with a median of 1 m (IQR = 1-2 m). Using drones to deliver inflatable life buoys is safe and may be a faster method to provide early flotation devices to conscious drowning victims compared with rescue swimming. Copyright © 2018 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.

OHD/HL - Hurricane

Science.gov Websites

flooding. While storm surge is always a potential threat, more people have died from inland flooding in the 56 people who perished, 50 drowned due to inland flooding. Satellite image of Hurricane Floyd people drowned. Damages exceeded $750 million. Tropical Storm Claudette (1979) brought 45 inches of rain

Everyone Swims: A Community Partnership and Policy Approach to Address Health Disparities in Drowning and Obesity

ERIC Educational Resources Information Center

Stempski, Sarah; Liu, Lenna; Grow, H. Mollie; Pomietto, Maureen; Chung, Celeste; Shumann, Amy; Bennett, Elizabeth

2015-01-01

Well-known disparities exist in rates of obesity and drowning, two public health priorities. Addressing these disparities by increasing access to safe swimming and water recreation may yield benefits for both obesity and injury prevention. "Everyone Swims," a community partnership, brought community health clinics and water recreation…

Drownproofing and the Water Safety Spectrum.

ERIC Educational Resources Information Center

Smith, David S.

1982-01-01

Drowning has three major causes: (1) inability to swim and/or lack of a personal flotation device; (2) hypothermia; and (3) abuse of alcohol or drugs. Defenses against drowning include: (1) proper use of personal flotation devices; (2) learning swimming and flotation techniques; (3) understanding reduction of heat loss in cold water; and (4)…

Drowning in Itself: The Plight of Adolescence in America

ERIC Educational Resources Information Center

Hawkes, T. Elijah

2008-01-01

Adolescent willing and desiring is pervasive in mainstream American culture. The result is that America's youth is drowning in itself, in the immaturity, impulsiveness, and pastlessness of our dominant culture. Listening to the voices of youth caught in this crisis, and drawing from the observations of thinkers such as Nietzsche, Erikson, Baldwin,…

Regulation for "saving" the drowned in Italy (XVIII-XIXth century), with particular reference to the Republic of Venice.

PubMed

D'Este, B R

1990-01-01

The author gives a brief chronological syntesis, starting from the XVIII century, of the various provisions issued in Italy, with particular reference to the Republic of Venice, relating to the saving of the drowned, as an introduction to the discipline of "Life-Saving" oriented swimming.

Pathology and distribution of sea turtles landed as bycatch in the Hawaii-based North Pacific pelagic longline fishery

USGS Publications Warehouse

Work, Thierry M.; Balazs, George H.

2010-01-01

We examined the gross and microscopic pathology and distribution of sea turtles that were landed as bycatch from the Hawaii, USA–based pelagic longline fishery and known to be forced submerged. Olive ridley turtles (Lepidochelys olivacea) composed the majority of animals examined, and hook-induced perforation of the esophagus was the most common gross lesion followed by perforation of oral structures (tongue, canthus) and of flippers. Gross pathology in the lungs suggestive of drowning was seen in 23 of 71 turtles. Considering only the external gross findings, the pathologist and the observer on board the longline vessel agreed on hook-induced lesions only 60% of the time thereby illustrating the limitations of depending on external examination alone to implicate hooking interactions or drowning as potential cause of sea turtle mortality. When comparing histology of drowned turtles to a control group of nondrowned turtles, the former had significantly more pulmonary edema, hemorrhage, and sloughed columnar epithelium. These microscopic changes may prove useful to diagnose suspected drowning in sea turtles where history of hooking or netting interactions is unknown.

Global childhood unintentional injury surveillance in four cities in developing countries: a pilot study

PubMed Central

Sugerman, David E; Puvanachandra, Prasanthi; Razzak, Junaid; El-Sayed, Hesham; Isaza, Andres; Rahman, Fazlur; Peden, Margie

2009-01-01

Abstract Objective To determine the frequency and nature of childhood injuries and to explore the risk factors for such injuries in low-income countries by using emergency department (ED) surveillance data. Methods This pilot study represents the initial phase of a multi-country global childhood unintentional injury surveillance (GCUIS) project and was based on a sequential sample of children < 11 years of age of either gender who presented to selected EDs in Bangladesh, Colombia, Egypt and Pakistan over a 3–4 month period, which varied for each site, in 2007. Findings Of 1559 injured children across all sites, 1010 (65%) were male; 941 (60%) were aged ≥ 5 years, 32 (2%) were < 1 year old. Injuries were especially frequent (34%) during the morning hours. They occurred in and around the home in 56% of the cases, outside while children played in 63% and during trips in 11%. Of all the injuries observed, 913 (56%) involved falls; 350 (22%), road traffic injuries; 210 (13%), burns; 66 (4%), poisoning; and 20 (1%), near drowning or drowning. Falls occurred most often from stairs or ladders; road traffic injuries most often involved pedestrians; the majority of burns were from hot liquids; poisonings typically involved medicines, and most drowning occurred in the home. The mean injury severity score was highest for near drowning or drowning (11), followed closely by road traffic injuries (10). There were 6 deaths, of which 2 resulted from drowning, 2 from falls and 2 from road traffic injuries. Conclusion Hospitals in low-income countries bear a substantial burden of childhood injuries, and systematic surveillance is required to identify the epidemiological distribution of such injuries and understand their risk factors. Methodological standardization for surveillance across countries makes it possible to draw international comparisons and identify common issues. PMID:19551252

Coral reef evolution on rapidly subsiding margins

USGS Publications Warehouse

Webster, J.M.; Braga, J.C.; Clague, D.A.; Gallup, C.; Hein, J.R.; Potts, D.C.; Renema, W.; Riding, R.; Riker-Coleman, K.; Silver, E.; Wallace, L.M.

2009-01-01

A series of well-developed submerged coral reefs are preserved in the Huon Gulf (Papua New Guinea) and around Hawaii. Despite different tectonics settings, both regions have experienced rapid subsidence (2-6??m/ka) over the last 500??ka. Rapid subsidence, combined with eustatic sea-level changes, is responsible for repeated drowning and backstepping of coral reefs over this period. Because we can place quantitative constraints on these systems (i.e., reef drowning age, eustatic sea-level changes, subsidence rates, accretion rates, basement substrates, and paleobathymetry), these areas represent unique natural laboratories for exploring the roles of tectonics, reef accretion, and eustatic sea-level changes in controlling the evolution of individual reefs, as well as backstepping of the entire system. A review of new and existing bathymetric, radiometric, sedimentary facies and numerical modeling data indicate that these reefs have had long, complex growth histories and that they are highly sensitive, recording drowning not only during major deglaciations, but also during high-frequency, small-amplitude interstadial and deglacial meltwater pulse events. Analysis of five generalized sedimentary facies shows that reef drowning is characterized by a distinct biological and sedimentary sequence. Observational and numerical modeling data indicate that on precessional (20??ka) and sub-orbital timescales, the rate and amplitude of eustatic sea-level changes are critical in controlling initiation, growth, drowning or sub-aerial exposure, subsequent re-initiation, and final drowning. However, over longer timescales (> 100-500??ka) continued tectonic subsidence and basement substrate morphology influence broad scale reef morphology and backstepping geometries. Drilling of these reefs will yield greatly expanded stratigraphic sections compared with similar reefs on slowly subsiding, stable and uplifting margins, and thus they represent a unique archive of sea-level and climate changes, as well as a record of the response of coral reefs to these changes over the last six glacial cycles. ?? 2008 Elsevier B.V. All rights reserved.

Dogmatic Basis of Jihad and Martyrdom

DTIC Science & Technology

2011-07-06

drowning, killed by a collapsing building, die in the path of (the Deity)ccxlviii,ccxlix; die of pleurisy , in a fire, or a woman who dies in child...killed in the way of Allah. Someone who is killed by the plague is a martyr, someone who drowns is a martyr, someone who dies of pleurisy is a martyr

[Postmortem CT examination in a case of alleged drowning--a case report].

PubMed

Woźniak, Krzysztof; Urbanik, Andrzej; Rzepecka-Woźniak, Ewa; Moskała, Artur; Kłys, Małgorzata

2009-01-01

The authors present an analysis of postmortem CT examination in a case of drowning in fresh water of a young male. Both the results of conventional forensic autopsy and radiologic examination have been compared. The analysis is illustrated by two-dimensional and three-dimensional reconstructions based on the DICOM files obtained during postmortem CT examination.

Teaching Water Safety in K-12 Physical Education

ERIC Educational Resources Information Center

Young, Shawna; Herring, Janice

2006-01-01

Over the past century, the drowning rate in the United States has dropped tremendously. In 1913, there were 10.3 drownings per 100,000 people (Department of Commerce Bureau of the Census, 1914). The following year marked a concerted effort by the American Red Cross to increase the knowledge available to Americans and educate them about water…

Native Nationality and the Contemporary Queer: Tradition, Sexuality, and History in "Drowning in Fire"

ERIC Educational Resources Information Center

Rifkin, Mark

2008-01-01

In "Drowning in Fire" (2001) Creek writer and scholar Craig Womack explores how an investigation of queer experience can open onto an accounting of the historic and ongoing imperial project of reorganizing Muscogee peoplehood. The novel foregrounds homoeroticism among the Creek people in the early and late twentieth century in ways that emphasize…

Growth and demise of a Paleogene isolated carbonate platform of the Offshore Indus Basin, Pakistan: effects of regional and local controlling factors

NASA Astrophysics Data System (ADS)

Shahzad, Khurram; Betzler, Christian; Ahmed, Nadeem; Qayyum, Farrukh; Spezzaferri, Silvia; Qadir, Anwar

2018-03-01

Based on high-resolution seismic and well datasets, this paper examines the evolution and drowning history of a Paleocene-Eocene carbonate platform in the Offshore Indus Basin of Pakistan. This study uses the internal seismic architecture, well log data as well as the microfauna to reconstruct factors that governed the carbonate platform growth and demise. Carbonates dominated by larger benthic foraminifera assemblages permit constraining the ages of the major evolutionary steps and show that the depositional environment was tropical within oligotrophic conditions. With the aid of seismic stratigraphy, the carbonate platform edifice is resolved into seven seismic units which in turn are grouped into three packages that reflect its evolution from platform initiation, aggradation with escarpment formation and platform drowning. The carbonate factory initiated as mounds and patches on a Cretaceous-Paleocene volcanic complex. Further, the growth history of the platform includes distinct phases of intraplatform progradation, aggradation, backstepping and partial drownings. The youngest succession as late-stage buildup records a shift from benthic to pelagic deposition and marks the final drowning in the Early Eocene. The depositional trend of the platform, controlled by the continuing thermal subsidence associated with the cooling of volcanic margin lithosphere, was the major contributor of the accommodation space which supported the vertical accumulation of shallow water carbonate succession. Other factors such as eustatic changes and changes in the carbonate producers as a response to the Paleogene climatic perturbations played secondary roles in the development and drowning of these buildups.

Brain Resuscitation in the Drowning Victim

PubMed Central

Topjian, Alexis A.; Berg, Robert A.; Bierens, Joost J. L. M.; Branche, Christine M.; Clark, Robert S.; Friberg, Hans; Hoedemaekers, Cornelia W. E.; Holzer, Michael; Katz, Laurence M.; Knape, Johannes T. A.; Kochanek, Patrick M.; Nadkarni, Vinay; van der Hoeven, Johannes G.

2013-01-01

Drowning is a leading cause of accidental death. Survivors may sustain severe neurologic morbidity. There is negligible research specific to brain injury in drowning making current clinical management non-specific to this disorder. This review represents an evidence-based consensus effort to provide recommendations for management and investigation of the drowning victim. Epidemiology, brain-oriented prehospital and intensive care, therapeutic hypothermia, neuroimaging/monitoring, biomarkers, and neuroresuscitative pharmacology are addressed. When cardiac arrest is present, chest compressions with rescue breathing are recommended due to the asphyxial insult. In the comatose patient with restoration of spontaneous circulation, hypoxemia and hyperoxemia should be avoided, hyperthermia treated, and induced hypothermia (32–34 °C) considered. Arterial hypotension/hypertension should be recognized and treated. Prevent hypoglycemia and treat hyperglycemia. Treat clinical seizures and consider treating non-convulsive status epilepticus. Serial neurologic examinations should be provided. Brain imaging and serial biomarker measurement may aid prognostication. Continuous electroencephalography and N20 somatosensory evoked potential monitoring may be considered. Serial biomarker measurement (e.g., neuron specific enolase) may aid prognostication. There is insufficient evidence to recommend use of any specific brain-oriented neuroresuscitative pharmacologic therapy other than that required to restore and maintain normal physiology. Following initial stabilization, victims should be transferred to centers with expertise in age-specific post-resuscitation neurocritical care. Care should be documented, reviewed, and quality improvement assessment performed. Preclinical research should focus on models of asphyxial cardiac arrest. Clinical research should focus on improved cardiopulmonary resuscitation, re-oxygenation/reperfusion strategies, therapeutic hypothermia, neuroprotection, neurorehabilitation, and consideration of drowning in advances made in treatment of other central nervous system disorders. PMID:22956050

Safe Play Areas for Prevention of Young Children Drowning in Farm Dams

ERIC Educational Resources Information Center

Depczynski, Julie; Fragar, Lyn; Hawkins, Antonia; Stiller, Laurence

2009-01-01

Injuries are the leading cause of death to young children in rural Australia, with drowning in farm dams being a major risk. This paper assesses the impact of an intervention to increase safe play areas on farms to prevent unsupervised access by young children to water bodies and other hazards. Surveys of 1,117 adult farmers attending Ag Quip…

Safety Barrier Guidelines for Home Pools [and] How To Plan for the Unexpected.

ERIC Educational Resources Information Center

Consumer Product Safety Commission, Washington, DC.

Each year, hundreds of young children die and thousands come close to death due to submersion in residential swimming pools. The United States Consumer Products Safety Commission studied data on drownings and child behavior, as well as information on pool and pool barrier construction, and concluded that the best way to reduce child drownings in…

Structural failure and drowning of Johnston Atoll, central Pacific Basin

NASA Astrophysics Data System (ADS)

Keating, Barbara H.

Emery (1956) and Ashmore (1973) described the geology of Johnston Atoll (Northern Line Islands chain) and pointed out the anomalous structure of the atoll. These studies led Ashmore )1973) to suggest that the atoll itself is tilted. Johnston Atoll appears to be an example of a seamount that is undergoing a transition from an atoll to a drowned seamount (guyot). Submersible studies of the shallow carbonate bank demonstrate that the carbonate bank displays important karstic features. Recent side-scan sonar studies of the southern flank of this seamount provide evidence that the southern flank of the seamount has undergone substantial mass-wasting. We hypothesize that the mass-wasting of the seamount has loaded the seafloor surrounding Johnston Island unevenly. The southeast Johnston Basin lies 700 m shallower than the southwest Johnston Basin. The loading of the southeast Johnston Basin has resulted in differential subsidence of the sea floor surrounding the seamount which has resulted in the tilting of the seamount (0.016°) and is responsible for the drowning of much of the reef. It is suggested that local structural failure, preferential erosion and drainage, and differential subsidence of seamounts can cause drowning of reefs which may lead to the formation of guyots.

Presumed drowning of Aleutian Canada geese on the Pacific coast of California and Oregon

USGS Publications Warehouse

Springer, Paul F.; Lowe, Roy W.; Stroud, Richard K.; Gullett, Patricia A.

1989-01-01

Carcasses of 42 and 17 Aleutian Canada geese (Branta canadensis leucopareia), a federally listed endangered species, were found on ocean beaches near Crescent City, California, and near Pacific City, Oregon, respectively, following severe storms. Necropsies and other information suggest that the birds were flushed during the storms and somehow entered the water where they were washed into the surf and drowned.

Drones may be used to save lives in out of hospital cardiac arrest due to drowning.

PubMed

Claesson, A; Svensson, L; Nordberg, P; Ringh, M; Rosenqvist, M; Djarv, T; Samuelsson, J; Hernborg, O; Dahlbom, P; Jansson, A; Hollenberg, J

2017-05-01

Drowning leading to out-of-hospital cardiac arrest (OHCA) and death is a major public health concern. Submersion with duration of less than 10min is associated with favorable neurological outcome and nearby bystanders play a considerable role in rescue and resuscitation. Drones can provide a visual overview of an accident scene, their potential as lifesaving tools in drowning has not been evaluated. The aim of this simulation study was to evaluate the efficiency of a drone for providing earlier location of a submerged possible drowning victim in comparison with standard procedure. This randomized simulation study used a submerged manikin placed in a shallow (<2m) 100×100-m area at Tylösand beach, Sweden. A search party of 14 surf-lifeguards (control) was compared to a drone transmitting video to a tablet (intervention). Time from start to contact with the manikin was the primary endpoint. Twenty searches were performed in total, 10 for each group. The median time from start to contact with the manikin was 4:34min (IQR 2:56-7:48) for the search party (control) and 0:47min (IQR 0:38-0:58) for the drone-system (intervention) respectively (p<0.001). The median time saved by using the drone was 3:38min (IQR 2:02-6:38). A drone transmitting live video to a tablet is feasible, time saving in comparison to traditional search parties and may be used for providing earlier location of submerged victims at a beach. Drone search can possibly contribute to earlier onset of CPR in drowning victims. Copyright © 2017 Elsevier B.V. All rights reserved.

Functional integrity in children with anoxic brain injury from drowning.

PubMed

Ishaque, Mariam; Manning, Janessa H; Woolsey, Mary D; Franklin, Crystal G; Tullis, Elizabeth W; Beckmann, Christian F; Fox, Peter T

2017-10-01

Drowning is a leading cause of accidental injury and death in young children. Anoxic brain injury (ABI) is a common consequence of drowning and can cause severe neurological morbidity in survivors. Assessment of functional status and prognostication in drowning victims can be extremely challenging, both acutely and chronically. Structural neuroimaging modalities (CT and MRI) have been of limited clinical value. Here, we tested the utility of resting-state functional MRI (rs-fMRI) for assessing brain functional integrity in this population. Eleven children with chronic, spastic quadriplegia due to drowning-induced ABI were investigated. All were comatose immediately after the injury and gradually regained consciousness, but with varying ability to communicate their cognitive state. Eleven neurotypical children matched for age and gender formed the control group. Resting-state fMRI and co-registered T1-weighted anatomical MRI were acquired at night during drug-aided sleep. Network integrity was quantified by independent components analysis (ICA), at both group- and per-subject levels. Functional-status assessments based on in-home observations were provided by families and caregivers. Motor ICNs were grossly compromised in ABI patients both group-wise and individually, concordant with their prominent motor deficits. Striking preservations of perceptual and cognitive ICNs were observed, and the degree of network preservation correlated (ρ = 0.74) with the per-subject functional status assessments. Collectively, our findings indicate that rs-fMRI has promise for assessing brain functional integrity in ABI and, potentially, in other disorders. Furthermore, our observations suggest that the severe motor deficits observed in this population can mask relatively intact perceptual and cognitive capabilities. Hum Brain Mapp 38:4813-4831, 2017. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Handford, C.R.

Exploration is increasingly dependent upon obtaining credible stratigraphic interpretations of seismic data. With respect to carbonate platforms, two of the most important seismic-imaging and interpretation problems are (1) distinguishing between lowstand unconformities and drowning unconformities, and (2) recognizing paleokarst reservoirs. Lowstand unconformities vs. drowning unconformities. Many contend that onlapping wedges of strata above sequence boundaries but below the previous shelf break comprise the lowstand systems tract. An alternative view is that onlapping wedges do not record sea level falls, but instead chronicle sea level rises and platform demise. A Mississippian carbonate ramp exposed along the southern margin of North Americamore » is flanked by a siliciclastic lowstand wedge and overlain by a drowning succession of black shales. This dual history of lowstand exposure and drowning formed two baselap surfaces, which lie so close to each other on the shelf that seismic dissemination is almost impossible. The paradox is that although the ramp was terminated by drowning, the visible seismic baselap was due to low-stand exposure. Numerous large fields around the world produce from carbonate reservoirs with a moderate to strong paleokarst overprint. Their discoveries, however, were structurally driven and rarely based upon predrill knowledge of paleokarst systems. In fact, there has been little effort to determine how to recognize paleocave systems in seismic reflection data. To narrow this gap, the sedimentary fill and stratal geometries of modern cave systems were examined and modeled seismically. The models show a passage from continuous reflections in the undisturbed country rock to discontinuous reflections inclined toward the cavern core. Velocity pull-ups and pull-downs are significant where velocity and density contrasts between the country rock and collapsed chamber are important.« less

An Action Research Approach to Fear as an Impact on Water Safety Outcomes among Adult African Americans in South Carolina

ERIC Educational Resources Information Center

Haynsworth, Nancy M.

2017-01-01

Research shows that compared to other groups, African Americans have historically had less access to swimming skills and thereby have a higher rate of drowning while swimming. Knowing how to swim is an important drowning prevention strategy, yet many African Americans residing in a county in South Carolina do not know how to swim, despite living…

Study on the postmortem submersion interval and accumulated degree days for a multiple drowning accident.

PubMed

Mateus, M; Vieira, V

2014-05-01

Recreational accidents in aquatic environments leading to death by drowning are quite frequent. Even if they do not usually require forensic investigation, they may provide useful information on the post mortem submersion interval (PMSI) and its relation with accumulated degree days (ADD). This is particularly useful to forensic science since most studies dealing with these matters rely mostly on animal carcasses as human analogues. In this work we report on a multiple drowning accident resulting in 6 victims. ADD was calculated based on the PMSI and water temperature during this period. PMSI varied between ∼7.4 days and ∼11.4 days, and estimated body drift from the accident site ranged from 0.5km to 8.0km. Surface water temperature in the accident area showed little variation during the PMSI (14.5-16.0°C). Estimated ADD varied between 115°C and 174°C, and between 104°C and 191°C when considering the cumulative lower (ADDmin) and upper (ADDmax) limits for ADD. We compare the results with recently published data on two similar cases, and suggest a range for ADD that can be assumed as necessary before body floatability is regain after a drowning accident. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

External foam and the post-mortem period in freshwater drowning; results from a retrospective study in Amsterdam, the Netherlands.

PubMed

Reijnen, G; Buster, M C; Vos, P J E; Reijnders, U J L

2017-11-01

Determining the time of death of bodies recovered from water can be difficult. A feature of drowning is the presence of external foam. This study describes the presence of external foam in relation to the post-mortem period. The study utilizes a database of death reports dated between January 2011 and July 2016. For bodies recovered from fresh water, the presence or absence of external foam was noted. In this study, 112 death reports are included. Of these reports, 18 mentioned external foam, which account for 16.1% of the entire study population. In the population with a post-mortem period of less than 24 h, external foam was detected in 27.7% of cases. All 18 incidents with external foam had an estimated post-mortem period of less than 24 h. In our study, external foam was only present in freshwater drowning cases with a post-mortem period of less than 24 h. Based on this finding, the presence of external foam may be useful as an additional indicator when estimating the time of death in freshwater drowning. Copyright © 2017 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

Design and characterization of an ocean wave powered lifejacket using 2DOF floating boards

NASA Astrophysics Data System (ADS)

Mi, Jia; Xu, Lin; Yang, Yaling; Zuo, Lei

2018-04-01

Lifejacket is an indispensable life-saving equipment for ships and airplanes. Traditional lifejacket is designed to prevent human from drowning. However, the water temperature is usually low, especially in winter, which significantly reduces the human body temperature and leads to death. Meanwhile, power is critical for drowning people to use emergency communication equipment. This paper proposed an ocean wave powered lifejacket using 2DOF floating boards to provide both buoyance and electricity for drowning people. Hence, they can use this continuous electric power to keep key body warm and send distress signal. This lifejacket is featured with two 2DOF floating boards and the mechanical motion rectifier (MMR) can convert the 2-DOF motions to the unidirectional rotation of generator. The design principle is illustrated and the dynamic modelling for the 2-DOF motions has been analyzed. Bench test and lake test have been conducted to validate the design concept.

Childhood and adolescent animal cruelty methods and their possible link to adult violent crimes.

PubMed

Hensley, Christopher; Tallichet, Suzanne E

2009-01-01

Few researchers have investigated the potentially predictive power of childhood and adolescent animal cruelty methods as they are associated with subsequent interpersonal violence in adulthood. Based on a sample of 261 inmates at medium- and maximum-security prisons in a southern state, the present study examines the relationship between several retrospectively reported animal cruelty methods (drowned, hit or kicked, shot, choked, burned, and had sex) and violent criminal acts committed against humans (assault, rape, and murder). More than half of the sample reported they had shot animals, and almost half had either kicked or hit them. About one in five said they had choked animals, and about one in seven said they had either drowned, burned, or had sex with them. Regression analyses revealed that drowning and having sex with an animal was predictive of later interpersonal violence as adults.

Targeted Temperature Management After Pediatric Cardiac Arrest Due To Drowning: Outcomes and Complications.

PubMed

Moler, Frank W; Hutchison, Jamie S; Nadkarni, Vinay M; Silverstein, Faye S; Meert, Kathleen L; Holubkov, Richard; Page, Kent; Slomine, Beth S; Christensen, James R; Dean, J Michael

2016-08-01

To describe outcomes and complications in the drowning subgroup from the Therapeutic Hypothermia After Pediatric Cardiac Arrest Out-of-Hospital trial. Exploratory post hoc cohort analysis. Twenty-four PICUs. Pediatric drowning cases. Therapeutic hypothermia versus therapeutic normothermia. An exploratory study of pediatric drowning from the Therapeutic Hypothermia After Pediatric Cardiac Arrest Out-of-Hospital trial was conducted. Comatose patients aged more than 2 days and less than 18 years were randomized up to 6 hours following return-of-circulation to hypothermia (n = 46) or normothermia (n = 28). Outcomes assessed included 12-month survival with a Vineland Adaptive Behavior Scale score of greater than or equal to 70, 1-year survival rate, change in Vineland Adaptive Behavior Scale-II score from prearrest to 12 months, and select safety measures. Seventy-four drowning cases were randomized. In patients with prearrest Vineland Adaptive Behavior Scale-II greater than or equal to 70 (n = 65), there was no difference in 12-month survival with Vineland Adaptive Behavior Scale-II score of greater than or equal to 70 between hypothermia and normothermia groups (29% vs 17%; relative risk, 1.74; 95% CI, 0.61-4.95; p = 0.27). Among all evaluable patients (n = 68), the Vineland Adaptive Behavior Scale-II score change from baseline to 12 months did not differ (p = 0.46), and 1-year survival was similar (49% hypothermia vs 42%, normothermia; relative risk, 1.16; 95% CI, 0.68-1.99; p = 0.58). Hypothermia was associated with a higher prevalence of positive bacterial culture (any blood, urine, or respiratory sample; 67% vs 43%; p = 0.04); however, the rate per 100 days at risk did not differ (11.1 vs 8.4; p = 0.46). Cumulative incidence of blood product use, serious arrhythmias, and 28-day mortality were not different. Among patients with cardiopulmonary resuscitation durations more than 30 minutes or epinephrine doses greater than 4, none had favorable Pediatric Cerebral Performance Category outcomes (≤ 3). In comatose survivors of out-of-hospital pediatric cardiac arrest due to drowning, hypothermia did not result in a statistically significant benefit in survival with good functional outcome or mortality at 1 year, as compared with normothermia. High risk of culture-proven bacterial infection was observed in both groups.

Unintentional drowning mortality, by age and body of water: an analysis of 60 countries.

PubMed

Lin, Ching-Yih; Wang, Yi-Fong; Lu, Tsung-Hsueh; Kawach, Ichiro

2015-04-01

To examine unintentional drowning mortality by age and body of water across 60 countries, to provide a starting point for further in-depth investigations within individual countries. The latest available three years of mortality data for each country were extracted from WHO Health Statistics and Information Services (updated at 13 November 2013). We calculated mortality rate of unintentional drowning by age group for each country. For countries using International Classification of Disease 10 (ICD-10) detailed 3 or 4 Character List, we further examined the body of water involved. A huge variation in age-standardised mortality rate (deaths per 100 000 population) was noted, from 0.12 in Turkey to 9.19 in Guyana. Of the ten countries with the highest age-standardised mortality rate, six (Belarus, Lithuania, Latvia, Russia, Ukraine and Moldova) were in Eastern Europe and two (Kazakhstan and Kyrgyzstan) were in Central Asia. Some countries (Japan, Finland and Greece) had a relatively low rank in mortality rate among children aged 0-4 years, but had a high rank in mortality rate among older adults. On the contrary, South Africa and Colombia had a relatively high rank among children aged 0-4 years, but had a relatively low rank in mortality rate among older adults. With regard to body of water involved, the proportion involving a bathtub was extremely high in Japan (65%) followed by Canada (11%) and the USA (11%). Of the 13 634 drowning deaths involving bathtubs in Japan between 2009 and 2011, 12 038 (88%) were older adults aged 65 years or above. The percentage involving a swimming pool was high in the USA (18%), Australia (13%), and New Zealand (7%). The proportion involving natural water was high in Finland (93%), Panama (87%), and Lithuania (85%). After considering the completeness of reporting and quality of classifying drowning deaths across countries, we conclude that drowning is a high-priority public health problem in Eastern Europe, Central Asia, Japan (older adults involving bathtubs), and the USA (involving swimming pools). Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Water safety training as a potential means of reducing risk of young children's drowning.

PubMed Central

Asher, K. N.; Rivara, F. P.; Felix, D.; Vance, L.; Dunne, R.

1995-01-01

OBJECTIVES: To determine the effects of training in swimming and water safety on young preschool-children's ability to recover safely from a simulated episode of falling into a swimming pool. DESIGN: Randomized trial of 12 or eight weeks' duration water safety and swimming lessons for children 24 to 42 months old. OUTCOME MEASURES: Swimming ability, deck behavior, water recovery, and swimming to side after jumping into pool were measured before, during, and after the training program. RESULTS: 109 children completed the study (61 in the 12 week group, 48 in the eight week group). The average age was 34.2 months, 54% were male. Swimming ability, deck behavior, water recovery, and jump and swim skills improved over baseline levels in both groups. By the end of training, the 12 week group improved more than the eight week group only in swimming ability. Improvements in water recovery and jump and swim skills were associated positively with changes in swimming ability. CONCLUSIONS: Swimming ability and safety skills of young preschool children can be improved through training. Such programs may offer some protection for children at risk of drowning and there was no indication that this program increased the risk of drowning. However, pool fencing, other barriers around water, and parental supervision still remain the most important prevention strategies to reduce drowning in young children. PMID:9346036

Post-mortem CT: Hounsfield unit profiles obtained in the lungs with respect to the cause of death assessment.

PubMed

Schober, Daniel; Schwendener, Nicole; Zech, Wolf-Dieter; Jackowski, Christian

2017-01-01

Segmentation of the lungs using post-mortem computed tomography (PMCT) data was so far not feasible due to post-mortem changes such as internal livores. Recently, an Osirix plug-in has been developed allowing automatically segmenting lungs also in PMCT data. The aim of this study was to investigate if the Hounsfield unit (HU) profiles obtained in PMCT data of the segmented lung tissue present with specific behaviour in relation to the cause of death. In 105 PMCT data sets of forensic cases, the entire lung volumes were segmented using the Mia Lite plug-in on Osirix. HU profiles of the lungs were generated and correlated to cause of death groups as assessed after forensic autopsy (cardiac death, fatal haemorrhage, craniocerebral injury, intoxication, drowning, hypothermia, hanging and suffocation). Especially cardiac death cases, intoxication cases, fatal haemorrhage cases and hypothermia cases showed very specific HU profiles. In drowning, the profiles showed two different behaviours representing wet and dry drowning. HU profiles rather varied in craniocerebral injury cases, hanging cases as well as in suffocation cases. HU profiles of the lungs segmented from PMCT data may support the cause of death diagnosis as they represent specific morphological changes in the lungs such as oedema, congestion or blood loss. Especially in cardiac death, intoxication, fatal haemorrhage, hypothermia and drowning cases, HU profiles may be very supportive for the forensic pathologist.

Pseudomonas pseudomallei infection from drowning: the first reported case in Taiwan.

PubMed Central

Lee, N; Wu, J L; Lee, C H; Tsai, W C

1985-01-01

We report a case of Pseudomonas pseudomallei infection, in which the patient acquired the bacteria by aspiration of river water after a drowning incident near Manila, the Philippines. The pulmonary form of melioidosis was noted at the onset, but septicemia developed at a later stage. Positive blood cultures were obtained 17 days after the accident. The patient was treated successfully with a combination of amikacin and cephalothin. This is the first report of P. pseudomallei infection documented in Taiwan. Images PMID:4044794

Interpretation of postmortem vitreous concentrations of sodium and chloride.

PubMed

Zilg, B; Alkass, K; Berg, S; Druid, H

2016-06-01

Vitreous fluid can be used to analyze sodium and chloride levels in deceased persons, but it remains unclear to what extent such results can be used to diagnose antemortem sodium or chloride imbalances. In this study we present vitreous sodium and chloride levels from more than 3000 cases. We show that vitreous sodium and chloride levels both decrease with approximately 2.2mmol/L per day after death. Since potassium is a well-established marker for postmortem interval (PMI) and easily can be analyzed along with sodium and chloride, we have correlated sodium and chloride levels with the potassium levels and present postmortem reference ranges relative the potassium levels. We found that virtually all cases outside the reference range show signs of antemortem hypo- or hypernatremia. Vitreous sodium or chloride levels can be the only means to diagnose cases of water or salt intoxication, beer potomania or dehydration. We further show that postmortem vitreous sodium and chloride strongly correlate and in practice can be used interchangeably if analysis of one of the ions fails. It has been suggested that vitreous sodium and chloride levels can be used to diagnose drowning or to distinguish saltwater from freshwater drowning. Our results show that in cases of freshwater drowning, vitreous sodium levels are decreased, but that this mainly is an effect of postmortem diffusion between the eye and surrounding water rather than due to the drowning process, since the decrease in sodium levels correlates with immersion time. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Chance findings about early holocene tidal marshes of Grays Harbor, Washington, in relation to rapidly rising seas and great subduction earthquakes

USGS Publications Warehouse

Phipps, James B.; Hemphill-Haley, Eileen; Atwater, Brian F.

2015-06-18

The puzzles posed by these findings include: (1) How did the marshes manage to endure centuries of relative sea-level rise that likely approached 1 cm/yr on average? (2) Did the marshes also endure subsidence that accompanied great thrust earthquakes on the Cascadia Subduction Zone? (3) Was their eventual drowning triggered by a Cascadia earthquake of unusually large size, or can the drowning be explained by sea-level rise that included a jump from drainage of glacial Lake Agassiz?

Suicide prevention for psychoanalytic institutes and societies.

PubMed

Kernberg, Otto F

2012-08-01

What follows are guidelines for rescue teams dedicated to suicide prevention for psychoanalytic institutes and societies. They provide a general orientation and presuppose intensive individual and organizational training by the rescue teams. Some general notes of caution: suicide prevention is a complex, delicate effort that requires specific training, experience, knowledge, patience, and courage. It is a well-known fact that drowning persons may resist rescue efforts, thereby posing the danger of drowning the rescuer along with themselves. Similarly, expect desperate, blind resistance to your efforts, particularly when the suicidal temptation is urgent and overwhelming.

Assessing the efficacy of rescue equipment in lifeguard resuscitation efforts for drowning.

PubMed

Barcala-Furelos, Roberto; Szpilman, David; Palacios-Aguilar, Jose; Costas-Veiga, Javier; Abelairas-Gomez, Cristian; Bores-Cerezal, Antonio; López-García, Sergio; Rodríguez-Nuñez, Antonio

2016-03-01

The whole drowning process usually occurs within seconds to a few minutes. An early rescue may stop and/or prevent most medical complications. Fins, rescue tube, and rescue board (RB) are the equipment most frequently used by lifeguards. Our objective was to compare, in a water rescue quasiexperimental trial, these different pieces of rescue equipment to define the safest and with the lower rescue time as well as to assess their effects on the lifeguards' physiological state and cardiopulmonary resuscitation (CPR) performance. A controlled trial was conducted to study the time effect of 4 different rescue techniques and assess CPR quality, along with the physiological effects of each rescue technique (blood lactate and subjective Borg's scale effort perception) on 35 lifeguards. Among the final sample subjects (n = 23), a total of 92 rescues were completed. Total water rescue time was longer without equipment (NE). The total rescue time was significantly lower using RB (P < .001). Similar good quality of CPR before and after water rescue was observed in all trials (P > .05), although correct ventilations represented less than 50% of total in all trials. Blood lactate increased after all rescues. The subjective effort Borg's scale showed significantly less effort using RB vs without equipment, fins, and fins and rescue tube. The use of propelling and/or floating equipment saves precious time with repercussions in the reduction of drowning mortality and morbidity. The RB offers a significant advantage. Lifeguards need more CPR training, especially considering the importance of efficient ventilations for drowning victims. Copyright © 2015 Elsevier Inc. All rights reserved.

Drowning and near-drowning: experience of a university hospital in the Black Sea region.

PubMed

Güzel, Ahmet; Duran, Latif; Paksu, Sule; Akdemir, Hızır Ufuk; Paksu, Muhammet Şükrü; Katı, Celal; Başol, Nurşah; Yılman, Metehan; Özsevik, Sevinç Nursev; Murat, Naci

2013-01-01

The aim of the study was to describe the characteristics of patients who applied to the Emergency Department (ED) due to submersion injury; to recognize the risk factors, complications, causes of death, and the educational needs of families and caregivers about unsafe environments for submersion; and to develop preventive strategies. All patients were analyzed retrospectively according to demographic features, clinical and laboratory findings, association between clinical variables and submersion injuries, and patient outcomes. Fifty-five patients with submersion injury were analyzed. The mean age of patients was 10.9 ± 4.7 years. The most common Szpilman clinical scores were Grade 1 (24 patients, 43.8%), Grade 2 (15 patients, 27.3%), and Grade 5 (10 patients, 18.2%). The common location of the submersion injuries included the sea (74.5%), pool (18.4%), bathtub (7.3%), river (3.6%), and lake (3.6%). A limited swimming ability or exhaustion and suffocation (49.1%) due to unknown reasons were the most common causes of submersion injury among all patients. Most complications were due to aspiration pneumonia and hypoxic ischemic encephalopathy (HIE). Thirty-nine patients (70.9%) were followed in the ED, while 16 patients (29.1%) were admitted to the pediatric intensive care unit (PICU); 11 patients (20.0%) died. All of the risk factors of drowning should be taken into account when designing preventive measures and family education. In addition, all pediatricians should be trained periodically about the complications of submersion and the treatment strategies, particularly in coastal cities and areas where drownings occur frequently.

Postmortem stability of lung surfactant phospholipids.

PubMed

Lorente, J A; Lorente, M; Villanueva, E

1992-09-01

The postmortem stability of the main phospholipids of lung surfactant-phosphatidyl choline (PC), phosphatidyl ethanolamine (PE), phosphatidyl inositol (PI), phosphatidyl serine (PS) and sphingomyelin (S) in three different deaths; one caused by fresh-water drowning, one by salt-water drowning, and one from a sodium-pentobarbital overdose has been studied. The drug overdose was considered the control because there was no surfactant involvement. The results show the stability of these kinds of lipids in the first 24 h, with a progressive decrease from 48 h on until 96 h, with a significant correlation to the time of P less than 0.01 in most cases.

Did volcanic activity of the Emeishan large igneous province expand in Wuchiapingian times?

NASA Astrophysics Data System (ADS)

Bagherpour, Borhan; Bucher, Hugo; Yuan, Dong-Xun; Shen, Shu-zhong; Leu, Marc; Zhang, Chao

2017-04-01

Emplacement of the Emeishan Large Igneous Province (ELIP) in the Capitanian (Middle Permian) is associated with several environmental changes (e.g. facies change, carbon cycle perturbation and temperature rise) across the Guadalupian-Lopingian (G-L) interval in South China. However, most of the reported changes are within the Capitanian stage or close to the G-L boundary. Here, we report an episode of drastic environmental changes from the Pingtang syncline (S. Guizhou) that is similar with the previously known ones but which is significantly younger. The studied section represents a protracted and stepwise facies change from a benthos rich, thick-bedded and light grey shallow water limestone (Unit A) to a 30 m-thick unit with thin-bedded dark (OM-rich) radiolarian-spiculitic facies (Unit B). The latter is overlain by an 8 m-thick unit of volcaniclastic sandstone and silts defining a succession of decimetric, cyclic and thinning upward layers (Unit C). The base of the overlying medium-bedded limestone unit (Unit D) contain radiolarian and sponge spicules whose abundance progressively decrease up section with a progressive replacement by abundant benthic faunas concomitant with the transition to thick bedded limestone. A total of five conodont index species (assigned to Clarkina) of early Wuchiapingian age were recognized from Unit A and Unit B. The observed facies transition from Unit A to Unit B indicates a drastic drowning event. Unit C represents a distal turbiditic succession and the overlying Unit D shows an upward shallowing trend back to the initial shallow marine condition. Compilation of sedimentary records across G-L in South China reveals that such drowning events tend to cluster within three discrete time intervals. The drowning events may or may not end with deposition of either volcanics or volcaniclastics. Two first clusters display drowning events overlain by ELIP volcanic rocks or volcaniclastics of ELIP origin and are of Capitanian age. Only the first drowning event has been related to subsidence phase prior to the ELIP volcanism (e.g. Sun et al., 2010). The strikingly similar architecture of the Pingtang event with that of earlier Capitanian examples suggests a similar driving mechanism for these three phases of drowning/eruptive events. These results open up the possibility that ELIP volcanism extended into early Wuchiapingian times and further tests are currently under way. -Sun, Y., Lai, X., Wignall, P.B., Widdowson, M., Ali, J.R., Jiang, H., Wang, W., Yan, C., Bond, D.P.G., Védrine, S., 2010. Dating the onset and nature of the Middle Permian Emeishan large igneous province eruptions in SW China using conodont biostratigraphy and its bearing on mantle plume uplift models. Lithos 119, 20-33.

Prevalence of diatom frustules in non-vegetarian foodstuffs and its implications in interpreting identification of diatom frustules in drowning cases.

PubMed

Yen, Law Yen; Jayaprakash, P T

2007-07-20

Detection of diatom frustules in bone marrow (diatom test) is used for diagnosing ante-mortem drowning where the usual signs of drowning are not present in dead bodies recovered from water. However, controversies over the reliability of diatom test results are continuing. There have been indications on the possibilities of diatoms entering into systemic circulation from atmospheric air, food and drink. While diatoms have been demonstrated in the gut content of edible marine forms such as shrimps and clams, the present study, for the first time, provides empirical evidence on the prevalence as well as abundance of diatom frustules in the samples of cooked non-vegetarian foodstuffs that impend human consumption in Kelantan, Malaysia. It is found that 50 g each of cleaned and cooked prawns and of clams impending human consumption contain about 8360 and 29,054 diatom frustules, respectively. A person accustomed to prawn and clam food would be ingesting an estimated 2 million diatoms in a single year. Considering the suggestion that detection of five diatom frustules in 10 g of bone marrow would suffice for concluding drowning as mode of death, and the fact that there is yet no proof that diatom frustules do not enter into the human systemic circulation through the digestive tract, the estimated number of diatom frustules routinely ingested acquires significance since entry of a few of such ingested frustules into the systemic circulation can lead to false positive test results. The findings of this research raise two important issues: first, population based routine food related diatom ingestion requires to be estimated, and, second, studies have to be initiated to categorically prove or disprove the possibility of entry of diatom frustules into the systemic circulation via the digestive tract.

The Oligocene-Miocene stratigraphic evolution of the Majella carbonate platform (Central Apennines, Italy)

NASA Astrophysics Data System (ADS)

Brandano, Marco; Cornacchia, Irene; Raffi, Isabella; Tomassetti, Laura

2016-03-01

The stratigraphic architecture of the Bolognano Formation documents the evolution of the Majella carbonate platform in response to global and local changes that affected the Mediterranean area during the Oligocene-Miocene interval. The Bolognano Formation consists of a homoclinal ramp that developed in a warm, subtropical environment. Five different lithofacies associations have been identified: Lepidocyclina calcarenites, cherty marly limestones, bryozon calcarenites, hemipelagic marls and marly limestones, and Lithothamnion limestones. Each association corresponds to a single lithostratigraphic unit except for the Lepidocyclina calcarenites that form two distinct lithostratigraphic units (Lepidocyclina calcarenites 1 and 2). These six units reflect alternation of shallow-water carbonate production and drowning. Specifically, two of the three stages of shallow-water carbonate production regard the development of wide dune fields within the middle ramp, one stage dominated by red algae and a sea-grass carbonate factory, whereas the two drowning phases are represented by marly cherty limestones and calcareous marls. A new biostratigraphic framework for Bolognano Formation is presented, based on high-resolution analysis of calcareous nannofossil assemblages, which proved to be very useful for biostratigraphic constraints also in shallow-water settings. Using this approach, we have linked the first drowning phase, late Chattian-Aquitanian p.p. in age, to western Mediterranean volcanism and the Mi-1 event, and the second drowning phase, late Burdigalian-Serravallian in age, to the closure of the Indo-Pacific passage and the occurrence of the global Monterey event. These results permit a new deciphering, in terms of sequence stratigraphy, of the Bolognano Formation that is interpreted as a 2nd-order super-sequence that can be subdivided into 3 transgressive-regressive sequences.

A social change perspective on injury prevention in China.

PubMed

Ozanne-Smith, Joan; Li, Qingfeng

2018-05-05

China has undergone massive social change over the past four decades. Since national estimates became available in 1987, the overall fatal injury rate has decreased. This paper investigates targeted interventions and sociodemographic factors that may have contributed to fatal injury rate changes particularly for road traffic fatality (RTF), suicide and drowning. (1) To review the recent epidemiology of injury in China.(2)To investigate factors influencing trends in overall and specific cause injury mortality rates. Published injury mortality statistics and related literature were reviewed. Factors potentially influencing trends were investigated in the context of rapid development based on literature reviews of targeted interventions, macrolevel and microlevel contextual factors and changes specific to RTF, suicide and drowning. Overall estimated national injury mortality rates in China decreased between 1987 and 2015, despite a rapid rise in RTF. Suicide and drowning rates decreased significantly and falls displaced drowning among the leading causes. The higher female to male suicide ratio reversed. Differences were observed in frequencies and proportions of deaths by major cause by age group and over time. Economic and structural development and related social change in this period include: urbanisation, changes in demographics, life choices (eg, internal migration), education, poverty alleviation, health insurance and relevant regulations/legislation. These factors potentially explain much of the change in fatal injury rates in China. Data limitations persist. Increased investment in data and research would provide realistic opportunities for accelerated progress in implementing effective targeted interventions to further reduce China's injury burden. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Behaviour of a series of reservoirs separated by drowned gates

NASA Astrophysics Data System (ADS)

Kolechkina, Alla; van Nooijen, Ronald

2017-04-01

Modern control systems tend to be based on computers and therefore to operate by sending commands to structures at given intervals (discrete time control system). Moreover, for almost all water management control systems there are practical lower limits on the time interval between structure adjustments and even between measurements. The water resource systems that are being controlled are physical systems whose state changes continuously. If we combine a continuously changing system and a discrete time controller we get a hybrid system. We use material from recent control theory literature to examine the behaviour of a series of reservoirs separated by drowned gates where the gates are under computer control.

A Social Marketing Intervention to Prevent Drowning Among Inner-City Youth.

PubMed

Glassman, Tavis J; Castor, Tom; Karmakar, Monita; Blavos, Alexis; Dagenhard, Paige; Domigan, Julianne; Sweeney, Erin; Diehr, Aaron; Kucharewski, Ruthie

2018-03-01

Water-related injuries and fatalities pose serious public health issues, especially to African American youth, a demographic group that drowns at disproportionately high rates. The purpose of this study was to determine if a social marketing intervention targeting the parents and guardians of inner-city youth (U.S. Midwest) could positively influence their perceptions concerning water safety. Researchers employed a quasi-experimental design using matched pairs to evaluate the intervention. Participants consisted of parents who enrolled their children in a six-session survival-swimming course. Guided by the Health Belief Model, the researchers disseminated six prevention messages using six different channels (brochure, e-mail, SMS text message, postcard, Facebook, and window cling). The findings from a two-way analysis of covariance revealed that treatment group participants' knowledge and perceptions of water-related threat all changed favorably. Additionally, all participants planned to reenroll their children in swim lessons. A social marketing campaign using the Health Belief Model improved inner-city parents' knowledge regarding water safety and enhanced their self-efficacy. This study provides practitioners with feasible strategies (prevention messages) to supplement swim lessons, with the ultimate goal of preventing drowning among at-risk youth.

Bridging the Faraoni and Selli oceanic anoxic events: late Hauterivian to early Aptian dysaerobic to anaerobic phases in the Tethys

NASA Astrophysics Data System (ADS)

Föllmi, K. B.; Bôle, M.; Jammet, N.; Froidevaux, P.; Godet, A.; Bodin, S.; Adatte, T.; Matera, V.; Fleitmann, D.; Spangenberg, J. E.

2012-01-01

A detailed geochemical analysis was performed on the upper part of the Maiolica Formation in the Breggia (southern Switzerland) and Capriolo sections (northern Italy). The analysed sediments consist of well-bedded, partly siliceous, pelagic carbonate, which lodges numerous thin, dark and organic-rich layers. Stable-isotope, phosphorus, organic-carbon and a suite of redox-sensitive trace-element contents (RSTE: Mo, U, Co, V and As) were measured. The RSTE pattern and Corg:Ptot ratios indicate that most organic-rich layers were deposited under dysaerobic rather than anaerobic conditions and that latter conditions were likely restricted to short intervals in the latest Hauterivian, the early Barremian and the pre-Selli early Aptian. Correlations are both possible with organic-rich intervals in central Italy (the Gorgo a Cerbara section) and the Boreal Lower Saxony Basin, as well as with the facies and drowning pattern in the Helvetic segment of the northern Tethyan carbonate platform. Our data and correlations suggest that the latest Hauterivian witnessed the progressive installation of dysaerobic conditions in the Tethys, which went along with the onset in sediment condensation, phosphogenesis and platform drowning on the northern Tethyan margin, and which culminated in the Faraoni anoxic episode. This episode is followed by further episodes of dysaerobic conditions in the Tethys and the Lower Saxony Basin, which became more frequent and progressively stronger in the late early Barremian. Platform drowning persisted and did not halt before the latest early Barremian. The late Barremian witnessed diminishing frequencies and intensities in dysaerobic conditions, which went along with the progressive installation of the Urgonian carbonate platform. Near the Barremian-Aptian boundary, the increasing density in dysaerobic episodes in the Tethyan and Lower Saxony Basins is paralleled by a change towards heterozoan carbonate production on the northern Tethyan shelf. The following return to more oxygenated conditions is correlated with the second phase of Urgonian platform growth and the period immediately preceding and corresponding to the Selli anoxic episode is characterised by renewed platform drowning and the change to heterozoan carbonate production. Changes towards more humid climate conditions were the likely cause for the repetitive installation of dys- to anaerobic conditions in the Tethyan and Boreal basins and the accompanying changes in the evolution of the carbonate platform towards heterozoan carbonate-producing ecosystems and platform drowning.

Can human activities alter the drowning fate of barrier islands?

NASA Astrophysics Data System (ADS)

Lorenzo-Trueba, J.; Ashton, A. D.; Jin, D.; Hoagland, P.; Kite-Powell, H.

2012-12-01

Low-lying coastal barriers face an uncertain future over the coming century and beyond as sea levels rise, with many projections suggesting end-of-century rates of sea-level rise as high or higher than 1 cm/yr. Geologically, such rates of sea-level rise have been experienced several thousand years ago and we can use our understanding of geological processes and sedimentary evidence to help unravel the dynamics of natural barriers experiencing sea-level rise. Along many modern coastal barriers, however, anthropic change, such as beach nourishment, dune construction, and emplacement of hard structures, plays a dominant role in coastline dynamics. A fundamental question to be addressed is whether human activities intended to preserve infrastructure and beach recreation may make wholesale collapse, or 'drowning,' of barrier systems more likely. Here we present a numerical modeling tool that couples natural processes and the human responses to these changes (and the subsequent of human responses on natural processes). Recent theoretical model development suggests that barriers are intrinsically morphodynamic features, responding to sea-level rise in complex ways through the interactions of marine processes and barrier overwash. Undeveloped coastal barriers would therefore respond to an accelerated sea-level rise in complex, less predictable manners than suggested by existing long-term models. We have developed a model that examines non-equilibrium cross-shore evolution of barrier systems at decadal to centennial temporal scales, focusing on the interactions between processes of shoreface evolution and overwash deposition. Model responses demonstrate two means of barrier collapse during sea-level rise: 'height drowning', which occurs when overwash fluxes are insufficient to maintain the landward migration rate required to keep in pace with sea-level rise, and 'width drowning', which occurs when the shoreface response is insufficient to maintain the barrier geometry during landward migration. The model also demonstrates the potential for discontinuous shoreline retreat, with alternating periods of barrier stability and rapid migration, even for constant rates of sea-level rise. Anthropic activities can strongly interact with these behaviors. In particular, considering only cross-shore processes, beach nourishment activities widen the beach and can affect shoreface fluxes, and dune building, which curtails the overwash process, can potentially enhance barrier drowning by reducing overwash fluxes. Furthermore, coastal protection activities of adjacent communities or even individual property holders can be uncoordinated or coordinated, with their effects coupled along the coast through coastal reorientation and gradients in alongshore sediment transport. In the coordinated framework, owners act in concert to alter the barrier based upon community benefits, whereas in the non-coordinated framework owners alter only their own property. Another important role in management is the perception of future sea-level-rise-associated losses—communities manage their coast differently depending on their adopted forecast for sea-level rise. We find that coordinated behavior coupled with natural processes can substantially affect the drowning scenarios from the individual decision-making process.

Preventing commercial fishing deaths in Alaska

PubMed Central

Lincoln, J. M.; Conway, G. A.

1999-01-01

OBJECTIVES: To evaluate the effectiveness of the United States Commercial Fishing Industry Vessel Safety Act of 1988 in reducing the high occupational death rate (200/100,000/year in 1991-2) among Alaska's commercial fishermen. METHODS: Comprehensive surveillance of deaths in commercial fishing was established by our office during 1991 and 1992 for Alaska. Demographic data and data on risk factors and incidents were compiled and analysed for trend. RESULTS: During 1991-8, there was a significant (p < 0.001) decrease in deaths in Alaska related to commercial fishing. Although drownings from fishermen falling overboard and events related to crab fishing vessels (often conducted far offshore and in winter) have continued to occur, marked progress (significant downward trend, p < 0.001) has been made in saving the lives of people involved in vessels capsizing and sinking. CONCLUSIONS: Specific measures tailored to prevent drowning associated with vessels capsizing and sinking in Alaska's commercial fishing industry have been successful. However, these events continue to occur, and place fishermen and rescue personnel at substantial risk. Additional strategies must be identified to reduce the frequency of vessels capsizing and sinking, to enable parallel improvements in the mortality among crab fishermen, and to prevent fishermen falling overboard and drownings associated with them.   PMID:10658549

Deaths associated with Hurricane Sandy - October-November 2012.

PubMed

2013-05-24

On October 29, 2012, Hurricane Sandy hit the northeastern U.S. coastline. Sandy's tropical storm winds stretched over 900 miles (1,440 km), causing storm surges and destruction over a larger area than that affected by hurricanes with more intensity but narrower paths. Based on storm surge predictions, mandatory evacuations were ordered on October 28, including for New York City's Evacuation Zone A, the coastal zone at risk for flooding from any hurricane. By October 31, the region had 6-12 inches (15-30 cm) of precipitation, 7-8 million customers without power, approximately 20,000 persons in shelters, and news reports of numerous fatalities (Robert Neurath, CDC, personal communication, 2013). To characterize deaths related to Sandy, CDC analyzed data on 117 hurricane-related deaths captured by American Red Cross (Red Cross) mortality tracking during October 28-November 30, 2012. This report describes the results of that analysis, which found drowning was the most common cause of death related to Sandy, and 45% of drowning deaths occurred in flooded homes in Evacuation Zone A. Drowning is a leading cause of hurricane death but is preventable with advance warning systems and evacuation plans. Emergency plans should ensure that persons receive and comprehend evacuation messages and have the necessary resources to comply with them.

Not drowning, (hand)waving? Molecular phylogenetics, biogeography and evolutionary tempo of the 'Gondwanan' midge Stictocladius Edwards (Diptera: Chironomidae).

PubMed

Krosch, Matt; Cranston, Peter S

2013-09-01

Many insect clades, especially within the Diptera (true flies), have been considered classically 'Gondwanan', with an inference that distributions derive from vicariance of the southern continents. Assessing the role that vicariance has played in the evolution of austral taxa requires testing the location and tempo of diversification and speciation against the well-established predictions of fragmentation of the ancient super-continent. Several early (anecdotal) hypotheses that current austral distributions originate from the breakup of Gondwana derive from studies of taxa within the family Chironomidae (non-biting midges). With the advent of molecular phylogenetics and biogeographic analytical software, these studies have been revisited and expanded to test such conclusions better. Here we studied the midge genus Stictocladius Edwards, from the subfamily Orthocladiinae, which contains austral-distributed clades that match vicariance-based expectations. We resolve several issues of systematic relationships among morphological species and reveal cryptic diversity within many taxa. Time-calibrated phylogenetic relationships among taxa accorded partially with the predicted tempo from geology. For these apparently vagile insects, vicariance-dated patterns persist for South America and Australia. However, as often found, divergence time estimates for New Zealand at c. 50 mya post-date separation of Zealandia from Antarctica and the remainder of Gondwana, but predate the proposed Oligocene 'drowning' of these islands. We detail other such 'anomalous' dates and suggest a single common explanation rather than stochastic processes. This could involve synchronous establishment following recovery from 'drowning' and/or deleteriously warming associated with the mid-Eocene climatic optimum (hence 'waving', which refers to cycles of drowning events) plus new availability of topography providing of cool running waters, or all these factors in combination. Alternatively a vicariance explanation remains available, given the uncertain duration of connectivity of Zealandia to Australia-Antarctic-South America via the Lord Howe and Norfolk ridges into the Eocene. Copyright © 2013 Elsevier Inc. All rights reserved.

Stratigraphy of the Mississippi-Alabama shelf and the Mobile River incised-valley system

USGS Publications Warehouse

Kindinger, Jack G.; Balson, Peter S.; Flocks, James G.; Dalrymple, Robert W.; Boyd, Ron; Zaitlin, Brian A.

1994-01-01

The Holocene incised-valley fill (estuarine facies) underlying Mobile Buy fit well into the conceptual facies model of a microtidal wave-dominated estuary. The model does not fit as well, however, with the rapidly transgressed shelf portion of the incised valley. The down dip section does not contain a clearly identifiable (from seismic profiles) estuarine facies; the valley fill is primarily fluvial and is overlain by marine shoals. In the Mobile River incised valley, the distal portion of the valley was rapidly drowned, allowing the thin estuarine facies to be reworked. The proximal portion was drowned more slowly, leaving the estuarine facies intact. Thus, the single incised valley contains two very different types of fill.

An anticipative escape system for vehicles in water crashes

NASA Astrophysics Data System (ADS)

Shen, Chuanliang; Wang, Jiawei; Yin, Qi; Zhu, Yantao; Yang, Jiawei; Liao, Mengdi; Yang, Liming

2017-07-01

In this article, it designs an escape system for vehicles in water crashes. The structure mainly contains sensors, control organs and actuating mechanism for both doors and windows. Sensors judge whether the vehicle falls into water or is in the falling process. The actuating mechanism accepts the signal delivered by the control organs, then open the electronic central lock on doors and meanwhile lower the window. The water escape system is able to anticipate drowning situations for vehicles and controls both doors and windows in such an emergency. Under the premise of doors staying in an undamaged state, it is for sure that people in the vehicle can open the door while drowning in the water and safely escape.

Leading causes of unintentional injury and suicide mortality in Canadian adults across the urban-rural continuum.

PubMed

Burrows, Stephanie; Auger, Nathalie; Gamache, Philippe; Hamel, Denis

2013-01-01

We examined the leading causes of unintentional injury and suicide mortality in adults across the urban-rural continuum. Injury mortality data were drawn from a representative cohort of 2,735,152 Canadians aged ≥ 25 years at baseline, who were followed for mortality from 1991 to 2001. We estimated hazard ratios and 95% confidence intervals for urban-rural continuum and cause-specific unintentional injury (i.e., motor vehicle, falls, poisoning, drowning, suffocation, and fire/burn) and suicide (i.e., hanging, poisoning, firearm, and jumping) mortality, adjusting for socioeconomic and demographic characteristics. Rates of unintentional injury mortality were elevated in less urbanized areas for both males and females. We found an urban-rural gradient for motor vehicle, drowning, and fire/burn deaths, but not for fall, poisoning, or suffocation deaths. Urban-rural differences in suicide risk were observed for males but not females. Declining urbanization was associated with higher risks of firearm suicides and lower risks of jumping suicides, but there was no apparent trend in hanging and poisoning suicides. Urban-rural gradients in adults were more pronounced for unintentional motor vehicle, drowning, and fire/burn deaths, as well as for firearm and jumping suicide deaths than for other causes of injury mortality. These results suggest that the degree of urbanization may be an important consideration in guiding prevention efforts for many causes of injury fatality.

Injury deaths among Finnish residents travelling abroad.

PubMed

Lunetta, Philippe

2010-09-01

The increasing international mobility raises the possibility of foreign nationals dying abroad. Here, a descriptive, retrospective and population-based study of deaths abroad among Finnish residents from 1969 to 2007 is presented. The data were collected from the Statistics Finland data based on certificates of cause of death issued after repatriation of the corpse and after review of medical documents or a medico-legal autopsy. The frequency of injury deaths, proportional mortality rates (PMRs) and mortality risk estimates (MREs) were measured. During the study period, 6894 Finnish residents died abroad. Spain, Sweden and Thailand were the top three destination countries for number of deaths, accounting together for 40.3% of all the deaths. Cardiovascular diseases were the most common cause of deaths. The overall injury deaths represented 26.7% of all deaths abroad and occurred at a higher proportion than in Finland (PMR: 3.3). The most common injury deaths were traffic accident and drowning, which together represented more than 50% of all unintentional injury deaths. High PMRs were found for traffic accidents in Russia, Germany and the US and for drowning in Spain, Portugal, Greece and Turkey. The MRE for injury deaths was 73.5 per 100,000 person-years of exposure. Finnish travellers abroad are a population subgroup with a high risk of injury death. Common travel health interventions must be backed by actions to prevent injuries abroad, particularly traffic accident and drowning.

Drowning Prevention

MedlinePlus

... on the back Appear to be climbing an invisible ladder For newborn infants and children through four ... Academy of Pediatrics) The information contained on this Web site should not be used as a substitute ...

CPR - adult

MedlinePlus

... heartbeat has stopped. This may happen after an electric shock , drowning, or heart attack. CPR involves: Rescue ... to swim. Teach your child to watch for cars and ride bikes safely. Teach your child firearm ...

Near drowning

MedlinePlus

... drugs while boating or swimming Falling through thin ice Inability to swim or panicking while swimming Swimming ... get into the water or go out onto ice unless you are absolutely sure it is safe. ...

Bridging the Faraoni and Selli oceanic anoxic events: short and repetitive dys- and anaerobic episodes during the late Hauterivian to early Aptian in the central Tethys

NASA Astrophysics Data System (ADS)

Föllmi, K. B.; Bôle, M.; Jammet, N.; Froidevaux, P.; Godet, A.; Bodin, S.; Adatte, T.; Matera, V.; Fleitmann, D.; Spangenberg, J. E.

2011-06-01

A detailed stratigraphical and geochemical analysis was performed on the upper part of the Maiolica Formation outcropping in the Breggia (southern Switzerland) and Capriolo sections (northern Italy). In these localities, the Maiolica Formation consists of well-bedded, partly siliceous, pelagic, micritic carbonate, which lodges numerous thin, dark and organic-rich layers. Stable-isotope, phosphorus, organic-carbon and a suite of redox-sensitive trace-metal contents (RSTE: Mo, U, Co, V and As) were measured. Higher densities of organic-rich layers were identified in the uppermost Hauterivian, lower Barremian and the Barremian-Aptian boundary intervals, whereas the upper Barremian interval and the interval immediately following the Barremian-Aptian boundary interval are characterized by lower densities of organic-rich layers. TOC contents, RSTE pattern and Corg:Ptot ratios indicate that most layers were deposited under dysaerobic rather than anaerobic conditions and that latter conditions were likely restricted to short intervals in the latest Hauterivian, the early Barremian and the pre-Selli early Aptian. Correlations are possible with organic-rich intervals in central Italy (the Gorgo a Cerbara section) and the Boreal northwest German Basin, and with the facies and drowning pattern in the evolution of the Helvetic segment of the northern Tethyan carbonate platform. Our data and correlations suggest that the latest Hauterivian witnessed the progressive installation of dysaerobic conditions in the Tethys, which went along with the onset in sediment condensation, phosphogenesis and platform drowning on the northern Tethyan margin, and which culminated in the Faraoni anoxic episode. This brief episode is followed by further episodes of dysaerobic conditions in the Tethys and the northwest German Basin, which became more frequent and progressively stronger in the late early Barremian. Platform drowning persisted and did not halt before the latest early Barremian. The late Barremian witnessed diminishing frequencies and intensities in dysaerobic conditions, which went along with the progressive installation of the Urgonian carbonate platform. Near the Barremian-Aptian boundary, the increasing density in dysaerobic episodes in the Tethyan and northwest German Basins is paralleled by a change towards heterozoan carbonate production on the northern Tethyan shelf. The following return to more oxygenated conditions is correlated with the second phase of Urgonian platform growth and the period immediately preceding and corresponding to the Selli anoxic episode is characterized by renewed platform drowning and the change to heterozoan carbonate production. Changes towards more humid climate conditions were likely the cause for the repetitive installation of dys- to anaerobic conditions in the Tethyan and Boreal basins and the accompanying changes in the evolution of the carbonate platform towards heterozoan carbonate-producing ecosystems and platform drowning.

Recognizing medical emergencies

MedlinePlus

... persistent vomiting Sudden injury due to a motor vehicle accident, burns or smoke inhalation, near drowning, deep ... in case of a neck injury or motor vehicle accident) The person needs the skills or equipment ...

Grand Mal Seizure

MedlinePlus

... trauma, a stroke, previous infection and other causes Sleep deprivation Medical problems that affect electrolyte balance Illicit drug ... drowning. Car accidents. A seizure that causes either loss of awareness or control can be dangerous if ...

Water Safety

MedlinePlus

... Staying Safe Videos for Educators Search English Español Water Safety KidsHealth / For Teens / Water Safety What's in ... drownings are tied to alcohol use. At the Water Park OK, so you do more splashing than ...

Genetic Testing for Inherited Heart Disease

MedlinePlus

... are also inherited heart conditions that affect the electric system of the heart, causing abnormal heart rhythms ... mistakenly labeled as a heart attack, drowning, or car accident. The sudden death of a previously healthy ...

The Effectiveness of Aquatic Group Therapy for Improving Water Safety and Social Interactions in Children with Autism Spectrum Disorder: A Pilot Program.

PubMed

Alaniz, Michele L; Rosenberg, Sheila S; Beard, Nicole R; Rosario, Emily R

2017-12-01

Drowning is the number one cause of accidental death in children with Autism Spectrum Disorder (ASD). Few studies have examined the effectiveness of swim instruction for improving water safety skills in children with moderate to severe ASD. This study examines the feasibility and effectiveness of an aquatic therapy program on water safety and social skills in children with mild to severe ASD (n = 7). Water safety skills were evaluated using the Aquatics Skills Checklist and social skills were measured using the Social Skills Improvement Scale. We provide preliminary evidence that children with ASD can improve water safety skills (p = 0.0002), which are important for drowning prevention after only 8 h of intervention. However, social skills did not respond to intervention (p = 0.6409).

Taconic plate kinematics as revealed by foredeep stratigraphy, Appalachian Orogen

USGS Publications Warehouse

Bradley, D.C.

1989-01-01

Destruction of the Ordovician passive margin of eastern North America is recorded by an upward deepening succession of carbonates, shales, and flysch. Shelf drowning occurred first at the northern end of the orogen in Newfoundland, then at the southern end of the orogen in Georgia, and finally in Quebec. Diachronism is attributed to oblique collision between an irregular passive margin, that had a deep embayment in Quebec, and at least one east dipping subduction complex. The rate of plate convergence during collision is estimated at 1 to 2 cm/yr, and the minimum width of the ocean that closed is estimated at 500 to 900 km. The drowning isochron map provides a new basis for estimating tectonic transport distances of four of these allochthons (about 165 to 450 km), results not readily obtained by conventional structural analysis. -Author

Housing Interventions and Control of Injury-Related Structural Deficiencies: A Review of the Evidence

PubMed Central

DiGuiseppi, Carolyn; Jacobs, David E.; Phelan, Kieran J.; Mickalide, Angela; Ormandy, David

2010-01-01

Subject matter experts systematically reviewed evidence on the effectiveness of housing interventions that affect safety and injury outcomes, such as falls, fire-related injuries, burns and drowning, carbon monoxide poisoning, heat-related deaths, and noise-related harm, associated with structural housing deficiencies. Structural deficiencies were defined as those deficiencies for which a builder, landlord, or homeowner would take responsibility (ie, design, construction, installation, repair, monitoring). Three of the 17 interventions reviewed had sufficient evidence for implementation: installed, working smoke alarms; 4-sided isolation pool fencing; and preset safe hot water temperature. Five interventions needed more field evaluation, 8 needed formative research, and 1 was found to be ineffective. This evidence review shows that housing improvements are likely to help reduce burns and scalds, drowning in pools, and fire-related deaths and injuries. PMID:20689373

Mortality from flash floods: a review of national weather service reports, 1969-81.

PubMed Central

French, J; Ing, R; Von Allmen, S; Wood, R

1983-01-01

Of all weather-related disasters that occur in the United States, floods are the main cause of death, and most flood-related deaths are attributed to flash floods. Whenever a weather-related disaster involves 30 or more deaths or more than $100 million in property damage, the National Weather Service (NWS) forms a survey team to investigate the disaster and write a report of findings. All NWS survey reports on flash floods issued during 1969-81 were reviewed to determine the mortality resulting from such floods, the effect of warnings on mortality, and the circumstances contributing to death. A total of 1,185 deaths were associated with 32 flash floods, an average of 37 deaths per flash flood. The highest average number of deaths per event was associated with the four flash floods in which dams broke after heavy rains. Although there were 18 flash floods in 1977-81 and only 14 in 1969-76, the number of deaths was 2 1/2 times greater during the earlier period. More than twice as many deaths were associated with flash floods for which the survey team considered the warnings inadequate than with those with warnings considered adequate. Ninety-three percent of the deaths were due to drowning and 42 percent of these drownings were car related. The other drownings occurred in homes, at campsites, or when persons were crossing bridges and streams. The need for monitoring dams during periods of heavy rainfall is highlighted. PMID:6419273

Increasing the probability of surviving loss of consciousness underwater when using a rebreather.

PubMed

Haynes, Paul

2016-12-01

Re-circulating underwater breathing apparatus (rebreathers) have become increasingly popular amongst sport divers. In comparison to open-circuit scuba, rebreathers are complex life support equipment that incorporates many inherent failure modes and potential for human error. This individually or in combination can lead to an inappropriate breathing gas. Analysis of rebreather diving incidents suggests that inappropriate breathing gas is the most prevalent disabling agent. This can result in spontaneous loss of consciousness (LoC), water aspiration and drowning. Protecting the airway by maintaining the diver/rebreather oral interface may delay water aspiration following LoC underwater; the possibility of a successful rescue is, thus, increased. One means of protecting the airway following LoC underwater is the use of a full-face mask (FFM). However, such masks are complex and expensive; therefore, they have not been widely adopted by the sport diving community. An alternative to the FFM used extensively throughout the global military diving community is the mouthpiece retaining strap (MRS). A recent study documented 54 LoC events in military rebreather diving with only three consequent drownings; all divers were reported to be using a MRS. Even allowing for the concomitant use of a tethered diving partner system in most cases, the low number of fatalities in this large series is circumstantially supportive of the efficacy of the MRS. Despite drowning featuring as a final common pathway in the vast majority of rebreather fatalities, the MRS has not been widely adopted by the sport rebreather diving community.

Did he drown or was he murdered?

PubMed

Lau, Gilbert

2002-04-01

An unemployed, 60-year-old Singaporean gentleman died during a brief overseas trip to another South-East Asian country. He had, presumably, drowned in the bathtub of his hotel room, which he shared with his then 44-year-old companion, who was supposedly his nephew. The relevant public health and medico-legal authorities of the host country conducted an external examination of the body at the scene, whereupon they agreed with the police that his death was probably due to accidental drowning following an episode of syncope. It would appear that this verdict was based almost entirely on circumstantial and hearsay evidence. No autopsy was performed. In its place, considerable reliance was placed on the observation that abdominal compression resulted in the outflow of a small amount of water from the mouth, as being proof of drowning. A few days later, the body was cremated in the host country and the remains (ashes) were subsequently repatriated to Singapore. It later transpired that, shortly before they embarked on the ill-fated trip, the deceased's 'nephew' had purchased, on the former's behalf, travel insurance policies (covering accidental injury and death) amounting to a total of S$800,000 from five different insurance companies, as well as a separate life policy for a further S$100,000, most of which had been issued within the fortnight prior to their departure. Interestingly, the beneficiary (later the plaintiff in the ensuing civil trial some three years later) of all of these policies, was the ex-wife of the deceased's 'nephew', with whom he had, in fact, continued to live although they were officially divorced several years ago. Whilst the claim against the life policy had been settled, the first five insurers declined to issue payment on grounds of suspicion that the deceased had been the victim of a homicide, planned or executed by the 'nephew', wherein the beneficiary was a conspirator of sorts. The author was approached by defence counsel (representing the various insurers), for assistance in this matter. It was felt that a proper forensic review was seriously hampered by the lack of a full autopsy which would have been indispensable in ascertaining the actual cause of death and in eliminating other possibilities, apart from drowning, such as death from natural causes, other forms of injury, poisoning, or homicide. It was also emphasized that the mere presence of ingested water is not diagnostic of drowning. Eventually, after a protracted but unsuccessful attempt at mediation (in the course of which, the plaintiff rejected the offer of a reduced, although apparently sizable quantum), the matter came before the High Court, which found in favour of the defendants. It appeared that the judge was more than convinced that the deceased was indeed the victim of a homicide of which the plaintiff was a conspirator and her ex-husband, the perpetrator, as even a cursory perusal of the written judgement would indicate. Accordingly, the court ruled that the plaintiff (in her capacity as both the beneficiary of the insurance policies and executor of the estate) and her ex-husband had, effectively, deprived the insurers of their contractual right (as stipulated in the insurance policies) to have an autopsy conducted on the body of the deceased and they were, therefore, entitled to deny liability. This case illustrates the difficulties inherent in conducting an independent review of a putative instance of drowning, where convincing and reliable forensic evidence and documentation are largely wanting; this being compounded by its occurrence in a foreign jurisdiction whose medico-legal practices differ substantially from that to which one is accustomed. It may even be said that the corpus delecti was destroyed, in this instance, by cremation. It is also unusual in that a de-facto finding of murder was made in a civil court (whose standard of proof is that of a balance of probabilities) and that this had, subsequently, spurred the police to undertake a criminal investigation for conspiracy to murder. In the event, the civil appeal was dismissed by the Court of Appeal, but no charge was laid against any of the suspects for want of sufficient forensic or investigative evidence of a criminal offence having been committed.

Water Safety (Recreational)

MedlinePlus

Playing in the water - whether swimming, boating or diving - can be fun. It can also be dangerous, especially for children. Being safe can ... injuries and drowning. To stay safe in the water Avoid alcohol when swimming or boating Wear a ...

Factors associated with life jacket use among cabin sailboat and day sailor boaters in the United States.

PubMed

Spitzer, Natalie; Phillips, Maile T; Chow, Wendy; Mangione, Thomas W

2018-06-01

In 2015, drowning accounted for 68% of the 626 recreational boating related deaths in the United States. Although life jackets are estimated to prevent between 50% to 80% of boating deaths, approximately 83% of sailboat-related drowning victims were reported to not be wearing life jackets. Life jacket use among adult boaters has remained consistently low across most boat types and may vary by boater, boating, and environmental conditions. Although many risky environmental and boating factors may be associated with a higher risk of boating death, drowning occurs in all situations and it is useful to understand adult life jacket wearing behaviors in differing boating situations. This study uses observational survey data from 61318 adult sailors collected during the summer months of 1999 - 2017 from 124 selected study sites across 30 states in the US. Life jacket use was compared for day sailors and cabin sailboats by multiple boating, boater, and environmental conditions using Chi-square tests for equality of proportions. Results of these tests led to a choice of 3 informative and scientifically compelling variables to summarize variation in life jacket use for each sailboat type. Odds ratios were calculated comparing life jacket use from each boating situation to the lowest risk situation as determined by the 3 selected variables. These variables were represented in a tree diagram, detailing the additive impact of each factor. Following these analyses, all boating conditions were categorized to be risky or non-risky and a count variable was created for each observation based on the number of risks present. Cochran-Armitage trend tests were conducted to test for linearity in life jacket use for both boat types. The overall life jacket wear rate was higher among adults in day sailor sailboats (51.6%) compared to cabin sailboats (13.8%) and in all measured demographic, boating, and environmental circumstances. Comparing high-risk cabin sailboat conditions of low water temperatures, small boat size, and high wind speed to the lowest-risk situation accounted for a 23.3% range in life jacket wear rate (OR=4.7). Comparing high-risk day sailor sailboat conditions of small boat size, one boater on board, and choppy/rough wave height to the lowest-risk situation accounted for a 39.3% range in life jacket wear rate (OR=5.9). For both boat types, the number of risks present and life jacket wear rate exhibited a statistically significant positive linear relationship at p<0.0001. Study results suggest that boaters are aware of the connection between life jacket use and drowning prevention and are more likely to wear life jackets when boating in conditions perceived to be risky. Boating safety promotion efforts should recommend adult life jacket use in all boating situations, as seemingly non-risky conditions may still result in drownings. Copyright © 2018. Published by Elsevier Ltd.

Technical Assessment: Synthetic Biology

DTIC Science & Technology

2015-01-01

to help heal wounds; probiotics that mitigate the effects of stress and enhance mental performance. The same characteristics that make synthetic... probiotics . 5. BW/CW Defense Despite claims about the risks from synthetic biology often inappropriately drowning out discussions of other

[Autopsy case of drowning caused by accidental carbon dioxide intoxication in a hold tank].

PubMed

Sato, Hiroaki; Tanaka, Toshiko; Kasai, Kentaro; Kita, Toshiro

2009-12-01

A 49-year-old male captain fell and unfortunately died in a hold tank where he had entered to rescue his fainting co-worker on the disposing waste fluid left there. An autopsy revealed that the captain died from drowning in the waste fluid. In order to clarify the cause of their falling in the tank, the gas in the hold tank was analyzed. The concentration of oxygen was 18.86 to 19.31%, carbon dioxide was 7.28 to 9.07% and the other gases, including hydrogen sulfide, were assessed to be under the normal level. It was concluded that the intoxication of carbon dioxide generated from the waste fluid fermentation was the cause of this fatal accident through loss of consciousness. It is necessary to recognize that carbon dioxide is a dangerous and deleterious gas in circumstances where the gas can be produced.

A drowned lycopsid forest above the Mahoning coal (Conemaugh Group, Upper Pennsylvanian) in eastern Ohio, U.S.A

USGS Publications Warehouse

DiMichele, W.A.; Eble, C.F.; Chaney, D.S.

1996-01-01

Over 800 mud-filled casts of upright lycopsid tree stumps have been documented immediately above the Mahoning coal in an active underground mine located in northwestern Jefferson County, Ohio. The coal body originated as a pod-shaped peat body of ??? 60 km2. Trees are rooted at several levels within a thin (15-40 cm) bone coal directly above the banded coal; they extend upward up to 15 cm into overlying, flat-bedded, carbonaceous mudstones that coarsen up. From a maximum basal diameter of 1.2 m, stumps taper upward to diameters no less than 0.3 m. Within single-entry transects, < 6 m wide that total 2585 m in length, stumps are randomly distributed. The trees are identified as lepidodendrids on the basis of gross morphology, external stem patterns, and attached stigmarian root systems, and provisionally as Lepidophloios or Lepidodendron by associated palynology of the enclosing matrix. Palynological analyses of incremental seam samples indicate an initial dominance of lycopsid spores with lepidodendracean affinities (Lycospora granulata from Lepidophloios hallii), replaced upwards by tree-fern spores, with a reoccurrence of lepidodendracean spores in the upper benches; spores of Sigillaria (Crassispora) are abundant only at the base of the coal. Petrographic analyses indicate a parallel trend from vitrinite-rich to inertinite- and liptinite-rich upward in the coal body. All data indicate that the peat represented by the Mahoning coal was drowned slowly. During the earliest stages of inundation, a lycopsid forest was re-established, only to be subsequently drowned.

Injury Deaths among People with Epilepsy in Rural Bangladesh

PubMed Central

Mateen, Farrah J.; Shinohara, Russell T.; Alam, Nurul; Black, Robert E.; Streatfield, Peter K.

2012-01-01

Background Accidental death in people with epilepsy (PWE) has been described in high income settings where the relative risk of death is known to be higher than in the standard population. Population-based studies of injury deaths among PWE in developing countries are uncommon. Methods A population-based verbal autopsy study in Matlab, Bangladesh, performed at a health and demographic surveillance system site (mean population 223,886 in 142 villages), was used to assess the possible causes of all deaths. All cases of accidental injury (2005–2008) were evaluated and compared between people with and without a diagnosis of epilepsy. Results There were 12 accidental deaths among PWE (8 female, age range 12–58 years old) out of a total of 316 deaths due to accidental injuries (3.8% of all injury deaths). Causes of mortality were drowning (n=10) and burns (n=2). The proportion of deaths due to drowning among PWE was significantly higher than that of the standard population (83% (10/12) vs. 7% (21/304), relative risk 12.6 (95% CI, 7.7–20.7, p<0.0001)). Mortality due to injury in PWE occurred at a younger age compared to people without epilepsy (mean difference 20.7 years (95% CI 6.7, 34.3), p<0.004). Conclusions There is a high proportion of accidental deaths due to drowning in PWE in Bangladesh compared to the standard population. Given the risk of seasonal flooding and low level of formal education, programs targeting water safety for PWE at all ages should be emphasized, appropriate for level of ability. PMID:22341966

Naturally Speaking: The Naturalness Criterion and Physics at the LHC

NASA Astrophysics Data System (ADS)

Giudice, Gian Francesco

The following sections are included: * Naturalness in Scientific Thought * Drowning by Numbers * A Quantum Complication * The Naturalness Criterion as a Principle * An Account of Events * The Paths Chosen by Nature * Measuring Naturalness * Anthropic Reasoning * Naturalness versus Criticality * Conclusions * References

Safety and the Human Factor.

ERIC Educational Resources Information Center

Smith, Ann

1982-01-01

Discusses four elements of safety programs: (1) safety training; (2) safety inspections; (3) accident investigations; and (4) protective safety equipment. Also discusses safety considerations in water/wastewater treatment facilities focusing on falls, drowning hazards, trickling filters, confined space entry, collection/distribution system safety,…

Chesapeake Bay Low Freshwater Inflow Study. Appendix E. Biota.

DTIC Science & Technology

1984-09-01

rostrata. Among the fresh water turtles, at least five species (Clemmys insculpta, Chrysemys picla, Terrapene carolina, Chelydra serpentina , and...Clemmys guttata is almost exclusively insectivorous. Chelydra serpentina is a voracious feeder, and sometimes attacks and drowns ducKs floating in the

Improving Goods Movement in a Metropolitan Area Adjacent to a Port

DOT National Transportation Integrated Search

2009-01-01

Southern California and specifically Los Angeles faces enormous congestion associated with increase in cargo movement from/to the regional Ports. The region has started to drown in a sea of trucks and trains. This growing congestion has elevated the ...

Drowning in Disinfection Byproducts? Swimming Pool Water Quality

EPA Science Inventory

Disinfection is mandatory for swimming pools, because transmission of disease by bacteria, virus and protozoa is the most significant health issue. However another issue arises, and care should be taken to minimize the risks from disinfection by-products (DBPs). Public pools are ...

Children and adolescents deaths from trauma-related causes in a Brazilian City.

PubMed

Fraga, Andrea Melo Alexandre; Bustorff-Silva, Joaquim Murray; Fernandez, Thais Marconi; Fraga, Gustavo Pereira; Reis, Marcelo Conrado; Baracat, Emilio Carlos Elias; Coimbra, Raul

2013-12-05

Injury is the first cause of death worldwide in the population aged 1 to 44. In developed countries, the most common trauma-related injuries resulting in death during childhood are traffic accidents, followed by drowning. This retrospective study based on autopsy examinations describes the epidemiology profile of deaths by trauma-related causes in individuals younger than 18 years from 2001 to 2008 in the city of Campinas. The aim is to identify epidemiology changes throughout the years in order to develop strategies of prevention. There were 2,170 deaths from all causes in children < 18 years old, 530 of which were due to trauma-related causes, with a male predominance of 3.4:1. The age distribution revealed that 76% of deaths occurred in the 10-17 age group. The most predominant trauma cause was firearm injury (47%). Other frequent causes were transport-related injuries (138 cases-26%; pedestrians were struck in 57.2% of these cases) and drowning (55 cases-10.4%). Asphyxia/suffocation was the cause of death in 72% of cases in children < 1 year old; drowning (30.8%) was predominant in the 1-4 age group; transport-related deaths were frequent in the 5-9 age group (56%) and the 10-14 age group (40.4%). Gun-related deaths were predominant (68%) in the 14-17 age group. 51% of deaths occurred at the scene. There was a predominance of deaths in children and adolescents males, between 15-17 years old, mainly from gun-related homicides, and the frequency has decreased since 2004 after the disarmament statute and the combating of violence.

Helicopter-based in-water resuscitation with chest compressions: a pilot study.

PubMed

Winkler, Bernd E; Hartig, Frank; DuCanto, James; Koch, Andreas; Georgieff, Michael; Lungwitz, Yannick P; Muth, Claus-Martin

2015-07-01

Drowning is a relevant worldwide cause of severe disability and death. The delay of ventilations and chest compressions is a crucial problem in drowning victims. Hence, a novel helicopter-based ALS rescue concept with in-water ventilation and chest compressions was evaluated. Cardio pulmonary resuscitation (CPR) and vascular access were performed in a self-inflating Heliboat platform in an indoor wave pool using the Fastrach intubating laryngeal mask, the Oxylator resuscitator, Lund University Cardiopulmonary Assist System (LUCAS) chest compression device and EZ-IO intraosseous power drill. The time requirement and physical exertion on a Visual Analogue Scale (VAS) were compared between a procedure without waves and with moderate swell. Measurement of the elapsed time of the various stages of the procedure did not reveal significant differences between calm water and swell: Ventilation was initiated after 02:48 versus 03:02 and chest compression after 04:20 versus 04:18 min; the intraosseous cannulisation was completed after 05:59 versus 06:30 min after a simulated jump off the helicopter. The attachment of the LUCAS to the mannequin and the intraosseous cannulisation was rated significantly more demanding on the VAS during swell conditions. CPR appears to be possible when performed in a rescue platform with special equipment. The novel helicopter-based strategy appears to enable the rescuers to initiate CPR in an appropriate length of time and with an acceptable amount of physical exertion for the divers. The time for the helicopter to reach the patient will have to be very short to minimise neurological damage in the drowning victim. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Injury deaths in the adolescent population of Finland: a 43-year secular trend analysis between 1971 and 2013.

PubMed

Parkkari, Jari; Sievänen, Harri; Niemi, Seppo; Mattila, Ville M; Kannus, Pekka

2016-08-01

Injuries are a major public health problem worldwide, being the leading cause of death in children and adolescents in developed countries. However, knowledge on recent secular trends in injury deaths of adolescents is sparse. Using Official Cause-of-Death Statistics of Finland, we examined the nationwide trends in the age- and sex-specific incidence rates of fatal injuries among 10-14-year-old and 15-19-year-old adolescents in Finland between 1971 and 2013. The incidence rate of fatal injuries decreased considerably in both age groups during the 43-year follow-up period. The decline in injury deaths was mainly due to decreased deaths in traffic accidents. The number of drownings reached the ultimate goal-that is, there were no drownings in Finnish 10-19-year-old adolescents in 2013. The rates of intentional injury deaths remained stable in girls, while in 15-19-year-old boys a decreasing trend was evident. During the deep economic depression in 1990, the incidence of suicide in 15-19-year-old boys was as high as 40.1. At that time, boys' suicide risk was 7.4 times higher than that of girls. Since then, boys' risk for suicide has clearly decreased and was 1.6 times higher than the corresponding risk in girls in 2013. The incidence rate of fatal injuries decreased considerably in Finnish adolescents during the period 1971-2013. The clearest change occurred in road traffic injuries and drownings. The rates of intentional injury deaths remained unaltered in girls while 15-19-year-old boys showed a decreasing trend. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Personal, social, and environmental factors associated with lifejacket wear in adults and children: A systematic literature review

PubMed Central

Demant, Daniel; Hagger, Martin S.; Hamilton, Kyra

2018-01-01

Objective Drowning claims 7% of the global burden of injury-related deaths. Lifejackets are routinely recommended as a drowning prevention strategy; however, a review of related factors regarding lifejacket wear has not previously been investigated. Methods This systematic review examined literature published from inception to December 2016 in English and German languages. The personal, social, and environmental factors associated with lifejacket wear among adults and children were investigated, a quantitative evaluation of the results undertaken, and gaps in the literature identified. Results Twenty studies, with sample sizes of studies ranging between 20 and 482,331, were identified. Fifty-five percent were cross-sectional studies. All studies were scored IV or V on the Australian National Health and Medical Research Council (NHMRC) grading system indicating mostly descriptive and cross-sectional levels of evidence. Factors associated with increased wear included age (mostly children), gender (mostly female), boat type (non-motorised), boat size (small boats), role modelling (children influenced by adult lifejacket wear), and activity (water-skiing, fishing). Factors not associated or inconsistent with lifejacket wear included education, household income, ethnicity, boating ability, confidence in lifejackets, waterway type, and weather and water conditions. Factors associated with reduced lifejacket wear included adults, males, discomfort, cost and accessibility, consumption of alcohol, and swimming ability. Three studies evaluated the impact of interventions. Conclusion This review identified factors associated with both increased and decreased lifejacket wear. Future research should address the motivational factors associated with individuals’ decisions to wear or not wear lifejackets. This, combined with further research on the evaluation of interventions designed to increase lifejacket wear, will enhance the evidence base to support future drowning prevention interventions. PMID:29718971

Early Pleistocene origin of reefs around Lanai, Hawaii

USGS Publications Warehouse

Webster, Jody M.; Clague, David A.; Faichney, Iain D.E.; Fullagar, Paul D.; Hein, James R.; Moore, James G.; Paull, Charles K.

2010-01-01

A sequence of submerged terraces (L1–L12) offshore Lanai was previously interpreted as reefal, and correlated with a similar series of reef terraces offshore Hawaii island, whose ages are known to be <500 ka. We present bathymetric, observational, lithologic and 51 87Sr/86Sr isotopic measurements for the submerged Lanai terraces ranging from −300 to −1000 m (L3–L12) that indicate that these terraces are drowned reef systems that grew in shallow coral reef to intermediate and deeper fore-reef slope settings since the early Pleistocene. Age estimates based on 87Sr/86Sr isotopic measurements on corals, coralline algae, echinoids, and bulk sediments, although lacking the precision (∼±0.23 Ma) to distinguish the age–depth relationship and drowning times of individual reefs, indicate that the L12–L3 reefs range in age from ∼1.3–0.5 Ma and are therefore about 0.5–0.8 Ma older than the corresponding reefs around the flanks of Hawaii. These new age data, despite their lack of precision and the influence of later-stage submarine diagenesis on some analyzed corals, clearly revise the previous correlations between the reefs off Lanai and Hawaii. Soon after the end of major shield building (∼1.3–1.2 Ma), the Lanai reefs initiated growth and went through a period of rapid subsidence and reef drowning associated with glacial/interglacial cycles similar to that experienced by the Hawaii reefs. However, their early Pleistocene initiation means they experienced a longer, more complex growth history than their Hawaii counterparts.

A study on the mortality patterns of missing and deceased persons with dementia who died due to wandering.

PubMed

Kikuchi, Kazunori; Ijuin, Mutsuo; Awata, Shuichi; Suzuki, Takao

2016-01-01

To clarify the mortality patterns derived from differences in the causes of death and to subsequently promote search activity and prevent the death of missing persons. The Ministry of Health, Labour and Welfare (MHLW) performed a mail survey using a self-administered questionnaire. The families of all 388 deceased dementia patients from among all of the missing persons reports involving dementia patients that were submitted to the police in 2013, and the 10,322 missing persons with dementia (or suspected cases) were the subjects of this survey. The survey was conducted from January 5 to February 2 in 2015. We analyzed the data provided by the MHLW on 61 cases in which the cause of death was recorded; the factors that were related to the differences in the causes of death were examined using a chi-squared test (Fisher's direct method) and a residual analysis. Based on previous studies, we classified the causes of death into three categories: "drowning," "hypothermia," and "others (e.g., traumatic injury, disease progression)." When the cause of death was hypothermia, death often occurred between three to four days from the time that the deceased individual went missing. A significantly higher number of patients who died of other causes were found to have died on the day that they went missing. More than 40% of the drowning cases occurred on the day that the deceased individual went missing. We identified 3 patterns of mortality: (1) death on the day that the deceased individual went missing due to traumatic injury, disease progression, drowning, and other causes; (2) death due to hypothermia within a few days after the deceased individual went missing; and (3) patterns other than (1) and (2).

[Comparative analysis between diatom nitric acid digestion method and plankton 16S rDNA PCR method].

PubMed

Han, Jun-ge; Wang, Cheng-bao; Li, Xing-biao; Fan, Yan-yan; Feng, Xiang-ping

2013-10-01

To compare and explore the application value of diatom nitric acid digestion method and plankton 16S rDNA PCR method for drowning identification. Forty drowning cases from 2010 to 2011 were collected from Department of Forensic Medicine of Wenzhou Medical University. Samples including lung, kidney, liver and field water from each case were tested with diatom nitric acid digestion method and plankton 16S rDNA PCR method, respectively. The Diatom nitric acid digestion method and plankton 16S rDNA PCR method required 20 g and 2 g of each organ, and 15 mL and 1.5 mL of field water, respectively. The inspection time and detection rate were compared between the two methods. Diatom nitric acid digestion method mainly detected two species of diatoms, Centriae and Pennatae, while plankton 16S rDNA PCR method amplified a length of 162 bp band. The average inspection time of each case of the Diatom nitric acid digestion method was (95.30 +/- 2.78) min less than (325.33 +/- 14.18) min of plankton 16S rDNA PCR method (P < 0.05). The detection rates of two methods for field water and lung were both 100%. For liver and kidney, the detection rate of plankton 16S rDNA PCR method was both 80%, higher than 40% and 30% of diatom nitric acid digestion method (P < 0.05), respectively. The laboratory testing method needs to be appropriately selected according to the specific circumstances in the forensic appraisal of drowning. Compared with diatom nitric acid digestion method, plankton 16S rDNA PCR method has practice values with such advantages as less quantity of samples, huge information and high specificity.

Children and adolescents deaths from trauma-related causes in a Brazilian City

PubMed Central

2013-01-01

Introduction Injury is the first cause of death worldwide in the population aged 1 to 44. In developed countries, the most common trauma-related injuries resulting in death during childhood are traffic accidents, followed by drowning. Methods This retrospective study based on autopsy examinations describes the epidemiology profile of deaths by trauma-related causes in individuals younger than 18 years from 2001 to 2008 in the city of Campinas. The aim is to identify epidemiology changes throughout the years in order to develop strategies of prevention. Results There were 2,170 deaths from all causes in children < 18 years old, 530 of which were due to trauma-related causes, with a male predominance of 3.4:1. The age distribution revealed that 76% of deaths occurred in the 10-17 age group. The most predominant trauma cause was firearm injury (47%). Other frequent causes were transport-related injuries (138 cases-26%; pedestrians were struck in 57.2% of these cases) and drowning (55 cases-10.4%). Asphyxia/suffocation was the cause of death in 72% of cases in children < 1 year old; drowning (30.8%) was predominant in the 1-4 age group; transport-related deaths were frequent in the 5-9 age group (56%) and the 10-14 age group (40.4%). Gun-related deaths were predominant (68%) in the 14-17 age group. 51% of deaths occurred at the scene. Conclusions There was a predominance of deaths in children and adolescents males, between 15-17 years old, mainly from gun-related homicides, and the frequency has decreased since 2004 after the disarmament statute and the combating of violence. PMID:24305495

Expansion of Pannes

EPA Science Inventory

For the Long Island, New Jersey, and southern New England region, one facet of marsh drowning as a result of accelerated sea level rise is the expansion of salt marsh ponds and pannes. Over the past century, marsh ponds and pannes have formed and expanded in areas of poor drainag...

Vulnerability of Northeastern U.S. Salt Marshes to Climatic and Anthropogenic Stressors

EPA Science Inventory

In the Northeastern U.S., salt marsh area is in decline. Habitat change analysis has revealed fragmentation, displacement of high marsh by low marsh species, and marsh drowning, while development of adjacent uplands limits upslope migration. Using inundation experiments, field s...

Vulnerability of Northeastern U.S. Salt Marshes to Climatic and Anthropogenic Stressors (AGU)

EPA Science Inventory

In the Northeastern U.S., salt marsh area is in decline. Habitat change analysis has revealed fragmentation, displacement of high marsh by low marsh species, and ecological drowning, while development of adjacent uplands limits upslope migration. Using inundation experiments, fi...

Schoolyard Ponds: Safety and Liability.

ERIC Educational Resources Information Center

Danks, Sharon Gamson

2001-01-01

Engaging, attractive schoolyard ponds provide habitat for wildlife and hold great educational promise. Reviews water safety and liability issues including mud, stagnant pond water that serves as mosquito breeding grounds, and drowning. Offers ideas for creatively addressing those issues through site planning, shallow water depth, signage and…

The 4Rs of Aquatic Rescue: educating the public about safety and risks of bystander rescue.

PubMed

Moran, Kevin; Webber, Jonathon; Stanley, Teresa

2017-09-01

From 1980 to 2014, 87 persons drowned in New Zealand while attempting to rescue others; all incidents occurred in open water and most (80%) fatalities were male. While bystander rescue has been promoted as a way of preventing drowning, little is known about the knowledge base that informs potential rescuers. This study utilized a family water safety programme to promote a resource entitled the 4Rs of Aquatic Rescue. Participants (n = 174) completed a pre-intervention survey and were then provided with information and access to electronic resources on safe bystander rescue techniques. Most respondents (71%) had never been taught rescue techniques, and males were more confident of their rescue ability. Upon completion of the programme, significant differences were evident in respondents' understanding of rescue safety, but this did not translate to greater confidence or disposition towards performing a rescue. Ways of promoting bystander safety around water are discussed and recommendations for future studies are made.

Therapeutic hypothermia: applications in pediatric cardiac arrest.

PubMed

Kochanek, Patrick M; Fink, Ericka L; Bell, Michael J; Bayir, Hülya; Clark, Robert S B

2009-03-01

There is a rich history for the use of therapeutic hypothermia after cardiac arrest in neonatology and pediatrics. Laboratory reports date back to 1824 in experimental perinatal asphyxia. Similarly, clinical reports in pediatric cold water drowning victims represented key initiating work in the field. The application of therapeutic hypothermia in pediatric drowning victims represented some of the seminal clinical use of this modality in modern neurointensive care. Uncontrolled application (too deep and too long) and unique facets of asphyxial cardiac arrest in children (a very difficult insult to affect any benefit) likely combined to result in abandonment of therapeutic hypothermia in the mid to late 1980s. Important studies in perinatal medicine have built upon the landmark clinical trials in adults, and are once again bringing therapeutic hypothermia into standard care for pediatrics. Although more work is needed, particularly in the use of mild therapeutic hypothermia in children, there is a strong possibility that this important therapy will ultimately have broad applications after cardiac arrest and central nervous system (CNS) insults in the pediatric arena.

Childhood animal cruelty methods and their link to adult interpersonal violence.

PubMed

Henderson, Brandy B; Hensley, Christopher; Tallichet, Suzanne E

2011-07-01

Recent research has begun to establish a relationship between childhood acts of animal cruelty and later violence against humans. However, few studies have focused on the influence of animal cruelty methods on later interpersonal violence. In a replication of a study by Hensley and Tallichet (2009) and based on a sample of 180 inmates at medium- and maximum-security prisons in a Southern state, the present study examines the relationship between several retrospectively identified animal cruelty methods (drowned, hit, shot, kicked, choked, burned, and sex) and interpersonal violence committed against humans. Four out of 5 inmates reported hitting animals. Over one third of the sample chose to shoot or kick animals, while 1 in 5 had sex with them. Less then one fifth of the sample drowned or choked animals, while less than one sixth of the inmates burned animals. Regression analyses revealed that the age at which offenders began committing animal cruelty and having sex with animals were predictive of adult interpersonal violence.

Natural and Human-Induced Variability in Barrier-Island Response to Sea Level Rise

NASA Astrophysics Data System (ADS)

Miselis, Jennifer L.; Lorenzo-Trueba, Jorge

2017-12-01

Storm-driven sediment fluxes onto and behind barrier islands help coastal barrier systems keep pace with sea level rise (SLR). Understanding what controls cross-shore sediment flux magnitudes is critical for making accurate forecasts of barrier response to increased SLR rates. Here, using an existing morphodynamic model for barrier island evolution, observations are used to constrain model parameters and explore potential variability in future barrier behavior. Using modeled drowning outcomes as a proxy for vulnerability to SLR, 0%, 28%, and 100% of the barrier is vulnerable to SLR rates of 4, 7, and 10 mm/yr, respectively. When only overwash fluxes are increased in the model, drowning vulnerability increases for the same rates of SLR, suggesting that future increases in storminess may increase island vulnerability particularly where sediment resources are limited. Developed sites are more vulnerable to SLR, indicating that anthropogenic changes to overwash fluxes and estuary depths could profoundly affect future barrier response to SLR.

Simultaneous homicide-suicide: a case report of double drowning.

PubMed

Melez, İpek Esen; Avşar, Abdullah; Başpınar, Bünyamin; Melez, Deniz Oğuzhan; Şahin, Fatih; Özdeş, Taşkın

2014-09-01

Homicide-suicide is a tragic phenomenon which typically does not result in a criminal charge or trial. However, correct diagnosis and classification of homicide-suicide cases are important to determine the perpetrators and dynamics of each category properly. The deaths in the homicide-suicide acts can be divided into two categories with respect to the number of involved individuals: dyadic deaths and triple or multiple deaths. These two categories can also be divided into two subgroups according to the chronology of the incidents: simultaneous deaths and consecutive deaths. Herein, a simultaneous homicide-suicide case of a father and daughter where both deaths occurred through drowning which was not found in the selected literature review and where the victim was a child is presented. The article aims to clarify the term discrepancies about multiple death cases in the literature and to discuss the pathological and psychosocial characteristics of the simultaneous dyadic death cases. © 2014 American Academy of Forensic Sciences.

Potential forensic biogeographic application of diatom colony consistency analysis employing pyrosequencing profiles of the 18S rDNA V7 region.

PubMed

Zhao, Yuancun; Chen, Xiaogang; Yang, Yiwen; Zhao, Xiaohong; Zhang, Shu; Gao, Zehua; Fang, Ting; Wang, Yufang; Zhang, Ji

2018-05-07

Diatom examination has always been used for the diagnosis of drowning in forensic practice. However, traditional examination of the microscopic features of diatom frustules is time-consuming and requires taxonomic expertise. In this study, we demonstrate a potential DNA-based method of inferring suspected drowning site using pyrosequencing (PSQ) of the V7 region of 18S ribosome DNA (18S rDNA) as a diatom DNA barcode. By employing a sparse representation-based AdvISER-M-PYRO algorithm, the original PSQ signals of diatom DNA mixtures were deciphered to determine the corresponding taxa of the composite diatoms. Additionally, we evaluated the possibility of correlating water samples to collection sites by analyzing the PSQ signal profiles of diatom mixtures contained in the water samples via multidimensional scaling. The results suggest that diatomaceous PSQ profile analysis could be used as a cost-effective method to deduce the geographical origin of an environmental bio-sample.

Natural and human-induced variability in barrier-island response to sea level rise

USGS Publications Warehouse

Miselis, Jennifer L.; Lorenzo-Trueba, Jorge

2017-01-01

Storm-driven sediment fluxes onto and behind barrier islands help coastal barrier systems keep pace with sea level rise (SLR). Understanding what controls cross-shore sediment flux magnitudes is critical for making accurate forecasts of barrier response to increased SLR rates. Here, using an existing morphodynamic model for barrier island evolution, observations are used to constrain model parameters and explore potential variability in future barrier behavior. Using modeled drowning outcomes as a proxy for vulnerability to SLR, 0%, 28%, and 100% of the barrier is vulnerable to SLR rates of 4, 7, and 10 mm/yr, respectively. When only overwash fluxes are increased in the model, drowning vulnerability increases for the same rates of SLR, suggesting that future increases in storminess may increase island vulnerability particularly where sediment resources are limited. Developed sites are more vulnerable to SLR, indicating that anthropogenic changes to overwash fluxes and estuary depths could profoundly affect future barrier response to SLR.

A mathematical model for human brain cooling during cold-water near-drowning.

PubMed

Xu, X; Tikuisis, P; Giesbrecht, G

1999-01-01

A two-dimensional mathematical model was developed to estimate the contributions of different mechanisms of brain cooling during cold-water near-drowning. Mechanisms include 1) conductive heat loss through tissue to the water at the head surface and in the upper airway and 2) circulatory cooling to aspirated water via the lung and via venous return from the scalp. The model accounts for changes in boundary conditions, blood circulation, respiratory ventilation of water, and head size. Results indicate that conductive heat loss through the skull surface or the upper airways is minimal, although a small child-sized head will conductively cool faster than a large adult-sized head. However, ventilation of cold water may provide substantial brain cooling through circulatory cooling. Although it seems that water breathing is required for rapid "whole" brain cooling, it is possible that conductive cooling may provide some advantage by cooling the brain cortex peripherally and the brain stem centrally via the upper airway.

Child Injury Deaths: Comparing Prevention Information from Two Coding Systems

PubMed Central

Schnitzer, Patricia G.; Ewigman, Bernard G.

2006-01-01

Objectives The International Classification of Disease (ICD) external cause of injury E-codes do not sufficiently identify injury circumstances amenable to prevention. The researchers developed an alternative classification system (B-codes) that incorporates behavioral and environmental factors, for use in childhood injury research, and compare the two coding systems in this paper. Methods All fatal injuries among children less than age five that occurred between January 1, 1992, and December 31, 1994, were classified using both B-codes and E-codes. Results E-codes identified the most common causes of injury death: homicide (24%), fires (21%), motor vehicle incidents (21%), drowning (10%), and suffocation (9%). The B-codes further revealed that homicides (51%) resulted from the child being shaken or struck by another person; many fires deaths (42%) resulted from children playing with matches or lighters; drownings (46%) usually occurred in natural bodies of water; and most suffocation deaths (68%) occurred in unsafe sleeping arrangements. Conclusions B-codes identify additional information with specific relevance for prevention of childhood injuries. PMID:15944169

78 FR 61363 - Proposed Data Collections Submitted for Public Comment and Recommendations

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-03

... days of this notice. Proposed Project Personal Flotation Devices (PFDs) and Commercial Fishermen... methods, techniques, and approaches for dealing with occupational safety and health problems. Commercial... (52%) or fall overboard (31%). Because drowning is the leading cause of death for commercial fishermen...

Microhabitat influence on larval fish assemblages within vegetated beds: Implications for restoration

EPA Science Inventory

We examined larval and juvenile fish assemblage structure in relation to microhabitat variables within the St. Louis River estuary, a drowned river mouth of Lake Superior. Fish were sampled in vegetated beds throughout the estuary, across a gradient of vegetation types and densit...

Drowning in Data: Sorting through CD ROM and Computer Databases.

ERIC Educational Resources Information Center

Cates, Carl M.; Kaye, Barbara K.

This paper identifies the bibliographic and numeric databases on CD-ROM and computer diskette that should be most useful for investigators in communication, marketing, and communication education. Bibliographic databases are usually found in three formats: citations only, citations and abstracts, and full-text articles. Numeric databases are…

Decision support system for road closures in flash flood emergencies.

DOT National Transportation Integrated Search

2013-06-01

Among all the natural hazards, flash flood ranks as the No. 1 weather-related killer in U.S. More : than half of the deaths in flash flood are due to drowning victims in a traffic environment. So road : closure is critical to save lives from flash fl...

UPWELLING EFFECTS ON THE DISTRIBUTION OF NITRATE IN YAQUINA BAY, A COASTAL OREGON ESTUARY

EPA Science Inventory

Coastal Oregon in the summer is dominated by northwesterly winds. Upwelling of nutrient-rich water into the nearshore is controlled by the velocity and duration of these summer winds. Yaquina Bay estuary is a mesotidal drowned river valley that is typically vertically well-mixed ...

Microhabitat Influence on Larval Fish Assemblages Within Vegetated Beds: Implications for Tubenose Goby Detection and Invasion

EPA Science Inventory

We examined larval and juvenile fish assemblage structure in relation to microhabitat variables within the St. Louis River estuary, a drowned river mouth of Lake Superior. Fish were sampled in vegetated beds throughout the estuary, across a gradient of vegetation types and densit...

DROWNING IN DISINFECTION BY-PRODUCTS? SWIMMING POOL WATER QUALITY RECONSIDERED.

EPA Science Inventory

The development of treated water for swimming pools has made swimming a year ¬round activity, widely enjoyed for leisure as well as exercise. Swimming pools can be found in different kinds and sizes in public areas, hotels and spas, or at private homes. In Germany ~250-300 millio...

DROWNING IN DISINFECTION BY-PRODUCTS? ASSESSING SWIMMING POOL WATER

EPA Science Inventory

The development of treated water for swimming pools has made swimming a year round activity, widely enjoyed for leisure as well as exercise. Swimming pools can be found in different kinds and sizes in public areas, hotels and spas, or at private homes. In Germany ~250-300 million...

Zooplankton Linkages between Rivers and Great Lakes: Case Study from the St. Louis River

EPA Science Inventory

In this case study, we characterized the spatial and seasonal distribution and abundance of zooplankton within the hydrologically complex drowned river mouth of the St. Louis River, the second largest tributary to Lake Superior and an important fish nursery. We hypothesize that z...

Psychological Factors in Wilderness Rescue.

ERIC Educational Resources Information Center

Ogilvie, Bruce C.

This presentation provides wilderness rescue workers with an overview of the psychological reactions of victims of accidents and natural disasters and suggested responses for rescuers and caregivers. A personal account of rescue and death in a drowning accident illustrates how the rescuer can also be traumatized by such an incident and may suffer…

Gatsby as a Drowned Sailor.

ERIC Educational Resources Information Center

Lukens, Margaret

1987-01-01

Claims that most teachers who read "The Great Gatsby" in high school English courses do not notice the work's extensive use of nautical imagery. Cites examples and claims that close reading reveals Gatsby to be not only the dreamer and unsuccessful suitor but also the American fisherman who "hooks a big one." (JD)

29 CFR 1926.106 - Working over or near water.

Code of Federal Regulations, 2010 CFR

2010-07-01

... drowning exists, shall be provided with U.S. Coast Guard-approved life jacket or buoyant work vests. (b) Prior to and after each use, the buoyant work vests or life preservers shall be inspected for defects... (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Personal Protective and Life Saving Equipment...

Drowning or Waving? Coping Strategies among Scottish Head Teachers

ERIC Educational Resources Information Center

MacBeath, John; O'Brien, Jim; Gronn, Peter

2012-01-01

In the year 2007 in Scotland, in common with countries elsewhere in the world, the difficulty of recruiting high-calibre school leaders was becoming an increasing concern. The recruitment and retention study, commissioned by the Scottish Government and undertaken by three universities (Cambridge, Edinburgh and Glasgow), was charged with exploring…

Stratigraphy of the Silurian outcrop belt on the east side of the Cincinnati Arch in Kentucky, with revisions in the nomenclature

USGS Publications Warehouse

McDowell, Robert C.

1983-01-01

Silurian rocks form a narrow arcuate outcrop belt about 100 mi long on the east side of the Cincinnati Arch in Kentucky. They range from as much as 300 ft thick in the north to a pinchout edge in the south. The nomenclature of this sequence is revised to reflect mappability and lithologic uniformity on the basis of detailed mapping at a scale of 1:24,000 by the U.S. Geological Survey in cooperation with the Kentucky Geological Survey. The Silurian rocks are divided into two parts: the Crab Orchard Group, raised in rank from Crab Orchard Formation and redefined, in the lower part of the Silurian section, and Bisher Dolomite in the upper part of the section. The Crab Orchard Group is subdivided into the Drowning Creek Formation (new name) at the base of the Silurian, overlain by the Alger Shale (adopted herein) south of Fleming County and by the Estill Shale (elevated to formational rank) north of Bath County. The Brassfield Member (reduced in rank from Brassfield Dolomite or Formation) and the Plum Creek Shale and Oldham Members of the former Crab Orchard Formation are included as members of the Drowning Creek; the Lulbegrud Shale, Waco, and Estill Shale Members of the former Crab Orchard Formation are now included in the Alger. The Drowning Creek Formation, 20 to 50 ft thick, is composed mainly of gray fine to coarse-grained dolomite with shale interbeds. The dolomite beds average several inches thick, with bedding surfaces that are locally smooth but generally irregular and are fossiliferous in many places; fossils include brachiopods, crinoid columnals, horn corals, colonial corals, trilobites, pelecypods, and bryozoans. The shale interbeds average several inches thick, except for its Plum Creek Shale Member which is entirely shale and as much as 12 ft thick, and are most abundant in the upper half of the formation. The members of the Drowning Creek intergrade and are indistinguishable in the northern part of the area. The Alger Shale, as much as 170 feet thick, is predominantly grayish-green clay shale with a thin (0.5-3 ft) dolomite member (the Waco, or its northern equivalent, the Dayton Dolomite Member, reduced in rank from Dayton Limestone) near the base. North of Bath County, the Lulbegrud Shale and Dayton Dolomite Members are reassigned to the underlying Drowning Creek Formation, the Estill Shale Member is elevated to formational status, and the Alger is dropped. The Bisher Dolomite, which overlies the Estill Shale in the northernmost part of the Silurian belt, ranges from 0 to 300 ft in thickness and is composed of medium-to coarse-grained, gray, fossiliferous dolomite. The Silurian section overlies Upper Ordovician rocks in apparent conformity, although faunal studies suggest a minor hiatus, and is overlain by Middle to Upper Devonian rocks in a regional angular unconformity that truncates the entire Silurian section at the southwest end of the outcrop belt, where it is nearest the axis of the Cincinnati Arch. All of the units recognized in the Silurian appear to thicken eastward, away from the axis of the arch and towards the Appalachian basin. This, with the presence of isolated remnants of the Brassfield near the axis, suggest that formation of the arch was initiated in Early Silurian time by subsidence of its eastern flank.

Vertical Motions of Oceanic Volcanoes

NASA Astrophysics Data System (ADS)

Clague, D. A.; Moore, J. G.

2006-12-01

Oceanic volcanoes offer abundant evidence of changes in their elevations through time. Their large-scale motions begin with a period of rapid subsidence lasting hundreds of thousands of years caused by isostatic compensation of the added mass of the volcano on the ocean lithosphere. The response is within thousands of years and lasts as long as the active volcano keeps adding mass on the ocean floor. Downward flexure caused by volcanic loading creates troughs around the growing volcanoes that eventually fill with sediment. Seismic surveys show that the overall depression of the old ocean floor beneath Hawaiian volcanoes such as Mauna Loa is about 10 km. This gross subsidence means that the drowned shorelines only record a small part of the total subsidence the islands experienced. In Hawaii, this history is recorded by long-term tide-gauge data, the depth in drill holes of subaerial lava flows and soil horizons, former shorelines presently located below sea level. Offshore Hawaii, a series of at least 7 drowned reefs and terraces record subsidence of about 1325 m during the last half million years. Older sequences of drowned reefs and terraces define the early rapid phase of subsidence of Maui, Molokai, Lanai, Oahu, Kauai, and Niihau. Volcanic islands, such as Maui, tip down toward the next younger volcano as it begins rapid growth and subsidence. Such tipping results in drowned reefs on Haleakala as deep as 2400 m where they are tipped towards Hawaii. Flat-topped volcanoes on submarine rift zones also record this tipping towards the next younger volcano. This early rapid subsidence phase is followed by a period of slow subsidence lasting for millions of years caused by thermal contraction of the aging ocean lithosphere beneath the volcano. The well-known evolution along the Hawaiian chain from high to low volcanic island, to coral island, and to guyot is due to this process. This history of rapid and then slow subsidence is interrupted by a period of minor uplift lasting a few hundred thousand years as the island migrates over a broad flexural arch related to isostatic compensation of a nearby active volcano. The arch is located about 190±30 km away from the center of volcanic activity and is also related to the rejuvenated volcanic stage on the islands. Reefs on Oahu that are uplifted several tens of m above sea level are the primary evidence for uplift as the islands over-ride the flexural arch. At the other end of the movement spectrum, both in terms of magnitude and length of response, are the rapid uplift and subsidence that occurs as magma is accumulated within or erupted from active submarine volcanoes. These changes are measured in days to years and are of cm to m variation; they are measured using leveling surveys, tiltmeters, EDM and GPS above sea level and pressure gauges and tiltmeters below sea level. Other acoustic techniques to measure such vertical movement are under development. Elsewhere, evidence for subsidence of volcanoes is also widespread, ranging from shallow water carbonates on drowned Cretaceous guyots, to mapped shoreline features, to the presence of subaerially-erupted (degassed) lavas on now submerged volcanoes. Evidence for uplift is more limited, but includes makatea islands with uplifted coral reefs surrounding low volcanic islands. These are formed due to flexural uplift associated with isostatic loading of nearby islands or seamounts. In sum, oceanic volcanoes display a long history of subsidence, rapid at first and then slow, sometimes punctuated by brief periods of uplift due to lithospheric loading by subsequently formed nearby volcanoes.

Lessons from Disasters: Play, Work, and the Creative Arts

ERIC Educational Resources Information Center

Frost, Joe L.

2005-01-01

Hurricane Katrina devastated the American gulf coast, leaving hundreds of thousands of people homeless and without food, water, shelter, and clothing. Men, women, and children perished, crushed by the effects of violent winds across four states, or drowned in massive ocean waves and in floodwater that swamped New Orleans and made the city…

Drowning Digitally? How Disequilibrium Shapes Practice in a Blended Learning Charter School

ERIC Educational Resources Information Center

Bingham, Andrea J.

2016-01-01

Background/Context: Blended learning--a learning model in which online learning is combined with faceto- face instruction to provide a more personalized learning experience for students--has shown enormous growth in recent years. Though many policymakers and educators are optimistic about the potential of blended learning to provide the type of…

Operation Recreation

ERIC Educational Resources Information Center

Schutz, Jeff; Schutz, Laurie

2010-01-01

Parents who have a child with a disability often find that recreational activities can be anything but accessible. Time for recreation is drowned by the priorities of caring for a child's needs, and the "umph" to get out can feel like an insurmountable obstacle. The activities parents love and aspire to share with their child may seem like one…

78 FR 31598 - Proposed Collection; Comment Request; Operations Under Water

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-24

...; Operations Under Water AGENCY: Mine Safety and Health Administration, Labor. ACTION: 60-Day Notice. SUMMARY... under bodies of water and to obtain a permit to mine under a body of water if, in the judgment of the... the inundation of underground coal mines with water that has the potential of drowning miners. Section...

Drowning in PC Management: Could a Linux Solution Save Us?

ERIC Educational Resources Information Center

Peters, Kathleen A.

2004-01-01

Short on funding and IT staff, a Western Canada library struggled to provide adequate public computing resources. Staff turned to a Linux-based solution that supports up to 10 users from a single computer, and blends Web browsing and productivity applications with session management, Internet filtering, and user authentication. In this article,…

Safety Awareness: Empowering Students to be Technologically Literate

ERIC Educational Resources Information Center

Lazaros, Edward J.; Shackelford, Ray

2009-01-01

The Home Safety Council (2006) reports that home injuries make up one third of injuries in the United States. As the Home Safety Council (2006) reported, "the top five leading causes of unintentional home injury or death are falls, poisoning, fire/burn, choking/suffocation, and drowning." Because the home is separate from the school…

Suffer the little children some autonomy.

PubMed

Wachenje, V

1988-12-01

There exist layers of disparity between perspectives and perceptions of handicap or disability. Handicap is frequently seen by the able-bodied (and minded), as a condition unrelated to themselves. Learned articles appear in specialist journals, but lost in the relentless tidal wave of words, is the very real personality of that handicapped individual ... not waving, but drowning.

--No Title--

Science.gov Websites

-Mauriceville High School the next day. The driver had driven into the ditch after the rain had stopped during ended up drowning in the river, which was described as high and rolling. His body was recovered on the investigation indicated that flood waters disabled the truck and carried it downstream when the driver tried to

Food Webs without Borders? Watershed-coast Interactions Influence Diet Sources of Fish in the St. Louis River

EPA Science Inventory

Complex ecosystems form where coastal rivers enter the Laurentian Great Lakes. These ecosystems span a river-to-Great Lake transition zone encompassing a mosaic of river channel, drowned river mouth, littoral, wetland and coastal habitats. Our goals were to determine whether we c...

Drowning in Data but Thirsty for Analysis

ERIC Educational Resources Information Center

Roderick, Melissa

2012-01-01

This commentary frames the importance of the topic of this special issue by highlighting the changes that have occurred in school systems around data use, particularly in large urban districts, and the need for a more rigorous evidence base. Collectively, the articles in this volume provide a jumping-off point for such a research agenda around…

Pull the Weeds Before You Plant the Flowers

ERIC Educational Resources Information Center

Reeves, Douglas

2006-01-01

Educators are drowning under the weight of initiative fatigue--attempting to use the same amount of time, money, and emotional energy to accomplish more and more objectives. Eventually, each initiative added to the pile creates a dramatic decline in organizational effectiveness. As such, principals need to help their teachers by lessening the…

The Chappaquiddick Incident

ERIC Educational Resources Information Center

Cross, Rod

2016-01-01

On July 19, 1969, Senator Edward Kennedy drove his vehicle off a low bridge on Chappaquiddick Island in Massachusetts. The vehicle sank in 2.1 m of water, coming to rest on its roof. According to Kennedy's version of events, he managed to escape from the submerged vehicle without injury, but his female companion, Mary Jo Kopechne, drowned without…

Katrina's Aftermath: What Now?

ERIC Educational Resources Information Center

Chew, Cassie; Holsendolph, Ernest; Walker, Marlon A.; Yates, Eleanor Lee

2005-01-01

As the floodwaters drowning New Orleans recede, they may well be swamping historically black colleges and universities (HBCUs) across the country as they gear up to deal with a rising tide of displaced college students in search of shelter from the storm. More than 9,100 HBCU students, plus thousands more faculty and staff, have been directly…

Children's Activity Levels and Lesson Context during Summer Swim Instruction

ERIC Educational Resources Information Center

Schwamberger, Benjamin; Wahl-Alexander, Zachary

2016-01-01

Summer swim programs provide a unique opportunity to engage children in PA as well as an important lifesaving skill. Offering summer swim programs is critical, especially for minority populations who tend to have higher rates of drowning, specifically in youth populations. The purpose of this study was to determine the lesson context and…

Of Feedback, Noise, and Clarion Calls: Preserving the Quality of Engineering Education.

ERIC Educational Resources Information Center

David, Edward E., Jr.

Although times seemed ripe for far-reaching initiatives to safeguard the quality of engineering education, current political noise about the issue threatens to drown out the engineering community's message. However, the engineering community's theme should be that economic growth in a modern economy, that industrial policy, is based first and…

Data: Meaningful Analysis Can Rescue Schools from Drowning in Data

ERIC Educational Resources Information Center

Reeves, Douglas B.; Flach, Tony

2011-01-01

Learning Forward's Standards for Professional Learning have the potential to influence educational policy and practice in profound ways for the systems that are courageous enough to take them seriously, and the Data standard is a critical element systemwide. Schools are overwhelmed with data warehouses, colorful charts and graphs, and endless…

Physical gills prevent drowning of many wetland insects, spiders and plants.

PubMed

Pedersen, Ole; Colmer, Timothy D

2012-03-01

Insects, spiders and plants risk drowning in their wetland habitats. The slow diffusion of O(2) can cause asphyxiation when underwater, as O(2) supply cannot meet respiratory demands. Some animals and plants have found a common solution to the major challenge: how to breathe underwater with respiratory systems evolved for use in air? Hydrophobic surfaces on their bodies possess gas films that act as a 'physical gill' to collect O(2) when underwater and thus sustain respiration. In aquatic insects, this feature/process has been termed 'plastron respiration'. Here, we demonstrate the similarities in function between underwater respiration of insect (Aphelocheirus aestivalis) plastrons and gas films on leaves of wetland plants (Phalaris arundinacea) and also show the importance of these physical gills by the resulting changes upon their removal. The gas films provide an enlarged gas-water interface to enhance O(2) uptake underwater that is above that if only spiracles (insects) or stomata (plants) provided the gas-phase contact with the water. Body-surface gas films contribute to the survival of many insects, spiders and plants in aquatic and flood-prone environments.

[Distribution of Diatoms in Main Sections of Urban District Rivers with Drowning-prone in Chengdu].

PubMed

Ni, Z X; Xie, Q; Yi, X F

2016-10-01

To explore the species distribution and constituent ratio of diatoms in main sections of urban district rivers where drowning occurs frequently in Chengdu. Total 39 water samples from the sampling points of 5 rivers （Jinjiang, Jinniu, Qingyang, Wuhou and Chenghua districts） in October 2014 were collected. The diatoms smear were made and the species distribution and constituent ratio of diatoms from the water samples were analyzed using biological microscope and acquisition system of digital microscope. Total 21 species of diatoms were detected in main sections of urban district rivers in Chengdu. Significant differences in the dominant diatom species and proportions of the different rivers were observed, and there were different species existed in all sampling points of the upstream, midstream and downstream of the rivers. The database of species map, species distribution and constituent ratio of diatoms in main sections of urban district rivers in Chengdu are preliminarily established, which has special meaning for the analysis and evaluation of falling location inference using diatoms test in case investigation. Copyright© by the Editorial Department of Journal of Forensic Medicine

Acute pulmonary emphysema in death by hanging: a morphometric digital study.

PubMed

Castiglioni, Claudia; Baumann, Pia; Fracasso, Tony

2016-09-01

Acute pulmonary emphysema (APE) has been described in cases of mechanical asphyxia such as ligature or manual strangulation but not in cases of hanging. In this study, we wanted to verify by morphometric digital analysis of lung tissue whether APE occurs in death by hanging.We investigated 16 cases of hanging (eight complete, eight incomplete), 10 cases of freshwater drowning (positive control group), and 10 cases of acute external bleeding (negative control group). Tissue sections were obtained from each pulmonary lobe. For each slide, five fields were randomly selected. The area of every alveolar space was measured by image analysis software. The mean alveolar area (MAA) was calculated for each group.In incomplete hanging, MAA was significantly higher than that observed in complete hanging and similar to the one observed in freshwater drowning.APE in cases of incomplete hanging can be considered as a sign of vitality. The high number of conditions that can cause alveolar distension (that were excluded in this study) limits the applicability of this vital sign in the routine forensic practice.

Crustal subsidence rate off Hawaii determined from sup 234 U/ sup 238 U ages of drowned coral reefs

DOE Office of Scientific and Technical Information (OSTI.GOV)

Ludwig, K.R.; Szabo, B.J.; Simmons, K.R.

1991-02-01

A series of submerged coral reefs off northwestern Hawaii was formed during (largely glacial) intervals when the rate of local sea-level rise was less than the maximum upward growth rate of the reefs. Mass-spectrometric {sup 234}U/{sup 238}U ages for samples from six such reefs range from 17 to 475 ka and indicate that this part of the Hawaiian Ridge has been subsiding at a roughly uniform rate of 2.6 mm/yr for the past 475 ka. The {sup 234}U/{sup 238}U ages are in general agreement with model ages of reef drowning (based on estimates of paleo-sea-level stands derived from oxygen-isotope ratiosmore » of deep-sea sediments), but there are disagreements in detail. The high attainable precision ({plus minus}10 ka or better on samples younger than {approximately}800 ka), large applicable age range, relative robustness against open-system behavior, and ease of analysis for this technique hold great promise for future applications of dating of 50-1,000 ka coral.« less

Chasing boundaries and cascade effects in a coupled barrier - marshes - lagoon system

NASA Astrophysics Data System (ADS)

Lorenzo Trueba, J.; Mariotti, G.

2015-12-01

Low-lying coasts are often characterized by barriers islands, shore-parallel stretches of sand separated from the mainland by marshes and lagoons. We built an exploratory numerical model to examine the morphological feedbacks within an idealized barrier - marshes -lagoon system and predict its evolution under projected rates of sea level rise and sediment supply to the backbarrier environment. Our starting point is a recently developed morphodynamic model, which couples shoreface evolution and overwash processes in a dynamic framework. As such, the model is able to capture dynamics not reproduced by morphokinematic models, which advect geometries without specific concern to processes. These dynamics include periodic barrier retreat due to time lags in the shoreface response to barrier overwash, height drowning due to insufficient overwash fluxes as sea level rises, and width drowning, which occurs when the shoreface response rate is insufficient to maintain the barrier geometry during overwash-driven landward migration. We extended the model by coupling the barrier model with a model for the evolution of the marsh platform and the boundary between the marsh and the adjacent lagoon. The coupled model explicitly describes marsh edge processes and accounts for the modification of the wave regime associated with lagoon width (fetch). Model results demonstrate that changes in factors that are not typically associated with the dynamics of coastal barriers, such as the lagoon width and the rate of export/import of sediments from and to the lagoon, can lead to previously unidentified complex responses of the coupled system. In particular, a wider lagoon in the backbarrier, and/or a reduction in the supply of muddy sediments to the backbarrier, can increase barrier retreat rates and even trigger barrier drowning. Overall, our findings highlight the importance of incorporating backbarrier dynamics in models that aim at predicting the response of barrier systems.

[Immunohistochemical studies on neuronal changes in brain stem nucleus of forensic autopsied cases. I. Various cases of asphyxia and respiratory disorder].

PubMed

Kubo, S; Orihara, Y; Gotohda, T; Tokunaga, I; Tsuda, R; Ikematsu, K; Kitamura, O; Yamamoto, A; Nakasono, I

1998-12-01

Several nuclei in brain stem are well known to play an important role in supporting human life. However, the connection between neural changes of brain stem and the cause of death is not yet fully understood. To investigate the correlation of brain stem damage with various cause of respiratory disorders, neural changes of the arcuate nucleus (ARC), the hypoglossal nucleus (HN) and the inferior olivary nucleus (IO) were examined using immunohistochemical technique. Based on the cause of death, the forensic autopsy cases were divided into 5 groups as follows. Group I: hanging, ligature strangulation and manual strangulation, Group II: smothering and choking, Group III: drowning, Group IV: respiratory failure, control group: heat stroke and sun stroke. Brain was fixed with phosphate-buffer formalin, and the brain stem was horizontally dissected at the level of apex, then embedded in paraffin. The sections were stained with the antibodies against microtubule-associated protein 2 (MAP2), muscalinic acetylcholine receptor (mAChR), c-fos gene product (c-Fos) and 72 kD heat-shock protein (HSP70). Three nuclei showed no obvious morphological changes in all examined groups. However, in case of asphyxia (Group I to III), neurons in HN were positively stained with both HSP70 and c-Fos antibodies. This may indicate that the occlusion of upper airway results in the neuronal damage of HN without their morphological changes. Positive staining of HSP70 and c-Fos in IO was more frequently observed in Group III than other 4 groups. Since IO is involved in maintaining body balance which is often disturbed by drowning, it seems possible that neuronal damage in IO observed in drowning may be related to the disturbance of body balance. These observations indicate that immunohistochemical study on the damage to neurons in brain stem nuclei can provide useful information for determining the cause of death.

Early cretaceous platform-margin configuration and evolution in the central Oman mountains, Arabian peninsula

DOE Office of Scientific and Technical Information (OSTI.GOV)

Pratt, B.R.; Smewing, J.D.

1993-02-01

The Hajar Supergroup (Middle Permian-Lower Cretaceous) of northeastern Oman records rifting and development of a passive margin along the edge of the Arabian platform facing Neo-Tethys. The Jurassic and Lower Cretaceous part, comprising the Sahtan, Kahmah, and Wasia groups, was deposited during the maximum extent of the broad epicontinental sea landward of this margin. These limestone units reach a total of 1500 m in thickness and correlate with the hydrocarbon reservoirs of the Arabian Peninsula. The trace of the Jurassic and Cretaceous margin in northeastern Oman followed a zigzag series of rift segments, resulting in promontories and reentrants that changedmore » in position through time in response to the configuration and differential motion of underlying rift blocks. Synsedimentary normal faulting occurred locally in the Middle Jurassic, whereas in the Late Jurassic, the margin was eroded from variable uplift of up to 300 m before subsiding to below storm wave base. This uplift may have been caused by compression from oceanic crust that obducted along the southeastern side of the platform. The Lower Cretaceous succession in the central Oman Mountains and adjacent subsurface began with regional drowning around the Jurassic-Cretaceous boundary. The succession in the east (Saih Hatat) records a single regressive sequence, ending in the progradation of the shallow-water carbonate platform by the Cenomanian. However, the succession in the west (Jebel Akhdar and interior) is dominated by shallow-water carbonate facies, but punctuated by a second regional drowning in the late Aptian. A third, Late Cretaceous drowning terminated deposition of the Wasia Group in the Turonian and was caused by convergence of oceanic crust and foreland basic formation. The record of tectonic behavior of carbonate platforms has important implications for the development of hydrocarbon source rocks and porosity. 68 refs., 11 figs., 1 tab.« less

Stratigraphical and sedimentary characters of Late Cretaceous formations outcropping in central and southern Tunisia, Tethyan southern margin

NASA Astrophysics Data System (ADS)

Jaballah, J.; Negra, M. H.

2016-12-01

The main goals of our approach are to identify some local to global events in relation with tectonic instabilities and/or sea-level changes, occurring during the deposition of Cenomanian-Coniacian carbonate series in Tunisia. Several sections surveyed in Central-Southern Tunisia, along a North-South transect extending from Sidi Bouzid to Gafsa area, show that the Cenomanian-Coniacian series include rudist-rich facies associated to other shallow marine to deeper deposits. Detailed sedimentological studies supported by new biostratigraphical data (provided by H. Bismuth, oral comm.), have allowed to add more precisions on the lithostratigraphical stacking and thus on the Central Tunisia Stratigraphic Chart. Some carbonate members such as the Middle Turonian Bireno and the Late Turonian-Coniacian Douleb have been identified in certain localities for the first time. Indeed, these members were never described before at Jebel el Kébar and Jebel Meloussi. In the Sidi Bouzid area, especially at Jebel el Kébar, the Cenomanian-Coniacian carbonate members are characterized by frequent and rapid changes, related to the existence of highs (horsts, probably) and depressed depositional domains (grabens, probably), which formed during the deposition of the two lower Units of the Middle Turonian Bireno Member. Above, the Late Turonian to Coniacian deposits, have tended to seal the irregular paleotopography affected, at least locally, by Middle Turonian extensional tectonic movements. They could be related, in contrast, to a drowning linked to a sea level rise. Similar events were described abroad during Late Turonian times; a partial drowning of carbonate platforms was already identified in other localities of the African Tethyan margin. However, the global drowning corresponding to the C/T event was not identified in the present study, although previous works have described this event North of the studied sector. As demonstrated in other localities, a global eustatic event could be locally interrupted by tectonic events, which could mask the eustatic message and leave their record in the deposit cycle.

Enhancing swimming pool safety by the use of range-imaging cameras

NASA Astrophysics Data System (ADS)

Geerardyn, D.; Boulanger, S.; Kuijk, M.

2015-05-01

Drowning is the cause of death of 372.000 people, each year worldwide, according to the report of November 2014 of the World Health Organization.1 Currently, most swimming pools only use lifeguards to detect drowning people. In some modern swimming pools, camera-based detection systems are nowadays being integrated. However, these systems have to be mounted underwater, mostly as a replacement of the underwater lighting. In contrast, we are interested in range imaging cameras mounted on the ceiling of the swimming pool, allowing to distinguish swimmers at the surface from drowning people underwater, while keeping the large field-of-view and minimizing occlusions. However, we have to take into account that the water surface of a swimming pool is not a flat, but mostly rippled surface, and that the water is transparent for visible light, but less transparent for infrared or ultraviolet light. We investigated the use of different types of 3D cameras to detect objects underwater at different depths and with different amplitudes of surface perturbations. Specifically, we performed measurements with a commercial Time-of-Flight camera, a commercial structured-light depth camera and our own Time-of-Flight system. Our own system uses pulsed Time-of-Flight and emits light of 785 nm. The measured distances between the camera and the object are influenced through the perturbations on the water surface. Due to the timing of our Time-of-Flight camera, our system is theoretically able to minimize the influence of the reflections of a partially-reflecting surface. The combination of a post image-acquisition filter compensating for the perturbations and the use of a light source with shorter wavelengths to enlarge the depth range can improve the current commercial cameras. As a result, we can conclude that low-cost range imagers can increase swimming pool safety, by inserting a post-processing filter and the use of another light source.

Being a Successful Principal: Riding the Wave of Change without Drowning.

ERIC Educational Resources Information Center

Schumaker, David R.; Sommers, William A.

This book is for administrators, aspiring administrators, and those who are interested in how schools operate on a day-to-day basis. Many principals will recognize the stressors that are described and that typify a shared-leadership school. Chapter 1 focuses on communication as the foundational skill for all principals, a skill that entails as…

NWS Turn Around Don't Drown Program, Signs and Resources

Science.gov Websites

Temperatures Records Astronomical Data WEATHER SAFETY Safety Campaigns Air Quality Cold Drought Floods Fog Heat Wind Safety Wildland Fires Winter Weather INFORMATION CENTER Weather-Ready Nation StormReady Centers Products and Services Contact Us Glossary flood navigation bar-top Flood Safety Flood Safety Flood

Injuries to Children and Adolescents. Matrix No. 13.

ERIC Educational Resources Information Center

Robertson, Leon S.

Injuries are the leading causes of death for non-infant children and adolescents. Motor vehicles, drownings, fires, firearms, and poisons, in that order, are the major categories of fatal injury for the child population as a whole. Recognition that the agents of injury are the major forms of energy (mechanical, thermal, chemical) has led to an…

Untitled Document

Science.gov Websites

gravel road. Four children drowned when they were swept down a swollen creek. Reports stated that up to when he lost control of the vehicle in the current causing the cab to fill with water. The passenger of in 12 feet of water in a ditch. Several people who tried to rescue the victim were taken to a local

--No Title--

Science.gov Websites

Driving Family drowned after high waters swept their car off the road, flipped it over, and carried the Monroe 24 F Creek Driving Driver attempted to drive through high water on an infrequently travelled road fell in. Dad was in jail. 5/28/2014 LA Duplessis Ascension 56 M Parking Lot Fell in Business let people

Risk Factors of Violent Death in Rural Bangladesh, 1990-1999

ERIC Educational Resources Information Center

Hadi, Abdullahel

2005-01-01

This study attempts to improve our understanding of the prevalence and determinants of violent death in rural Bangladesh. Data came from a demographic surveillance system covering a population of nearly 62,000 in 10 districts of the country. Findings reveal that drowning and homicide were the leading causes of death followed by traffic accident…

Scanning the conservation horizon: A guide to climate change vulnerability assessment

Treesearch

Patty Glick; Bruce A. Stein; Naomi A. Edelson

2011-01-01

Rapid climate change is the defining conservation issue of our generation. The effects of climate change are increasingly apparent, from drowned coastal marshes and drying prairie potholes to melting glaciers. These climate-driven changes will profoundly affect our ability to conserve fish and wildlife and the habitats on which they depend. Indeed, preparing for and...

A Pediatric Near-Death Experience: Tunnel Variants.

ERIC Educational Resources Information Center

Serdahely, William J.

1990-01-01

Presents case study of boy who had near-death experience (NDE) due to nearly drowning when he was seven years old. Discusses case's variation of tunnel experience not before reported in either adult or pediatric NDE literature: while in the tunnel, the boy was comforted by two of his family's pets who had died prior to his accident. (Author/NB)

Adapt or Drown - Can the United States Chart a Safe Course Through the Troubled Waters of Energy Security

DTIC Science & Technology

2010-04-01

contained in gas permeable bags which intake CO2 and release oxygen) near heavy CO2 pollution sources could increase the yield of algae crops while...contains plentiful natural sugars or starch that can be readily converted to sugar. Popular feedstocks include sugar cane (Brazil), sugar beets (Europe

A People in Peril. A Special Reprint.

ERIC Educational Resources Information Center

Dougherty, Pat, Ed.; And Others

This reprint of a 10 day report, published in the "Anchorage Daily News," January 10 to January 20, 1988, examines Alaskan native alcohol use, and attendant suicide, homicide, and accident. In the village of Alakanuk, a town of 550, for example, there were eight suicides, dozens of suicide attempts, two murders, and four drownings in 16…

Ripple Effects of PPS on Nursing Homes: Swimming or Drowning in the Funding Stream?

ERIC Educational Resources Information Center

Swan, James H.; And Others

1990-01-01

Of 189 nursing homes, 83 percent reported that Medicare's hospital Prospective Payment System (PPS) affected patient needs, 53 percent said it affected patients and services provided, and 25 percent said it affected referrals to hospitals. PPS effects depended on facility factors of size, Medicare certification, tax status, and on local market…

49 CFR 214.107 - Working over or adjacent to water.

Code of Federal Regulations, 2013 CFR

2013-10-01

... four feet or more, or where the danger of drowning exists, shall be provided and shall use life vests or buoyant work vests in compliance with U.S. Coast Guard requirements in 46 CFR 160.047, 160.052... the railroad or railroad contractor. Defective units shall not be used. (c) Where life vests are...

Why Jimmy Isn't Failing: The Myth of the Boy Crisis

ERIC Educational Resources Information Center

Okopny, Cara

2008-01-01

A recent flurry of reporting in mainstream media argues that boys are drowning in a female-centered U.S. education system. According to proponents of the boy crisis argument, boys are just biologically and developmentally different from girls, and it is educators' responsibility to teach to this perceived difference. The U.S. education system,…

Using the CREW Method to Enhance Public and School Library Collections

ERIC Educational Resources Information Center

Boon, Belinda

2009-01-01

Now, more than ever, public and school libraries struggle to main- tain their relevance in the age of instant access, electronic databases, and Google. While print collections continue to grow, many collections are drowning in obsolete, unused, and unwanted materials. And while most libraries keep up with deselection in an intelligent manner, many…

49 CFR 214.107 - Working over or adjacent to water.

Code of Federal Regulations, 2010 CFR

2010-10-01

... four feet or more, or where the danger of drowning exists, shall be provided and shall use life vests or buoyant work vests in compliance with U.S. Coast Guard requirements in 46 CFR 160.047, 160.052, and 160.053. Life preservers in compliance with U.S. Coast Guard requirements in 46 CFR 160.055 shall...

Using Test Data for Student Achievement: Answers to "No Child Left Behind." Second Edition

ERIC Educational Resources Information Center

Sindelar, Nancy W.

2011-01-01

Schools are drowning in test data, but many schools do little with test results other than sort students into various categories of proficiency or lack thereof. Some educators feel testing has taken the joy out of teaching. Others believe valuable instructional time has been lost as a result of testing. Yet, NCLB and other federal and state…

Not Waving but Drowning: A Review of Tufte's "The Cognitive Style of PowerPoint"

ERIC Educational Resources Information Center

Kangas, Brian D.

2012-01-01

"The Cognitive Style of PowerPoint: Pitching Out Corrupts Within" by Edward Tufte (2006) condemns the software for failing to help users achieve many of the goals of an effective presentation and instead offers a low resolution platform with a deeply hierarchical single-path structure capable of convening a trivial amount of information even over…

The Question of Residential Schools in Canada: Preserve, Demolish, or Repurpose?

ERIC Educational Resources Information Center

Boffa, Adriana

2017-01-01

With public debates surrounding the removal of historical monuments in Canada (e.g., statues of, or schools named after, John A. Macdonald) and the United States (e.g., Confederate monuments), at times the voices of those who are most directly affected by their presence can be either drowned out or left out of the conversation entirely. It seems…

Two-Way Tether Gun

NASA Technical Reports Server (NTRS)

Sanger, George F.

1994-01-01

Safety-tether device enables crewmembers on spacecraft to retrieve crewmember drifting away from spacecraft. Alternatively, drifting crewmember who carries device uses it to grasp and return to spacecraft. Also used on Earth. For example, rescuer on vessel or pier uses it to retrieve and haul drowning or unconscious person to safety; drifting person or rescuer in water uses it to grasp and hold onto support.

20 CFR 219.24 - Evidence of presumed death.

Code of Federal Regulations, 2012 CFR

2012-04-01

... cannot be proven dead but evidence of death is needed, the Board may presume he or she died at a certain... presumed to be dead as stated in Federal law (5 U.S.C. 5565). Unless other evidence is submitted showing an...) When a person has been missing for less than 7 years but may be presumed dead due to drowning or common...

20 CFR 219.24 - Evidence of presumed death.

Code of Federal Regulations, 2013 CFR

2013-04-01

... cannot be proven dead but evidence of death is needed, the Board may presume he or she died at a certain... presumed to be dead as stated in Federal law (5 U.S.C. 5565). Unless other evidence is submitted showing an...) When a person has been missing for less than 7 years but may be presumed dead due to drowning or common...

20 CFR 219.24 - Evidence of presumed death.

Code of Federal Regulations, 2014 CFR

2014-04-01

... cannot be proven dead but evidence of death is needed, the Board may presume he or she died at a certain... presumed to be dead as stated in Federal law (5 U.S.C. 5565). Unless other evidence is submitted showing an...) When a person has been missing for less than 7 years but may be presumed dead due to drowning or common...

20 CFR 219.24 - Evidence of presumed death.

Code of Federal Regulations, 2011 CFR

2011-04-01

... cannot be proven dead but evidence of death is needed, the Board may presume he or she died at a certain... presumed to be dead as stated in Federal law (5 U.S.C. 5565). Unless other evidence is submitted showing an...) When a person has been missing for less than 7 years but may be presumed dead due to drowning or common...

An Analysis of Water Safety Behaviors among Migrant and Economically/Educationally Disadvantaged Middle School Students

ERIC Educational Resources Information Center

Sbarbaro, Victor S.; Enyeart Smith, Theresa M.

2011-01-01

This water safety study was both descriptive and exploratory in nature. The purpose was for middle school students to assess their own water safety experiences and to help school decision-makers determine the extent of drowning/water accidents. In July 2009, a water safety survey was administered to 122 students participating in the local Summer…

Making a Difference: TPSR, a New Wave of Youth Development Changing Lives One Stroke at a Time

ERIC Educational Resources Information Center

Beale, Angela

2016-01-01

This article was inspired by a belief in the need to connect physical education with community-based physical activity programming in minority communities. The initial steps of this reflective narrative were described in a previous article. This article describes a program called Project Guard: Make A Splash E.N.D. (End Needless Drowning), a…

Drowning in Debt: The Emerging Student Loan Crisis. Charts You Can Trust

ERIC Educational Resources Information Center

Dillon, Erin; Carey, Kevin

2009-01-01

The authors find that college students are borrowing more and taking on riskier forms of debt than ever before. If tuition increases continue to grow faster than inflation and family income and grant aid fails to keep pace, the authors project that more students will be left with few choices beyond student loans--and, increasingly, private loans.…

Entrepreneurialism in Student Affairs: The Eckerd College Waterfront Program Story

ERIC Educational Resources Information Center

Covert, William; Murphy, Cari

2010-01-01

In 1971 it was not financial hardship that launched a new program at Eckerd College in Saint Petersburg, Florida. Rather, it was the tragic loss of a student by drowning, followed a year later by a class temporarily stranded in a boat. That same year, under Bill Covert's leadership, twelve students formed the Florida Presbyterian College Search,…

College Student Assessment of the Signs of Alcohol Poisoning: To Dream the Impossible Dream

ERIC Educational Resources Information Center

Misch, Donald A.

2011-01-01

In 2005 there were 1,825 alcohol-related unintentional injury deaths (e.g., vehicular accidents, falls, drowning, burns, suffocation, and gunshot wounds) among college students from 18 to 24 years of age. Of these, 468 college students died from alcohol-related, nontraffic injuries. Unfortunately, there is no good estimate of the number of college…

Student Voices Shouldn't Be Drowned out in the Clamor for Government Support

ERIC Educational Resources Information Center

Bishop, Tim

2009-01-01

In this article, the author observes that the economic recession gripping the United States has already had a negative impact on its higher-education system at a time when it is more important than ever to have an innovative, well-educated work force to succeed in an increasingly competitive and global job market. Although federal student loans…

Accidental Drowning or Foul Play?: A Case Study in Organic Chemistry

ERIC Educational Resources Information Center

Konaklieva, Monika

2004-01-01

This case was developed for a sophomore organic chemistry lab to illustrate how a combination of techniques is usually required in the identification of chemical compounds. It involves a murder mystery with a forensic twist: Two bodies have been recovered from two different lakes, but because of a mix-up at the morgue, the coroner is unable to…

Case Study of Rip Current Knowledge amongst Students Participating in a Study Abroad Program

ERIC Educational Resources Information Center

Houser, Chris; Brander, Robert; Brannstrom, Christian; Trimble, Sarah; Flaherty, Jane

2016-01-01

Rip currents are narrow seaward-flowing currents common on many global beaches and are capable of transporting even experienced swimmers a significant distance offshore, placing them at risk of needing rescue or drowning. In this respect, rips represent a significant hazard to beach users around the world and are recognized as a major health…

"Cascades, Torrents & Drowning" in Information: Seeking Help in the Contemporary General Practitioner Practice in the UK

ERIC Educational Resources Information Center

Holley, Debbie; Santos, Patricia; Cook, John; Kerr, Micky

2016-01-01

This paper responds to the Alpine Rendez-Vous "crisis" in technology-enhanced learning. It takes a contested area of policy as well as a rapid change in the National Health Service, and documents the responses to "information overload" by a group of general practitioners practices in the North of England. Located between the…

Getting drowned in a swirl: Deformable bead-spring model microswimmers in external flow fields

NASA Astrophysics Data System (ADS)

Küchler, Niklas; Löwen, Hartmut; Menzel, Andreas M.

2016-02-01

Deformability is a central feature of many types of microswimmers, e.g., for artificially generated self-propelled droplets. Here, we analyze deformable bead-spring microswimmers in an externally imposed solvent flow field as simple theoretical model systems. We focus on their behavior in a circular swirl flow in two spatial dimensions. Linear (straight) two-bead swimmers are found to circle around the swirl with a slight drift to the outside with increasing activity. In contrast to that, we observe for triangular three-bead or squarelike four-bead swimmers a tendency of being drawn into the swirl and finally getting drowned, although a radial inward component is absent in the flow field. During one cycle around the swirl, the self-propulsion direction of an active triangular or squarelike swimmer remains almost constant, while their orbits become deformed exhibiting an "egglike" shape. Over time, the swirl flow induces slight net rotations of these swimmer types, which leads to net rotations of the egg-shaped orbits. Interestingly, in certain cases, the orbital rotation changes sense when the swimmer approaches the flow singularity. Our predictions can be verified in real-space experiments on artificial microswimmers.

Review of occupational hazards associated with aquaculture.

PubMed

Myers, Melvin L

2010-10-01

Aquaculture is an emerging sector that is associated with most of the same hazards that are present in agriculture generally, but many fish farming tasks entail added danger, including working around water and working at night. Comprehensive studies of these hazards have not been conducted, and substantial uncertainty exists as to the extent of these hazards. The question addressed in this investigation was, "What is known about potential hazardous occupational exposures to aquatic plant and animal farmers?" In this review, causes of death included drowning, electrocution, crushing-related injury, hydrogen sulfide poisoning, and fatal head injury. Nonfatal injuries were associated with slips, trips, and falls; machines; strains and sprains; chemicals; and fires. Risk factors included cranes (tip over and power line contact), tractors and sprayer-equipped all-terrain vehicles (overturn), heavy loads (lifting), high-pressure sprayers, slippery surfaces, rotting waste (hydrogen sulfide production), eroding levees (overturn hazard), storm-related rushing water, diving conditions (bends and drowning), nighttime conditions, working alone, lack of training, lack of or failure to use personal flotation devices, and all-terrain vehicle speeding. Other hazards included punctures or cuts from fish teeth or spines, needlesticks, exposure to low temperatures, and bacterial and parasitic infections .

The application of Firefly algorithm in an Adaptive Emergency Evacuation Centre Management (AEECM) for dynamic relocation of flood victims

NASA Astrophysics Data System (ADS)

ChePa, Noraziah; Hashim, Nor Laily; Yusof, Yuhanis; Hussain, Azham

2016-08-01

Flood evacuation centre is defined as a temporary location or area of people from disaster particularly flood as a rescue or precautionary measure. Gazetted evacuation centres are normally located at secure places which have small chances from being drowned by flood. However, due to extreme flood several evacuation centres in Kelantan were unexpectedly drowned. Currently, there is no study done on proposing a decision support aid to reallocate victims and resources of the evacuation centre when the situation getting worsens. Therefore, this study proposes a decision aid model to be utilized in realizing an adaptive emergency evacuation centre management system. This study undergoes two main phases; development of algorithm and models, and development of a web-based and mobile app. The proposed model operates using Firefly multi-objective optimization algorithm that creates an optimal schedule for the relocation of victims and resources for an evacuation centre. The proposed decision aid model and the adaptive system can be applied in supporting the National Security Council's respond mechanisms for handling disaster management level II (State level) especially in providing better management of the flood evacuating centres.

Constant supervision of bathing in French public swimming pools: an unrealistic regulatory requirement?

PubMed

Vignac, Élie; Lebihain, Pascal; Soulé, Bastien

2017-09-01

In France, to prevent drowning accidents in public swimming pools (PSPs), bathing must be constantly supervised by qualified staff. However, fatal drowning regularly occurs in supervised aquatic facilities. A review of the literature shows that human supervision is a complex task. The aim of this research is to fully assess the periods during which supervision is not carried out, or carried out in an inadequate manner. The observations made in 108 French PSPs show that supervision is not carried out 18% of the time and that it is carried out inadequately 33% of the time. The medical literature shows that, in order to expect to survive without after-effects, an immersed victim requires intervention within a time limit of not more than three minutes; however, we noted, over a total observation time of 54 hours, 147 periods (29.8%) during which the supervision system was degraded for three minutes or more. This quantification research on the periods of degraded supervision is complemented by an identification of the causes leading to these degradations, from which we can draw interesting areas for improvement, particularly from an organizational point of view, in order to improve safety management in French PSPs.

The Interacting Effects of Ungulate Hoofprints and Predatory Native Ants on Metamorph Cane Toads in Tropical Australia

PubMed Central

Cabrera-Guzmán, Elisa; Crossland, Michael R.; González-Bernal, Edna; Shine, Richard

2013-01-01

Many invasive species exploit the disturbed habitats created by human activities. Understanding the effects of habitat disturbance on invasion success, and how disturbance interacts with other factors (such as biotic resistance to the invaders from the native fauna) may suggest new ways to reduce invader viability. In tropical Australia, commercial livestock production can facilitate invasion by the cane toad (Rhinella marina), because hoofprints left by cattle and horses around waterbody margins provide distinctive (cool, moist) microhabitats; nevertheless the same microhabitat can inhibit the success of cane toads by increasing the risks of predation or drowning. Metamorph cane toads actively select hoofprints as retreat-sites to escape dangerous thermal and hydric conditions in the surrounding landscape. However, hoofprint geometry is important: in hoofprints with steep sides the young toads are more likely to be attacked by predatory ants (Iridomyrmex reburrus) and are more likely to drown following heavy rain. Thus, anthropogenic changes to the landscape interact with predation by native taxa to affect the ability of cane toads in this vulnerable life-history stage to thrive in the harsh abiotic conditions of tropical Australia. PMID:24255703

Drowning out the protection racket: partner manipulation or drought can strengthen ant-plant mutualism.

PubMed

Denison, R Ford

2014-07-01

Two recent reports discuss interactions between plants and ants that defend them from herbivores. Acacia trees provide their ant bodyguards with a diet that reduces their ability to benefit from alternate hosts. Provisioning of ants by Cordia trees during drought may buy insurance against extreme defoliation events, not just average-year benefits. Copyright © 2014 Elsevier Ltd. All rights reserved.

The Effectiveness of Aquatic Group Therapy for Improving Water Safety and Social Interactions in Children with Autism Spectrum Disorder: A Pilot Program

ERIC Educational Resources Information Center

Alaniz, Michele L.; Rosenberg, Sheila S.; Beard, Nicole R.; Rosario, Emily R.

2017-01-01

Drowning is the number one cause of accidental death in children with Autism Spectrum Disorder (ASD). Few studies have examined the effectiveness of swim instruction for improving water safety skills in children with moderate to severe ASD. This study examines the feasibility and effectiveness of an aquatic therapy program on water safety and…

Interpreting Poetic Inquiry: Authenticity Realized from Alumni Performers' Narratives

ERIC Educational Resources Information Center

Baker, J. Scott

2017-01-01

In the fall of 2015, the author conducted a national survey of over 1,000 former high school speech and debate competitors. As he told a colleague, he was drowning in data. It was a good problem to have, but he was not sure how to thoroughly examine the heart of data; how would he make meaning of their experiences? Then, he realized, the answer…

Untitled Document

Science.gov Websites

were impassable due to high water over the roadway. One fatality occurred when a vehicle drove off the municipalities. Flash flooding killed two people who drowned when their truck Ford F150 car was swept away by when they were swept away in the rising water after they went to look at the high water. 47 6/9/2010 OH

46 CFR 160.077-31 - PFD Marking.

Code of Federal Regulations, 2013 CFR

2013-10-01

... RISK OF DEATH BY DROWNING —YOU MAY HAVE TO INFLATE THIS PFD TO FLOAT. —TRY THIS PFD IN THE WATER EACH SEASON TO SEE IF IT WILL FLOAT YOU WITHOUT INFLATION. —CHOOSE THE RIGHT SIZE PFD AND WEAR IT—FASTEN ALL... TO FLOAT. —TRY THIS PFD IN THE WATER EACH SEASON TO SEE IF IT WILL FLOAT YOU WITHOUT INFLATION. —[For...

46 CFR 160.077-31 - PFD Marking.

Code of Federal Regulations, 2012 CFR

2012-10-01

... RISK OF DEATH BY DROWNING —YOU MAY HAVE TO INFLATE THIS PFD TO FLOAT. —TRY THIS PFD IN THE WATER EACH SEASON TO SEE IF IT WILL FLOAT YOU WITHOUT INFLATION. —CHOOSE THE RIGHT SIZE PFD AND WEAR IT—FASTEN ALL... TO FLOAT. —TRY THIS PFD IN THE WATER EACH SEASON TO SEE IF IT WILL FLOAT YOU WITHOUT INFLATION. —[For...

46 CFR 160.077-31 - PFD Marking.

Code of Federal Regulations, 2014 CFR

2014-10-01

... RISK OF DEATH BY DROWNING —YOU MAY HAVE TO INFLATE THIS PFD TO FLOAT. —TRY THIS PFD IN THE WATER EACH SEASON TO SEE IF IT WILL FLOAT YOU WITHOUT INFLATION. —CHOOSE THE RIGHT SIZE PFD AND WEAR IT—FASTEN ALL... TO FLOAT. —TRY THIS PFD IN THE WATER EACH SEASON TO SEE IF IT WILL FLOAT YOU WITHOUT INFLATION. —[For...

46 CFR 160.077-31 - PFD Marking.

Code of Federal Regulations, 2011 CFR

2011-10-01

... RISK OF DEATH BY DROWNING —YOU MAY HAVE TO INFLATE THIS PFD TO FLOAT. —TRY THIS PFD IN THE WATER EACH SEASON TO SEE IF IT WILL FLOAT YOU WITHOUT INFLATION. —CHOOSE THE RIGHT SIZE PFD AND WEAR IT—FASTEN ALL... TO FLOAT. —TRY THIS PFD IN THE WATER EACH SEASON TO SEE IF IT WILL FLOAT YOU WITHOUT INFLATION. —[For...

CO2 emissions from a temperate drowned river valley estuary adjacent to an emerging megacity (Sydney Harbour)

NASA Astrophysics Data System (ADS)

Tanner, E. L.; Mulhearn, P. J.; Eyre, B. D.

2017-06-01

The Sydney Harbour Estuary is a large drowned river valley adjacent to Sydney, a large urban metropolis on track to become a megacity; estimated to reach a population of 10 million by 2100. Monthly underway surveys of surface water pCO2 were undertaken along the main channel and tributaries, from January to December 2013. pCO2 showed substantial spatio-temporal variability in the narrow high residence time upper and mid sections of the estuary, with values reaching a maximum of 5650 μatm in the upper reaches and as low as 173 μatm in the mid estuary section, dominated by respiration and photosynthesis respectively. The large lower estuary displayed less variability in pCO2 with values ranging from 343 to 544 μatm controlled mainly by tidal pumping and temperature. Air-water CO2 emissions reached a maximum of 181 mmol C m-2 d-1 during spring in the eutrophic upper estuary. After a summer high rainfall event nutrient-stimulated biological pumping promoted a large uptake of CO2 transitioning the Sydney Harbour Estuary into a CO2 sink with a maximum uptake of rate of -10.6 mmol C m-2 d-1 in the mid-section of the estuary. Annually the Sydney Harbour Estuary was heterotrophic and a weak source of CO2 with an air-water emission rate of 1.2-5 mmol C m-2 d-1 (0.4-1.8 mol C m-2 y-1) resulting in a total carbon emission of around 930 tonnes per annum. CO2 emissions (weighted m3 s-1 of discharge per km2 of estuary surface area) from Sydney Harbour were an order of magnitude lower than other temperate large tectonic deltas, lagoons and engineered systems of China, India, Taiwan and Europe but were similar to other natural drowned river valley systems in the USA. Discharge per unit area appears to be a good predictor of CO2 emissions from estuaries of a similar climate and geomorphic class.

Long-term trends of suicide by choice of method in Norway: a joinpoint regression analysis of data from 1969 to 2012.

PubMed

Puzo, Quirino; Qin, Ping; Mehlum, Lars

2016-03-11

Suicide mortality and the rates by specific methods in a population may change over time in response to concurrent changes in relevant factors in society. This study aimed to identify significant changing points in method-specific suicide mortality from 1969 to 2012 in Norway. Data on suicide mortality by specific methods and by sex and age were retrieved from the Norwegian Cause-of-Death Register. Long-term trends in age-standardized rates of suicide mortality were analyzed by using joinpoint regression analysis. The most frequently used suicide method in the total population was hanging, followed by poisoning and firearms. Men chose suicide by firearms more often than women, whereas poisoning and drowning were more frequently used by women. The joinpoint analysis revealed that the overall trend of suicide mortality significantly changed twice along the period of 1969 to 2012 for both sexes. The male age-standardized suicide rate increased by 3.1% per year until 1989, and decreased by 1.2% per year between 1994 and 2012. Among females the long-term suicide rate increased by 4.0% per year until 1988, decreased by 5.5% through 1995, and then stabilized. Both sexes experienced an upward trend for suicide by hanging during the 44-year observation period, with a particularly significant increase in 15-24 year old males. The most distinct change among men was seen for firearms after 1988 with a significant decrease through 2012 of around 5% per year. For women, significant reductions since 1985-88 were observed for suicide by drowning and poisoning. The present study demonstrates different time trends for different suicide methods with significant reductions in suicide by firearms, drowning and poisoning after the peak in the suicide rate in the late 1980s. Suicide by means of hanging continuously increased, but did not fully compensate for the reduced use of other methods. This lends some support for the effectiveness of method-specific suicide preventive measures, such as restrictions to the access to firearms, which had been implemented in Norway during the relevant time period.

Key Issues in the Application of Knowledge Management in Education

DTIC Science & Technology

2005-03-01

designed instructional programs are often outdated before they ever leave the design stage (DAF, 1994; DAF, 1993). Such programs are far too rigid...and end up drowning in raw facts and figures (Davenport, Harris, De Long & Jacobson, 2001). Information When relevance or context is applied to...of data to information can be categorized five ways (Davenport & Prusak, 1998; Davenport, Harris, De Long & Jacobson, 2001). 1. Contexualized

Rx for Success: Xavier Consistently Ranks among the Top Producers of Black Students Accepted by Medical School

ERIC Educational Resources Information Center

Hawkins, B. Denise

2011-01-01

Even on the sixth anniversary of the hurricane that buckled the Crescent City in 2005, left much of Xavier University of New Orleans under water and its faculty and students scattered by the rushing winds, Dr. JW Carmichael did not expect to be talking that morning about Katrina. For him it was a horrific storm that nearly drowned a hundred dreams…

Coordinating, Planning and Control

DTIC Science & Technology

1991-08-31

18] Joseph Jeffrey Finger. Eplosting constrandn in design synthesis. Ph.D. Thesis , Stanford University, 1987. [19] Michael Fischer and Richard...configuration. q, to the goal configuration, q*, is a continuous map / :[0, 1] - Cft ,., subject to the constraints that it(O) = q and r( I) - q°. The...Mathematics and C’omputer Science. University of Aalborg, 1989. (221 Kanazawa. Keij i. Pmbability. Time. arid Action. PhD thesis . Drown UnIiversit y

Lesson Plan: An Agenda for Change in American Higher Education. The William G. Bowen Memorial Series in Higher Education

ERIC Educational Resources Information Center

Bowen, William G.; McPherson, Michael S.

2016-01-01

American higher education faces some serious problems--but they are not the ones most people think. In this brief and accessible book, two leading experts show that many so-called crises--from the idea that typical students are drowning in debt to the belief that tuition increases are being driven by administrative bloat--are exaggerated or simply…

A Drowning Man’s Umbrella Quest: America’s Search for Iranian Policy

DTIC Science & Technology

2011-04-06

Carlisle, PA 17013 11. SPONSOR/MONITOR’S REPORT NUMBER(S) 12 . DISTRIBUTION / AVAILABILITY STATEMENT Distribution A: Unlimited...invoked, but rarely unpacked in policy formulation. 12 This has been evident in the US-Iranian relationship to date. From multiple administrations of...power balances between three states, the chances for a regional war are less because the dynamic power differential lends itself to nonviolent 12

Injuries occurring in medical students during international medical rotations: a strategy toward maximizing safety.

PubMed

Galvin, Shannon; Robertson, Russell; Hargarten, Stephen

2012-06-01

The number of medical students traveling to nations outside the United States is steadily increasing. The Association of American Medical Colleges graduation questionnaire notes an increase from 2,838 students in 2001 to 3,799 students in 2009, the last year for which information is available. The risk of having any type of illness during international travel approaches 50%. Up to 19% of students will seek medical care on their return to the United States for illnesses. Most illnesses are benign and self limited. However, when deaths do occur, the leading causes are motor vehicle crashes and drownings. If air medical evacuation occurs, the most likely cause is an injury event. The authors review the literature to determine the risk of and type of illnesses and injuries suffered by travelers while overseas, especially medical volunteers. We describe the major categories of illness and injury risk and propose reasonable risk reduction and prevention strategies for prevention for injury, a relatively neglected area. We recommend that medical schools provide pre-travel training that includes injury prevention so that students are prepared not only for illness prevention but also for injury prevention. A focus on injury prevention, especially from motor vehicle crashes and drowning, is warranted given their role in causing death and serious injury to traveling students.

Pattern of unnatural deaths among children: An autopsy study.

PubMed

Athani, Praveen; Hugar, Basappa S; Harish, S; Girishchandra, Y P

2017-06-01

This study was conducted at the M. S. Ramaiah Medical College, Bangalore, between October 2007 and September 2009 to analyse the age and sex distribution of unnatural deaths in children, patterns and manner of death. Detailed information regarding the circumstances of death was sought from the relatives, friends and police. The scene of occurrence was visited, and photographs of the scene of occurrence were examined in relevant cases. Unnatural deaths in children constituted 6.62% of the total autopsies conducted. The majority of childhood deaths were in the age group of 15-18 years of both sexes constituting 46.88%. Males constituted 55.22% of cases. Suicide accounted for 40.63% of the cases. Most children committed suicide by hanging (82.05%). The main reason was academic failure and some of the cases were accidental (48.96%). Road traffic accidents accounted for 26.04% of the cases, where most children were pedestrians (56%). Drowning accounted for 15.63% of the cases. Most of the children drowned while playing near ponds (83.33%). Homicide accounted for 9.36% of the cases - either killed by their mother as part of a pedicide-suicide event or by the father, and in two cases the children were sexually abused before being killed.

Causes of childhood deaths in Bangladesh: results of a nationwide verbal autopsy study.

PubMed

Baqui, A H; Black, R E; Arifeen, S E; Hill, K; Mitra, S N; al Sabir, A

1998-01-01

While knowledge of causes of deaths is important for health sector planning, little is known from conventional sources about the causes of deaths in Bangladesh. This is partly due to deficiencies in the registration system and partly because few deaths are attended by qualified physicians. The present study was undertaken to update the information available on causes of deaths among under-5-year-olds, taking advantage of advances in verbal autopsy methodology and of the national Bangladesh Demographic and Health Survey conducted in 1993-94. About 25% of the deaths were associated with acute lower respiratory infections (ALRI) and about 20% with diarrhoea. Neonatal tetanus and measles remained important causes of death, and drowning was a major cause for 1-4-year-olds. Research and programmes to enable mothers to identify ALRI cases, particularly pneumonia, and to encourage timely and appropriate care-seeking and strengthening of ALRI case management at the primary care facilities are important priorities. While promotion of oral rehydration for watery diarrhoea and antibiotic treatment for dysentery should continue, broader preventive interventions including provision of safe water and sanitation, and improvements in personal hygiene require more attention. Further intensification of immunization programmes and innovative experimental interventions to reduce childhood from drowning should be designed and tested.

Occurrence of flow parallel and flow transverse bedforms in Fehmarn Belt (SW Baltic Sea) related to the local palaeomorphology

NASA Astrophysics Data System (ADS)

Feldens, P.; Diesing, M.; Schwarzer, K.; Heinrich, C.; Schlenz, B.

2015-02-01

This study describes the spatial distribution of flow-parallel sand ribbons and flow-transverse large and very large subaqueous dunes in the south-western Baltic Sea offshore Fehmarn Island between 13 m and 20 m water depth, based on hydroacoustic and grain size data. The system of sand ribbons and dunes is intermittently active due to currents induced during major inflows of the North Sea water into the Baltic Sea. The sand ribbons are located on a lag deposit on top of glacial till, while the dunes rest on top of drowned Holocene nearshore deposits. The sand ribbons reach heights between 0.4 m and 0.6 m, with widths varying between 60 m and several hundreds of metres. The observed dunes have heights between 0.09 m and 2.35 m, while their wavelengths range from 17 m to 120 m. Offshore Fehmarn Island, the transition from sand ribbons to dunes is most likely linked to a contrast in sediment supply, as reworked drowned nearshore deposits provide sediment available for transport in significantly larger amounts than glacial till. Similar to an earlier approach for river bed states, the dimensionless thickness of sediment available for transport is able to differentiate between the bed states.

Suicide in the Highlands of Scotland.

PubMed

Stark, C; Matthewson, F; O'Neill, N; Oates, K; Hay, A

2002-01-01

The Highlands have one of the highest suicide rates in Scotland. This paper describes suicide and deliberate self-harm in the Highlands in the last 20 years and explores possible reasons for the differences from the Scottish average. Retrospective analysis of routine data from the SMRI/SMR01 scheme and information on deaths from the Registrar General. Suicide and undetermined deaths were combined in the analysis. Highland and Scotland 1978-98. The high rates in Highland are caused by an excess of male deaths. Highland has had consistently high male suicide rates over the 20 year period compared to Scotland. These differences do not disappear when deaths of non-Highland residents are excluded. By comparison, deliberate self-harm admissions follow a similar pattern to Scotland as a whole. Causes of death differed from Scotland as a whole, with an over-representation of drowning, gases and firearm deaths. Highland suicide rates are elevated compared to Scotland. This is mainly due to an excess of deaths in men up to the age of 74 years, and is not accounted for by deaths of non-residents. Female deaths are not elevated in comparison to the rest of Scotland. Male attempted suicide rates do not differ from Scotland. Lethality of method--drowning, car exhausts and firearms--may contribute to the elevated male death rates.

Fatal injuries among urban children in South Africa: risk distribution and potential for reduction

PubMed Central

van Niekerk, Ashley; Laflamme, Lucie

2010-01-01

Abstract Objective To determine the leading causes of fatal injury for urban South African children aged 0–14 years, the distribution of those causes and the current potential for safety improvements. Methods We obtained injury surveillance data from the National Injury Mortality Surveillance System 2001–2003 for six major South African cities varying in size, development and sociodemographic composition. We calculated age-adjusted rates, by sex, population group and city, for death from the five leading causes of fatal injury as well as population attributable risks (PARs). Findings The leading causes of fatal injury in childhood included road traffic injuries – among vehicle passengers and especially among pedestrians – drowning, burns and, in some cities, firearm injuries. Large differences in PARs were observed, particularly for population groups and cities. Disparities between cities and between population groups were largest for deaths from pedestrian injuries, while differences between boys and girls were greatest for drowning deaths. Conclusion In the face of the high variability observed between cities and population groups in the rates of the most common types of fatal injuries, a safety agenda should combine safety-for-all countermeasures – i.e. lowering injury rates for all – and targeted countermeasures that help reduce the burden for those at greatest risk. PMID:20431790

Trends in pediatric liver transplant donors and deceased donor circumstance of death in the United States, 2002-2015.

PubMed

Yoeli, Dor; Goss, Matthew; Galván, Nhu Thao N; Desai, Moreshwar S; Miloh, Tamir A; Rana, Abbas

2018-05-01

While much of the discussion regarding expanding the donor pool for pediatric liver transplantation has surrounded the use of technical variant grafts, little attention has been directed toward changes in the deceased donor population. The aim of this study was to investigate trends in the circumstance of the death of deceased donors used for pediatric liver transplantation. All pediatric liver transplant recipients transplanted between 2002 and 2015 were identified in the UNOS database and were categorized based on the donor circumstance of death. There was no significant correlation between year of transplantation and number of pediatric liver transplants performed, pediatric donors, split livers, or living donors. There was a significant downward trend in donors from motor vehicle fatalities and an upward trend in suicide, non-MVA, and death due to natural causes. There was also an upward trend in drowning, one of the most common mechanisms of death among non-MVA in 2015. While the number of donors who died in MVA has fallen, the number of deceased donors who died from suicide, natural causes, and non-MVA, especially drowning, has increased, maintaining the overall number of pediatric deceased donor livers transplanted. © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Media accounts of unintentional child injury deaths in New Zealand: a teachable moment?

PubMed

John, Savesh; Kool, Bridget

2017-09-01

To review media accounts of fatal child unintentional injury events reported in leading New Zealand newspapers for their completeness and potential to deliver evidence-based injury prevention messages. Media accounts of fatal unintentional child (0-14 years) injury events in New Zealand's four largest newspapers between 2011 and 2015 were reviewed. Variables of interest included: date, mechanism of injury and victim details. The article prominence, presence of prevention messages and case ascertainment for the two leading causes of death (2011 to 2013 only) were evaluated. Two hundred and forty-two media accounts detailing 122 fatal child injury events (133 deaths) were located for the five-year period. The most common causes of injury were transport-related (56%) and drownings (21%). Only 20% (n=49) of accounts included clear prevention messages. Just over 33% of accounts included images and 66% were located within the first three pages. Case ascertainment in the media accounts was complete for all transport deaths and all but one drowning. The low frequency of prevention messages in the media accounts reviewed highlights a missed opportunity for the dissemination of prevention messages to the New Zealand public. The findings confirm the utility of these accounts as a timely source of fatal child injury information.

Earth observation taken during STS-98 mission

NASA Image and Video Library

2001-02-07

STS098-716-057 (7-20 February 2001) --- Baltimore, Maryland can be identified in this northwest-looking view, photographed with a 70mm handheld camera from the Space Shuttle Atlantis, which shows the western shore of Chesapeake Bay. Numerous drowned river valleys provide excellent natural harbors along the periphery of the bay. Baltimore’s harbor has been developed along one of these drowned valleys, the Patapsco River. With a population of over 2.5 million people, the greater Baltimore urban area is part of the northeastern U.S. Megalopolis that extends from the Boston (MA) area to Richmond (VA). Specific features that can be seen in the image include a short segment of Interstate Highway 95 that connects southwest Baltimore with northeast Washington, D.C.; the intersecting runways of Baltimore-Washington International Airport south of downtown Baltimore; Francis Scott Key Bridge that skirts around the southeast side of Baltimore; the Chesapeake Bay Bridge that spans the bay and connects the Baltimore area with the eastern shore of Maryland; and the central business district of Baltimore where the two arms of the inner harbor terminate. The darker-looking vegetation cover is mixed hardwood forests (notice that many wooded areas are located along streambeds and floodplains of small river valleys), while lighter-looking land parcels in the rural countryside is used for crops or pasturelands.

Development and evaluation of an intervention to reduce rip current related beach drowning.

PubMed

Hatfield, Julie; Williamson, Ann; Sherker, Shauna; Brander, Rob; Hayen, Andrew

2012-05-01

The objective of this research was to evaluate a campaign to improve beachgoer recognition of calm-looking rip currents, known to contribute to surf drowning. Posters, postcards, and brochures conveying the message "Don't get sucked in by the rip" were distributed in an intervention area. Beachgoers were interviewed in this and a similar control area one year before and immediately after the intervention (respective response rates: 69.9% and 82.3%), Consenting respondents were sent follow-up questionnaires after approximately 6 months and 55% responded. In the intervention area, 28.8% of post-intervention, and 57.2% of follow-up respondents, had seen our campaign. At post-intervention, intervention respondents demonstrated improvement (relative to baseline) in intentions to swim away from a calm-looking rip, ability and confidence in identifying a rip, intention never to swim at unpatrolled beaches, and responses to being caught in a rip, compared to the control respondents. Similar improvements were observed post-intervention for respondents in the intervention area who had seen our campaign (relative to those who had not), and at 6 month follow-up for intervention respondents (relative to control respondents). The relatively brief print-based campaign was effective in warning beachgoers about calm-looking rips. Copyright © 2011 Elsevier Ltd. All rights reserved.

Installation of devices in water tanks to prevent drowning of wild animals (Instalacion de Estructuras Dentro de Tanques de Agua Para Evitar El Ahogamiento de Animales Silvestres)

Treesearch

Alberto Lafon

2006-01-01

Domestic farm and ranch properties use a variety of water retention structures and water supply infrastructures that benefit wildlife. Some water supply systems, however, are harmful to wild birds, small mammals, and reptiles. Water supply systems include metal water tanks, cemented reservoirs, or excavated earthen retention ponds (or tanques as they are known in...

A multiproxy environmental investigation of Holocene wood from a submerged conifer forest in Lake Huron, USA

Treesearch

R. Douglas Hunter; Irina P. Panyushkina; Steven W. Leavitt; Alex C. Wiedenhoeft; John Zawiskie

2006-01-01

Remains of a Holocene drowned forest in southern Lake Huron discovered in 12.5 m of water (164 m above sea level), 4.5 km east of Lexington, Michigan USA (Sanilac site), provided wood to investigate environment and lake history using several proxies. Macrofossil evidence indicates a forest comprised primarily of conifers equivalent to the modern “rich conifer swamp”...

Designing of a Quadrupole Paul Ion Trap

NASA Astrophysics Data System (ADS)

Kiyani, Abouzar; Abdollahzadeh, M.; Sadat Kiai, S. M.; Zirak, A. R.

2011-08-01

The ion motion equation in a Paul ion trap known as Mathieu differential equation has been solved for the first time by using Runge-Kutta methods with 4th, 6th, and 8th orders. The first stability regions in az - qz plane and the corresponding qmax values were determined and compared. Also, the first stability regions of , , , ions in the Vdc - Vac plane were drown, and the threshold voltages for the ion separation was investigated.

Translations on Eastern Europe Political, Sociological, and Military Affairs, Number 1366

DTIC Science & Technology

1977-03-18

Key Words and Document Analysis. 17a. Descriptors X X X X X X International Affairs Albania Bulgaria Czechoslovakia East Germany Hungary...TRIBUNA, 29 Dec 76) ’ 11 EAST GERMANY GDR Military Developments Reported (DIE WELT, various dates) 16 Figures on Military...34 conquered Tirgoviste and Giurgiu where "the enemy hit like turbined pigs, destroying the bridge and drowning the Moslems." The author goes on to quote from

Studying the Sky/Planets Can Drown You in Images: Machine Learning Solutions at JPL/Caltech

NASA Technical Reports Server (NTRS)

Fayyad, U. M.

1995-01-01

JPL is working to develop a domain-independent system capable of small-scale object recognition in large image databases for science analysis. Two applications discussed are the cataloging of three billion sky objects in the Sky Image Cataloging and Analysis Tool (SKICAT) and the detection of possibly one million small volcanoes visible in the Magellan synthetic aperture radar images of Venus (JPL Adaptive Recognition Tool, JARTool).

The Sedimentary History of Southern Central Crete: Implications for Neogene Uplift

NASA Astrophysics Data System (ADS)

Kröger, K.; Brachert, T. C.; Reuter, M.

2003-04-01

The tectonic setting of Crete was largely extensional since Lower Miocene uplift and exhumation of HP/LT rocks. Erosion of uplifted areas resulted in the deposition of terrestrial to marine sediments in the Messara and Iraclion Basins. There are several concurring models that discuss Late Neogene uplift of the basinal margins. Neogene near shore sediments in the south of the Messara Basin record fault movements contemporaneous to sedimentation and sedimentary input from the hinterland. Therefore they provide information on the paleogeographic situation and the resulting amount of subsidence and uplift of mountain areas since the Upper Miocene. The studied sediments consist of terrestrial to shallow marine, floodplain related sediments of the Upper Miocene Ambelouzos Formation that are overlain by platform limestones of the Upper Miocene Varvara Formation. In the Messara Basin these units are overlain by the Pliocene Kourtes Formation. The stratigraphic architecture of these deposits indicates fragmentation of the basinal margin. Proximal boulder conglomerates and reworked blocks of the Ambelouzos formation indicate fault activity during the deposition of the Varvara Formation. Contents of terrigenous clastics, provided by rivers and distributed by longshore currents, are high in the Ambelouzos and the lower Varvara Formations but decrease rapidly upsection within the Varvara Formation. This indicates drowning of the fault bounded blocks and little topography of the hinterland (Asteroussia Mountains) at that time. The Pliocene marls at the southern margin of the Messara Basin contain lithoclasts of the Upper Miocene limestones and thus indicate uplift of the carbonate platform. The modern topographic elevation of formerly drowned fault bounded blocks requires a minimum uplift of 400m. Main uplift occurred at approximately orthogonal NW-SE and SW-NE striking normal to oblique faults. The present elevation of the Asteroussia Mountains indicates net uplift of at least 1000m since the Early Pliocene. At the Central Iraklion Ridge that separates the Messara and Iraclion Basins a similar history is indicated for the Psiloritis Mountains by fault movements within Neogene near shore sediments and their subsequent drowning. A structural model of the Neogene evolution of Crete therefore has to explain successive phases of uplift and subsidence in an over all extensional setting only slightly oblique to the modern direction of convergence between Africa and the Aegean microplate.

Determination of ibogaine and noribogaine in biological fluids and hair by LC-MS/MS after Tabernanthe iboga abuse Iboga alkaloids distribution in a drowning death case.

PubMed

Chèze, Marjorie; Lenoan, Aurélie; Deveaux, Marc; Pépin, Gilbert

2008-03-21

Tabernanthe iboga belongs to the Apocynaceae family. In this study, we report the case of a 37-year-old black male working as a security agent in Paris and found dead naked on the beach in Gabon after consumption of iboga. Autopsy revealed a drowning fatality and a myocardial abnormality (myocardial bridging). Samples of blood, urine, bile, gastric content, liver, lungs, vitreous, spleen and hair were taken. Biological fluids were liquid-liquid extracted with saturated NH4Cl pH 9.5 and methylene chloride/isopropanol (95/5, v/v) in presence of clonazepam-d(4), used as internal standard. After decontamination with dichloromethane, hair was cut into small pieces then sonicated for 2h in saturated NH4Cl pH 9.5 before extraction by methylene chloride/isopropanol (95/5, v/v). After evaporation the residues were reconstituted in methanol/ACN/formate buffer pH 3, from which 10 microL were injected into an ODB Uptisphere C(18) column (150 mm x 2.1mm, 5 microm) and eluted with a gradient of acetonitrile and formate buffer delivered at a flow rate of 200 microL/min. A Quantum Ultra triple-quadrupole mass spectrometer was used for analyses. Ionization was achieved using electrospray in the positive ionization mode (ESI). For each compound, detection was related to three daughter ions (ibogaine: m/z 311.4-->122.1, 174.1 and 188.1; noribogaine: m/z 297.4-->122.1, 159.1 and 160.1; clonazepam-d(4): m/z 319.9-->218.1, 245.1 and 274.1). Ibogaine and noribogaine were detected in all autopsy samples. Hair segmentation was not possible as hair was very short and frizzy. Concentrations of 1.2 and 2.5 ng/mg, respectively were detected. Neither other licit or illicit drugs nor alcohol were found. The presence of ibogaine and noribogaine in all autopsy samples was consistent with the recent absorption of Tabernanthe iboga, which was assumed to be responsible of the drowning fatality. The history of exposure, regarding hair analysis, is discussed. LC-MS/MS appears to be the best method for analyzing complex and poorly volatile alkaloids in autopsy samples and particularly in hair, due to the presence of a nitrogen ring and the relatively low concentrations to be measured.

SGMM: Smart Grid Maturity Model. A Zero-depth Entry to Using the TSP: How TSP Was Used to Turn Around the SGMM Project that Was Drowning in Details

DTIC Science & Technology

2014-11-04

Compass Survey Questionnaire-based assessment yields maturity ratings and comparisons Navigation Process Expert-led workshops to complete... Compass and use results to develop consensus aspirations Training Overview Seminar and SGMM Navigator Course Partner Program License organizations...journey 19 SGMM Compass Survey Contains • One question for each expected characteristic in the model and • Attribute and performance questions

Investigating the Neural and Cognitive Basis of Moral Luck: It's Not What You Do but What You Know.

PubMed

Young, Liane; Nichols, Shaun; Saxe, Rebecca

2010-09-01

Moral judgments, we expect, ought not to depend on luck. A person should be blamed only for actions and outcomes that were under the person's control. Yet often, moral judgments appear to be influenced by luck. A father who leaves his child by the bath, after telling his child to stay put and believing that he will stay put, is judged to be morally blameworthy if the child drowns (an unlucky outcome), but not if his child stays put and doesn't drown. Previous theories of moral luck suggest that this asymmetry reflects primarily the influence of unlucky outcomes on moral judgments. In the current study, we use behavioral methods and fMRI to test an alternative: these moral judgments largely reflect participants' judgments of the agent's beliefs. In "moral luck" scenarios, the unlucky agent also holds a false belief. Here, we show that moral luck depends more on false beliefs than bad outcomes. We also show that participants with false beliefs are judged as having less justified beliefs and are therefore judged as more morally blameworthy. The current study lends support to a rationalist account of moral luck: moral luck asymmetries are driven not by outcome bias primarily, but by mental state assessments we endorse as morally relevant, i.e. whether agents are justified in thinking that they won't cause harm.

Cause-specific mortality among children and young adults with epilepsy: Results from the U.S. National Child Death Review Case Reporting System.

PubMed

Tian, Niu; Shaw, Esther C; Zack, Matthew; Kobau, Rosemarie; Dykstra, Heather; Covington, Theresa M

2015-04-01

We investigated causes of death in children and young adults with epilepsy by using data from the U.S. National Child Death Review Case Reporting System (NCDR-CRS), a passive surveillance system composed of comprehensive information related to deaths reviewed by local child death review teams. Information on a total of 48,697 deaths in children and young adults 28days to 24years of age, including 551 deaths with epilepsy and 48,146 deaths without epilepsy, was collected from 2004 through 2012 in 32 states. In a proportionate mortality analysis by official manner of death, decedents with epilepsy had a significantly higher percentage of natural deaths but significantly lower percentages of deaths due to accidents, homicide, and undetermined causes compared with persons without epilepsy. With respect to underlying causes of death, decedents with epilepsy had significantly higher percentages of deaths due to drowning and most medical conditions including pneumonia and congenital anomalies but lower percentages of deaths due to asphyxia, weapon use, and unknown causes compared with decedents without epilepsy. The increased percentages of deaths due to pneumonia and drowning in children and young adults with epilepsy suggest preventive interventions including immunization and better instruction and monitoring before or during swimming. State-specific and national population-based mortality studies of children and young adults with epilepsy are recommended. Published by Elsevier Inc.

Cause-specific mortality among children and young adults with epilepsy: Results from the U.S. National Child Death Review Case Reporting System ☆

PubMed Central

Tian, Niu; Shaw, Esther C.; Zack, Matthew; Kobau, Rosemarie; Dykstra, Heather; Covington, Theresa M.

2015-01-01

We investigated causes of death in children and young adults with epilepsy by using data from the U.S. National Child Death Review Case Reporting System (NCDR-CRS), a passive surveillance system composed of comprehensive information related to deaths reviewed by local child death review teams. Information on a total of 48,697 deaths in children and young adults 28 days to 24 years of age, including 551 deaths with epilepsy and 48,146 deaths without epilepsy, was collected from 2004 through 2012 in 32 states. In a proportionate mortality analysis by official manner of death, decedents with epilepsy had a significantly higher percentage of natural deaths but significantly lower percentages of deaths due to accidents, homicide, and undetermined causes compared with persons without epilepsy. With respect to underlying causes of death, decedents with epilepsy had significantly higher percentages of deaths due to drowning and most medical conditions including pneumonia and congenital anomalies but lower percentages of deaths due to asphyxia, weapon use, and unknown causes compared with decedents without epilepsy. The increased percentages of deaths due to pneumonia and drowning in children and young adults with epilepsy suggest preventive interventions including immunization and better instruction and monitoring before or during swimming. State-specific and national population-based mortality studies of children and young adults with epilepsy are recommended. PMID:25794682

Cost of oviposition site selection in a water strider Aquarius paludum insularis: egg mortality increases with oviposition depth.

PubMed

Hirayama, Hiroyuki; Kasuya, Eiiti

2010-06-01

Females generally avoid selecting sites for oviposition which have a high predation risk to increase offspring survival. Previous studies have focused on costs to ovipositing females. However, although offspring may also incur costs by being oviposited at low predation risk sites, no studies have focused on costs to offspring. Such costs to offspring were examined by using Aquarius paludum insularis, females of which avoid eggs parasitism by ovipositing at deep sites. Deep sites are safe from egg parasitism but may be unsuitable for hatching due to environmental factors. We examined the costs to offspring at deep sites by comparing the hatching rate, the duration to hatching and the proportion of drowned larvae between eggs that were set at three levels of water depth (0 cm, 25 cm and 50 cm depth). While the hatching rate at 50 cm was lower than that at 0 cm, the rate at 25 cm did not differ from that at 0 cm. Duration to hatching and the proportion of drowned larvae did not differ between the three depths. It is suggested that the declining survival rate of A. paludum eggs was due to increased water pressure at greater depth. Such a cost may exist in other species and such an observation may aid in understanding oviposition site selection. Copyright 2010 Elsevier Ltd. All rights reserved.

A drowned Mesozoic bird breeding colony from the Late Cretaceous of Transylvania.

PubMed

Dyke, Gareth; Vremir, Mátyás; Kaiser, Gary; Naish, Darren

2012-06-01

Despite a rapidly improving fossil record, the reproductive biology of Mesozoic birds remains poorly known: only a handful of undisputed, isolated Cretaceous eggs (some containing embryonic remains) are known. We report here the first fossil evidence for a breeding colony of Mesozoic birds, preserved at the Late Cretaceous (Maastrichtian) Oarda de Jos (Od) site in the Sebeş area of Transylvania, Romania. A lens of calcareous mudstone with minimum dimensions of 80 cm length, 50 cm width and 20 cm depth contains thousands of tightly packed, morphologically homogenous eggshell fragments, seven near-complete eggs and neonatal and adult avialan skeletal elements. Eggshell forms 70-80 % of the matrix, and other fossils are entirely absent. The bones exhibit clear characters of the Cretaceous avialan clade Enantiornithes, and the eggshell morphology is also consistent with this identification. Both taphonomy and lithology show that the components of this lens were deposited in a single flood event, and we conclude that it represents the drowned remains of a larger enantiornithine breeding colony, swamped by rising water, washed a short distance and deposited in a shallow, low-energy pond. The same fate often befalls modern bird colonies. Such a large concentration of breeding birds suggests aquatic feeding in this species, augments our understanding of enantiornithine biology and shows that colonial nesting was not unique to crown birds.

SFTYCHEF: A Consultative, Diagnostic Expert System for Trench Excavation Safety Analysis on Light Commercial Construction Projects.

DTIC Science & Technology

1987-03-30

Safe Trench Excavation ...... 2 Applicability to Solution via Expert System. 3 Background: Expert Systems ..................... 4 Definition of an...trench, drownings in the trench, and other mishaps which are the result of a lack of S C- proper consideration for safe construction practices. Although...the problem is not a new one, there is as yet no *" obvious method that will guarantee a safe trench. In addition, the expertise needed to provide case

Drenched in Dirt and Drowned in Abominations: Insects and the Civil War

DTIC Science & Technology

2008-11-16

rustling and a crackling of well-nigh causes, from hard marching, or from any every type of winged and creeping • •• ,,3 , failure of supplies or...The emanations of of its scantiness, mosquitoes of unrivaled slaughtered cattle and kitchen offal force and ferocity plied their lancets with together...the ground, we could hear and see the hoof, the cattle train that followed was sputtering water through which the estimated between 8,000 and 10,000

West Europe Report

DTIC Science & Technology

1987-03-26

gathers the information also tries to find out whether the companies spotted have links with South Africa or are involved with the "nuclear energy...destroyed the tracks. We worry about non-existing problems. We drown in a glass of water . We are lacking gasoline in a world flood of oil. We are buying...mineral water which we know to be TL 60 everywhere. The tab turned out to be TL 190. The customer wanted to protest but to no avail. The man at the

United States Counterinsurgency Doctrine and Implementation in Iraq

DTIC Science & Technology

2004-06-18

combat force until the host nation can stabilize the situation and that, The primary role for US military forces in combat operations is to support...they are to the insurgent as the water is to a fish . Not only does water sustain the life of the fish , it also drowns the enemy. Discipline in the...the populous by building trust and then sharing ideology. Because this process can take time, he makes the point in his Primer on Guerrilla War that

Shoreline Evolution and Coastal Resiliency at Two Military Installations: Investigating the Potential for and Impacts of Loss of Protecting Barriers

DTIC Science & Technology

2014-05-01

control barrier morphology and migration (and potentially drowning). We have developed a numerical model of barrier evolution over the centennial ...required to maintain barrier geometries over centennial timescales. Long-term storm histories for each region show a consistent picture of...landward of the flood tidal delta is an area of over 40km2 that is over 9m deep, with some depressions as deep as 12m. During periods of rising sea-level

U. S. Naval Forces, Vietnam Monthly Historical Supplement for November 1966

DTIC Science & Technology

1967-02-16

flooded areas, they were restricted by heavy woods aud high banks in some areas« Heli- copter reconnaissance was necessrry to find routes in some...ambush sites on the east bank of the Long Tau Liver. On 7 November a crewmember drowned when an Army cunohip ctoshed into the Soirap Liver in a...Ths ndne contained! 30 pounds of explo- sives and its location, 100 yards from the bank ard ten feet below the vater’s surface, indicated that it »as

Dendroclimate evidence for extreme hydrologic events over the late Holocene in the Northeastern United States

NASA Astrophysics Data System (ADS)

Pearl, J. K.; Anchukaitis, K. J.; Pederson, N.; Donnelly, J. P.

2017-12-01

Extreme hydrologic events pose a present and future threat to cities and infrastructure in the densely populated coastal corridor of the northeastern United States (NE). An understanding of the potential range and return interval of storms, floods, and droughts is important for improving coastal management and hazard planning, as well as the detection and attribution of trends in regional climate phenomena. Here, we examine a suite of evidence for Common Era paleohydroclimate extreme events in the NE. Our study analyzes a network of hydroclimate sensitive trees, subfossil 'drowned' forests and co-located sediment records, using both classical and isotope dendrochronology, radiocarbon analyses, and sediment stratigraphy. Atlantic White cedar (AWC) forests grow along the NE coast and are exposed to severe coastal weather, as they are typically most successful in near-shore, glacially formed depressions. Many coastal AWC sites are ombrotrophic and contain a precipitation or drought signal in their ring widths. Sub-fossil AWC forests are found where near-shore swamps were drowned and exposed to the ocean. Additionally, the rings of coastal AWC may contain the geochemical signature of landfalling tropical cyclones, which bring with them a large influx of precipitation with distinct oxygen isotopes, which can be used to identify these large storms. Dendrochronology, radiocarbon dating, and analysis of sediment cores are used here to identify and date the occurrence of large overwash events along the coastline of the northeastern United States associated with extreme storms.

Advantages of analyzing postmortem brain samples in routine forensic drug screening-Case series of three non-natural deaths tested positive for lysergic acid diethylamide (LSD).

PubMed

Mardal, Marie; Johansen, Sys Stybe; Thomsen, Ragnar; Linnet, Kristian

2017-09-01

Three case reports are presented, including autopsy findings and toxicological screening results, which were tested positive for the potent hallucinogenic drug lysergic acid diethylamide (LSD). LSD and its main metabolites were quantified in brain tissue and femoral blood, and furthermore hematoma and urine when available. LSD, its main metabolite 2-oxo-3-hydroxy-LSD (oxo-HO-LSD), and iso-LSD were quantified in biological samples according to a previously published procedure involving liquid-liquid extraction and ultra-high performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS). LSD was measured in the brain tissue of all presented cases at a concentration level from 0.34-10.8μg/kg. The concentration level in the target organ was higher than in peripheral blood. Additional psychoactive compounds were quantified in blood and brain tissue, though all below toxic concentration levels. The cause of death in case 1 was collision-induced brain injury, while it was drowning in case 2 and 3 and thus not drug intoxication. However, the toxicological findings could help explain the decedent's inability to cope with brain injury or drowning incidents. The presented findings could help establish reference concentrations in brain samples and assist in interpretation of results from forensic drug screening in brain tissue. This is to the author's knowledge the first report of LSD, iso-LSD, and oxo-HO-LSD measured in brain tissue samples. Copyright © 2017 Elsevier B.V. All rights reserved.

Mortality from accidents, disease, suicide and homicide in the British fishing industry from 1900 to 2010.

PubMed

Roberts, Stephen E; Carter, Tim

2015-01-01

To establish the causes of mortality in the British fishing industry from 1900 up to 2010, to investigate long term trends in mortality and to identify causal factors in the mortality patterns and rates. A longitudinal study, based on examinations of official death inquiry files, marine accident investigation files and reports, death registers and annual death returns. Mortality rates from accidents while working at sea remain high in the British fishing industry. Over the twentieth century there has been a progressive fall in the numbers of deaths, much of this relates to changes in fishing methods and in the types of vessels used. However in recent years, and with a fleet of smaller vessels, the mortality rates from accidents have shown little change and a larger proportion of deaths than in the past have arisen from personal injuries and drowning as compared to vessel losses. Disease makes a relatively small contribution to mortality at sea and this has dwindled with the decline in distant water fishing. Suicide and homicide both feature in a small way, but rates cannot readily be compared with those ashore. The pattern of change in vessels, fisheries and fishing techniques over the study period are complex. However, improved injury and drowning prevention is the most important way to reduce deaths, coupled with attention to vessel stability and maintenance. The social, economic and organisational features of the fishing industry mean that securing improvements in these areas is a major challenge.

Fatal light aircraft accidents in Ontario: a five year study.

PubMed

Shkrum, M J; Hurlbut, D J; Young, J G

1996-03-01

Fatal civil aviation crashes in Ontario from 1985 to 1989 were studied. Data regarding accident circumstances, injury patterns and medical factors (disease, alcohol/drugs) which could have contributed to accident causation was obtained from a review of the files of the Chief Coroner for Ontario in Toronto and the aviation occurrence reports of the Transportation Safety Board of Canada. Forty-seven crashes involving mainly general aviation type aircraft but also 2 gyroplanes, 2 ultralights and a glider were reviewed. About half occurred during the cruise phase of the flight. Seventy (40 pilots; 30 passengers) of the 98 occupants died. The bodies of 68 victims were recovered; 63 were dead at the scene and 5 survived up to ten hours after impact. Multiple trauma killed about half of all the victims (n = 34); 29% (n = 20) drowned; 16% (n = 11) and 3% (n = 2) died of head/neck injuries and coronary disease respectively. Neck trauma was observed mostly in pilots and was the most frequent major blunt trauma injury in drowning victims. Passengers sustained relatively more craniofacial fractures and abdominal/retroperitoneal trauma. Pilot error was the most frequent cause of crashes (55%; 26/47 impacts) followed by mechanical failure (15%; 7/47) and adverse weather/environmental conditions (11%; 5/47). Coronary artery disease incapacitated two pilots (4% of crashes) and ethanol intoxication was implicated in two other accidents. Other drugs did not appear to be a definite factor in accident causation.

Intelligence in early adulthood and subsequent risk of unintentional injury over two decades: cohort study of 1,109,475 Swedish men

PubMed Central

Whitley, Elise; Batty, G. David; Gale, Catharine R.; Deary, Ian J.; Tynelius, Per; Rasmussen, Finn

2014-01-01

Background There is growing evidence of an inverse association between intelligence (IQ) and unintentional injuries. Methods Analyses are based on a cohort of 1,109,475 Swedish men with IQ measured in early adulthood. Men were followed-up for an average 24 years and hospital admissions for unintentional injury were recorded. Results 198,133 (17.9%) men had at least one hospital admission for any unintentional injury during follow-up. The most common cause of unintentional injury was falling, followed by road accidents, poisoning, fire and drowning. In addition, 14,637 (1.3%) men had at least one admission for complications of medical care. After adjusting for confounding variables, lower IQ scores were associated with an elevated risk of any unintentional injury (Hazard ratio (95% confidence interval) per standard deviation decrease in IQ: 1.15 (1.14, 1.15)), and of cause-specific injuries other than drowning (poisoning (1.53 (1.49, 1.57)), fire (1.36 (1.31, 1.41)), road traffic accidents (1.25 (1.23, 1.26)), medical complications (1.20 (1.18, 1.22)), and falling (1.17 (1.16, 1.18)). These gradients were stepwise across the full IQ range. Conclusions Low IQ scores in early adulthood were associated with a subsequently increased risk of unintentional injury. A greater understanding of mechanisms underlying these associations may provide opportunities and strategies for prevention. PMID:19955099

Medical Emergencies in Goa

PubMed Central

Saddichha, Sahoo; Saxena, Mukul Kumar

2010-01-01

Background: Most emergencies in Goa arise due to road traffic accidents and drowning, which have been compounded by the rise in number of recorded accidents in 2007 to be above 4000. It is believed that 11 people meet with an accident on Goa's roads every day and this is expected to rise by 10% by next year. Similar is the case with drownings and other medical emergencies. We therefore aimed to conduct a cross-sectional survey of medical emergencies and identify various types of emergencies presenting to emergency departments. Materials and Methods: Using a stratified random sampling design, all emergencies presenting to the three government hospitals in Goa, which handle 90% of all emergencies currently, were studied on specially designed data sheets in order to collect data. Emergency medical technicians (ETs) were placed in the Casualty Ward of the medical colleges and they recorded all emergencies on the data sheet. The collected data were then analyzed for stratification and mapping of emergencies. Results: GMC Hospital attended to majority of emergencies (62%), which were mainly of the nature of accidents or assaults (17%) and fever related (17%). Most emergencies were noncritical and about 1% expired. Maximum emergencies also presented from Salcette and Bardez, and occurred among young males in the age group of 19-45 years. Males were also more prone to accidents while females had pregnancies as emergencies. Conclusion: Potential emergency services need to target young males with higher concentrations required in Salcette in South Goa and Bardez in North Goa. PMID:20606921

Toddler run-overs--a persistent problem.

PubMed

Byard, Roger W; Jensen, Lisbeth L

2009-05-01

Trauma accounts for a high percentage of unexpected deaths in toddlers and young children, mostly due to vehicle accidents, drowning and fires. Given recent efforts to publicise the dangers of toddler run-overs a study was undertaken to determine how significant this problem remains in South Australia. Review of coronial files over 7 years from 2000 to 2006 revealed 50 cases of sudden and unexpected death in children aged between 1 and 3 years of which 12 of 28 accidents involved motor vehicles (6 run-overs and 6 passengers). The 6 children who were killed by vehicle run-overs were aged from 12 months to 22 months (ave=16.8 months) with a male to female ratio of 1:1. Four deaths occurred with reversing vehicles in home driveways and one at a community centre. The remaining death involved a child being run over at the beach by a forward moving vehicle. Vehicles included sedans in four cases and a four-wheel drive in one case (one vehicle was not described), and were driven by the victim's parent in four cases, a friend of the family in one, and an unrelated person in the final case. Deaths were all due to blunt cranial trauma. Despite initiatives to prevent these deaths, toddler run-overs in South Australia approximate the number of sudden deaths due to homicides, drownings and natural diseases, respectively, for the same age group; deaths are also occurring in places other than home driveways, and sedans were more often involved than four-wheel drive vehicles.

BARRIERS TO LIFE JACKET USE AMONG ADULT RECREATIONAL BOATERS

PubMed Central

Quistberg, D. Alex; Quan, Linda; Ebel, Beth E.; Bennett, Elizabeth E.; Mueller, Beth A.

2015-01-01

Objective To identify barriers to life jacket use. Design Cross-sectional survey. Setting Nine public boat ramps in western Washington State, USA, August-November, 2008. Participants 675 adult boaters (>18 years) on motor boats <26 feet long. Main outcome Low or no life jacket use (0–50% of time) versus high life jacket use (51–100% of time). Results Low/no life jacket use (0%–50% of time) was associated with longer boat length (per foot, risk ratio [RR] 1.03, 95% confidence interval [CI] 1.02–1.05), alcohol use (RR 1.11, 95% CI 1.01–1.20), perception of life jackets as “uncomfortable” (RR 1.29, 95%CI 1.09–1.52), perceived greater level of swimming ability (RR 1.25, 95% CI 1.03–1.53 for “expert swimmer”), and possibly with lack of confidence that a life jacket may save one from drowning (RR 1.13, 95%CI 0.96–1.32). Low life jacket use was less likely when a child was onboard (RR 0.88, 95% CI 0.79–0.99), or if the respondent had taken a boating safety class (RR 0.94, 95% CI 0.87–1.01). Conclusions Life jacket use may increase with more comfortable devices, such as inflatable life jackets, and with increased awareness of their efficacy in preventing drowning. Boater education classes may be associated with increased life jacket use among adults. PMID:24686261

Legislation coverage for child injury prevention in China

PubMed Central

Li, Li; Scherpbier, Robert; Wu, Jing; Zhu, Xu; Zhang, Wei; Zhang, Lin; Gao, Xin; Luo, Jiesi

2015-01-01

Abstract Objective To examine the extent to which effective interventions to prevent unintentional child injury are reflected in the laws and regulations of China. Methods We focused on the six common causes of fatal child injuries – drowning, road traffic injury, falls, poisoning, burns and suffocation. We investigated 27 interventions recommended by the United Nations Children’s Fund, the World Health Organization or the European Child Safety Alliance. We searched China National Knowledge Infrastructure and Lawyee for Chinese legislations using keywords and synonyms for the 27 interventions. We reviewed the identified legislations for statements specifying the responsible implementation department. Findings Seven national laws, nine regulations of the State Council and 46 departmental regulations were found to relate to at least one of the interventions. Although seven of the 27 internationally recommended interventions were covered by Chinese laws, 10 were not covered by any current Chinese law or regulation. None of the interventions against drowning and falls that we investigated was covered by national laws. The implementation responsibilities for effective interventions were either not specified or were assigned to multiple governmental departments in 11 or 20 legislative documents, respectively. Conclusion In Chinese laws and regulations, interventions proven to prevent major causes of unintentional child injuries are underrepresented and the associated implementation responsibilities are often poorly defined. China should include all such interventions in laws and regulations, and assign implementation responsibility for each to a single department of the national government. PMID:25838612

Mortality and survival of white-tailed deer Odocoileus virginianus fawns on a north Atlantic coastal island

USGS Publications Warehouse

Long, Robert A.; O'Connell, A.F.; Harrison, D.J.

1998-01-01

Mortality and survival of white-tailed deer Odocoileus virginianus fawns (n=29) were studied from birth to 1 year of age during 1991-95 on Mount Desert Island (MDI), Maine where deer hunting is prohibited, coyotes Canis latrans have become recently established, and protected U. S. National Park lands are interspersed with private property. Rate of predator-caused mortality was 0.52, with coyote predation (n=8) accounting for at least 47% of mortalities from all causes (n=17). Mortality rate from drowning was 0.24 (n=3), and from vehicles was 0.14 (n=3). Of fawns radio-collared as neonates, 10 of 14 mortalities occurred during the first 2 months of life. Annual rate of fawn survival was 0.26. Survival rate from 6 months to 1 year was 0.65 and 4 mortalities (2 predation, 2 drowning) were observed during this interval. A subgroup of fawns (n = 11) captured near a residential area and along the edge of a coyote territory had a higher (P = 0.002) rate of survival to 1 year of age (S = 0.67) than did fawns from all other areas (n = 18, S = 0.00). Recruitment to 1 year of age was lower than has been observed in other deer populations in the northeastern United States. Low recruitment associated with coyote predation and mortality sources influenced by humans appears to be limiting white-tailed deer populations in this insular landscape.

Growth and degradation of Hawaiian volcanoes: Chapter 3 in Characteristics of Hawaiian volcanoes

USGS Publications Warehouse

Clague, David A.; Sherrod, David R.; Poland, Michael P.; Takahashi, T. Jane; Landowski, Claire M.

2014-01-01

Large Hawaiian volcanoes can persist as islands through the rapid subsidence by building upward rapidly enough. But in the long run, subsidence, coupled with surface erosion, erases any volcanic remnant above sea level in about 15 m.y. One consequence of subsidence, in concert with eustatic changes in sea level, is the drowning of coral reefs that drape the submarine flanks of the actively subsiding volcanoes. At least six reefs northwest of the Island of Hawai‘i form a stairstep configuration, the oldest being deepest.

Queerer than queer: reflections of a Kike dyke.

PubMed

Goldflam, A

1999-01-01

In this article the author, a Jewish lesbian academic, reflects on the positive and negative aspects of her dual identity and explores her feelings of exclusion from "in groups" in a range of settings. Annie Goldflam carries a legacy of fear from stories of medieval "witch" burnings and drownings and the twentieth century Jewish Holocaust, which she reflects on to compare the nature of anti-semitism and lesbophobia, considering the options of hiding from racist and homophobic forms of oppression or confronting them. She has chosen to confront, be "out" and politically active.

Flood Plain Information, Little Bushkill Creek and Shoeneck Creek, Northampton County, Pennsylvania.

DTIC Science & Technology

1973-04-01

plans can reduce the incidence of personal injury and death. Flood warning and forecasting - The National Weather Service Branch of the National...velocity of three or more feet per second could easily sweep an adult person off his feet; this creates a definite danger of injury or drowning...Lehigh Valley R.R. 0.04 279.0 282.9 284.8 Private Rd. 0.63 299.2 301.1 303.0 Tatamy Rd. 0.65 303.4 305.9 308.8 Private Rd.(b) 0.83 304.0 308.2 310.1

Donor cornea tissue in cases of drowning or water submersion: eye banks practice patterns and tissue outcomes.

PubMed

Vijayakumar, Nithya P; Parikh, Purak; Mian, Shahzad I; Tennant, Brad; Grossman, Gregory H; Albrecht, Bob; Niziol, Leslie M; Woodward, Maria A

2018-03-01

Surgical use of donor corneal tissue from victims of water submersion (drowning or submersion secondary to death) remains controversial due to limited evidence about the quality of these tissues. To assess the safety of donor corneal tissue from victims of water submersion, an investigation of eye banks' practice patterns and tissue outcomes was conducted. All 79 Eye Bank Association of America accredited eye banks were contacted for a phone interview of practices regarding tissue from victims of water submersion. A retrospective review of corneal tissues from 2014 to 2016 from a large eye bank network was performed to identify all donors submerged in water. Corneal epithelial integrity, endothelial cell density (ECD), rim cultures, and adverse events were analyzed for associations with water submersion characteristics. 49 eye banks (62% response) participated in the survey. 55% of these eye banks had specific, written protocol for tissue eligibility from donors submerged in water. With or without specific protocol, eye banks reported considering water type (84%) and length of time submerged (92%) to determine eligibility. 22% of eye banks reported medical director involvement when eligibility determination was unclear. 79 tissues from 40 donors who were submerged were identified in 2014-2016 eye bank data. No donor tissues had pre-processing corneal infiltrates, positive rim cultures, or adverse events post-keratoplasty. Corneal epithelial integrity and ECD were not associated with water type or length of time submerged. In conclusion, data from a large eye bank network showed no adverse events or outcomes, indicating these tissues may be safe.

The injury mortality burden in Guinea

PubMed Central

2012-01-01

Background The injury mortality burden of Guinea has been rarely addressed. The paper aimed to report patterns of injury mortality burden in Guinea. Methods We retrieved the mortality data from the Guinean Annual Health Statistics Report 2007. The information about underlying cause of deaths was collected based on Guinean hospital discharge data, Hospital Mortuary and City Council Mortuary data. The causes of death are coded in the 9th International Classification of Diseases (ICD-9). Multivariate Poisson regression was used to test the impacts of sex and age on mortality rates. The statistical analyses were performed using Statatm 10.0. Results In 2007, 7066 persons were reported dying of injuries in Guinea (mortality: 72.8 per 100,000 population). Transportation, fire/burn, falls, homicide and drowning were the five leading causes of fatal injuries for the whole population, accounting for 37%, 22%, 12%, 10% and 6% of total deaths, respectively. In general, age-specific injury causes displayed similar patterns of the whole population except that poisoning replaced falls as a leading cause among children under five years old. Males were at 30-50% more risk of dying from six commonest causes than females and old age groups had higher injury mortality rates than younger age groups. Conclusion Transportation, fire/burn, falls, homicide, and drowning accounted for the majority of total injury mortality burden in Guinea. Males and old adults were high-risk population of fatal injuries and should be targeted by injury prevention. Lots of work is needed to improve weak capacities for injury control in order to reduce the injury mortality burden. PMID:22937768

Effect of Chemical Ratios of a Microbial-Based Feeding Attractant on Trap Catch of Drosophila suzukii (Diptera: Drosophilidae).

PubMed

Cha, Dong H; Landolt, Peter J; Adams, Todd B

2017-08-01

Drosophila suzukii Matsumura, spotted wing drosophila, can be trapped with a feeding attractant based on wine and vinegar volatiles and consisting of acetic acid, ethanol, acetoin, and methionol. Using that four-component blend, we found that the catch of spotted wing drosophila increased with increases in the release rate of acetoin (from 0.5 mg/d to 34 mg/d) from polyethylene sachet dispensers, and with increases in the concentrations of acetic acid (from 0.25% to 4%) or ethanol (from 0.08% to 2%) when dispensed in the trap drowning solution. However, we saw no increase in spotted wing drosophila trapped with increase of the methionol release rate from 0.4 mg/d to 4.9 mg/d or from 0.19 mg/d to 0.8 mg/d, from sachets. A new formulation based on optimized amounts of these four chemicals yielded a doubling of spotted wing drosophila trapped compared to a previously reported formulation. Further field testing confirmed that the simultaneous increases in the release rate of acetoin from a dispenser and the amount of acetic acid in the trap drowning solution provided the increased spotted wing drosophila trap response to the new formulation. These findings provide a practical means to improve the power of this lure to detect and monitor D. suzukii. Published by Oxford University Press on behalf of Entomological Society of America 2017. This work is written by US Government employees and is in the public domain in the US.

Causes of death and demographic characteristics of victims of meteorological disasters in Korea from 1990 to 2008

PubMed Central

2011-01-01

Background Meteorological disasters are an important component when considering climate change issues that impact morbidity and mortality rates. However, there are few epidemiological studies assessing the causes and characteristics of deaths from meteorological disasters. The present study aimed to analyze the causes of death associated with meteorological disasters in Korea, as well as demographic and geographic vulnerabilities and their changing trends, to establish effective measures for the adaptation to meteorological disasters. Methods Deaths associated with meteorological disasters were examined from 2,045 cases in Victim Survey Reports prepared by 16 local governments from 1990 to 2008. Specific causes of death were categorized as drowning, structural collapse, electrocution, lightning, fall, collision, landslide, avalanche, deterioration of disease by disaster, and others. Death rates were analyzed according to the meteorological type, specific causes of death, and demographic and geographic characteristics. Results Drowning (60.3%) caused the greatest number of deaths in total, followed by landslide (19.7%) and structural collapse (10.1%). However, the causes of deaths differed between disaster types. The meteorological disaster associated with the greatest number of deaths has changed from flood to typhoon. Factors that raised vulnerability included living in coastal provinces (11.3 times higher than inland metropolitan), male gender (1.9 times higher than female), and older age. Conclusions Epidemiological analyses of the causes of death and vulnerability associated with meteorological disasters can provide the necessary information for establishing future adaptation measures against climate change. A more comprehensive system for assessing disaster epidemiology needs to be established. PMID:21943038

Shallow stratigraphic control on pockmark distribution in north temperate estuaries

USGS Publications Warehouse

Brothers, Laura L.; Kelley, Joseph T.; Belknap, Daniel F.; Barnhardt, Walter A.; Andrews, Brian D.; Legere, Christine; Hughes-Clarke, John E.

2012-01-01

Pockmark fields occur throughout northern North American temperate estuaries despite the absence of extensive thermogenic hydrocarbon deposits typically associated with pockmarks. In such settings, the origins of the gas and triggering mechanism(s) responsible for pockmark formation are not obvious. Nor is it known why pockmarks proliferate in this region but do not occur south of the glacial terminus in eastern North America. This paper tests two hypotheses addressing these knowledge gaps: 1) the region's unique sea-level history provided a terrestrial deposit that sourced the gas responsible for pockmark formation; and 2) the region's physiography controls pockmarks distribution. This study integrates over 2500 km of high-resolution swath bathymetry, Chirp seismic reflection profiles and vibracore data acquired in three estuarine pockmark fields in the Gulf of Maine and Bay of Fundy. Vibracores sampled a hydric paleosol lacking the organic-rich upper horizons, indicating that an organic-rich terrestrial deposit was eroded prior to pockmark formation. This observation suggests that the gas, which is presumably responsible for the formation of the pockmarks, originated in Holocene estuarine sediments (loss on ignition 3.5–10%), not terrestrial deposits that were subsequently drowned and buried by mud. The 7470 pockmarks identified in this study are non-randomly clustered. Pockmark size and distribution relate to Holocene sediment thickness (r2 = 0.60), basin morphology and glacial deposits. The irregular underlying topography that dictates Holocene sediment thickness may ultimately play a more important role in temperate estuarine pockmark distribution than drowned terrestrial deposits. These results give insight into the conditions necessary for pockmark formation in nearshore coastal environments.

Sedimentary record of subsidence pulse at the Triassic/Jurassic boundary interval in the Slovenian Basin (eastern Southern Alps)

NASA Astrophysics Data System (ADS)

Rožič, Boštjan; Jurkovšek, Tea Kolar; Rožič, Petra Žvab; Gale, Luka

2017-08-01

In the Alpine Realm the Early Jurassic is characterized by the disintegration and partial drowning of vast platform areas. In the eastern part of the Southern Alps (present-day NW Slovenia), the Julian Carbonate Platform and the adjacent, E-W extending Slovenian Basin underwent partial disintegration, drowning and deepening from the Pliensbachian on, whereas only nominal environmental changes developed on the large Dinaric (Friuli, Adriatic) Carbonate Platform to the south (structurally part of the Dinarides). These events, however, were preceded by an earlier - and as yet undocumented extensional event - that took place near the Triassic/Jurassic boundary. This paper provides evidence of an accelerated subsidence from four selected areas within the Slovenian Basin, which show a trend of eastwardly-decreasing deformation. In the westernmost (Mrzli vrh) section - the Upper Triassic platform-margin - massive dolomite is overlain by the earliest Jurassic toe-of-slope carbonate resediments and further, by basin-plain micritic limestone. Further east (Perbla and Liščak sections) the Triassic-Jurassic transition interval is marked by an increase in resedimented carbonates. We relate this to the increasing inclination and segmentation of the slope and adjacent basin floor. The easternmost (Mt. Porezen) area shows a rather monotonous, latest Triassic-Early Jurassic basinal sedimentation. However, changes in the thickness of the Hettangian-Pliensbachian Krikov Formation point to a tilting of tectonic blocks within the basin area. Lateral facies changes at the base of the formation indicate that the tilting occurred at and/or shortly after the Triassic/Jurassic boundary

Escherichia coli pneumonia in combination with fungal sinusitis and meningitis in a tsunami survivor after the Great East Japan Earthquake.

PubMed

Igusa, Ryotaro; Narumi, Sodai; Murakami, Koji; Kitawaki, Yuko; Tamii, Toru; Kato, Masahiro; Sato, Mineshige; Tsuboi, Masahiro; Ota, Kozo

2012-07-01

Individuals who survive near drowning often suffer from complicated infections, including multi-organ and polymicrobial events. This pattern may be especially pronounced among patients exposed to infectious agents during catastrophic events like that of the Great East Japan Earthquake and the associated tsunami disaster. We report here on a patient who presented with Escherichia coli (E. coli) pneumonia in combination with fungal sinusitis and meningitis. A 73-year-old woman survived the tsunami that engulfed the Sanriku coast. By the time of hospital admission, the patient exhibited high fever, severe cough, and sputum production. Chest X-ray and CT scan showed consolidation in the left upper lobe. Administration of an antibacterial agent improved this pneumonia. However, the patient's consciousness was increasingly impaired. Brain CT showed the low-density lesions and partial high-density spot in the sinus, which suggests the fungal infection. MRI showed the inflammation in the sinus spread into the central nerve system. The examination of the cerebrospinal fluid showed the low glucose level, high mononuclear cell count, and highβ-D glucan level, the findings of which supported the diagnosis of fungal meningitis. Although the patient improved temporarily in response to combination treatment with anti-fungal agents, no further improvement was seen. In conclusion, this patient, who suffered from infections of pneumonia, sinusitis, and meningitis, presented a quite rare clinical progress. We propose that fungal infection should be taken into consideration in individuals who suffered near drowning, a profile expected to be frequent among tsunami survivors.

Etiology of Sudden Cardiac Arrest in Patients with Epilepsy: Experience of Tertiary Referral Hospital in Sapporo City, Japan.

PubMed

Miyata, Kei; Ochi, Satoko; Enatsu, Rei; Wanibuchi, Masahiko; Mikuni, Nobuhiro; Inoue, Hiroyuki; Uemura, Shuji; Tanno, Katsuhiko; Narimatsu, Eichi; Maekawa, Kunihiko; Usui, Keiko; Mizobuchi, Masahiro

2016-05-15

It has been reported that epilepsy patients had higher risk of sudden death than that of the general population. However, in Japan, there is very little literature on the observational research conducted on sudden fatal events in epilepsy. We performed a single-center, retrospective study on all the out-of-hospital cardiac arrest (OHCA) patients treated in our emergency department between 2007 and 2013. Among the OHCA patients, we extracted those with a history of epilepsy and then analyzed the characteristics of the fatal events and the background of epilepsy. From 1,823 OHCA patients, a total of 10 cases were enrolled in our study. The median age was 34 years at the time of the incident [9-52 years; interquartile range (IQR), 24-45]. We determined that half of our cases resulted from external causes of death such as drowning and suffocation and the other half were classified as sudden unexpected death in epilepsy (SUDEP). In addition, asphyxia was implicated as the cause in eight cases. Only the two near-drowning patients were immediately resuscitated, but the remaining eight patients died. The median age of first onset of epilepsy was 12 years (0.5-30; IQR, 3-21), and the median disease duration was 25 years (4-38; IQR, 6-32). Patients with active epilepsy accounted for half of our series and they were undergoing poly anti-epileptic drug therapy. The fatal events related to epilepsy tended to occur in the younger adult by external causes. An appropriate therapeutic intervention and a thorough observation were needed for its prevention.

Geologic effects on groundwater salinity and discharge into an estuary

USGS Publications Warehouse

Russonielloa, Christopher J.; Fernandeza, Cristina; Bratton, John F.; Banaszakc, Joel F.; Krantzc, David E.; Andresd, Scott; Konikow, Leonard F.; Michaela, Holly A.

2013-01-01

Submarine groundwater discharge (SGD) can be an important pathway for transport of nutrients and contaminants to estuaries. A better understanding of the geologic and hydrologic controls on these fluxes is critical for their estimation and management. We examined geologic features, porewater salinity, and SGD rates and patterns at an estuarine study site. Seismic data showed the existence of paleovalleys infilled with estuarine mud and peat that extend hundreds of meters offshore. A low-salinity groundwater plume beneath this low-permeability fill was mapped with continuous resistivity profiling. Extensive direct SGD measurements with seepage meters (n = 551) showed fresh groundwater discharge patterns that correlated well with shallow porewater salinity and the hydrogeophysical framework. Small-scale variability in fresh and saline discharge indicates influence of meter-scale geologic heterogeneity, while site-scale discharge patterns are evidence of the influence of the paleovalley feature. Beneath the paleovalley fill, fresh groundwater flows offshore and mixes with saltwater before discharging along paleovalley flanks. On the adjacent drowned interfluve where low-permeability fill is absent, fresh groundwater discharge is focused at the shoreline. Shallow saltwater exchange was greatest across sandy sediments and where fresh SGD was low. The geologic control of groundwater flowpaths and discharge salinity demonstrated in this work are likely to affect geochemical reactions and the chemical loads delivered by SGD to coastal surface waters. Because similar processes are likely to exist in other estuaries where drowned paleovalleys commonly cross modern shorelines, the existence and implications of complex hydrogeology are important considerations for studies of groundwater fluxes and related management decisions.

Gibberellin biosynthesis and signal transduction is essential for internode elongation in deepwater rice

PubMed Central

Ayano, Madoka; Kani, Takahiro; Kojima, Mikiko; Sakakibara, Hitoshi; Kitaoka, Takuya; Kuroha, Takeshi; Angeles-Shim, Rosalyn B; Kitano, Hidemi; Nagai, Keisuke; Ashikari, Motoyuki

2014-01-01

Under flooded conditions, the leaves and internodes of deepwater rice can elongate above the water surface to capture oxygen and prevent drowning. Our previous studies showed that three major quantitative trait loci (QTL) regulate deepwater-dependent internode elongation in deepwater rice. In this study, we investigated the age-dependent internode elongation in deepwater rice. We also investigated the relationship between deepwater-dependent internode elongation and the phytohormone gibberellin (GA) by physiological and genetic approach using a QTL pyramiding line (NIL-1 + 3 + 12). Deepwater rice did not show internode elongation before the sixth leaf stage under deepwater condition. Additionally, deepwater-dependent internode elongation occurred on the sixth and seventh internodes during the sixth leaf stage. These results indicate that deepwater rice could not start internode elongation until the sixth leaf stage. Ultra-performance liquid chromatography tandem mass-spectrometry (UPLC-MS/MS) method for the phytohormone contents showed a deepwater-dependent GA1 and GA4 accumulation in deepwater rice. Additionally, a GA inhibitor abolished deepwater-dependent internode elongation in deepwater rice. On the contrary, GA feeding mimicked internode elongation under ordinary growth conditions. However, mutations in GA biosynthesis and signal transduction genes blocked deepwater-dependent internode elongation. These data suggested that GA biosynthesis and signal transduction are essential for deepwater-dependent internode elongation in deepwater rice. Deepwater rice obtained the ability for rapid internode elongation to avoid drowning and adapt to flooded condition. How does it regulate internode elongation? Using both physiological and genetic approach, this paper shows that the plant hormone, gibberellin (GA) regulates internode elongation. PMID:24891164

Sequence stratigraphy of an Oligocene carbonate shelf, Central Kalimantan, Indonesia

DOE Office of Scientific and Technical Information (OSTI.GOV)

Saller, A.; Armin, R.; Ichram, L.O.

1991-03-01

Interpretations of Oligocene shelfal limestones from Central Kalimantan, Indonesia, suggest caution in predicting sea-level lowstands from seismic reflector patterns or published sea-level curves. Three major depositional sequences, each 200-400 m thick, were delineated in outcrops and seismic lines: late Eocene to early Oligocene (34-38 Ma), middle Oligocene (29.7-32 Ma), and early late Oligocene (28-29.7 Ma). The lowest sequence is mainly shale with tin sandstones and limestones (large-foram wackestone). The middle and upper sequences are carbonate with transgressive systems tracts (TSTs) overlain by highstand systems tracts (HSTs). TSTs contain large-foram wackestone-packstones and coral wackestone-packstones. HSTs are characterized by (1) shale andmore » carbonate debris flows deposited on the lower slope, (2) argillaceous large-foram wackestones on the upper slope, (3) discontinuous coral wackestones and boundstones on the shelf margin, (4) bioclastic packstones and grainstones on backreef flats and shelf-margin shoals, and (5) branching-coral and foraminiferal wackestones in the lagoon. Bases of sequences are characterized by transgression and onlap. Deepending and/or drowning of the carbonate shelf occurred at the top of the middle and upper sequences. Basinal strata that apparently onlap the middle and upper carbonate shelf margins might be misinterpreted as lowstand deposits, although regional studies indicate they are prodelta sediments baselapping against the shelf. Shallowing the subaerial exposure of the carbonates might be expected during the large mid-Oligocene (29.5-30 Ma) sea-level drop of Haq et al. (1987), instead of the observed deepening and local drowning.« less

The early cretaceous evolution of carbonate platforms from northern Oman

DOE Office of Scientific and Technical Information (OSTI.GOV)

Masse, J.P.; Borgomano, J.; Maskiry, S.Al.

1993-09-01

In northern Oman (Jebel Akhdar and foothills) Hauterivian to early Aptian shallow carbonate platforms are widely extending and pass laterally to slope and basin environments in the Nakhl zone. Progradational geometries are identified in that zone where significant correlation between thickness and sediment types supports a prominent tectonic control. The platform records four main sedimentary breaks (drowning events). Early Barremian (lower Lekhwair Formation), Late Barremian (basal Kharaib Formation), lowermost early Aptian (upper Kharaib Formation) and middle Aptian (Shuaiba-Al Hassanat formations boundary). The late Aptian-early Albian hiatus (pre-Nahr Umr unconformity) is regarded as an early Albian tectonically driven erosion. In themore » Nakhl zone, coral-rudist limestones of late Aptian-early Albian (lower Al Hassanat Formation) document an east-west ribbon platform, the southward extension of which was obscured by the middle Albian erosions and rudist limestones of middle to late Albian (upper Al Hassanat Formation), a lateral equivalent of the Nahr Umr circa littoral shaly sediments, document an east-west-trending linear platform. The foregoing points out a northward progradation coeval with a southward transgressive major trend for the Hauterivian-early Aptian interval, a faulted margin corresponding with the Nakhl zone active during the Aptian-Albian, a late Aptian ribbon platform coeval with the Bab basin initiation southward, a regional uplifting and truncation during the early-Albian (Austrian phase), whereas shallow-water carbonates are still forming at the edge of the former platform, and an active linear platform at the northern edge of the Nahr Umr basin, the corresponding drowning contemporaneous with the onset of the Cenomanian platform eastward.« less

An Empirical Analysis of Life Jacket Effectiveness in Recreational Boating.

PubMed

Viauroux, Christelle; Gungor, Ali

2016-02-01

This article gives a measure of life jacket (LJ) effectiveness in U.S. recreational boating. Using the U.S. Coast Guard's Boating Accident Report Database from 2008 to 2011, we find that LJ wear is one of the most important determinants influencing the number of recreational boating fatalities, together with the number of vessels involved, and the type and engine of the vessel(s). We estimate a decrease in the number of deceased per vessel of about 80% when the operator wears their LJs compared to when they do not. The odds of dying are 86% higher than average if the accident involves a canoe or kayak, but 80% lower than average when more than one vessel is involved in the accident and 34% lower than average when the operator involved in the accident has more than 100 hours of boating experience. Interestingly, we find that LJ effectiveness decreases significantly as the length of the boat increases and decreases slightly as water temperature increases. However, it increases slightly as the operator's age increases. We find that between 2008 and 2011, an LJ regulation that requires all operators to wear their LJs-representing a 20% increase in wear rate-would have saved 1,721 (out of 3,047) boaters or 1,234 out of 2,185 drowning victims. The same policy restricted to boats 16-30 feet in length would have saved approximately 778 victims. Finally, we find that such a policy would reduce the percentage of drowning victims compared to other causes of death. © 2015 Society for Risk Analysis.

Chasing boundaries and cascade effects in a coupled barrier-marsh-lagoon system

NASA Astrophysics Data System (ADS)

Lorenzo-Trueba, Jorge; Mariotti, Giulio

2017-08-01

The long-term dynamic evolution of an idealized barrier-marsh-lagoon system experiencing sea-level rise is studied by coupling two existing numerical models. The barrier model accounts for the interaction between shoreface dynamics and overwash flux, which allows the occurrence of barrier drowning. The marsh-lagoon model includes both a backbarrier marsh and an interior marsh, and accounts for the modification of the wave regime associated with changes in lagoon width and depth. Overwash, the key process that connects the barrier shoreface with the marsh-lagoon ecosystems, is formulated to account for the role of the backbarrier marsh. Model results show that a number of factors that are not typically associated with the dynamics of coastal barriers can enhance the rate of overwash-driven landward migration by increasing backbarrier accommodation space. For instance, lagoon deepening could be triggered by marsh edge retreat and consequent export of fine sediment via tidal dispersion, as well as by an expansion of inland marshes and consequent increase in accommodation space to be filled in with sediment. A deeper lagoon results in a larger fraction of sediment overwash being subaqueous, which coupled with a slow shoreface response sending sediment onshore can trigger barrier drowning. We therefore conclude that the supply of fine sediments to the back-barrier and the dynamics of both the interior and backbarrier marsh can be essential for maintaining the barrier system under elevated rates of sea-level rise. Our results highlight the importance of considering barriers and their associated backbarriers as part of an integrated system in which sediment is exchanged.

Childhood injury: a status report, part 2.

PubMed

Crawley-Coha, Teri

2002-04-01

The October issue of The Journal of Pediatric Nursing carried the first of two parts on childhood injury. That article reviewed the importance of prevention, the short- and long-term effects of injury on the child and the family, and how to incorporate prevention strategies at home and at work. Also reviewed were three of the most common mechanisms of injury, motor vehicle crashes, bicycle crashes, and pool drowning, and prevention measures. In this second part, the remaining primary areas of concern for common pediatric injuries are addressed: poisoning, fires and burns, and firearms. Copyright 2002, Elsevier Science (USA). All rights reserved.

Real-Time Information Extraction from Big Data

DTIC Science & Technology

2015-10-01

I N S T I T U T E F O R D E F E N S E A N A L Y S E S Real-Time Information Extraction from Big Data Robert M. Rolfe...Information Extraction from Big Data Jagdeep Shah Robert M. Rolfe Francisco L. Loaiza-Lemos October 7, 2015 I N S T I T U T E F O R D E F E N S E...AN A LY S E S Abstract We are drowning under the 3 Vs (volume, velocity and variety) of big data . Real-time information extraction from big

[Automatic mechanical chest compression during helicopter transportation].

PubMed

Kyrval, Helle S; Ahmad, Khalil

2010-11-15

We describe a case story with a drowned, hypothermic trauma patient treated with an automatic mechanical chest compression device during helicopter transportation to a trauma center. After falling from a 25 meter high bridge into 2 °C water, she was rescued lifeless 17 minutes later. Advanced life support was initiated. During transport by a rescue helicopter, chest compressions were effectively provided by Lund University Cardiopulmonary Assist System (LUCAS). Upon arrival to a trauma centre approx. 60 minutes later, the patient was treated with extracorporal circulation and rewarmed. She was eventually discharged to her home with minor loss of cerebral function.

Detection of methanogenic archaea in the pitchers of the Northern pitcher plant (Sarracenia purpurea ).

PubMed

Krieger, Joseph R; Kourtev, Peter S

2012-02-01

Carnivorous plants of the genus Sarracenia rely on microorganisms in their pitchers to decompose drowned insects. The environment inside pitchers is considered to be aerobic; however, there might be zones, such as at the bottom of the pitcher, where anaerobic conditions develop. Samples of the sediment at the bottom of Sarracenia purpurea pitchers were analyzed for the presence of archaea, using PCR and sequencing of the 16S rRNA gene. Archaeal DNA was detected in 20% of sampled pitchers. All sequences were closely related to Methanobrevibacter . Therefore, pitchers may contain anoxic zones inhabited by methanogens.

Scedosporium aurantiacum brain abscess after near-drowning in a survivor of a tsunami in Japan.

PubMed

Nakamura, Yutaka; Suzuki, Naomi; Nakajima, Yoshio; Utsumi, Yu; Murata, Okinori; Nagashima, Hiromi; Saito, Heisuke; Sasaki, Nobuhito; Fujimura, Itaru; Ogino, Yoshinobu; Kato, Kanako; Terayama, Yasuo; Miyamoto, Shinya; Yarita, Kyoko; Kamei, Katsuhiko; Nakadate, Toshihide; Endo, Shigeatsu; Shibuya, Kazutoshi; Yamauchi, Kohei

2013-12-01

Many victims of the tsunami that occurred following the Great East Japan Earthquake on March 11, 2011 developed systemic disorders owing to aspiration pneumonia. Herein, we report a case of tsunami lung wherein Scedosporium aurantiacum was detected in the respiratory tract. A magnetic resonance image of the patient's head confirmed multiple brain abscesses and lateral right ventricle enlargement. In this case report, we describe a potential refractory multidrug-resistant infection following a tsunami disaster. Copyright © 2013 The Japanese Respiratory Society. Published by Elsevier B.V. All rights reserved.

Observational Astrophysics

NASA Astrophysics Data System (ADS)

Jablonski, Francisco Jose

1999-01-01

Hamlet is the name of a very famous play written by William Shakespeare. The opening scene is p impressive: the guards of a castle in Denmark see the specter of king Hamlet wandering the parapet at night. The explanation for the ghost's appearance is central to the drama, which contains seven deaths by sword blows, poisonings, drowning, real and simulated madness, adultery, the skull of a happy jester exhumed at an opportune moment and, of course, a phantasmagoric vpecter. In a recent film version, Mel Gibson plays the role of Hamlet. The opening scene has the specter of the old king appear in a phosphorescent and transparent form.

Plastron properties of a superhydrophobic surface

NASA Astrophysics Data System (ADS)

Shirtcliffe, Neil J.; McHale, Glen; Newton, Michael I.; Perry, Carole C.; Pyatt, F. Brian

2006-09-01

Most insects and spiders drown when submerged during flooding or tidal inundation, but some are able to survive and others can remain submerged indefinitely without harm. Many achieve this by natural adaptations to their surface morphology to trap films of air, creating plastrons which fix the water-vapor interface and provide an incompressible oxygen-carbon dioxide exchange surface. Here the authors demonstrate how the surface of an extremely water-repellent foam mimics this mechanism of underwater respiration and allows direct extraction of oxygen from aerated water. The biomimetic principle demonstrated can be applied to a wide variety of man-made superhydrophobic materials.

Aqua vitae, aqua permanens: dreaming, drowning, swimming and surfing in analysis.

PubMed

Mathew, Marilyn

2018-06-01

In response to the question 'Who is My Jung?', this paper describes the profound personal impact of Jung's creative / artistic approach to the unconscious, beginning with my discovery of The Red Book at the age of twelve. Echoing the flow of my own dream-life, I trace the course of two analyses through the alchemical process of solutio, which began with numinous dreams of tidal waves and plunged us into inter- and intra-psychic analytic relationships that evoked vestigial memories of our first aquatic world in utero. © 2018, The Society of Analytical Psychology.

All-aluminum-alloy UHV chamber for molecular beam epitaxy, 1

NASA Astrophysics Data System (ADS)

Suemitsu, M.; Miyamoto, N.

1984-03-01

The first all aluminum alloy (ex. JIS.6263-t6,2219-t87 etc) MBE chamber is constructed and described. After exposure to atmosphere, the chamber is drown to 10(-9) torr in 24 hours, and reaches an ultrahigh vacuum of 1.6x10(-10) torr by a 115 C, 24 bakeout process. The light weight and low cost as well as the short pump-down time and the law outgassing rate of the all aluminum alloy vacuum system seems to have a considerable applicative potentiality for equipment used in semiconductor ultrahigh vacuum processes.

Ontario’s plunging price-caps on generics: deeper dives may drown some drugs

PubMed Central

Anis, Aslam; Harvard, Stephanie; Marra, Carlo

2011-01-01

In April 2010, the Ontario government announced another reduction in the maximum price of generic drugs permitted under the Ontario Drug Benefit (ODB) program, demanding that generic drugs now be sold for no more than 25% of the branded product’s price. Other provinces are following Ontario in setting unprecedentedly low price-caps to reduce the cost of generic drugs. Generic product substitution legislation is vital to reducing costs to provincial drug plans, yet lower and lower price-caps may undo some of the benefits of substitution legislation if generics find it difficult to survive. PMID:22046229

Ontario's plunging price-caps on generics: deeper dives may drown some drugs.

PubMed

Anis, Aslam; Harvard, Stephanie; Marra, Carlo

2011-01-01

In April 2010, the Ontario government announced another reduction in the maximum price of generic drugs permitted under the Ontario Drug Benefit (ODB) program, demanding that generic drugs now be sold for no more than 25% of the branded product's price. Other provinces are following Ontario in setting unprecedentedly low price-caps to reduce the cost of generic drugs. Generic product substitution legislation is vital to reducing costs to provincial drug plans, yet lower and lower price-caps may undo some of the benefits of substitution legislation if generics find it difficult to survive.

Brief communication: Loss of life due to Hurricane Harvey

NASA Astrophysics Data System (ADS)

Jonkman, Sebastiaan N.; Godfroy, Maartje; Sebastian, Antonia; Kolen, Bas

2018-04-01

An analysis was made of the loss of life caused by Hurricane Harvey. Information was collected for 70 fatalities that occurred due to the event and were recovered within the first 2 weeks after landfall. Most fatalities occurred due to drowning (81 %), particularly in and around vehicles. Males (70 %) and people over 50 years old (56 %) were overrepresented in the dataset. More than half of the fatalities occurred in the greater Houston area (n = 37), where heavy rainfall and dam releases caused unprecedented urban flooding. The majority of fatalities were recovered outside the designated 100- and 500-year flood hazard areas.

Safe Kids Worldwide: preventing unintentional childhood injuries across the globe.

PubMed

Mickalide, Angela; Carr, Kate

2012-12-01

Unintentional injuries are predictable and preventable. Yet every hour, a child in the United States dies from an unintentional injury. Globally, the number is even more staggering, with nearly 1 million children dying from unintentional injuries each year. Motor vehicle-related injuries, burns, drowning, falls, suffocation or choking, and poisoning are just a few of the unintentional injury risks threatening children. Patient safety requires a three-pronged strategy of behavior change, use of safety devices, and improvement of laws and regulations to ensure that all children lead healthy and productive lives. Copyright © 2012 Elsevier Inc. All rights reserved.

Mortality in tundra swans Cygnus columbianus

USGS Publications Warehouse

Bartonek, J.C.; Serie, J.R.; Converse, K.A.

1991-01-01

Our paper identifies and examines the significance of hunting and non-hunting mortality affecting the Eastern Population (EP) and Western Population (WP) (see Serie & Bartonek 1991a) of Tundra Swans. Sport hunting (Serie & Bartonek 1991b), native subsistence hunting (Copp 1989, Stewart & Bernier 1989), malicious shooting (McKelvey & MacNeill 1981), avian cholera (Friend et al. 1981, Schroeder 1983), ecto- and endoparasites (Trauger & Bartonek 1977, Woebeser 1981), lead poisoning (Sherwood 1960, Friend et al. 1981), collision (Willard 1978), and drowning (Miller et al. 1986) have been documented as being direct or indirect causes of mortality in fledged Tundra Swans; but their relative importance remains unknown.

[Death in a rainwater tank--unusual death by hypothermia].

PubMed

Doberentz, Elke; Madea, Burkhard

2013-01-01

Death due to hypothermia is often accidental and associated with alcohol intoxication, diseases or previous trauma. A very rare phenomenon is suicidal hypothermia. A 74-year-old depressive woman was found dead in a rain barrel with her head above the water level in February at an outdoor temperature of 0 degrees C. Forensic autopsy did not reveal any findings typical of drowning. Likewise, there was no morphological evidence of hypothermia, but this cannot be expected in immersion hypothermia with a very short agony. Unusual situations at scene always require comprehensive police investigations and medicolegal examinations.

Chronology of Quaternary coastal aeolianite deposition and the drowned shorelines of southwestern Western Australia - a reappraisal

NASA Astrophysics Data System (ADS)

Brooke, B. P.; Olley, J. M.; Pietsch, T.; Playford, P. E.; Haines, P. W.; Murray-Wallace, C. V.; Woodroffe, C. D.

2014-06-01

Aeolianite successions of low-gradient continental margins commonly show complex records of coastal dune deposition linked to a wide range of sea-level positions and climatic periods of the middle and late Pleistocene, recording both regional and broader-scale drivers of sediment production, coastal dune development and landform preservation. To better characterise the general pattern of sedimentation that occurs over Quaternary glacial-interglacial cycles on low-gradient, temperate carbonate continental shelves we examine the morphology, stratigraphy and age of aeolianite deposits in the Perth region, Western Australia. This includes an analysis of well-defined drowned coastal landforms preserved on the adjacent shelf. New and previously published optical ages provide a preliminary timeframe for the deposition of aeolianite in the Perth region and on Rottnest Island, 17 km offshore. An extensive aeolianite ridge near Perth, representing a former barrier, has Optically Stimulated Luminesence (OSL) ages that range from 120 ± 12 to 103 ± 10 ka (MIS 5e-5a in the context of associated age uncertainties). OSL ages for an exposure in the same ridge 2.5 km inland, record the onlap of much older aeolianite, OSL age 415 ± 70 ka, by shell-rich estuarine beds, OSL age 290 ± 30 ka. A further 5.5 km inland from the coast, two thick aeolianite units, separated by a well-developed palaeosol, have stratigraphically consistent OSL ages of 310 ± 30 and 155 ± 20 ka. In contrast, aeolianite units that form the northern coast of Rottnest Island have OSL ages of 77 ± 12 ka and 27 ± 5 ka. The new OSL ages and previously reported TL and U/Th ages indicate that the bulk of the island comprises dunes deposited around the end of the Last Interglacial sensu lato (MIS 5a-4) and during the Last Glacial (MIS 4-2), accumulating over a Last Interglacial coral reef and basal calcarenite. Drowned barrier and dune landforms preserved on the adjacent continental shelf reveal that barriers were formed during periods of intermediate sea level (e.g. MIS 3) and significant dune mobility occurred when the shelf was subaerially exposed. The pattern of shelf sedimentation discernible in the Perth region - large-scale coastal carbonate dune deposition during periods of high and intermediate sea level and reactivation during glacial lowstands - is largely consistent with published stratigraphic and age data for large-scale aeolianite deposits on other low-gradient carbonate shelves. Based on these data, a general model is proposed for the cycle of Quaternary sedimentation and landform evolution that occurs on these shelves, which are dynamic sedimentary environments with coastal landforms and sedimentary successions that are very sensitive to erosion and sediment reworking.

Community replacement instead of drowning: Evolution of proto-North Atlantic carbonate-platform production in the run-up to of the Early Aptian OAE1a

NASA Astrophysics Data System (ADS)

Huck, Stefan; Stein, Melody; Adatte, Thierry; Föllmi, Karl B.; Immenhauser, Adrian; Heimhofer, Ulrich

2014-05-01

In the proto-North Atlantic realm (Lusitanian Basin, Portugal), carbonate platform production witnessed a major biotic turnover during the Early Aptian. Here, Urgonian-type rudist-nerinid dominated limestones were replaced by an orbitolinid-rich, oyster and serpulid-bearing marly facies. Integrated biostratigraphic-chemostratigraphic studies (Burla et al., 2008; Huck et al., 2012) provided evidence that this change coincides with the Early Aptian carbonate platform drowning episode in the run-up of oceanic anoxic event (OAE) 1a (transition D. forbesi to D. deshayesi ammonite zones), which has been recorded, from many localities in the Tethyan Ocean (Godet, 2013). Unlike Helvetic and Arabian carbonate platforms, which are characterised by a punctuated mass occurrence of orbitolinids marking the onset of the Aptian (Rawil and Hawar members, respectively), orbitolinids are an abundant constituent of the proto-North Atlantic carbonate platform community from the Late Barremian onwards. Orbitolinid-rich packstones and marls showing mass-occurrences of orbitolinids indicate repeated short-term installation of specific environmental conditions (eutrophication and/or deepening). In order to critically assess the influence of regional palaeoenvironmental against global palaeoclimatic and palaeoceanographic changes on the Proto-North Atlantic carbonate platform evolution, several outcrop successions in the Lusitanian Basin covering the critical interval have been investigated in detail with regard to facies and petrographic characteristics and geochemical (C-/O-isotopes, P content, bulk-rock and clay mineralogy,) inventory. The aims of the present study are three-fold: (1) to characterise proto-North Atlantic Lower Aptian shallow-water carbonates with respect to diagenetic history, microfacies, and distribution of fossils useful for the analysis of palaeoenvironments (corals, rudists and orbitolinids); (2) to evaluate the influence of sea-level and humidity changes (palaeonutrient fluxes) on the carbonate platform ecosystems, with special focus on the transition from Urgonian-type rudist-nerinid towards orbitolinid-oyster-serpulid dominated limestones; and (3) to compare the considered proto-North Atlantic platform evolution with the coeval punctuated carbonate platform breakdown as observed along the Northern Tethyan margin. Burla, S., Heimhofer, U., Hochuli, P.A., Weissert, H., Skelton, P., 2008. Changes in sedimentary patterns of coastal and deep sea successions from the North Atlantic (Portugal) linked to Early Cretaceous environmental change: Palaeogeography, Palaeoclimatology, Palaeoecology 257 (1-2), 38-57. Godet, A., 2013. Drowning unconformities: Palaeoenvironmental significance and involvement of global processes. Sedimentary Geology 293, 45-66. Invited Review Paper. Huck, S., Heimhofer, U., Immenhauser, A., 2012. Early Aptian algal bloom in a neritic proto-North Atlantic setting: Harbinger of global change related to OAE1a? GSA Bulletin 124 (11-12), 1810-1825.

Unmanned aerial vehicles (drones) to prevent drowning.

PubMed

Seguin, Celia; Blaquière, Gilles; Loundou, Anderson; Michelet, Pierre; Markarian, Thibaut

2018-06-01

Drowning literature have highlighted the submersion time as the most powerful predictor in assessing the prognosis. Reducing the time taken to provide a flotation device and prevent submersion appears of paramount importance. Unmanned aerial vehicles (UAVs) can provide the location of the swimmer and a flotation device. The objective of this simulation study was to evaluate the efficiency of a UAV in providing a flotation device in different sea conditions, and to compare the times taken by rescue operations with and without a UAV (standard vs UAV intervention). Several comparisons were made using professional lifeguards acting as simulated victims. A specifically-shaped UAV was used to allow us to drop an inflatable life buoy into the water. During the summer of 2017, 28 tests were performed. UAV use was associated with a reduction of time it took to provide a flotation device to the simulated victim compared with standard rescue operations (p < 0.001 for all measurements) and the time was reduced even further in moderate (81 ± 39 vs 179 ± 78 s; p < 0.001) and rough sea conditions (99 ± 34 vs 198 ± 130 s; p < 0.001). The times taken for UAV to locate the simulated victim, identify them and drop the life buoy were not altered by the weather conditions. UAV can deliver a flotation device to a swimmer safely and quickly. The addition of a UAV in rescue operations could improve the quality and speed of first aid while keeping lifeguards away from dangerous sea conditions. Copyright © 2018 Elsevier B.V. All rights reserved.

Experimental investigation of channel avulsion frequency on river deltas under rising sea levels

NASA Astrophysics Data System (ADS)

Silvestre, J.; Chadwick, A. J.; Steele, S.; Lamb, M. P.

2017-12-01

River deltas are low-relief landscapes that are socioeconomically important; they are home to over half a billion people worldwide. Many deltas are built by cycles of lobe growth punctuated by abrupt channel shifts, or avulsions, which often reoccur at a similar location and with a regular frequency. Previous experimental work has investigated the effect of hydrodynamic backwater in controlling channel avulsion location and timing on deltas under constant sea level conditions, but it is unclear how sea-level rise impacts avulsion dynamics. We present results from a flume experiment designed to isolate the role of relative sea-level rise on the evolution of a backwater-influenced delta. The experiment was conducted in the river-ocean facility at Caltech, where a 7m long, 14cm wide alluvial river drains into a 6m by 3m "ocean" basin. The experimental delta grew under subcritical flow, a persistent backwater zone, and a range of sea level rise rates. Without sea level rise, lobe progradation produced in-channel aggradation and periodic avulsions every 3.6 ± 0.9 hours, which corresponded to when channels aggraded to approximately one-half of their flow depth. With a modest rate of sea-level rise (0.25 mm/hr), we observed enhanced aggradation in the backwater zone, causing channels to aggrade more quickly and avulse more frequently (every 2.1 ± 0.6 hours). In future work, we expect further increases in the rate of relative sea-level rise to cause avulsion frequency to decrease as the delta drowns and the backwater zone retreats upstream. Experimental results can serve as tests of numerical models that are needed for hazard mitigation and coastal sustainability efforts on drowning deltas.

Carbonate-platform response to the Toarcian Oceanic Anoxic Event in the southern hemisphere: Implications for climatic change and biotic platform demise

NASA Astrophysics Data System (ADS)

Han, Zhong; Hu, Xiumian; Kemp, David B.; Li, Juan

2018-05-01

The Toarcian Oceanic Anoxic Event (T-OAE, ∼183 Ma) was a profound short-term environmental perturbation associated with the large-scale release of 13C-depleted carbon into the global ocean-atmosphere system, which resulted in a significant negative carbon-isotope excursion (CIE). The general lack of characteristic T-OAE records outside of the northern hemisphere means that the precise environmental effects and significance of this event are uncertain. Many biotic carbonate platforms of the northern hemisphere western Tethys drowned or shifted to non-skeletal platforms during the early Toarcian. However, southern hemisphere records of Toarcian carbonate platforms are rare, and thus the extent and significance of biotic platform demise during the T-OAE is unclear. Here we present high-resolution geochemical and sedimentological data across two Pliensbachian-Toarcian shallow-water carbonate-platform sections exposed in the Tibetan Himalaya. These sections were located paleogeographically on the open southeastern tropical Tethyan margin in the southern hemisphere. The T-OAE in the Tibetan Himalaya is marked by a negative CIE in organic matter. Our sedimentological analysis of the two sections reveals an abundance of storm deposits within the T-OAE interval, which emphasizes a close link between warming and tropical storms during the T-OAE event, in line with evidence recently provided from western Tethyan sections of the northern hemisphere. In addition, our analysis also reveals extensive biotic carbonate-platform demise by drowning or changing to non-skeletal carbonates coincident with the onset of the CIE. Taken together, our results suggest that rapid and pervasive seawater warming in response to carbon release likely played a significant role in sudden biotic carbonate platform demise, and suppression/postponement of biotic platform re-development along the whole tropical/subtropical Tethyan margin.

Doomed to Drown? Sediment Dynamics, Infrastructure, and the Threat of Sea Level Rise in the Bengal Delta

NASA Astrophysics Data System (ADS)

Rogers, K. G.; Overeem, I.

2017-12-01

The Bengal Delta in Bangladesh is regularly described as a "delta in peril" of catastrophic coastal flooding. In order to maintain a positive surface elevation, sediment aggradation on the delta must be equal to or greater than that of local sea level rise. Paradoxically, widespread armoring of the delta by coastal embankments meant to protect crops from tidal flooding has limited fluvial floodplain deposition, leading to rapid compaction and lowered land surface levels. This renders the floodplains of the delta susceptible to devastating flooding by sea level rise and storm surges capable of breaching the poorly maintained embankments. The government of Bangladesh is currently considering a one-size-fits-all approach to renovating the embankments under the assumption that sediment dynamics in the delta are everywhere the same. However, natural physical processes are spatially variable across the delta front and therefore the impact of dikes on sediment dispersal and morphology should reflect these variations. Direct sedimentation measurements, short-lived radionuclides, and a simplified sediment routing model are used to show that transport processes and sedimentation rates are highly variable across the lower delta. Aggradation is more than double the rate of local sea level rise in some areas, and dominant modes of transport are reflected in the patterns of sediment routing and flux across the lower deltaplain, though embankments are major controls on sediment dynamics throughout the coastal delta. This challenges the assumption that the Bengal Delta is doomed to drown; rather it signifies that effective preparation for 21st century climate change requires consideration of spatially variable physical dynamics and local feedbacks with large-scale infrastructure.

[Philippe-Nicolas Pia (1721-1799), creator of the first-aid service to rescue drowned people].

PubMed

Trépardoux, F

1997-01-01

Ph.-N. Pia is known as a philanathropist. In 1770, this apothecary is elected at the board of the city of Paris. Then, he wishes to create a first-aid service to rescue drowned people. In wooden boxes, he gathers together the drugs and devices used at that time, as a fumigating machine to inject tobacco smoke into the intestine, bottles of spirit of camphor, ammonia, a long shirt of wool, wood canulas and flexible pipes made of thin sheep leather. In each of the fiveteen guard houses standing along the river, are deposited a box and a stretcher. As far as Pia is at the head of the military police, he is especially innovating when he decids to train the guards to apply the drugs and the resuscitation processes. With such a regulated way of functioning associated to medical education and granting of awards, within fiveteen years hundreds of people are rescued and resuscitated. Yearly, he publishes the results obtained in Paris and in several places in France, with comments on the situation in the Netherlands, Germany and Britain. In 1780, the king nominates him in the royal order of Saint-Michel. The Révolution supresses the Etablissement en faveur des noyés, and Pia died in 1799 as completely forgotten. In Paris, the first-aid services come back to their former efficiency around 1835, when Marc proposes a special medical training to the fire-men and the military police to form first-aid groups. In this field, the pionneering work of Pia is still of great value and can abe kept in mind as a worldwide reference.

Time of death of victims found in cold water environment.

PubMed

Karhunen, Pekka J; Goebeler, Sirkka; Winberg, Olli; Tuominen, Markku

2008-04-07

Limited data is available on the application of post-mortem temperature methods to non-standard conditions, especially in problematic real life cases in which the body of the victim is found in cold water environment. Here we present our experience on two cases with known post-mortem times. A 14-year-old girl (rectal temperature 15.5 degrees C) was found assaulted and drowned after a rainy cold night (+5 degrees C) in wet clothing (four layers) at the bottom of a shallow ditch, lying in non-flowing water. The post-mortem time turned out to be 15-16 h. Four days later, at the same time in the morning, after a cold (+/- 0 degrees C) night, a young man (rectal temperature 10.8 degrees C) was found drowned in a shallow cold drain (+4 degrees C) wearing similar clothing (four layers) and being exposed to almost similar environmental and weather conditions, except of flow (7.7 l/s or 0.3 m/s) in the drain. The post-mortem time was deduced to be 10-12 h. We tested the applicability of five practical methods to estimate time of death. Henssge's temperature-time of death nomogram method with correction factors was the most versatile and gave also most accurate results, although there is limited data on choosing of correction factors. In the first case, the right correction factor was close to 1.0 (recommended 1.1-1.2), suggesting that wet clothing acted like dry clothing in slowing down body cooling. In the second case, the right correction factor was between 0.3 and 0.5, similar to the recommended 0.35 for naked bodies in flowing water.

Predicting wetland plant community responses to proposed water-level-regulation plans for Lake Ontario: GIS-based modeling

USGS Publications Warehouse

Wilcox, D.A.; Xie, Y.

2007-01-01

Integrated, GIS-based, wetland predictive models were constructed to assist in predicting the responses of wetland plant communities to proposed new water-level regulation plans for Lake Ontario. The modeling exercise consisted of four major components: 1) building individual site wetland geometric models; 2) constructing generalized wetland geometric models representing specific types of wetlands (rectangle model for drowned river mouth wetlands, half ring model for open embayment wetlands, half ellipse model for protected embayment wetlands, and ellipse model for barrier beach wetlands); 3) assigning wetland plant profiles to the generalized wetland geometric models that identify associations between past flooding / dewatering events and the regulated water-level changes of a proposed water-level-regulation plan; and 4) predicting relevant proportions of wetland plant communities and the time durations during which they would be affected under proposed regulation plans. Based on this conceptual foundation, the predictive models were constructed using bathymetric and topographic wetland models and technical procedures operating on the platform of ArcGIS. An example of the model processes and outputs for the drowned river mouth wetland model using a test regulation plan illustrates the four components and, when compared against other test regulation plans, provided results that met ecological expectations. The model results were also compared to independent data collected by photointerpretation. Although data collections were not directly comparable, the predicted extent of meadow marsh in years in which photographs were taken was significantly correlated with extent of mapped meadow marsh in all but barrier beach wetlands. The predictive model for wetland plant communities provided valuable input into International Joint Commission deliberations on new regulation plans and was also incorporated into faunal predictive models used for that purpose.

Oolite facies as a transitional unit in deepening-upward carbonate sequences in Atoll, Seamount, and Guyot settings in Pacific basin

DOE Office of Scientific and Technical Information (OSTI.GOV)

Schlanger, S.O.

Prior to 1968, ooids had not been described from shallow-water carbonate complexes deposited in atoll, seamount, or guyot settings in the Pacific basin. This apparent lack of an oolite facies in the Pacific was puzzling, considering the abundance of ooids in modern Bahamian settings and in the Phanerozoic record in general. Since 1968, Deep Sea Drilling Project operations, marine seismic stratigraphic studies, dredging on drowned atolls, and field studies of an emergent atoll have revealed the presence of a Cretaceous oolite limestone atop Ita Maitai Guyot, Paleocene ooids on Koko Seamount, late Paleocene to middle Eocene ooids on Ojin Seamount,more » Eocene ooids on Harrie Guyot, and Holocene oolite limestone on Malden Island. At Ita Maitai Guyot the oolite limestone overlies normal lagoon sediments and is overlain by deep-water pelagic carbonate. At Malden Island, which is an emergent atoll, 3550-year-old oolite limestone overlies a 125,000-year-old reef complex. At Harrie Guyot and at Koko and Ojin Seamounts, ooids are associated with drowned atoll reef and lagoon complexes. The paleolatitude of deposition of the oolite facies lay between 5/sup 0/S and 18/sup 0/N. In these settings the formation of the oolite facies was apparently related to a rapid rise in sea level that caused flooding of an antecedent reef complex which failed to keep up with the rise in sea level. In Pacific basin environments the oolite facies is a minor and temporally ephemeral one which accounts for its scarcity in the stratigraphic record from this region.« less

The lived experience of rescuing people who have driven into floodwater: Understanding challenges and identifying areas for providing support.

PubMed

Keech, Jacob J; Smith, Stephanie R; Peden, Amy E; Hagger, Martin S; Hamilton, Kyra

2018-06-11

Drowning is a major public health issue, with risk increasing during times of flood. Driving though floodwater is a major risk factor for flood-related drowning and injury, and despite widespread public health campaigns, many people continue to undertake this risky behaviour and require rescue. We aimed to identify key challenges faced by emergency services personnel when rescuing those who have driven into floodwater, and to identify strategies for supporting rescuers in this important role. Australian flood rescue operators (N=8) who had previously rescued a driver who had driven through floodwater, participated in semi-structured interviews. Data were analysed using thematic analysis. Four challenges emerged from their experiences: Involvement of untrained personnel, varying information provided by emergency telephone operators, behaviour of drivers complicating the rescue, people sightseeing floods or flood rescues, or ignoring closed roads providing sources of distraction and frustration. We propose five strategies for translating these results into practice, including: training and protocol development for (1) emergency personnel and (2) telephone operators, (3) training for rescuers regarding non-compliant rescuees, (4) educating the public, and (5) increasing compliance with closed roads. Current findings provide valuable insights into how rescuers can be supported in performing their roles, and implementation of these strategies has the potential to reduce fatalities occurring due to driving through floodwater. SO WHAT?: The strategies presented have the potential to reduce the frequency and improve the outcomes of floodwater rescues, aiding in the prevention of injury and death. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

Anachronistic facies from a drowned Lower Triassic carbonate platform: Lower member of the Alwa Formation (Ba'id Exotic), Oman Mountains

NASA Astrophysics Data System (ADS)

Woods, Adam D.; Baud, Aymon

2008-09-01

The lower member of the Alwa Formation (Lower Olenekian), found within the Ba'id Exotic in the Oman Mountains (Sultanate of Oman), consists of ammonoid-bearing, pelagic limestones that were deposited on an isolated, drowned carbonate platform on the Neotethyan Gondwana margin. The strata contain a variety of unusual carbonate textures and features, including thrombolites, Frutexites-bearing microbialites that contain synsedimentary cements, matrix-free breccias surrounded by isopachous calcite cement, and fissures and cavities filled with large botryoidal cements. Thrombolites are found throughout the study interval, and occur as 0.5-1.0 m thick lenses or beds that contain laterally laterally-linked stromatactis cavities. The Frutexites-bearing microbialites occur less frequently, and also form lenses or beds, up to 30 cm thick; the microbialites may be laminated, and often developed on hardgrounds. In addition, the Frutexites-bearing microbialites also contain synsedimentary calcite cement crusts and botryoids (typically < 1 cm thick) that harbour layers or pockets of what appear to be bacterial sheaths and coccoids, and are indicative of biologically mediated precipitation of the cement bodies. Slumping following lithification led to fracturing of the limestone and the precipitation of large, botryoidal aragonite cements in fissures that cut across the primary fabric. Environmental conditions, specifically palaeoxygenation and the degree of calcium carbonate supersaturation, likely controlled whether the thrombolites (high level of calcium carbonate supersaturation associated with vertical mixing of water masses and dysoxic conditions) or Frutexites-bearing microbialites (low level of calcium carbonate supersaturation associated with anoxic conditions and deposition below a stable chemocline) formed. The results of this study point to continued environmental stress in the region during the Early Triassic that likely contributed to the uneven recovery from the Permian-Triassic mass extinction.

Persistence of DNA on clothes after exposure to water for different time periods-a study on bathtub, pond, and river.

PubMed

Helmus, Janine; Zorell, Sarah; Bajanowski, Thomas; Poetsch, Micaela

2018-01-01

DNA traces on clothes of drowned bodies can provide important evidence for police investigations, especially in cases of suspected suicides or homicides. However, it is generally assumed that the water "erodes" a large part of the DNA depending especially on the exposure time. In forensic casework, DNA of suspects could be found frequently on clothes of drowned bodies after hours, sometimes days of exposure to water. This study was conducted to attempt a general statement about the conditions under which sufficient DNA remains can be expected for molecular genetic analysis. For this purpose, different scenarios were designed including DNA from three to five people, different types of waters (tap, pond, bathtub and river) for various time periods, with higher water pressure, different temperature, and soapy water (bathtub). Epithelial cells and blood cells were mounted on cotton cloths, and the DNA left after exposure was analyzed using the Powerplex® ESX17fast kit. In the indoor experiments, complete profiles could be seen even after 10 min rinsing of clothes under the tap and after 1 week in the bathtub. Outdoors, the results differed considerably between summer and winter as well as between pond and river. The longest exposure time still resulting in a complete profile was 2 weeks for a sample with skin cells in the pond during winter. In summer, the time period for erasing the bulk of DNA was 4 hours regarding epithelial samples and more than 1 day for blood samples in pond and river environments. All in all, the results demonstrate that DNA could still be recovered from clothes exposed to water for more than 1 week.

Building and Testing a Portable VLF Receiver

NASA Technical Reports Server (NTRS)

McLaughlin, Robert; Krause, L.

2014-01-01

Unwanted emissions or signal noise is a major problem for VLF radio receivers. These can occur from man made sources such as power line hum, which can be prevalent for many harmonics after the fundamental 50 or 60 Hz AC source or from VLF radio transmissions such as LORAN, used for navigation and communications. Natural emissions can also be detrimental to the quality of recordings as some of the more interesting natural emissions such as whistlers or auroral chorus may be drowned out by the more common sferic emissions. VLF receivers must selectively filter out unwanted emissions and amplify the filtered signal to a record-able level without degrading the quality.

Analytic solution of the lifeguard problem

NASA Astrophysics Data System (ADS)

De Luca, Roberto; Di Mauro, Marco; Naddeo, Adele

2018-03-01

A simple version due to Feynman of Fermat’s principle is analyzed. It deals with the path a lifeguard on a beach must follow to reach a drowning swimmer. The solution for the exact point, P(x, 0) , at the beach-sea boundary, corresponding to the fastest path to the swimmer, is worked out in detail and the analogy with light traveling at the air-water boundary is described. The results agree with the known conclusion that the shortest path does not coincide with the fastest one. The relevance of the subject for a basic physics course, at an advanced high school level, is pointed out.

'Flooding' of the lungs and severe dyspnea in a patient with bronchoalveolar carcinoma.

PubMed

Keizer, Ron J; Beijnen, Jos H; Baas, Paul

2011-09-01

In this case report, we describe a patient with bronchoalveolar carcinoma that experienced severe bronchorrhea and dyspnea after inhalation of N-acetylcysteine. The adverse reactions occurred both after oral and nebulized administration of N-acetylcysteine, resulting in severe dyspnea and the feeling of 'drowning'. Bronchorrhea has previously been reported as an uncommon but serious complication of bronchoalveolar carcinoma. We strongly suspect the administration of N-acetylcysteine to be implicated, as the complications occurred immediately after administration of this drug. As the patient suffered from hyperhomocysteinemia, we speculate that an additive or synergistic interaction with homocysteine may have been involved as well.

Coastal Impact Underestimated From Rapid Sea Level Rise

NASA Astrophysics Data System (ADS)

Anderson, John; Milliken, Kristy; Wallace, Davin; Rodriguez, Antonio; Simms, Alexander

2010-06-01

A primary effect of global warming is accelerated sea level rise, which will eventually drown low-lying coastal areas, including some of the world's most populated cities. Predictions from the Fourth Assessment Report of the Intergovernmental Panel on Climate Change (IPCC) suggest that sea level may rise by as much as 0.6 meter by 2100 [Solomon et al., 2007]. However, uncertainty remains about how projected melting of the Greenland and Antarctic ice sheets will contribute to sea level rise. Further, considerable variability is introduced to these calculations due to coastal subsidence, especially along the northern Gulf of Mexico (see http://tidesandcurrents.noaa.gov/sltrends/sltrends.shtml).

"The grave yawns for the horseman." Equestrian deaths in South Australia 1973-1983.

PubMed

Pounder, D J

1984-11-10

The fatalities associated with the riding and handling of horses in South Australia over the 11-year period 1973-1983 are reviewed. There were 18 deaths, including two sudden natural deaths in the saddle and one drowning. The 15 cases of horse-related trauma represent a death rate of approximately one per million population per annum. Thirteen of the deaths were the result of a head injury after a fall. Nine persons were not wearing protective headgear. The two principal groups at risk were male professional riders with a mean age of 32 years and female amateurs with a mean age of 19 years.

Microhabitat influence on larval fish assemblages within ...

EPA Pesticide Factsheets

We examined larval and juvenile fish assemblage structure in relation to microhabitat variables within the St. Louis River estuary, a drowned river mouth of Lake Superior. Fish were sampled in vegetated beds throughout the estuary, across a gradient of vegetation types and densities (including disturbed, preserved and post-restoration sites). Canonical correspondence analysis, relating species abundances to environmental variables revealed that plant species richness, turbidity and aquatic plant cover were most influential in structuring assemblages. Results from this microhabitat analysis at this crucial life stage has potential to inform wetland restoration efforts within the St. Louis River and other Great Lake coastal wetlands. not applicable

Coastal Louisiana in Crisis: Subsidence or Sea Level Rise?

NASA Astrophysics Data System (ADS)

González, Juan L.; Törnqvist, Torbjörn E.

2006-11-01

The drowning of wetlands and barrier islands in coastal Louisiana has become a widely publicized environmental catastrophe in the wake of hurricanes Katrina and Rita in 2005. The devastation caused by these storms has reenergized the debate about restoring the natural coastal-defense system and building higher and sturdier levees, in anticipation of future storms. Understanding the contributions of land subsidence and eustatic (global) sea level rise to Louisiana's wetland loss is crucial to the success of any plan designed to protect coastal communities. It is argued here that accelerated sea level rise in the future may pose a larger threat than subsidence for considerable portions of coastal Louisiana.

Invasive Fungal Infections after Natural Disasters

PubMed Central

Benedict, Kaitlin

2014-01-01

The link between natural disasters and subsequent fungal infections in disaster-affected persons has been increasingly recognized. Fungal respiratory conditions associated with disasters include coccidioidomycosis, and fungi are among several organisms that can cause near-drowning pneumonia. Wound contamination with organic matter can lead to post-disaster skin and soft tissue fungal infections, notably mucormycosis. The role of climate change in the environmental growth, distribution, and dispersal mechanisms of pathogenic fungi is not fully understood; however, ongoing climate change could lead to increased disaster-associated fungal infections. Fungal infections are an often-overlooked clinical and public health issue, and increased awareness by health care providers, public health professionals, and community members regarding disaster-associated fungal infections is needed. PMID:24565446

Remedial Investigation/Feasibility Study (RI/FS) Report, Davis Global Communications Site. Volume 3

DTIC Science & Technology

1994-02-23

ESCP! PrO ~f, Hard, light Olive brown to Oliv Drown (2 a~ , t, sil dry. grosses and rootlets presert r ~Hard. dark bofwn (lOYR 4/3) cjoyey SiT, cry F... CON ,1NUOUS CORING PROJECT NO.: 409717 CUENT: HAZWRAP LOCATION: McCLELLAN AIR FORCE BASE L!J - DAVIS, CA | BORING NO. SBB-23 ’• F/ • j- - - o L Fm G...FFT§,77.,...".. . ...P ?E. ATIE :bEt; IT,ý IR1L_’T < • nOR CONS !STENCY. SO)L STRUtCTURE. i-" ..LL 6" -6" -6" ’ -T S S = ; ’•: .. . . Cl- X - L- N

Invasive fungal infections after natural disasters.

PubMed

Benedict, Kaitlin; Park, Benjamin J

2014-03-01

The link between natural disasters and subsequent fungal infections in disaster-affected persons has been increasingly recognized. Fungal respiratory conditions associated with disasters include coccidioidomycosis, and fungi are among several organisms that can cause near-drowning pneumonia. Wound contamination with organic matter can lead to post-disaster skin and soft tissue fungal infections, notably mucormycosis. The role of climate change in the environmental growth, distribution, and dispersal mechanisms of pathogenic fungi is not fully understood; however, ongoing climate change could lead to increased disaster-associated fungal infections. Fungal infections are an often-overlooked clinical and public health issue, and increased awareness by health care providers, public health professionals, and community members regarding disaster-associated fungal infections is needed.

Study of genetic markers of CODIS and ESS systems in a population of individuals from Cabo Verde living in Lisboa.

PubMed

Resende, Ana; Amorim, António; da Silva, Cláudia Vieira; Ribeiro, Teresa; Porto, Maria João; Costa Santos, Jorge; Afonso Costa, Heloísa

2017-01-01

Twenty-two autosomal short tandem repeats included in the PowerPlex® Fusion System Amplification kit (Promega Corporation) were genotyped in a population sample of 500 unrelated individuals from Cabo Verde living in Lisboa. Allelic frequency data and forensic and statistical parameters were calculated and evaluated in this work. The genetic relationship among immigrant population from Cabo Verde living in Lisboa and other populations, such as Brazilian and Angola immigrants living in Lisboa; Afro-Americans, Caucasians, Hispanics and Asians living in the USA and the population from Lisboa was assessed, and a multidimensional scaling plot was drown to show these results.

[Prevention of gastroesophageal reflux and aspiration in neonates by holding with hands immediately after delivery by cesarean section].

PubMed

Guo, Hui-Ping; Li, Hui; Guo, Jing; Li, Yan-Wen

2002-04-01

To evaluate the clinical effect of preventing gastroesophageal reflux (GER) and aspiration in neonates delivered by elective cesarean section with hand immediately after birth. On the basis of the principles for drowning resuscitation and evaluation of the principal factors causing GER and aspiration, the author adopted immediate manual management to promote emptying of gastroesophageal and airway contents in 496 newborns delivered by elective cesarean section. No GER and aspiration occurred in the babies receiving the management, and no complication was recorded. As an early preventive measure, manual management is effective in clearing gastroesophageal and airway contents against GER and aspiration, and Apgar scoring can be readily conducted.

Occupational injury deaths of 16- and 17-year-olds in the United States.

PubMed Central

Castillo, D N; Landen, D D; Layne, L A

1994-01-01

Data from the National Traumatic Occupational Fatalities surveillance system were used to analyze occupational injury deaths of civilian 16- and 17-year-olds during 1980 through 1989. There were 670 deaths; the rate was 5.11 per 100,000 full-time equivalent workers. The leading causes of death were incidents involving motor vehicles and machines, electrocution, and homicide. Workers 16 and 17 years old appear to be at greater risk than adults for occupational death by electrocution, suffocation, drowning, poisoning, and natural and environmental factors. Improved enforcement of and compliance with federal child labor laws, evaluation of the appropriateness of currently permitted activities, and education are encouraged. PMID:7755674

Soil archives of a Fluvisol: Subsurface analysis and soil history of the medieval city centre of Vlaardingen, the Netherlands - an integral approach

NASA Astrophysics Data System (ADS)

Kluiving, Sjoerd; De Ridder, Tim; Van Dasselaar, Marcel; Roozen, Stan; Prins, Maarten; Van Mourik, Jan

2016-04-01

In Medieval times the city of Vlaardingen (the Netherlands) was strategically located on the confluence of three rivers, the Meuse, the Merwede and the Vlaarding. A church of early 8th century was already located here. In a short period of time Vlaardingen developed into an international trading place, the most important place in the former county of Holland. Starting from the 11th century the river Meuse threatened to flood the settlement. These floods have been registered in the archives of the fluvisol and were recognised in a multidisciplinary sedimentary analysis of these archives. To secure the future of this vulnerable soil archive currently an extensive interdisciplinary research (76 mechanical drill holes, grain size analysis (GSA), thermo-gravimetric analysis (TGA), archaeological remains, soil analysis, dating methods, micromorphology, and microfauna has started in 2011 to gain knowledge on the sedimentological and pedological subsurface of the mound as well as on the well-preserved nature of the archaeological evidence. Pedogenic features are recorded with soil descriptive, micromorphological and geochemical (XRF) analysis. The soil sequence of 5 meters thickness exhibits a complex mix of 'natural' as well as 'anthropogenic layering' and initial soil formation that enables to make a distinction for relatively stable periods between periods with active sedimentation. In this paper the results of this large-scale project are demonstrated in a number of cross-sections with interrelated geological, pedological and archaeological stratification. Distinction between natural and anthropogenic layering is made on the occurrence of chemical elements phosphor and potassium. A series of four stratigraphic / sedimentary units record the period before and after the flooding disaster. Given the many archaeological remnants and features present in the lower units, we assume that the medieval landscape was drowned while it was inhabited in the 12th century AD. After a final drowning phase in the 13th century, as a reaction to it, inhabitants started to raise the surface.

Hurricane Katrina deaths, Louisiana, 2005.

PubMed

Brunkard, Joan; Namulanda, Gonza; Ratard, Raoult

2008-12-01

Hurricane Katrina struck the US Gulf Coast on August 29, 2005, causing unprecedented damage to numerous communities in Louisiana and Mississippi. Our objectives were to verify, document, and characterize Katrina-related mortality in Louisiana and help identify strategies to reduce mortality in future disasters. We assessed Hurricane Katrina mortality data sources received in 2007, including Louisiana and out-of-state death certificates for deaths occurring from August 27 to October 31, 2005, and the Disaster Mortuary Operational Response Team's confirmed victims' database. We calculated age-, race-, and sex-specific mortality rates for Orleans, St Bernard, and Jefferson Parishes, where 95% of Katrina victims resided and conducted stratified analyses by parish of residence to compare differences between observed proportions of victim demographic characteristics and expected values based on 2000 US Census data, using Pearson chi square and Fisher exact tests. We identified 971 Katrina-related deaths in Louisiana and 15 deaths among Katrina evacuees in other states. Drowning (40%), injury and trauma (25%), and heart conditions (11%) were the major causes of death among Louisiana victims. Forty-nine percent of victims were people 75 years old and older. Fifty-three percent of victims were men; 51% were black; and 42% were white. In Orleans Parish, the mortality rate among blacks was 1.7 to 4 times higher than that among whites for all people 18 years old and older. People 75 years old and older were significantly more likely to be storm victims (P < .0001). Hurricane Katrina was the deadliest hurricane to strike the US Gulf Coast since 1928. Drowning was the major cause of death and people 75 years old and older were the most affected population cohort. Future disaster preparedness efforts must focus on evacuating and caring for vulnerable populations, including those in hospitals, long-term care facilities, and personal residences. Improving mortality reporting timeliness will enable response teams to provide appropriate interventions to these populations and to prepare and implement preventive measures before the next disaster.

Occupational injuries and diseases among commercial fishers in Finland 1996-2015.

PubMed

Kaustell, Kim O; Mattila, Tiina E A; Rautiainen, Risto H

2016-01-01

Commercial fishing is recognised as one of the most hazardous professions worldwide. In Finland, commercial fishing has some special characteristics, including fishing on ice during frozen waters, and pluriactivity of the fisher family to gain additional income. The goal of this study was to describe injury characteristics among commercial fishers in Finland during the years 1996-2015. With this information, we wish to promote creation of effective safety campaigns and interventions. The data for this study was acquired from The Farmers' Social Insurance Institution, who handles the mandatory pension and occupational injury insurance of Finnish commercial fishers. Descriptive statistics was used to categorise and analyse the data that comprised the anonymized insurance history of 1954 insured fishers and reports on 1135 compensated injuries, 11 fatalities, and 53 occupational disease cases. The results show, that the injury rate of Finnish commercial fishers is high. Forty per cent of the fishing-related injuries occur aboard or when entering or leaving the vessel, while 37% happened ashore, and 11% on sea or lake ice. The most common type of incident is preceded by a slip, trip, or sway followed by a fall to lower level. The injuries result in a median disability length of 21 days. An elevated risk for Finnish (vs. Swedish) speaking, as well as for male fishers was found. The occupational diseases of the studied population were for the most part results of manual, repetitive and/or physically straining work due to e.g. hauling in fishing equipment. Due to small numbers and lack of case data, it is not possible to make any further analysis of the 11 fatalities, which were all drownings. Based on our findings, injury prevention should be targeted, besides preventing fatalities because of drowning, at mitigating the risks for slips, trips, and falls both aboard and ashore.

Geology and evolution of lakes in north-central Florida

USGS Publications Warehouse

Kindinger, J.L.; Davis, J.B.; Flocks, J.G.

1999-01-01

Fluid exchange between surficial waters and groundwater in karst environments, and the processes that control exchange, are of critical concern to water management districts and planners. High-resolution seismic data were collected from 30 lakes of north-central Florida. In each case study, lake structure and geomorphology were controlled by solution and/or mechanical processes. Processes that control lake development are twofold: (1) karstification or dissolution of the underlying limestone, and (2) the collapse, subsidence, or slumping of overburden to form sinkholes. Initial lake formation is directly related to the karst topography of the underlying host limestone. Case studies have shown that lakes can be divided by geomorphic types into progressive developmental phases: (1) active subsidence or collapse phase (young); (2) transitional phase (middle age); (3) baselevel phase (mature); and (4) polje (drowned prairie) - broad flat-bottom that have one or all phases of sinkhole. Using these criteria, Florida lakes can be classified by size, fill, subsurface features, and geomorphology.Fluid exchange between surficial waters and groundwater in karst environments, and the processes that control exchange, are of critical concern to water management districts and planners. High-resolution seismic data were collected from 30 lakes of north-central Florida. In each case study, lake structure and geomorphology were controlled by solution and/or mechanical processes. Processes that control lake development are twofold: (1) karstification or dissolution of the underlying limestone, and (2) the collapse, subsidence, or slumping of overburden to form sinkholes. Initial lake formation is directly related to the karst topography of the underlying host limestone. Case studies have shown that lakes can be divided by geomorphic types into progressive developmental phased: (1) active subsidence or collapse phase (young); (2) transitional phase (middle age); (3) baselevel phase (mature); and (4) polje (drowned prairie) - broad flat-bottom that have one or all phases of sinkhole. Using these criteria, Florida lakes can be classified by size, fill, subsurface features, and geomorphology.

Injury-related hospital admissions of military dependents compared with similarly aged nonmilitary insured infants, children, and adolescents.

PubMed

Pressley, Joyce C; Dawson, Patrick; Carpenter, Dustin J

2012-10-01

Military deployment of one or both parents is associated with declines in school performance, behavioral difficulties, and increases in reported mental health conditions, but less is known regarding injury risks in pediatric military dependents. Kid Health Care Cost and Utilization Project 2006 (KID) was used to identify military dependents aged 0.1 year to 17 years through expected insurance payer being CHAMPUS, Tricare, or CHAMPVA (n = 12,310) and similarly aged privately insured nonmilitary in CHAMPUS, Tricare, or CHAMPVA states (n = 730,065). Mental health diagnoses per 1,000 hospitalizations and mechanisms of injury per 1,000 injury-related hospitalizations are reported. Unweighted univariate analyses used Fisher's exact, χ(2), and analysis of variance tests for significance. Odds ratios are age and sex adjusted with 95% confidence intervals. Injury-related admissions were higher in military than in nonmilitary dependents (15.5% vs. 13.2%, p < 0.0001). Age- and sex-adjusted motor vehicle occupant and pedestrian injuries were significantly lower in all-age military dependents but not in age-stratified categories. Very young military dependents had higher all-cause injury admissions (p < 0.0001), drowning/near drowning (p < 0.0001), and intracranial injury (p < 0.0001) and showed a tendency toward higher suffocation (p = 0.055) and crushing injury (p = 0.065). Military adolescents and teenagers had higher suicide/suicide attempts (p = 0.0001) and poisonings from medicinal substances (p = 0.0001). Mental health diagnoses were significantly higher in every age category of military dependents. All-cause in-hospital mortality tended to be greater in military than in nonmilitary dependents (p = 0.052). This study suggests that military dependents are a vulnerable population with special needs and provides clues to areas where injury prevention professionals might begin to address their needs. Prognostic/epidemiologic study, level II.

Injury-related gaining momentum as external causes of deaths in Ethiopian health and demographic surveillance sites: evidence from verbal autopsy study

PubMed Central

Gelaye, Kassahun Alemu; Tessema, Fasil; Tariku, Befikadu; Abera, Semaw Ferede; Gebru, Alemseged Aregay; Assefa, Nega; Zelalem, Desalew; Dedefo, Melkamu; Kondal, Mekdes; Kote, Mesfin; Sisay, Mitike Molla; Mekonnen, Wubegzier; Terefe, Mamo Wubshet; Biks, Gashaw Andargie; Eshetu, Firehywot; Abera, Mulumebet; Fekadu, Yoseph; Hailu, Gessessew Bugssa; Tilahun, Etsehiwot; Lakew, Yihunie

2018-01-01

ABSTRACT Background: In Ethiopia, though all kinds of mortality due to external causes are an important component of overall mortality often not counted or documented on an individual basis. Objective: The aim of this study was to describe the patterns of mortality from external causes using verbal autopsy (VA) method at the Ethiopian HDSS Network sites. Methods: All deaths at Ethiopian HDSS sites were routinely registered and followed up with VA interviews. The VA forms comprised deaths up to 28 days, between four weeks and 14 years and 15 years and above. The cause of a death was ascertained based on an interview with next of families or other caregivers using a standardized questionnaire that draws information on signs, symptoms, medical history and circumstances preceding death after 45 days mourning period. Two physician assigned probable causes of death as underlying, immediate and contributing factors independently using information in VA forms based on the WHO ICD-10 and VA code system. Disagreed cases sent to third physician for independent review and diagnosis. The final cause of death considered when two of the three physicians assigned underlying cause of death; otherwise, labeled as undetermined. Results: In the period from 2009 to 2013, a total of 9719 deaths were registered. Of the total deaths, 623 (6.4%) were from external causes. Of these, accidental drowning and submersion, 136 (21.8%), accidental fall, 113 (18.1%) and transport-related accidents, 112 (18.0%) were the topmost three leading external causes of deaths. About 436 (70.0%) of deaths were from the age group above 15 years old. Drowning and submersion and transport-related accidents were high in age group between 5 and 14 years old. Conclusion: In this study, external causes of death are significant public health problems and require attention as one of prior health agenda. PMID:29471744

Impact of tectonic and volcanism on the Neogene evolution of isolated carbonate platforms (SW Indian Ocean)

NASA Astrophysics Data System (ADS)

Courgeon, S.; Jorry, S. J.; Jouet, G.; Camoin, G.; BouDagher-Fadel, M. K.; Bachèlery, P.; Caline, B.; Boichard, R.; Révillon, S.; Thomas, Y.; Thereau, E.; Guérin, C.

2017-06-01

Understanding the impact of tectonic activity and volcanism on long-term (i.e. millions years) evolution of shallow-water carbonate platforms represents a major issue for both industrial and academic perspectives. The southern central Mozambique Channel is characterized by a 100 km-long volcanic ridge hosting two guyots (the Hall and Jaguar banks) and a modern atoll (Bassas da India) fringed by a large terrace. Dredge sampling, geophysical acquisitions and submarines videos carried out during recent oceanographic cruises revealed that submarine flat-top seamounts correspond to karstified and drowned shallow-water carbonate platforms largely covered by volcanic material and structured by a dense network of normal faults. Microfacies and well-constrained stratigraphic data indicate that these carbonate platforms developed in shallow-water tropical environments during Miocene times and were characterized by biological assemblages dominated by corals, larger benthic foraminifera, red and green algae. The drowning of these isolated carbonate platforms is revealed by the deposition of outer shelf sediments during the Early Pliocene and seems closely linked to (1) volcanic activity typified by the establishment of wide lava flow complexes, and (2) to extensional tectonic deformation associated with high-offset normal faults dividing the flat-top seamounts into distinctive structural blocks. Explosive volcanic activity also affected platform carbonates and was responsible for the formation of crater(s) and the deposition of tuff layers including carbonate fragments. Shallow-water carbonate sedimentation resumed during Late Neogene time with the colonization of topographic highs inherited from tectonic deformation and volcanic accretion. Latest carbonate developments ultimately led to the formation of the Bassas da India modern atoll. The geological history of isolated carbonate platforms from the southern Mozambique Channel represents a new case illustrating the major impact of tectonic and volcanic activity on the long-term evolution of shallow-water carbonate platforms.

Epilepsy-related sudden unexpected death: targeted molecular analysis of inherited heart disease genes using next-generation DNA sequencing.

PubMed

Hata, Yukiko; Yoshida, Koji; Kinoshita, Koshi; Nishida, Naoki

2017-05-01

Inherited heart disease causing electric instability in the heart has been suggested to be a risk factor for sudden unexpected death in epilepsy (SUDEP). The purpose of this study was to reveal the correlation between epilepsy-related sudden unexpected death (SUD) and inherited heart disease. Twelve epilepsy-related SUD cases (seven males and five females, aged 11-78 years) were examined. Nine cases fulfilled the criteria of SUDEP, and three cases died by drowning. In addition to examining three major epilepsy-related genes, we used next-generation sequencing (NGS) to examine 73 inherited heart disease-related genes. We detected both known pathogenic variants and rare variants with minor allele frequencies of <0.5%. The pathogenicity of these variants was evaluated and graded by eight in silico predictive algorithms. Six known and six potential rare variants were detected. Among these, three known variants of LDB3, DSC2 and KCNE1 and three potential rare variants of MYH6, DSP and DSG2 were predicted by in silico analysis as possibly highly pathogenic in three of the nine SUDEP cases. Two of three cases with desmosome-related variants showed mild but possible significant right ventricular dysplasia-like pathology. A case with LDB3 and MYH6 variants showed hypertrabeculation of the left ventricle and severe fibrosis of the cardiac conduction system. In the three drowning death cases, one case with mild prolonged QT interval had two variants in ANK2. This study shows that inherited heart disease may be a significant risk factor for SUD in some epilepsy cases, even if pathological findings of the heart had not progressed to an advanced stage of the disease. A combination of detailed pathological examination of the heart and gene analysis using NGS may be useful for evaluating arrhythmogenic potential of epilepsy-related SUD. © 2016 International Society of Neuropathology.

Trends in reporting injury as a cause of death among people with epilepsy in the U.S., 1981-2010.

PubMed

Chang, Chia-Yu; Lu, Tsung-Hsueh; Cheng, Tain-Junn

2014-11-01

To examine trends in reporting injury as a cause of death among people with epilepsy in the U.S. during the past three decades. We analyzed the U.S. multiple causes of death data from death certificates in 1981-2010 to compare rate and odds ratios (OR) of reporting injury as cause of death among cases with vs. without mention of epilepsy across years. The trends in reporting epilepsy with and without injury were similar in most age groups but were inconsistent in most external causes of injury. The OR of reporting injury was 1.02 (95% confidence intervals (CI) 0.97-1.07) in 1981-1985 and decreased to 0.52 (95% CI 0.48-0.55) in 2006-2010. The decline in OR was prominent among people aged 15-24 followed by people aged 25-44. For the five external causes of injury, the OR of suffocation and drowning were 6.32 (95% CI 5.91-6.75) and 5.64 (95% CI 5.16-6.16) in 1981-1985 and decreased to 3.03 (95% CI 2.74-3.35) and 2.56 (95% CI 2.18-3.00) in 2006-2010. The OR for poisoning and traffic crashes were 0.70 (95% CI 0.57-0.85) and 0.08 (95% CI 0.07-0.09) in 1981-1985 and 0.21 (95% CI 0.18-0.25) and 0.06 (95% CI 0.05-0.08) in 2006-2010. The risk of fatal injury among people with epilepsy decreased drastically during the past three decades in most age groups and for most external causes of injury except falls. People with epilepsy had lower risks of dying from injury due to poisoning or traffic crashes, had higher risks of dying from suffocation and drowning. Copyright © 2014 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.

Blowing bubbles: an aquatic adaptation that risks protection of the respiratory tract in humpback whales (Megaptera novaeangliae).

PubMed

Reidenberg, Joy S; Laitman, Jeffrey T

2007-06-01

Cetaceans (whales, dolphins, and porpoises) have developed extensive protective barriers to exclude water or food from the respiratory tract, including valvular nostrils, an intranarial elongated larynx, and a sphincteric soft palate. A barrier breach can be lethal, as asphyxiation may occur from incursions of water (drowning) or food (choking). Humpback whales (Megaptera novaeangliae), however, exhibit a possibly unique and paradoxical behavior concerning respiratory protection: they release a "bubble cloud" (a cluster of tiny bubbles) underwater from the mouth. How they do this remains unclear. This study tests the hypothesis that the larynx plays a role in enabling bubble cloud emission. The anatomy and position of the larynx was examined in seven specimens of Megaptera novaeangliae. Results indicate that the epiglottis can be manually removed from behind the soft palate and placed in the oral cavity during dissection. Unlike that of toothed whales (odontocetes), the humpback whale larynx does not appear to be permanently intranarial. The elongated and trough-shaped epiglottis may function as a tube when placed against the undersurface of the soft palate and, thus, facilitate channeling air from the larynx to the oral cavity. The pointed tip and lateral edges of the epiglottis fit tightly against the undersurface of the soft palate, perhaps functioning as a one-way valve that lets air out but prevents water from entering. Bubble cloud generation likely involves air passing directly from the larynx into the oral cavity, and then expulsion through the mesh of the baleen plates. A laryngeal-oral connection, however, compromises the anatomical aquatic adaptations that normally protect the respiratory tract. A potential for drowning exists during the critical interval in which the larynx is intraoral and during re-insertion back to the normal intranarial position. The retention of this risky behavior indicates the importance of bubble clouds in predator avoidance, prey capture, and/or social signaling. 2007 Wiley-Liss, Inc.

Can you really swim? Validation of self and parental reports of swim skill with an inwater swim test among children attending community pools in Washington State.

PubMed

Mercado, Melissa C; Quan, Linda; Bennett, Elizabeth; Gilchrist, Julie; Levy, Benjamin A; Robinson, Candice L; Wendorf, Kristen; Gangan Fife, Maria Aurora; Stevens, Mark R; Lee, Robin

2016-08-01

Drowning is the second leading cause of unintentional injury death among US children. Multiple studies describe decreased drowning risk among children possessing some swim skills. Current surveillance for this protective factor is self/proxy-reported swim skill rather than observed inwater performance; however, children's self-report or parents' proxy report of swim skill has not been validated. This is the first US study to evaluate whether children or parents can validly report a child's swim skill. It also explores which swim skill survey measure(s) correlate with children's inwater swim performance. For this cross-sectional convenience-based sample, pilot study, child/parent dyads (N=482) were recruited at three outdoor public pools in Washington State. Agreement between measures of self-reports and parental-reports of children's swim skill was assessed via paired analyses, and validated by inwater swim test results. Participants were representative of pool's patrons (ie, non-Hispanic White, highly educated, high income). There was agreement in child/parent dyads' reports of the following child swim skill measures: 'ever taken swim lessons', perceived 'good swim skills' and 'comfort in water over head'. Correlation analyses suggest that reported 'good swim skills' was the best survey measure to assess a child's swim skill-best if the parent was the informant (r=0.25-0.47). History of swim lessons was not significantly correlated with passing the swim test. Reported 'good swim skills' was most correlated with observed swim skill. Reporting 'yes' to 'ever taken swim lessons' did not correlate with swim skill. While non-generalisable, findings can help inform future studies. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Into the deep: A coarse-grained carbonate turbidite thalweg generated by gigantic submarine chutes

NASA Astrophysics Data System (ADS)

Mulder, Thierry; Gillet, Hervé; Reijmer, John; Droxler, André; cavailhes, Thibault; Hanquiez, Vincent; Fauquembergue, Kelly; Bujan, Stéphane; Blanck, David; bashah, Sara; Guiastrennec, Léa; Fabregas, Natacha; Recouvreur, Audrey; Seibert, Chloé

2017-04-01

New high-resolution multibeam mapping, in the Southeastern Bahamas, images in exquisite details the southern part of Exuma Sound, and its unchartered transition area to the deep abyssal plain of the Western North Atlantic bounded by the Bahama Escarpment (BE) between San Salvador Island and Samana Cay, referred here to the San Salvador abyssal plain. The transition area is locally referred to as Crooked Island Passage, loosely delineated by Crooked, Long, and Conception Islands, Rum and Samana Cays. Surprisingly in such a pure carbonate landscape, the newly established map reveals the detailed and complex morphology of a giant valley formed by numerous gravity flows originated in Exuma Sound itself, in addition to many secondary slope gullies and smaller tributaries draining the surrounding upper slopes. The valley referred here as the Exuma canyon system starts with a perched valley with low sinuosity, characterized by several flow restrictions and knickpoints initiated by the presence of drowned isolated platforms and merging tributaries. The valley abruptly transforms itself into a deep incised canyon, rivaling the depth of the Colorado Grand Canyon, through two major knickpoints with outsized chutes exceeding several hundred of meters in height, a total of 1600-1800 m. The sudden transformation of the wide valley into a deep narrow canyon, occurring when the flows incised deep into an underlying lower Cretaceous drowned carbonate platform, generates a huge hydraulic jump and creates an enormous plunge pool and related deposits with mechanisms comparable to the ones operating along giant subaerial waterfalls. The high kinetic flow energy, constrained by this narrow and deeply incised canyon, formed, when it is released at its mouth in the abyssal plain, a wide deep-sea channel with well-developed levees and fan, made of coarse-grained carbonate defined layers separated by fine carbonate sediments mixed with fine siliciclastics transported along the BE by the energetic Western Boundary Undercurrent.

Causes of death in remote symptomatic epilepsy.

PubMed

Day, S M; Wu, Y W; Strauss, D J; Shavelle, R M; Reynolds, R J

2005-07-26

To determine the causes of death of individuals with developmental disabilities that occur more frequently among those with remote symptomatic epilepsy (i.e., epilepsy occurring in persons with developmental delay or identified brain lesions) than for those without. The authors compared causes of mortality in persons with (n = 10,030) and without (n = 96,163) history of epilepsy in a California population of persons with mild developmental disabilities, 1988 to 2002. Subjects had traumatic brain injury, cerebral palsy, Down syndrome, autism, or a developmental disability with other or unknown etiology. There were 721,759 person-years of data, with 2,397 deaths. Underlying causes of death were determined from the State of California's official mortality records. Cause-specific death rates and standardized mortality ratios (SMRs) were computed for those with and without epilepsy relative to subjects in the California general population. Comparisons were then made between SMRs of those with and without epilepsy, and CIs on the ratios of SMRs were determined. Death rates for persons with epilepsy were elevated for several causes. The greatest excess was due to seizures (International Classification of Diseases-9 [ICD-9] 345; SMR 53.1, 95% CI 28.0 to 101.0) and convulsions (ICD-9 780.3; SMR 25.2, 95% CI 11.7 to 54.2). Other causes occurring more frequently in those with epilepsy included brain cancer (SMR 5.2, 95% CI 2.2 to 12.1), respiratory diseases (SMR 1.7, 95% CI 1.2 to 2.5), circulatory diseases (SMR 1.3, 95% CI 1.0 to 1.7), and accidents (SMR 2.7, 95% CI 1.9 to 3.7), especially accidental drowning (SMR 12.8, 95% CI 7.0 to 23.2). Remote symptomatic epilepsy is associated with an increased risk of death. Seizures, aspiration pneumonia, and accidental drowning are among the leading contributors.

Subaqueous geology and a filling model for Crater Lake, Oregon

USGS Publications Warehouse

Nathenson, M.; Bacon, C.R.; Ramsey, D.W.

2007-01-01

Results of a detailed bathymetric survey of Crater Lake conducted in 2000, combined with previous results of submersible and dredge sampling, form the basis for a geologic map of the lake floor and a model for the filling of Crater Lake with water. The most prominent landforms beneath the surface of Crater Lake are andesite volcanoes that were active as the lake was filling with water, following caldera collapse during the climactic eruption of Mount Mazama 7700 cal. yr B.P. The Wizard Island volcano is the largest and probably was active longest, ceasing eruptions when the lake was 80 m lower than present. East of Wizard Island is the central platform volcano and related lava flow fields on the caldera floor. Merriam Cone is a symmetrical andesitic volcano that apparently was constructed subaqueously during the same period as the Wizard Island and central platform volcanoes. The youngest postcaldera volcanic feature is a small rhyodacite dome on the east flank of the Wizard Island edifice that dates from 4800 cal. yr B.P. The bathymetry also yields information on bedrock outcrops and talus/debris slopes of the caldera walls. Gravity flows transport sediment from wall sources to the deep basins of the lake. Several debris-avalanche deposits, containing blocks up to 280 m long, are present on the caldera floor and occur below major embayments in the caldera walls. Geothermal phenomena on the lake floor are bacterial mats, pools of solute-rich warm water, and fossil subaqueous hot spring deposits. Lake level is maintained by a balance between precipitation and inflow versus evaporation and leakage. High-resolution bathymetry reveals a series of up to nine drowned beaches in the upper 30 m of the lake that we propose reflect stillstands subsequent to filling of Crater Lake. A prominent wave-cut platform between 4 m depth and present lake level that commonly is up to 40 m wide suggests that the surface of Crater Lake has been at this elevation for a very long time. Lake level apparently is limited by leakage through a permeable layer in the northeast caldera wall. The deepest drowned beach approximately corresponds to the base of the permeable layer. Among a group of lake filling models, our preferred one is constrained by the drowned beaches, the permeable layer in the caldera wall, and paleoclimatic data. We used a precipitation rate 70% of modern as a limiting case. Satisfactory models require leakage to be proportional to elevation and the best fit model has a linear combination of 45% leakage proportional to elevation and 55% of leakage proportional to elevation above the base of the permeable layer. At modern precipitation rates, the lake would have taken 420 yr to fill, or a maximum of 740 yr if precipitation was 70% of the modern value. The filling model provides a chronology for prehistoric passage zones on postcaldera volcanoes that ceased erupting before the lake was filled. ?? 2007 Springer Science+Business Media B.V.

Making Space for Water: A review of SUstainable Drainage systems (SUDs) in a rural/urban area of Newcastle upon Tyne, UK.

NASA Astrophysics Data System (ADS)

Quinn, Paul; Tellier, Sebastien; Wilkinson, Mark

2010-05-01

Expansion of the city of Newcastle included a new development of over 3000 houses and an associated commercial area on agricultural land. The development firmly signed up to the notion that the new estate should adhere to full SUDs design and implementation. In essence there should be no loss of floodplain capacity, the total runoff from the new housing should not increase flood risk downstream and benefits to ecology, recreation and amenity should be fully maximised. Credit must be given to Newcastle City Council, the Environment Agency, the local water company and the developers themselves as a full set of large scale SUDs now exist and they are clearly an asset to the city. However, such a large scale landscape engineering endeavour has not been without direct and indirect problems. This paper reviews some of the experiences, problems and lessons learnt from SUDs implementation, the function of SUDs during flood events and the perception of SUDs by the public. During the life of the project several older estates close to the new development suffered from two major flood events; including foul water inundation, the drowning out of sewer overflows and intense flash flooding. These floods at first gave rise to the public perception that the new development had caused the flooding. During a research project entitled 'making space for water', the instrumentation of the river in the area and the SUDs took place. The hydrological data this produced has given rise to a mixture of positive and negative aspects of SUDs implementation. The cause of one flood was due to the drowning out of key sewer overflows by locally generated by urban flood flow arising from an upstream estate. The second flood was caused by a 48 hour storm event giving rise to high runoff from the rural area again drowning out key sewer overflows. The SUDs were found to perform well during storm events and do not increase runoff from the new estates. The main fundamental complaint is that despite such a large investment in the Newcastle area, the older estates continue to be flooded. There is at this time no capability to think about holistic solutions to flooding in a catchment and the 'development' in the town gives rise to local solution only. A proposal to use the new SUDs and the floodplain to help lower flood risk for the older estates has met with a wall regulatory objections. The ability to manage runoff sources arising from rural areas could be addressed by investing in SUDs on agricultural land. Equally, putting SUDs into older estates could be very beneficial to the whole of the city. Holistic options and catchment management has to be at the heart of future planning considerations. The whole experience is great example of hydrology, engineering, planning and politics in action. The role of solid hydrological evidence in the debate has been significant. The most reassuring aspect of the work is that all the partners are endeavouring to learn and improve the flood management in the area and holistic thinking is now occurring.

Net-mortality of Common Murres and Atlantic Puffins in Newfoundland, 1951-81

USGS Publications Warehouse

Piatt, John F.; Nettleship, David N.; Threlfall, William; Nettleship, David N.; Sanger, Gerald A.; Springer, Paul F.

1982-01-01

Band recoveries (N = 315) over 26 years (1951-77) and three surveys of seabird bycatch in inshore fishing nets (1972, 1980-81) indicate that there has been a substantial net-mortality of Atlantic Puffins (Fratercula arctica) and Common Murres (Uria aalge) in Newfoundland coastal waters for the past 2 decades. Offshore (e.g. Grand Banks) gill-netting is limited, but some data suggest that murre net-mortality also occurs offshore at murre wintering areas. The vast majority of inshore net-mortality incidents occur over a 2-week period during the annual inshore spawning migration of capelin (Mallotus villosus), the major prey item for alcids in eastern Canada. Most murres (83%) were drowned in bottom-set (30-185 m) cod (Gadus morhua) gill nets, whereas more puffins were drowned in surface-set salmon (Salmo salar) gill nets or cod traps (55%) than in cod gillnets (45%). Murre band recoveries, colony censuses, and fishing-effort data suggest that at the second largest Common Murre colony in Newfoundland (Witless Bay Seabird Sanctuary, 77,000 breeding pairs) net-mortality was relatively low in the 1950s and early 1960s, but increased during the 1960s as the murre population grew in size and gill-net fishing effort increased in the colony area. By 1971, net-mortality accounted for 70% of murre band recoveries and calculations show that almost 30,000 breeding adults, or about 20% of the local breeding population, were drowned in that year. More reliable estimates of alcid bycatch in the Witless Bay area have been made on the basis of actual bycatch surveys. In 1972 about 20,000 adult murres, or 13% of the breeding stock, were killed in gill-nets. Net-mortality of murres apparently diminished through the 1970s as capelin stocks declined and fewer birds foraged in heavily netted inshore areas. Bycatch surveys in the Witless Bay area in 1980-81 revealed that, relative to previous years, murre net-mortality was greatly reduced and resulted in the loss of only 3-4% of the breeding stock. Even these low mortality rates, however, are cause for concern as adult murre mortality from all sources (including hunting, oil, and natural mortality) should not exceed 6-12% per annum to maintain a stable breeding population. Little is known about the magnitude of net-mortality at other major Newfoundland murre colonies though it is known to be a problem in all colony areas. The bycatch of adult Atlantic Puffins in the Witless Bay area was low compared to murre bycatch and in 3 years of study never exceeded 1.6% of the breeding population. During the 1970s, fishing effort increased five-fold in colony areas and we predict that if capelin spawning stocks return to early 1970s size, then net-mortality of puffins and murres in Newfoundland coastal regions will increase dramatically. Indeed, preliminary examination of 1982 capelin spawning and seabird bycatch data suggests that capelin were much more abundant inshore and murre bycatch increased two- to three-fold over 1981.

Safety on North Carolina and Kentucky trout farms.

PubMed

Ogunsanya, T J; Durborow, R M; Myers, M L; Cole, H P; Thompson, S L

2011-01-01

The objective of this study was to identify and describe work-related safety hazards, injuries, and near-injury events (close calls) that occurred on trout farms in North Carolina and Kentucky. An interview instrument was used to collect information on occupational hazards, injuries, and near-injury events that resulted from work-related activities. Trout farmers reported occupational hazards including falling live tank lids, slippery surfaces on hauling trucks, lifting strains, falls from raceway walls and walkways, needlesticks while vaccinating fish, allergies, hypothermia/drowning, falls from cranes, chemical exposure, fire/explosions related to oxygen exposure, and electrical contact with overhead power lines. This study also reports solutions suggested by farm safety researchers or used by farmers to prevent the safety hazards found on trout farms.

Drowning stars: Reassessing the role of astrocytes in brain edema

PubMed Central

Thrane, Alexander S.; Thrane, Vinita Rangroo; Nedergaard, Maiken

2014-01-01

Edema formation frequently complicates brain infarction, tumors and trauma. Despite the significant mortality of this condition, current treatment options are often ineffective or incompletely understood. Recent studies have revealed the existence of a brain-wide paravascular pathway for cerebrospinal (CSF) and interstitial fluid (ISF) exchange. The current review critically examines the contribution of this ‘glymphatic’ system to the main types of brain edema. We propose that in cytotoxic edema, energy depletion enhances glymphatic CSF influx, whilst suppressing ISF efflux. We also argue that paravascular inflammation or ‘paravasculitis’ plays a critical role in vasogenic edema. Finally, recent advances in diagnostic imaging of glymphatic function may hold the key to defining the edema profile of individual patients and thus enable more targeted therapy. PMID:25236348

Multibeam mapping of the Pinnacles region, Gulf of Mexico

USGS Publications Warehouse

Gardner, James V.; Dartnell, Peter; Sulak, Kenneth J.

2002-01-01

Recent USGS mapping shows an extensive deep (~100 m) reef tract occurs on the Mississippi-Alabama outer continental shelf (Figure 1). The tract, known as "The Pinnacles", is apparently part of a sequence of drowned reef complexes along the "40-fathom" shelf edge of the northern Gulf of Mexico (Ludwick and Walton, 1957). It is critical to determine the accurate geomorphology of these deep-reefs because of their importance as benthic habitats for fisheries. The Pinnacles have previously been mapped using a single-beam echo sounder (Ludwick and Walton,1957), sidescan sonar (Laswell et al., 1990), and the TAMU2 towed single-beam sidescan-sonar system (Anonymous, 1999). These existing studies do not provide the quality of geomorphic data necessary for reasonable habitat studies.

Quantitative stem cell biology: the threat and the glory.

PubMed

Pollard, Steven M

2016-11-15

Major technological innovations over the past decade have transformed our ability to extract quantitative data from biological systems at an unprecedented scale and resolution. These quantitative methods and associated large datasets should lead to an exciting new phase of discovery across many areas of biology. However, there is a clear threat: will we drown in these rivers of data? On 18th July 2016, stem cell biologists gathered in Cambridge for the 5th annual Cambridge Stem Cell Symposium to discuss 'Quantitative stem cell biology: from molecules to models'. This Meeting Review provides a summary of the data presented by each speaker, with a focus on quantitative techniques and the new biological insights that are emerging. © 2016. Published by The Company of Biologists Ltd.

[Emergency medicine after a catastrophic disaster: from a view of geriatrics and gerontology].

PubMed

Okinaga, Shoji; Daito, Hisayoshi; Suzuki, Motoi; Shiihara, Jun; Arai, Hiroyuki

2013-06-01

The megathrust earthquake and the towering tsunami hit the east coast of Japan on March 11th of 2011 after intervals of 1,142 years. About 90 % of nearly 20,000 victims were drowned in devastating waves, while every town and city along the coast turned out to be a ruin. Over 400,000 people were forced to move to the evacuation centers where the evacuees slept on the floor without electricity, running water or heating systems at freezing nights. Emergency medicine, therefore, was more required during the evacuation phase than during the acute phase of the tsunami disaster. Here discussed is the phenomenon that the events happened mostly to the elderly evacuees especially in the swept area by silty polluted seawater.

Experimental evaluation of rigor mortis. VI. Effect of various causes of death on the evolution of rigor mortis.

PubMed

Krompecher, T; Bergerioux, C; Brandt-Casadevall, C; Gujer, H R

1983-07-01

The evolution of rigor mortis was studied in cases of nitrogen asphyxia, drowning and strangulation, as well as in fatal intoxications due to strychnine, carbon monoxide and curariform drugs, using a modified method of measurement. Our experiments demonstrated that: (1) Strychnine intoxication hastens the onset and passing of rigor mortis. (2) CO intoxication delays the resolution of rigor mortis. (3) The intensity of rigor may vary depending upon the cause of death. (4) If the stage of rigidity is to be used to estimate the time of death, it is necessary: (a) to perform a succession of objective measurements of rigor mortis intensity; and (b) to verify the eventual presence of factors that could play a role in the modification of its development.

How Not To Drown in Data: A Guide for Biomaterial Engineers.

PubMed

Vasilevich, Aliaksei S; Carlier, Aurélie; de Boer, Jan; Singh, Shantanu

2017-08-01

High-throughput assays that produce hundreds of measurements per sample are powerful tools for quantifying cell-material interactions. With advances in automation and miniaturization in material fabrication, hundreds of biomaterial samples can be rapidly produced, which can then be characterized using these assays. However, the resulting deluge of data can be overwhelming. To the rescue are computational methods that are well suited to these problems. Machine learning techniques provide a vast array of tools to make predictions about cell-material interactions and to find patterns in cellular responses. Computational simulations allow researchers to pose and test hypotheses and perform experiments in silico. This review describes approaches from these two domains that can be brought to bear on the problem of analyzing biomaterial screening data. Copyright © 2017 Elsevier Ltd. All rights reserved.

A simple technique for trapping Siren lacertina, Amphiuma means, and other aquatic vertebrates

USGS Publications Warehouse

Johnson, S.A.; Barichivich, W.J.

2004-01-01

We describe a commercially-available funnel trap for sampling aquatic vertebrates. The traps can be used in heavily vegetated wetlands and can be set in water up to 60 cm deep without concern for drowning the animals. They were especially useful for capturing the aquatic salamanders Siren lacertina and Amphiuma means, which have been difficult to capture with traditional sampling methods. They also were effective for sampling small fishes, particularly centrarchids, and larval anurans. In total, 14 species of amphibians, nine species of aquatic reptiles, and at least 32 fish species were captured. The trap we describe differs significantly from traditional funnel traps (e.g., minnow traps) and holds great promise for studies of small, aquatic vertebrates, in particular Siren and Amphiuma species.

Child mortality in the Netherlands in the past decades: an overview of external causes and the role of public health policy.

PubMed

Gijzen, Sandra; Boere-Boonekamp, Magda M; L'Hoir, Monique P; Need, Ariana

2014-02-01

Among European countries, the Netherlands has the second lowest child mortality rate from external causes. We present an overview, discuss possible explanations, and suggest prevention measures. We analyzed mortality data from all deceased children aged 0-19 years for the period 1969-2011. Child mortality declined in the past decades, largely from decreases in road traffic accidents that followed government action on traffic safety. Accidental drowning also showed a downward trend. Although intentional self-harm showed a significant increase, other external causes of mortality, including assault and fatal child abuse, remained constant. Securing existing preventive measures and analyzing the circumstances of each child's death systematically through Child Death Review may guide further reduction in child mortality.

The Study on the Durability of Submerged Structure Displacement due to Concrete Failure

NASA Astrophysics Data System (ADS)

Mohd, M.; Zainon, O.; Rasib, A. W.; Majid, Z.

2016-09-01

Concrete structures that exposed to marine environments are subjected to multiple deterioration mechanisms. An overview of the existing technology for submerged concrete, pressure resistant, concrete structures which related such as cracks, debonds, and delamination are discussed. Basic knowledge related to drowning durability such as submerged concrete structures in the maritime environment are the durability of a concrete and the ability to resist to weathering, chemical attack, abrasion or other deterioration processes. The measuring techniques and instrumentation for geometrical monitoring of submerged structural displacements have traditionally been categorized into two groups according to the two main groups, namely as geodetic surveying and geotechnical structural measurements of local displacements. This paper aims to study the durability of submerged concrete displacement and harmful effects of submerged concrete structures.

Drowning stars: reassessing the role of astrocytes in brain edema.

PubMed

Thrane, Alexander S; Rangroo Thrane, Vinita; Nedergaard, Maiken

2014-11-01

Edema formation frequently complicates brain infarction, tumors, and trauma. Despite the significant mortality of this condition, current treatment options are often ineffective or incompletely understood. Recent studies have revealed the existence of a brain-wide paravascular pathway for cerebrospinal (CSF) and interstitial fluid (ISF) exchange. The current review critically examines the contribution of this 'glymphatic' system to the main types of brain edema. We propose that in cytotoxic edema, energy depletion enhances glymphatic CSF influx, whilst suppressing ISF efflux. We also argue that paravascular inflammation or 'paravasculitis' plays a critical role in vasogenic edema. Finally, recent advances in diagnostic imaging of glymphatic function may hold the key to defining the edema profile of individual patients, and thus enable more targeted therapy. Copyright © 2014 Elsevier Ltd. All rights reserved.

Commercial fishing industry deaths - forensic issues.

PubMed

Byard, Roger W

2013-04-01

The commercial fishing industry has one of the highest injury and mortality rates of all occupational areas. This results from the nature of the work involving vessels often manned by only a few individuals who are working with heavy-duty equipment in dangerous environments at all hours. Economic pressures may force inappropriately geared vessels to operate further out to sea than is safe. Deaths result from a wide variety of situations involving vessel loss, falls overboard, fire and explosions, cable entanglements and gas exposure. Autopsies are often difficult as there are no diagnostic features of either drowning or hypothermia and features may be obscured by putrefaction and postmortem animal predation. The forensic implications of deaths in the fishing industry are reviewed. Copyright © 2012 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

Epidemiology of non-submersion injuries in aquatic sporting and recreational activities.

PubMed

Chalmers, David; Morrison, Luke

2003-01-01

Although the issues of drowning and near-drowning in aquatic sporting and recreational activities receive considerable attention in the epidemiological literature, there is not a recognised literature on non-submersion injuries occurring in these activities. This review draws together the epidemiological literature on non-submersion injuries and describes the incidence, nature and causes of these injuries, common risk factors, and strategies for prevention. Activities covered by the review include swimming, diving, boating, surf sports, fishing, water polo and water sliding. For most activities there is a dearth of good quality descriptive studies, with most involving cases-series designs and few providing estimates of incidence. Inconsistencies in inclusion criteria and the reporting of incidence rates makes comparisons within and between activities difficult. Incidence rates were identified for most activities and in general the incidence of injury was low, especially for more serious injury. However, some activities were associated with severely disabling injury, such as spinal cord injury (diving) and amputation (from propeller strikes in water skiing and swimming). Only three studies reporting the significance of postulated risk factors were identified. Lack of knowledge about the water being entered and alcohol consumption are significant risk factors in recreational diving; increased blood alcohol concentrations were reported to increase the risk of death in boating; and obesity and tandem riding were reported to increase the risk of injury on public water slides. Few evaluations of preventive measures were identified. Two studies reported reductions in the incidence of water slide injuries following the introduction of design changes and supervision, but neither had a non-intervention comparison group. Improvements in swimming and diving skills were reported in three studies, but these were not designed to measure changes in the risk of injury.This review demonstrates that there is a need for well-designed epidemiological research on non-submersion injury in aquatic sporting and recreational activities. The first priority should be for studies designed to describe accurately the incidence, nature, severity and circumstances of these injuries, followed by research on the significance of postulated risk factors. Once this research has been undertaken, interventions targeted at reducing the incidence of injury in aquatic sporting and recreational activities can be designed and evaluated.

Premature mortality of epilepsy in low- and middle-income countries: A systematic review from the Mortality Task Force of the International League Against Epilepsy.

PubMed

Levira, Francis; Thurman, David J; Sander, Josemir W; Hauser, W Allen; Hesdorffer, Dale C; Masanja, Honorati; Odermatt, Peter; Logroscino, Giancarlo; Newton, Charles R

2017-01-01

To determine the magnitude of risk factors and causes of premature mortality associated with epilepsy in low- and middle-income countries (LMICs). We conducted a systematic search of the literature reporting mortality and epilepsy in the World Bank-defined LMICs. We assessed the quality of the studies based on representativeness; ascertainment of cases, diagnosis, and mortality; and extracted data on standardized mortality ratios (SMRs) and mortality rates in people with epilepsy. We examined risk factors and causes of death. The annual mortality rate was estimated at 19.8 (range 9.7-45.1) deaths per 1,000 people with epilepsy with a weighted median SMR of 2.6 (range 1.3-7.2) among higher-quality population-based studies. Clinical cohort studies yielded 7.1 (range 1.6-25.1) deaths per 1,000 people. The weighted median SMRs were 5.0 in male and 4.5 in female patients; relatively higher SMRs within studies were measured in children and adolescents, those with symptomatic epilepsies, and those reporting less adherence to treatment. The main causes of death in people with epilepsy living in LMICs include those directly attributable to epilepsy, which yield a mean proportional mortality ratio (PMR) of 27.3% (range 5-75.5%) derived from population-based studies. These direct causes comprise status epilepticus, with reported PMRs ranging from 5 to 56.6%, and sudden unexpected death in epilepsy (SUDEP), with reported PMRs ranging from 1 to 18.9%. Important causes of mortality indirectly related to epilepsy include drowning, head injury, and burns. Epilepsy in LMICs has a significantly greater premature mortality, as in high-income countries, but in LMICs the excess mortality is more likely to be associated with causes attributable to lack of access to medical facilities such as status epilepticus, and preventable causes such as drowning, head injuries, and burns. This excess premature mortality could be substantially reduced with education about the risk of death and improved access to treatments, including AEDs. © 2016 The Authors. Epilepsia published by Wiley Periodicals, Inc. on behalf of International League Against Epilepsy.

'Not waving but drowning': a study of the experiences and concerns of midwives and other health professionals caring for obese childbearing women.

PubMed

Schmied, Virginia A; Duff, Margie; Dahlen, Hannah G; Mills, Annie E; Kolt, Gregory S

2011-08-01

to explore the experiences and concerns of health professionals who care for childbearing women who are obese. obesity is increasing nationally and internationally and has been described as an epidemic. A number of studies have highlighted the risks associated with obesity during childbirth, yet few studies have investigated the experiences and concerns of midwives and other health professionals in providing care to these women. a descriptive qualitative study using focus groups and face-to-face interviews to collect data. Interviews were audio recorded and transcribed verbatim. Data were analysed using thematic analysis. three maternity units in New South Wales, Australia. participants included 34 midwives and three other health professionals. three major themes emerged from the data analysis: 'a creeping normality', 'feeling in the dark' and 'the runaway train'. The findings highlight a number of tensions or contradictions experienced by health professionals when caring for childbearing women who are obese. These include, on the one hand, an increasing acceptance of obesity ('a creeping normality'), and on the other, the continuing stigma associated with obesity; the challenges of how to communicate effectively with pregnant women about their weight and the lack of resources, equipment and facilities ('feeling in the dark') to adequately care for obese childbearing women. Participants expressed concerns about how quickly the obesity epidemic appears to have impacted on maternity services ('the runaway train') and how services to meet the needs of these women are limited or generally not available. it was clear in this study that participants felt that they were 'not waving but drowning'. There was concern over the fact that the issue of obesity had moved faster than the health response to it. There were also concerns about how to communicate with obese women without altering the relationship. Continuity of care, training and skills development for health professionals, and expansion of limited services and facilities for these women are urgently needed. Copyright © 2010 Elsevier Ltd. All rights reserved.

Mapping and Mitigating the International Rip Current Health Hazard

NASA Astrophysics Data System (ADS)

Trimble, S. M.; Houser, C.

2016-12-01

Rip currents are concentrated seaward flows of water originating in the surf zones of beaches. Rips cause hundreds of international drownings each year. Calculating exact numbers is barred by logistical difficulties in obtaining accurate incident reports, but annual rip current fatalities are estimated at 100, 53 and 21 in the United States (US), Costa Rica, and Australia respectively. Notably, Australia's lifeguards rescue 17,600 swimmers from rips each year. This project addresses the geophysical, social, and systematic causes of fatalities in hopes of decreasing the global number of rip-related deaths. We demonstrate a novel method for mapping bathymetry in the surf zone (20m deep or less), specifically within rip channels (topographic low spots in the nearshore that result from feedback amongst waves, substrate, and antecedent bathymetry). We calculate bathymetry using 8-band multispectral imagery from the Digital Globe WorldView2 (WV2) satellite and field measurements of depth, generating maps of the changing nearshore at two embayed, rip-prone beaches: Playa Cocles, Costa Rica, and Bondi Beach, Australia. WV2 has a 1.1 day pass-over rate with 1.84m ground pixel resolution of 8 bands, including `yellow' (585-625 nm) and `coastal blue' (400-450 nm). Methods are tested for consistency amongst dates and locations. Previous research shows drownings result from a combination of the physical environment with personal and group behaviors; for this reason we build on rip-detection by evaluating tourists' and locals' knowledge and understanding of their beach's rip behavior. By combining the geomorphologic maps developed from WV2 with interview data, we evaluate how the physical environment dictates the exposure of certain swimmers. Controls include rip channel location, beach access points, and environmental factors favored by swimmers. The project serves as an evaluation of the landscape's creation of a physical feature that becomes a hazard when vulnerable humans swim into it. Results are meant to inform policy makers so that they may implement the methods: developing frequent nearshore maps to observe rip channel behavior, designing beach access controls informed by morphology, posting informative signs in ideal locations, and funding lifeguard programs.

Use of the donor lung after asphyxiation or drowning: effect on lung transplant recipients.

PubMed

Whitson, Bryan A; Hertz, Marshall I; Kelly, Rosemary F; Higgins, Robert S D; Kilic, Ahmet; Shumway, Sara J; D'Cunha, Jonathan

2014-10-01

With the relative paucity of acceptable donors for lung transplantation, criteria for extended donor consideration are being explored. We sought to evaluate the suitability of donors whose cause of death was asphyxiation or drowning (A/D) as a potential option to enlarge the donor pool. We queried the United Network for Organ Sharing (UNOS) Standard Transplant Analysis and Research registry for lung transplantation from 1987 to 2010 to assess associations between cause of death and recipient survival using the Kaplan-Meier method. To adjust for potential confounders, we used a Cox proportional hazards model and a logistic regression model to evaluate incidence of rejection within the first year. There were 18,250 adult primary lung transplantations performed, with 309 A/D donors. There was no difference in survival between groups (log-rank, p = 0.52). There were no differences in demographics, length of stay, airway dehiscence, lung allocation score (LAS), or ischemic time in univariate analysis (all p > 0.05). The A/D lung recipients had fewer deaths from pulmonary causes (5.8% versus 9.5%; p = 0.02). Proportional hazards analysis was significant for double lung transplantation (hazard ratio [HR], 0.85; 95% confidence interval [CI], 0.8-0.9), height difference (HR, 1.002; 95% CI, 1.00-1.003), donor age greater than 50 years (HR, 0.89; 95% CI, 0.83-0.96), and recipient age greater than 55 years (HR, 0.8; 95% CI, 0.76-0.84). A/D cause of death did not impact survival in multivariate analysis. A/D as a donor cause of death was not associated with poor long-term survival or incidence of rejection in the first year after transplantation. Donor cause of death by A/D, when carefully evaluated and selected, should not automatically exclude the organ from transplant consideration. These results provide important justification for potentially broadening the donor pool safely. Copyright © 2014 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Applying verbal autopsy to determine cause of death in rural Vietnam.

PubMed

Huong, Dao Lan; Minh, Hoang Van; Byass, Peter

2003-01-01

Verbal autopsy (VA) is an attractive method for ascertaining causes of death in settings where the proportion of people who die under medical care is low. VA has been widely used to determine causes of childhood and maternal deaths, but has had limited use in assessing causes in adults and across all age groups. The objective was to test the feasibility of using VA to determine causes of death for all ages in Bavi District, Vietnam, in 1999, leading to an initial analysis of the mortality pattern in this area. Trained lay field workers interviewed a close caretaker of the deceased using a combination closed/open-ended questionnaire. A total of 189 deaths were studied. Diagnoses were made by two physicians separately, with good agreement (kappa = 0.84) and then combined to reach one single underlying cause of death for each case. The leading causes of death were cardiovascular and infectious diseases (accounting for 20.6% and 17.9% of the total respectively). Drowning was very prevalent in children under 15 (seven out of nine cases of drowning were in this age group). One month seemed an acceptable minimum recall period to ensure mourning procedures were over. A combination VA questionnaire was an appropriate instrument provided it was supported by adequate training of interviewers. Two physicians were appropriate for making the diagnoses but predefined diagnostic methods for common causes should be developed to ensure more replicable results and comparisons, as well as to observe trends of mortality over time. The causes of death in this study area reflect a typical pattern for developing countries that are in epidemiological transition. No maternal deaths and a low infant mortality rate may be the result of improvements in maternal and child health in this study area. Using the VA gave more precise causes of death than those reported at death registration. Although the validity of the VA method used has not been fully assessed, it appeared to be an appropriate method for ascertaining causes of death in the study area.

Alligator attacks in southwest Florida.

PubMed

Harding, Brett E; Wolf, Barbara C

2006-05-01

The American alligator inhabits bodies of fresh water in Florida and other southeastern states. Although attacks on pets are frequent, alligator attacks on humans are relatively rare because of the animal's natural fear of man. Because of the rarity of attacks on humans, the pathologic findings and pathophysiology of death in such cases have not been well characterized in the literature. We report three cases of fatal alligator attacks that occurred in southwest Florida, each with different pathologic findings and mechanisms of death. Although the cause of death in each case was attributed to the alligator attack, the mechanisms of death differed and included exsanguination because of amputation of an extremity, overwhelming sepsis, and drowning. These cases illustrate the varied pathophysiologies associated with deaths due to alligator attacks on humans and the features that distinguish alligator bites from those of other aquatic predators.

Suicide levels in Cork City 1987/1991.

PubMed

Daly, C; Kelleher, M J; Crowley, M J; Daly, M; Keohane, B; Daly, F; McLeavey, B C

1996-01-01

This study investigates the level of suicide in Cork City during the 5-year period 1987/1991. Both male and female crude rates were higher than the corresponding national levels. The male/female ratio was 2.3:1, which is consistent with established findings. Vulnerability to suicide is most pronounced in 20-39 year old males and females in the 40-59 age category. There was some evidence of an increased risk of suicide among single elderly males; otherwise marital status was not a significant factor. A positive association was noted between unemployment and suicide rate for males. Drowning was used as the method of suicide by approximately half the male and female sub-groups; this was followed by hanging in the case of males and overdosing among females. However all suicide cases under 20 years of age used hanging.

The Romans and ritual murder.

PubMed

Schultz, Celia E

2010-01-01

The Roman abhorrence of human sacrifice presented by ancient literary sources stands in contrast to the frequency of rites requiring the death of a human being performed by the Romans during the Republic (509-44 BCE). After examining the ways our sources talk about ritual murder, especially as it was practiced by foreign peoples and subversive or tyrannical elements within Roman society, this discussion turns to the issue of the forms of ritual murder performed by the Romans. Of these various rites, the only one clearly identified by them as human sacrifice, that is, as an offering to the gods of a human life, is the live interment of Gauls and Greeks. Other forms of ritual murder-the burial of unchaste Vestal Virgins and the drowning of hermaphroditic children-were not, in Roman opinion, sacrifice. This distinction made the disposal of Vestal Virgins and hermaphrodites acceptable.

Medical surfing.

PubMed

Khan, L A; Khan, S A

2001-11-01

The Internet has revolutionized information technology. Vast amounts of latest information are available on the Internet to medical professionals. Medical surfing is fast becoming part of a doctor's profession. But the way to approach the Internet and retrieve useful information from myriads of medical websites seems a daunting task to many. This review aims to help the newcomer, the medical students and doctors in obtaining fruitful medical information while surfing. It will prevent them from the feeling of getting drowned in the ocean of medical information. As medical information is not restricted to books and journals, providing Internet addresses of different medical bodies with few salient features, will go a long way in helping attain the required information without wasting time. The Internet will soon become a universal library. Medical surfing should be included in the curriculum of all medical schools and universities.

[Climate changes, floods, and health consequences].

PubMed

Michelozzi, Paola; de' Donato, Francesca

2014-02-01

In the European Region, floods are the most common natural disaster, causing extensive damage and disruption. In Italy, it has been estimated that over 68% of municipalities are at high hydrogeological risk and with the recent intense rainfall events local populations have been facing severe disruptions. The health consequences of floods are wide ranging and are dependent upon the vulnerability of the environment and the local population. Health effects can be a direct or indirect consequence of flooding. The immediate health impacts of floods include drowning, heart attacks, injuries and hypothermia. The indirect effects include, injuries and infections, water-borne infectious disease, mental health problems, respiratory disease and allergies in both the medium and long term after a flood. Future efforts should be addressed to integrate health preparedness and prevention measures into emergency flood plans and hydrological warning systems.

Traumatic work related fatalities in commercial fishermen in Australia.

PubMed

Driscoll, T R; Ansari, G; Harrison, J E; Frommer, M S; Ruck, E A

1994-09-01

To describe the types and circumstances of traumatic work related fatalities in Australian commercial fishermen. Work related traumatic fishing fatalities were studied as part of a larger study of all work related traumatic fatalities in Australia from 1982 to 1984. Data on 47 cases were obtained from inspection of coroners' files. The incidence of fatality of 143/100,000 person-years was 18 times higher than the incidence of fatality for the entire workforce, and considerably higher than that of the mining and agricultural workforces. 68% of decedents drowned and 13% died from physical trauma. Rough weather, non-seaworthy vessels, inadequate use of personal flotation devices, and inexperience were associated with many of the fatal incidents. Improved vessel and equipment maintenance, better training of workers, greater use of personal flotation devices, and development of improved clothing and personal flotation devices are recommended.

Drowning-out crystallisation of sodium sulphate using aqueous two-phase systems.

PubMed

Taboada, M E; Graber, T A; Asenjo, J A; Andrews, B A

2000-06-23

A novel method to obtain crystals of pure, anhydrous salt, using aqueous two-phase systems was studied. A concentrated salt solution is mixed with polyethylene glycol (PEG), upon which three phases are formed: salt crystals, a PEG-rich liquid and a salt-rich liquid. After removal of the solid salt, a two-phase system is obtained. Both liquid phases are recycled, allowing the design of a continuous process, which could be exploited industrially. The phase diagram of the system water-Na2SO4-PEG 3350 at 28 degrees C was used. Several process alternatives are proposed and their economic potential is discussed. The process steps needed to produce sodium sulphate crystals include mixing, crystallisation, settling and, optionally, evaporation of water. The yield of sodium sulphate increases dramatically if an evaporation step is used.

Ictal Cardiac Ryhthym Abnormalities.

PubMed

Ali, Rushna

2016-01-01

Cardiac rhythm abnormalities in the context of epilepsy are a well-known phenomenon. However, they are under-recognized and often missed. The pathophysiology of these events is unclear. Bradycardia and asystole are preceded by seizure onset suggesting ictal propagation into the cortex impacting cardiac autonomic function, and the insula and amygdala being possible culprits. Sudden unexpected death in epilepsy (SUDEP) refers to the unanticipated death of a patient with epilepsy not related to status epilepticus, trauma, drowning, or suicide. Frequent refractory generalized tonic-clonic seizures, anti-epileptic polytherapy, and prolonged duration of epilepsy are some of the commonly identified risk factors for SUDEP. However, the most consistent risk factor out of these is an increased frequency of generalized tonic-clonic seizures (GTC). Prevention of SUDEP is extremely important in patients with chronic, generalized epilepsy. Since increased frequency of GTCS is the most consistently reported risk factor for SUDEP, effective seizure control is the most important preventive strategy.

[A case of iatrogenic scrotal elephantiasis: reconstruction of the scrotal purse and the cutaneous sleeve of the penis with local skin flaps].

PubMed

Masia, D-R; Castus, P; Delia, G; Casoli, V; Martine, D

2008-02-01

Scrotal elephantiasis is a pathology of often unknown etiology. Symptomatology is characterized by an oedematius infiltration of skin and subcutaneous tissue, hard-bound aspect and purplished color. The scrotum, the penis and the perineal area are gradually affected. This pathology is very invalidating for the patient, on functional, sexual and aesthetic aspects. The authors present the case of a 58-year-old man with an enormous scrotal mass invading the penis and drowning the testicular elements, which were impossible to palpate. The aetiology was determined by exclusion and an iatrogenic origin following the cure of bilateral inguinal hernia was retained. Resection of the scrotal mass was performed. The reconstruction of the scrotal purse and the cutaneous sleeve of the penis were carried out using local flaps of the remaining healthy skin.

Turning the Tide: Estuaries Shaped by Channel-Shoal Interactions, Eco-engineers and Inherited Landscapes

NASA Astrophysics Data System (ADS)

Kleinhans, M. G.; Braat, L.; Leuven, J.; Baar, A. W.; van der Vegt, M.; Van Maarseveen, M. C. G.; Markies, H.; Roosendaal, C.; van Eijk, A.

2015-12-01

Estuaries exhibit correlations between inlet dimensions, tidal prism and intertidal area, but to what extent estuary planform shape and shoal patterns resulted from biomorphological processes or from inherited conditions such as coastal plain and drowned valley dimensions remains unclear. We explore the hypothesis that mud flats and vegetation as a self-formed lateral confinement have effects analogous to that of river floodplain on braided versus meandering river patterns. Here we use the Delft3D numerical model and a novel tidal flume setup, the Metronome, to create estuaries from idealized initial conditions, with and without mud supply at the fluvial boundary. Experimental mud was simulated by crushed nutshell. Both the numerical and experimental estuaries were narrower with increasing mud, and had a lower degree of channel braiding. The experimental estuaries developed meanders at the river boundary with floodplain developing on the pointbar whereas cohesionless cases were more dynamic.

A Psychoanalytic Study of Sylvia Plath.

PubMed

Feirstein, Frederick

2016-02-01

Sylvia Plath's rage at her abandoning husband and at her late beloved father was partly a displacement of anger toward her loving but smothering mother. Her schizoid pathology resulting from the symbiosis (along with her bipolarity) helped prompt her suicide. At the same time her rage at the men represented a struggle to prevent it. The focus of this paper is to explore in the context of her life how the style as well as the content of her last book, Ariel, made for one long suicide note-albeit a beautifully written work of art. In the most accessible of her poems, such as "Daddy," "Lady Lazarus," and "Edge," her health overcomes her pathology. In others her pathology dominates. In Ariel Plath attempted and succeeded in turning herself into a tragic, mythic heroine, eventually drowning herself in a gas oven as she would have in the ocean-a key metaphor for her mother.

Anti-NMDA Receptor Encephalitis in the Polar Bear (Ursus maritimus) Knut.

PubMed

Prüss, H; Leubner, J; Wenke, N K; Czirják, G Á; Szentiks, C A; Greenwood, A D

2015-08-27

Knut the polar bear of the Berlin Zoological Garden drowned in 2011 following seizures and was diagnosed as having suffered encephalitis of unknown etiology after exhaustive pathogen screening. Using the diagnostic criteria applied to human patients, we demonstrate that Knut's encephalitis is almost identical to anti-NMDA receptor encephalitis which is a severe autoimmune disease representing the most common non-infectious encephalitis in humans. High concentrations of antibodies specific against the NR1 subunit of the NMDA receptor were detected in Knut's cerebrospinal fluid. Histological examination demonstrated very similar patterns of plasma cell infiltration and minimal neuronal loss in affected brain areas. We conclude that Knut suffered anti-NMDA receptor encephalitis making his the first reported non-human case of this treatable disease. The results suggest that anti-NMDA receptor encephalitis may be a disease of broad relevance to mammals that until now has remained undiagnosed.

Mortality Dynamics of Spodoptera frugiperda (Lepidoptera: Noctuidae) Immatures in Maize.

PubMed

Varella, Andrea Corrêa; Menezes-Netto, Alexandre Carlos; Alonso, Juliana Duarte de Souza; Caixeta, Daniel Ferreira; Peterson, Robert K D; Fernandes, Odair Aparecido

2015-01-01

We characterized the dynamics of mortality factors affecting immature developmental stages of the fall armyworm, Spodoptera frugiperda (J.E. Smith) (Lepidoptera: Noctuidae). Multiple decrement life tables for egg and early larval stages of S. frugiperda in maize (Zea mays L.) fields were developed with and without augmentative releases of Telenomus remus Nixon (Hymenoptera: Platygastridae) from 2009 to 2011. Total egg mortality ranged from 73 to 81% and the greatest egg mortality was due to inviability, dislodgement, and predation. Parasitoids did not cause significant mortality in egg or early larval stages and the releases of T. remus did not increase egg mortality. Greater than 95% of early larvae died from predation, drowning, and dislodgment by rainfall. Total mortality due to these factors was largely irreplaceable. Results indicate that a greater effect in reducing generational survival may be achieved by adding mortality to the early larval stage of S. frugiperda.

STABLE ISOTOPE GEOCHEMISTRY OF THERMAL FLUIDS FROM LASSEN VOLCANIC NATIONAL PARK, CALIFORNIA.

USGS Publications Warehouse

Janik, Cathy J.; Nehring, Nancy L.; Truesdell, Alfred H.

1983-01-01

In the Lassen vapor-dominated geothermal system, surface manifestations of thermal fluids at high elevations (1800-2500 m) include superheated and drowned fumaroles, steam-heated acid-sulfate hot springs, and low-chloride bicarbonate springs. Neutral high-chloride hot water discharges at lower elevations. Deuterium and oxygen-18 data establish genetic connections between these fluids and with local meteoric waters. Steam from the highest temperature fumarole at Bumpass Hell and water from the highest chloride hot spring have isotopic compositions corresponding to vapor-liquid equilibrium at 235 degree C. Carbon and sulfur isotope data suggest that the CO//2 and H//2S in the system did not entirely originate from magmatic sources, but probably include contributions from thermal metamorphism of marine sedimentary rocks. Observations suggest that carbon and sulfur isotope variations are useful indicators of gas reactions and flow paths in geothermal systems. Refs.

Salt

USGS Publications Warehouse

Franson, J.C.; Friend, M.

1999-01-01

Animals become victims of salt poisoning or toxicosis when toxic levels of sodium and chloride accumulate in the blood after they ingest large amounts of salt or, in some species, are deprived of water. For birds, salt sources may include saline water and road salt.Normally, the salt glands of birds (Fig. 47.1) excrete sodium and chloride to maintain the proper physiologic chemical balance. However, when there has been insufficient time for acclimation of the salt gland to the saline environment, or when salt gland function is compromised by exposure to certain pesticides or oil, the electrolyte balance of the blood may be upset by the excess sodium and chloride, resulting in toxicosis. Salt accumulation on the outside of the body, or salt encrustation, is a greater problem for waterbirds that use very saline waters than is salt toxicosis. Salt encrustation can lead to exertion, acute muscle degeneration, and eventual drowning during the struggle to escape entrapment.

[Invasive fungal disease due to Scedosporium, Fusarium and mucorales].

PubMed

Pemán, Javier; Salavert, Miguel

2014-01-01

The number of emerging organisms causing invasive fungal infections has increased in the last decades. These etiological agents include Scedosporium, Fusarium and mucorales. All of them can cause disseminated, virulent, and difficult-to treat infections in immunosuppressed patients, the most affected, due to their resistance to most available antifungal agents. Current trends in transplantation including the use of new immunosuppressive treatments, the common prescription of antifungal agents for prophylaxis, and new ecological niches could explain the emergence of these fungal pathogens. These pathogens can also affect immunocompetent individuals, especially after natural disasters (earthquakes, floods, tsunamis), combat wounds or near drowning. All the invasive infections caused by Scedosporium, Fusarium, and mucorales are potentially lethal and a favourable outcome is associated with rapid diagnosis by direct microscopic examination of the involved tissue, wide debridement of infected material, early use of antifungal agents including combination therapy, and an improvement in host defenses, especially neutropenia. Copyright © 2014. Published by Elsevier Espana.

Road traffic and other unintentional injuries among travelers to developing countries

PubMed Central

Stewart, Barclay; Yankson, Isaac Kofi; Afukaar, Francis; Medina, Martha Hijar; Cuong, Pham Viet; Mock, Charles

2015-01-01

Synopsis Injuries result in nearly 6 million deaths and incur 52 million disability-adjusted life years annually, comprising 15% of the global disease burden. More than 90% of this burden occurs in low- and middle-income countries (LMICs). Given this burden, it’s not unexpected that injuries are the leading cause of death among travelers to LMICs, namely from road traffic crashes and drowning. Opportunely, the majority of injuries are preventable. Therefore, pre-travel advice regarding foreseeable dangers and how to avoid them may significantly mitigate injury risk, such as: wearing seatbelts, helmets and personal flotation devices when appropriate; responsibly consuming alcohol; and closely supervising children. Upon return, travelers to LMICs are in a unique position; having shared injury risks while abroad, travelers can advocate for injury control initiatives that might make the world safer for travelers and local populations alike. PMID:26900117

Evolution of fluvial styles in the Eocene Wasatch Formation, Powder River Basin, Wyoming

USGS Publications Warehouse

Warwick, Peter D.; Flores, Romeo M.; Ethridge, Frank G.; Flores, Romeo M.

1987-01-01

Vertical and lateral facies changes in the lower part of the Eocene Wasatch Formation in the Powder River Basin, Wyoming represent an evolution of fluvial systems that varied from meandering to anastomosing. The meandering facies in the lower part of the study interval formed in a series of broad meanderbelts in a northnorthwestflowing system. Upon abandonment this meanderbelt facies served as a topographic high on which a raised or ombrotrophic Felix peat swamp developed. Peat accumulated until compaction permitted encroachment of crevasse splays from an adjoining transitional facies which consists of deposits of a slightly sinuous fluvial system. Crevasse splays eventually prograded over the peat swamp that was partly covered by lakes. Bifurcation, reunification, and transformation of crevasse channels into major conduits produced an anastomosing system that was characterized by diverging and converging channels separated by floodbasins drowned by lakes and partly covered swamps.

Value of an automatic external defibrillator printout as a diagnostic tool after successful AED use on a child.

PubMed

van Sambeeck, S J; van Gent, R; Schroër, C; Halbertsma, F J J

2013-04-22

A 6-year-old girl without any medical history experienced a drowning incident for a duration of 2 min, according to witnesses. This was followed by cardiopulmonary resuscitation, during which the automatic external defibrillator (AED) detected a shockable rhythm and subsequently delivered a single electroshock. At the time of admission, her medical history was unclear, and as her chest had been wet, it was not clear if the AED had been capable of correctly analysing the rhythm. The AED printout, however, revealed ventricular fibrillation (VF), which proved to be a primary cardiac cause at the time of the incident. This case report confirms the assumption that the AED can adequately perform rhythm analysis on children and convert VF into sinus rhythm. Moreover, the AED printout can provide information about the rhythm that is necessary for the diagnosis of an underlying cardiac disease.

Experimental studies of forensic odontology to aid in the identification process

PubMed Central

Saxena, Susmita; Sharma, Preeti; Gupta, Nitin

2010-01-01

The importance of dental identification is on the increase year after year. With the passage of time, the role of forensic odontology has increased as very often teeth and dental restorations are the only means of identification. Forensic odontology has played a key role in identification of persons in mass disasters (aviation, earthquakes, Tsunamis), in crime investigations, in ethnic studies, and in identification of decomposed and disfigured bodies like that of drowned persons, fire victims, and victims of motor vehicle accidents. The various methods employed in forensic odontology include tooth prints, radiographs, photographic study, rugoscopy, cheiloscopy and molecular methods. Investigative methods applied in forensic odontology are reasonably reliable, yet the shortcomings must be accounted for to make it a more meaningful and relevant procedure. This paper gives an overview of the various experimental studies to aid in the identification processes, discussing their feasibilities and limitations in day-to-day practice. PMID:21731343

Ecological gradients within a Pennsylvanian mire forest

USGS Publications Warehouse

DiMichele, W.A.; Falcon-Lang, H. J.; Nelson, W.J.; Elrick, S.D.; Ames, P.R.

2007-01-01

Pennsylvanian coals represent remains of the earliest peat-forming rain forests, but there is no current consensus on forest ecology. Localized studies of fossil forests suggest intermixture of taxa (heterogeneity), while, in contrast, coal ball and palynological analyses imply the existence of pronounced ecological gradients. Here, we report the discovery of a spectacular fossil forest preserved over ???1000 ha on top of the Pennsylvanian (Desmoinesian) Herrin (No. 6) Coal of Illinois, United States. The forest was abruptly drowned when fault movement dropped a segment of coastal mire below sea level. In the largest study of its kind to date, forest composition is statistically analyzed within a well-constrained paleogeographic context. Findings resolve apparent conflicts in models of Pennsylvanian mire ecology by confirming the existence of forest heterogeneity at the local scale, while additionally demonstrating the emergence of ecological gradients at landscape scale. ?? 2007 The Geological Society of America.

Coherent manipulation of a solid-state artificial atom with few photons.

PubMed

Giesz, V; Somaschi, N; Hornecker, G; Grange, T; Reznychenko, B; De Santis, L; Demory, J; Gomez, C; Sagnes, I; Lemaître, A; Krebs, O; Lanzillotti-Kimura, N D; Lanco, L; Auffeves, A; Senellart, P

2016-06-17

In a quantum network based on atoms and photons, a single atom should control the photon state and, reciprocally, a single photon should allow the coherent manipulation of the atom. Both operations require controlling the atom environment and developing efficient atom-photon interfaces, for instance by coupling the natural or artificial atom to cavities. So far, much attention has been drown on manipulating the light field with atomic transitions, recently at the few-photon limit. Here we report on the reciprocal operation and demonstrate the coherent manipulation of an artificial atom by few photons. We study a quantum dot-cavity system with a record cooperativity of 13. Incident photons interact with the atom with probability 0.95, which radiates back in the cavity mode with probability 0.96. Inversion of the atomic transition is achieved for 3.8 photons on average, showing that our artificial atom performs as if fully isolated from the solid-state environment.

Reef corals of Johnston Atoll: one of the world's most isolated reefs

NASA Astrophysics Data System (ADS)

Maragos, James E.; Jokiel, Paul L.

1986-01-01

Johnston Atoll lies 800 km southwest of the nearest reefs of Hawaii and over 1,500 km from other shallow reefs to the south and west. Only 33 species and 16 genera and subgenera of shallow water stony corals have been reported from the atoll. Endemic species are absent despite Johnston's great age and favorable environment. With few exceptions, only species with broad geographic distribution are represented. Factors contributing to the low number of species are remoteness, the atoll's small size, lack of favorable currents to transport larvae from the southwest Pacific, lack of reef “stepping stones” in the region since the Cretaceous, possible defaunation during eustatic sea-level rise and fall, and possible drowning from tectonic subsidence or tilting. The species list shows strongest affinity with that of Hawaii, but some unexpected discontinuities occur. Despite low species diversity, coral coverage is extremely high in most environments.

Experiencing death: an insider's perspective.

PubMed

Paulson, Steve; Fenwick, Peter; Neal, Mary; Nelson, Kevin; Parnia, Sam

2014-11-01

For millennia, human beings have wondered what happens after death. What is the first-person experience of dying and being brought back to life? Technological advances in resuscitation science have now added an intriguing new chapter to the literature of out-of-body or near-death experiences by eliciting detailed and vivid accounts of those who have approached the threshold of death. Steve Paulson, executive producer and host of To the Best of Our Knowledge, moderated a discussion that included neurologist Kevin Nelson, neuropsychiatrist Peter Fenwick, emergency medicine expert Sam Parnia, and orthopedic surgeon and drowning survivor Mary Neal; they share some remarkable stories and discuss how they analyze such experiences in light of their own backgrounds and training. The following is an edited transcript of the discussion from December 11, 2013, 7:00-8:30 PM, at the New York Academy of Sciences in New York City. © 2014 New York Academy of Sciences.

Spatially integrative metrics reveal hidden vulnerability of microtidal salt marshes

USGS Publications Warehouse

Ganju, Neil K.; Defne, Zafer; Kirwan, Matthew L.; Fagherazzi, Sergio; D'Alpaos, Andrea; Carniello, Luca

2017-01-01

Salt marshes are valued for their ecosystem services, and their vulnerability is typically assessed through biotic and abiotic measurements at individual points on the landscape. However, lateral erosion can lead to rapid marsh loss as marshes build vertically. Marsh sediment budgets represent a spatially integrated measure of competing constructive and destructive forces: a sediment surplus may result in vertical growth and/or lateral expansion, while a sediment deficit may result in drowning and/or lateral contraction. Here we show that sediment budgets of eight microtidal marsh complexes consistently scale with areal unvegetated/vegetated marsh ratios (UVVR) suggesting these metrics are broadly applicable indicators of microtidal marsh vulnerability. All sites are exhibiting a sediment deficit, with half the sites having projected lifespans of less than 350 years at current rates of sea-level rise and sediment availability. These results demonstrate that open-water conversion and sediment deficits are holistic and sensitive indicators of salt marsh vulnerability.

[Recreational boating accidents--Part 1: Catamnestic study].

PubMed

Lignitz, Eberhard; Lustig, Martina; Scheibe, Ernst

2014-01-01

Deaths on the water are common in the autopsy material of medicolegal institutes situated on the coast or big rivers and lakes (illustrated by the example of the Institute of Legal Medicine of Greifswald University). They mostly occur during recreational boating activities. Apart from hydro-meteorological influences, human error is the main cause of accidents. Often it is not sufficiently kept in mind whether the boat crew is fit for sailing and proper seamanship is ensured. Drowning (following initial hypothermia) is the most frequent cause of death. Medicolegal aspects are not decisive for ordering a forensic autopsy. As statistics are not compiled in a uniform way, a comparison of the data of different institutions engaged in investigating deaths at sea and during water sports activities is hardly possible, neither on a national nor an international basis--and the reconstruction of aquatic accidents is generally difficult. Fatal accidents can only be prevented by completely clarifying their causes.

Crystallization techniques in wastewater treatment: An overview of applications.

PubMed

Lu, Haijiao; Wang, Jingkang; Wang, Ting; Wang, Na; Bao, Ying; Hao, Hongxun

2017-04-01

As a by-product of industrial or domestic activities, wastewater of different compositions has caused serious environmental problems all over the world. Facing the challenge of wastewater treatment, researchers have begun to make use of crystallization techniques in wastewater treatment. Crystallization techniques have many advantages, such as high efficiency, energy saving, low costs, less space occupation and so on. In recent decades, crystallization is considered as one of promising techniques for wastewater treatment, especially for desalination, water and salt recovery. It has been widely used in engineering applications all over the world. In this paper, various crystallization techniques in wastewater treatment are summarized, mainly including evaporation crystallization, cooling crystallization, reaction crystallization, drowning-out crystallization and membrane distillation crystallization. Overall, they are mainly used for desalination, water and salt recovery. Their applications, advantages and disadvantages were compared and discussed in detail. Copyright © 2017 Elsevier Ltd. All rights reserved.

Viscous warm inflation: Hamilton-Jacobi formalism

NASA Astrophysics Data System (ADS)

Akhtari, L.; Mohammadi, A.; Sayar, K.; Saaidi, Kh.

2017-04-01

Using Hamilton-Jacobi formalism, the scenario of warm inflation with viscous pressure is considered. The formalism gives a way of computing the slow-rolling parameter without extra approximation, and it is well-known as a powerful method in cold inflation. The model is studied in detail for three different cases of the dissipation and bulk viscous pressure coefficients. In the first case where both coefficients are taken as constant, it is shown that the case could not portray warm inflationary scenario compatible with observational data even it is possible to restrict the model parameters. For other cases, the results shows that the model could properly predicts the perturbation parameters in which they stay in perfect agreement with Planck data. As a further argument, r -ns and αs -ns are drown that show the acquired result could stand in acceptable area expressing a compatibility with observational data.

Forensic Medicine: An Aid to Criminal Investigation

PubMed Central

Deadman, William J.

1965-01-01

Forensic medicine is medicine as applied to the problems of the law. The origins of both are hidden in the mists of antiquity, dating from the beginnings of family and tribal life. Recorded human history goes back for 6000 years. Sumeria, Babylon and Egypt all contributed to the development of forensic medicine. Imhotep was probably the first real medicolegal expert. Hippocrates, the Greek physician, and Galen, the Roman, made considerable contributions. Little advance was made during the millenium of the Dark Ages. But Renaissance medicine gave this branch of medicine an impetus in the seventeenth, eighteenth and nineteenth centuries, and in the twentieth, interest in forensic medicine is worldwide. The physician, the coroner, the pathologist, the medical specialist and the forensic laboratory contribute to the investigation of crimes against the person, and to the solution of such problems as identification, untoward deaths, apparent drowning and many others. PMID:14269437

Drowning in Data: Going Beyond Traditional Data Archival to Educate Data Users

NASA Astrophysics Data System (ADS)

Weigel, A. M.; Smith, T.; Smith, D. K.; Bugbee, K.; Sinclair, L.

2017-12-01

Increasing quantities of Earth science data and information prove overwhelming to new and unfamiliar users. Data discovery and use challenges faced by these users are compounded with atmospheric science field campaign data collected by a variety of instruments and stored, visualized, processed and analyzed in different ways. To address data and user needs assessed through annual surveys and user questions, the NASA Global Hydrology Resource Center Distributed Active Archive Center (GHRC DAAC), in collaboration with a graphic designer, has developed a series of resources to help users learn about GHRC science focus areas, field campaigns, instruments, data, and data processing techniques. In this talk, GHRC data recipes, micro articles, interactive data visualization techniques, and artistic science outreach and education efforts, such as ESRI story maps and research as art, will be overviewed. The objective of this talk is to stress the importance artistic information visualization has in communicating with and educating Earth science data users.

Mortality Dynamics of Spodoptera frugiperda (Lepidoptera: Noctuidae) Immatures in Maize

PubMed Central

Varella, Andrea Corrêa; Menezes-Netto, Alexandre Carlos; Alonso, Juliana Duarte de Souza; Caixeta, Daniel Ferreira; Peterson, Robert K. D.; Fernandes, Odair Aparecido

2015-01-01

We characterized the dynamics of mortality factors affecting immature developmental stages of the fall armyworm, Spodoptera frugiperda (J.E. Smith) (Lepidoptera: Noctuidae). Multiple decrement life tables for egg and early larval stages of S. frugiperda in maize (Zea mays L.) fields were developed with and without augmentative releases of Telenomus remus Nixon (Hymenoptera: Platygastridae) from 2009 to 2011. Total egg mortality ranged from 73 to 81% and the greatest egg mortality was due to inviability, dislodgement, and predation. Parasitoids did not cause significant mortality in egg or early larval stages and the releases of T. remus did not increase egg mortality. Greater than 95% of early larvae died from predation, drowning, and dislodgment by rainfall. Total mortality due to these factors was largely irreplaceable. Results indicate that a greater effect in reducing generational survival may be achieved by adding mortality to the early larval stage of S. frugiperda. PMID:26098422

Coalition of attitude and practice behaviors among dental practitioners regarding pregnant patient's oral health and pregnant patient's perception toward oral health in and around Pondicherry.

PubMed

Jeelani, S; Khader, K Abdul; Rangdhol, R Vishwanath; Dany, A; Paulose, Swetha

2015-08-01

This study aims to evaluate the knowledge, attitude, practice behaviors among general dental practitioners and assess the perception toward oral health by pregnant patients in and around Puducherry. A self-designed and structured questionnaire was used to obtain information from the dental practitioner and the pregnant patients. The majority of the dental practitioners had a lack of knowledge, attitude, practice behaviors regarding pregnant patient's oral health and similarly majority of pregnant patient's perception toward oral health was poor. Drowning and dilemmatic attitude and practice behavior of dentists to be streamlined to render right care to the pregnant women at the right time. Perplexing perception toward oral health care by pregnant women to be overcome to orient them to understand the impact of oral health on their general systemic health.

Genetic determination of sibship and twin zygosity in a case of an alleged double infant homicide.

PubMed

von Wurmb-Schwark, Nicole; Schwark, Thorsten

2009-04-01

A 32 year-old woman was hospitalised with severe septic symptoms. The examination of the patient revealed placenta residues in the woman's uterus as cause of the infection. The police was called and investigated her apartment in search of the missing baby. Finally, the bodies of two newborn babies were found in the freezer. According to the mother, the babies were stillborn twins. The autopsy revealed that the smaller, moderately putrefied child was stillborn, while the larger infant showed typical signs of drowning and only slight putrefaction. The placenta was judged by gynaecologists to be that of a single pregnancy. Thus the prosecution suspected that the woman had had two independent pregnancies and ordered an additional genetic analysis. A genetic analysis clearly revealed that the babies were monozygotic twins, supporting the mother's statement of a twin pregnancy.

The Sri Lanka tsunami experience.

PubMed

Yamada, Seiji; Gunatilake, Ravindu P; Roytman, Timur M; Gunatilake, Sarath; Fernando, Thushara; Fernando, Lalan

2006-01-01

The Indian Ocean tsunami of 2004 killed 31,000 people in Sri Lanka and produced morbidity primarily resulting from near-drownings and traumatic injuries. In the immediate aftermath, the survivors brought bodies to the hospitals, which hampered the hospitals' operations. The fear of epidemics led to mass burials. Infectious diseases were prevented through the provision of clean water and through vector control. Months after the tsunami, little rebuilding of permanent housing was evident, and many tsunami victims continued to reside in transit camps without means of generating their own income. The lack of an incident command system, limited funding, and political conflicts were identified as barriers to optimal relief efforts. Despite these barriers, Sri Lanka was fortunate in drawing upon a well-developed community health infrastructure as well as local and international resources. The need continues for education and training in clinical skills for mass rescue and emergency treatment, as well as participation in a multidisciplinary response.

Spatially integrative metrics reveal hidden vulnerability of microtidal salt marshes

PubMed Central

Ganju, Neil K.; Defne, Zafer; Kirwan, Matthew L.; Fagherazzi, Sergio; D'Alpaos, Andrea; Carniello, Luca

2017-01-01

Salt marshes are valued for their ecosystem services, and their vulnerability is typically assessed through biotic and abiotic measurements at individual points on the landscape. However, lateral erosion can lead to rapid marsh loss as marshes build vertically. Marsh sediment budgets represent a spatially integrated measure of competing constructive and destructive forces: a sediment surplus may result in vertical growth and/or lateral expansion, while a sediment deficit may result in drowning and/or lateral contraction. Here we show that sediment budgets of eight microtidal marsh complexes consistently scale with areal unvegetated/vegetated marsh ratios (UVVR) suggesting these metrics are broadly applicable indicators of microtidal marsh vulnerability. All sites are exhibiting a sediment deficit, with half the sites having projected lifespans of less than 350 years at current rates of sea-level rise and sediment availability. These results demonstrate that open-water conversion and sediment deficits are holistic and sensitive indicators of salt marsh vulnerability. PMID:28112167

Spatially integrative metrics reveal hidden vulnerability of microtidal salt marshes.

PubMed

Ganju, Neil K; Defne, Zafer; Kirwan, Matthew L; Fagherazzi, Sergio; D'Alpaos, Andrea; Carniello, Luca

2017-01-23

Salt marshes are valued for their ecosystem services, and their vulnerability is typically assessed through biotic and abiotic measurements at individual points on the landscape. However, lateral erosion can lead to rapid marsh loss as marshes build vertically. Marsh sediment budgets represent a spatially integrated measure of competing constructive and destructive forces: a sediment surplus may result in vertical growth and/or lateral expansion, while a sediment deficit may result in drowning and/or lateral contraction. Here we show that sediment budgets of eight microtidal marsh complexes consistently scale with areal unvegetated/vegetated marsh ratios (UVVR) suggesting these metrics are broadly applicable indicators of microtidal marsh vulnerability. All sites are exhibiting a sediment deficit, with half the sites having projected lifespans of less than 350 years at current rates of sea-level rise and sediment availability. These results demonstrate that open-water conversion and sediment deficits are holistic and sensitive indicators of salt marsh vulnerability.

Lacustrine flow (divers, side scan sonar, hydrogeology, water penetrating radar) used to understand the location of a drowned person

NASA Astrophysics Data System (ADS)

Ruffell, Alastair

2014-05-01

An unusual application of hydrological understanding to a police search is described. The lacustrine search for a missing person provided reports of bottom-water currents in the lake and contradictory indications from cadaver dogs. A hydrological model of the area was developed using pre-existing information from side scan sonar, a desktop hydrogeological study and deployment of water penetrating radar (WPR). These provided a hydrological theory for the initial search involving subaqueous groundwater flow, focused on an area of bedrock surrounded by sediment, on the lake floor. The work shows the value a hydrological explanation has to a police search operation (equally to search and rescue). With hindsight, the desktop study should have preceded the search, allowing better understanding of water conditions. The ultimate reason for lacustrine flow in this location is still not proven, but the hydrological model explained the problems encountered in the initial search.

Design and Validation of a Breathing Detection System for Scuba Divers.

PubMed

Altepe, Corentin; Egi, S Murat; Ozyigit, Tamer; Sinoplu, D Ruzgar; Marroni, Alessandro; Pierleoni, Paola

2017-06-09

Drowning is the major cause of death in self-contained underwater breathing apparatus (SCUBA) diving. This study proposes an embedded system with a live and light-weight algorithm which detects the breathing of divers through the analysis of the intermediate pressure (IP) signal of the SCUBA regulator. A system composed mainly of two pressure sensors and a low-power microcontroller was designed and programmed to record the pressure sensors signals and provide alarms in absence of breathing. An algorithm was developed to analyze the signals and identify inhalation events of the diver. A waterproof case was built to accommodate the system and was tested up to a depth of 25 m in a pressure chamber. To validate the system in the real environment, a series of dives with two different types of workload requiring different ranges of breathing frequencies were planned. Eight professional SCUBA divers volunteered to dive with the system to collect their IP data in order to participate to validation trials. The subjects underwent two dives, each of 52 min on average and a maximum depth of 7 m. The algorithm was optimized for the collected dataset and proved a sensitivity of inhalation detection of 97.5% and a total number of 275 false positives (FP) over a total recording time of 13.9 h. The detection algorithm presents a maximum delay of 5.2 s and requires only 800 bytes of random-access memory (RAM). The results were compared against the analysis of video records of the dives by two blinded observers and proved a sensitivity of 97.6% on the data set. The design includes a buzzer to provide audible alarms to accompanying dive buddies which will be triggered in case of degraded health conditions such as near drowning (absence of breathing), hyperventilation (breathing frequency too high) and skip-breathing (breathing frequency too low) measured by the improper breathing frequency. The system also measures the IP at rest before the dive and indicates with flashing light-emitting diodes and audible alarm the regulator malfunctions due to high or low IP that may cause fatal accidents during the dive by preventing natural breathing. It is also planned to relay the alarm signal to underwater and surface rescue authorities by means of acoustic communication.

Impact of middle Cretaceous (Albian to Turonian) climatic changes in the eastern sub-equatorial marginal Pacific region

NASA Astrophysics Data System (ADS)

Navarro Ramirez, Juan Pablo; Bodin, Stéphane; Heimhofer, Ulrich; Immenhauser, Adrian

2015-04-01

A new Albian-Turonian carbon isotope (δ13Ccarb and δ13Corg) curve based on epeiric-neritic carbonate successions from Peru is reported. The study was carried out to test the hypothesis that mid-Cretaceous OAEs, which are well-documented in the Tethys and Atlantic realm, are equally recorded in the epeiric-neritic realm of the eastern sub-equatorial Pacific as exposed in Northern and Central Peru. Depositional environments range from shallow subtidal inner ramp to outer ramp settings. For this purpose, we combined chemostratigraphic and sedimentological information from expanded and well-exposed sections in NW Peru. The geochemical data provide evidence for the record of the OAE1b set, the OAE1c, the OAE1d, as well as the Cenomanian-Turonian Boundary Event (OAE2), known as one of the most extreme carbon cycle perturbation. The new δ13C record is constrained by biostratigraphic evidence and 87Sr/86Sr isotope stratigraphy using well-preserved oyster shells. Sedimentological observations, combined with the δ13C stratigraphic record, were used to elucidate the complex interplay of climate changes, nutrient supply and platform drowning. These observations indicate: (1) A late Aptian-early Albian change from siliciclastic- to carbonate-dominated sedimentation that may be coeval with the placement of the Kilian event. (2) Incipient platform-drowning during the early Albian probably linked to the impact of the Paquier event. (3) An early middle Albian demise of neritic carbonate production that coincides with the Leenhardt Level, followed by middle Albian condensed sedimentation that reports prominent negative values in δ13Ccarb. (4) Renewed carbonate ramp production during the late Albian-middle Cenomanian. (5) An upper Cenomanian-middle Turonian transition interval with the OAE2 represented by a 44-m-thick sedimentary succession characterized by rhythmically bedded marls, marly limestones and limestones. Despite the scarcity of significant amount of organic matter (a.k.a, black shales) or indicators of oxygen deficiency, the δ13C curve matches well with published high-resolution curves for coeval successions in the Pacific elsewhere (Pacific Guyots; Hokkaido, Japan; Guerrero, Mexico), European Tethys (Vocontian Basin, France; Piobbico section, Italy; English Chalk; Wurstorf section, Germany) and Western Atlantic domain (Pueblo Colorado, USA; Sierra Madre, Mexico), supporting the global nature of the isotope patterns observed in Peru.

Holocene sea-level changes in the Falkland Islands

NASA Astrophysics Data System (ADS)

Newton, Tom; Gehrels, Roland; Daley, Tim; Long, Antony; Bentley, Mike

2014-05-01

In many locations in the southern hemisphere, relative sea level (RSL) reached its maximum position during the middle Holocene. This highstand is used by models of glacial isostatic adjustment (GIA) to constrain the melt histories of the large ice sheets, particularly Antarctica. In this paper we present the first Holocene sea-level record from the Falkland Islands (Islas Malvinas), an archipelago located on the Patagonian continental shelf about 500 km east of mainland South America at a latitude of ca. 52 degrees. Unlike coastal locations in southernmost South America, Holocene sea-level data from the Falklands are not influenced by tectonics, local ice loading effects and large tidal ranges such that GIA and ice-ocean mass flux are the dominant drivers of RSL change. Our study site is a salt marsh located in Swan Inlet in East Falkland, around 50 km southwest of Stanley. This is the largest and best developed salt marsh in the Falkland Islands. Cores were collected in 2005 and 2013. Lithostratigraphic analyses were complemented by analyses of foraminifera, testate amoebae and diatoms to infer palaeoenvironments. The bedrock, a Permian black shale, is overlain by grey-brown organic salt-marsh clay, up to 90 cm thick, which, in a landward direction, is replaced by freshwater organic sediments. Overlying these units are medium-coarse sands with occasional pebbles, up to 115 cm thick, containing tidal flat foraminifera. The sandy unit is erosively overlain by a grey-brown organic salt-marsh peat which extends up to the present surface. Further away from the sea this unit is predominantly of freshwater origin. Based on 13 radiocarbon dates we infer that prior to ~9.5 ka sea level was several metres below present. Under rising sea levels a salt marsh developed which was suddenly drowned around 8.4 ka, synchronous with a sea-level jump known from northern hemisphere locations. Following the drowning, RSL rose to its maximum position around 7 ka, less than 0.5 m above present sea level. RSL then fell slowly during the middle and late Holocene, eroding the elevated tidal flat deposits in places, and allowing development of thin salt marsh deposits and encroachment of freshwater marsh. Our new sea-level index points are roughly in agreement with GIA model predictions but place tight constraints on the timing of early Holocene RSL rise and the height and timing of the maximum Holocene RSL position.

Footwall progradation in syn-rift carbonate platform-slope systems (Early Jurassic, Northern Apennines, Italy)

NASA Astrophysics Data System (ADS)

Fabbi, Simone; Santantonio, Massimo

2012-12-01

The so-called Umbria-Marche Domain of Northern Apennines represents a vast depositional system, also stretching across the Adriatic Sea subsurface, that was characterized by dominantly pelagic sedimentation through most of its Jurassic to Oligocene/Early Miocene history. The pelagic succession is underlain by Hettangian shallow-water carbonates (Calcare Massiccio Fm.), constituting a regional carbonate platform that was subjected to tectonic extension due to rifting of the Adria/African Plate in the earliest Jurassic. While tectonic subsidence of the hangingwalls drove the drowning of the platform around the Hettangian/Sinemurian boundary, the production of benthic carbonate on footwall blocks continued parallel to faulting, through a sequence of facies that was abruptly terminated by drowning and development of condensed pelagites in the early Pliensbachian. By then rifting had ceased, so that the Pliensbachian to Early Cretaceous hangingwall deposits represent a post-rift basin-fill succession onlapping the tectonically-generated escarpment margins of the highs. During the early phases of syndepositional faulting, the carbonate factories of footwall blocks were still temporarily able to fill part of the accommodation space produced by the normal faults by prograding into the incipient basins. In this paper we describe for the first time a relatively low-angle (< 10°) clinoform bed package documenting such an ephemeral phase of lateral growth of a carbonate factory. The clinoforms are sigmoidal, and form low-relief (maximum 5-7 m) bodies representing a shallow-water slope that was productive due to development of a Lithocodium-dominated factory. Continued faulting and hangingwall subsidence then decoupled the slope from the platform top, halting the growth of clinoforms and causing the platform margin to switch from accretionary to bypass mode as the pre-rift substrate became exposed along a submarine fault escarpment. The downfaulted clinoform slope was then buried by base-of-escarpment proximal turbidites, forming a bypass wedge. Such a contact would be imaged along a seismic section as an unconformity, suggestive of shut-off of the local carbonate factory and onlap by pelagic mud. The composition of the turbidites, however, at least initially duplicates that of the clinoforms, indicating that the footwall top was still productive, yet the mechanisms of sediment shedding into the basin had changed due to the modifications of submarine topography induced by synsedimentary tectonics.

[Frequency and prevention of childhood domestic injury according to age].

PubMed

Kanaizumi, Shiomi; Shibata, Mariko; Miyazaki, Yukiko; Nakashita, Tomiko; Sakou, Keiko; Hoshino, Yasue; Ichinohe, Shinko; Ohno, Ayako; Manabe, Shigeo

2009-04-01

This study aimed to: 1) obtain data about occurrence of childhood domestic injuries in Gunma prefecture according to children's age; 2) ascertain parental awareness of injury prevention; and 3) develop ideas for creating concrete strategies of childhood injury prevention. The participants were 551 parents of children living in 14 cities/towns in Gunma prefecture that showed interest in cooperating with this survey. A self-reported questionnaire was handed to parents when they took their children to health check-ups provided by the cities/towns either during the child's first year, at 18 months, or at 3 years. Parents completed the questionnaire asking whether their child had been injured at home during the past year, and if so, they were asked about the type of injury, the cause of injury, and what action they took. We also asked whether the parents took specific injury prevention measures at home. Data were analyzed statistically. The injury experienced most frequently during the first year of life was "fall" (30.8%), followed by "ingestion of a foreign body" (22.7%), and then "choking" (11.5%). For children around the age of 18 months, the most frequently experienced injury was "fall" (41.0%), followed by "burn" (20.3%), and "ingestion of a foreign body" (19.3%). At 3 years, "burn" was reported most frequently (32.3%), followed by "fall" (31.0%), and "choking" (14.5%). Chi2-test revealed significant correlations among the three age groups concerning the rate of burn injury, foreign body ingestion, and drowning. The rate of burn injury was higher at 3 years than at 18 months, and also higher at 18 months as compared to under the age of one. In contrast, the rate of foreign body ingestion was higher under the age of one than at 18 months, and also higher at 18 months as compared to the age of 3 years. Drowning was more common at 18 months and 3 years than under the age of one. As for prevention of domestic injury, investigation of preventive means taken according to type of injury revealed that parents taking any of the measures to prevent an injury were significantly more likely to also take other means to prevent that injury. Characteristics of injury differed according to children's age. Furthermore, it was clarified that parents' performance of injury prevention depends on their awareness of preventive measures.

Aptian-Albian sea level history from Guyots in the western Pacific

NASA Astrophysics Data System (ADS)

RöHl, Ursula; Ogg, James G.

1996-10-01

Relative sea level fluctuations are an important control on patterns of sedimentation on continental margins and provide a valuable tool for regional correlations. One of the main objectives of combined Ocean Drilling Program Legs 143 and 144 was drilling the thick carbonate caps of a suite of seamounts, called guyots, scattered over the northwestern Pacific. The array of drowned Cretaceous banks includes four carbonate banks of Aptian-Albian age. These particular carbonate banks display emergent surfaces if regional sea level falls faster than the rate of guyot subsidence, or intervals of condensed parasequences and well-cemented peritidal crypto-algal flats if the rate of sea level fall is slightly less than guyot subsidence. Rapid rises of sea level following these sequence boundaries are recorded as drowning of the emergent horizons or as pronounced deepening of facies. The cored lithologies and downhole geophysical and geochemical logs were used to identify depositional sequences and surfaces of exceptional shallowing or deepening. A combination of biostratigraphic datums, carbon and strontium isotope curves, relative magnitude of surfaces of emergence, relative thicknesses of depositional sequences, sea level events, and counts of upward shallowing cycles or parasequences were used to correlate sequences among the four sites. After compensating for thermal subsidence rates at each guyot, an identical pattern of major Aptian-Albian eustatic sea level events is evident throughout this large portion of the Pacific Ocean. There are approximately 12 Aptian and 12 Albian significant sequence boundaries, of which a third were associated with major episodes of emergence. When these events are compared with Aptian-Albian relative sea level changes observed in European shelf successions, the major sequence boundaries and transgressive surges can be easily correlated, and it appears that both regions also display the same number of minor events. Therefore we can apply the relative timing of these events from the thermal subsidence rates and parasequence counts of the Pacific banks to construct an improved scaling of the associated ammonite zones and biostratigraphic datums in the Aptian-Albian interval. An electronic supplement of this material may be obtained on adiskette or via Anonymous FTP from KOSMOS.AGU.ORG (LOGINto AGU's FTP account using ANONYMOUS as the username andGUEST as the password. Go to the right directory by typing APEND.Diskette may be ordered from American Geophysical Union, 2000Florida Ave., N.W., Washington, D.C. 20009, $15.00. Payment mustaccompany order.

GIS compilation of data collected from the Pulley Ridge Deep Coral Reef region

USGS Publications Warehouse

Cross, VeeAnn; Twichell, D.C.; Halley, R.B.; Ciembronowicz, K.T.; Jarrett, B.D.; Hammar-Klose, E.S.; Hine, A.C.; Locker, S.D.; Naar, D.F.

2005-01-01

Pulley Ridge is a chain of drowned barrier islands that extends almost 200 km in 60-90 m water depths (Fig. 1). This drowned ridge is located on the Florida Platform in the southeastern Gulf of Mexico about 250 km west of Cape Sable, Florida (Jarrett and others, 2005). These islands formed during the early Holocene marine transgression approximately 12,000 - 14,000 years before present, and were then submerged by sea level rise and preserved near the outer edge of the Florida Platform. The southern portion of Pulley Ridge is the focus of this study. This area hosts zooxanthellate scleractinian corals, green, red and brown macro algae, and a mix of deep and typically shallow-water tropical fishes. This largely photosynthetic community is unique in that it thrives with less than 5% of the light typically associated with shallow-water reefs with similar fauna.Several factors help to account for the existence of this unique deep-water community. First, the underlying drowned barrier islands provide both elevated topography and lithified substrate for the establishment of the hardbottom community. Second, the region is commonly bathed by the Loop Current, which brings relatively clear and warm water to this area. Third, the ridge's position on the continental shelf places it within the thermocline which provides nutrients to the reef during upwelling (Halley and others, 2003).The USGS has made two proposals to resource managers for the designation of marine protected areas based on the geophysical and photographic data in this report. The proposals describe areas that may require some regulatory protection of marine life utilizing the sea floor (Fig. 1).The first proposal is that the area of greatest hermatypic coral cover (Fig. 1) is considered for future management actions and designated a Habitat Area of Particular Concern (HAPC) by the Gulf of Mexico Fishery Management Council. HAPCs are identified on the basis of habitat level considerations:The importance of the ecological function provided by the habitat.The extent to which the habitat is sensitive to human-induced environmental degradation.Whether and to what extent development activities are or will be stressing the habitat.The rarity of the habitat type.The second proposed area is for Coral Essential Fish Habitat (CEFH, Fig. 1). CEFHs are defined as "those waters and substrate necessary to corals for spawning, breeding, feeding, or growth to maturity." The following definitions are provided for clarification:waters is defined as "aquatic areas and their associated physical, chemical, and biological properties that are used by corals"substrate means "sediment, hard bottom, structures underlying the waters, and associated biological communities"necessary means "the habitat required to support a sustainable population and the managed species' contribution to a healthy ecosystem"spawning,breeding, feeding, or growth to maturity covers the full life cycle of a species.The CEFH shown in Figure 1 is the greatest coral cover in the region as determined by the bottom photo and video transects acquired during this study.This report presents the geophysical and photographic data that were collected to describe the surficial and shallow subsurface geologic framework of the area where these deep-water corals are known to occur. The data types include multibeam bathymetry, sidescan-sonar imagery, images of high-resolution seismic-reflection profiles, and bottom photographs. In addition, the tracklines for the seismic data, locations of bottom photographs and camera drifts, and tracklines along which submersible and remotely operated vehicle (ROV) observations were made are contained in the GIS files accompanying this report. Unfortunately, video footage from the camera drifts, submersible, and ROV cruises is not available on this DVD due to the quantity of data. The bottom photograph data set has been previously published (Cross and others, 2004), however it is included in this publication in an effort to integrate the varying data sets in one location. This integration is accomplished through the GIS data included on this DVD.

What is big data? A consensual definition and a review of key research topics

NASA Astrophysics Data System (ADS)

De Mauro, Andrea; Greco, Marco; Grimaldi, Michele

2015-02-01

Although Big Data is a trending buzzword in both academia and the industry, its meaning is still shrouded by much conceptual vagueness. The term is used to describe a wide range of concepts: from the technological ability to store, aggregate, and process data, to the cultural shift that is pervasively invading business and society, both drowning in information overload. The lack of a formal definition has led research to evolve into multiple and inconsistent paths. Furthermore, the existing ambiguity among researchers and practitioners undermines an efficient development of the subject. In this paper we have reviewed the existing literature on Big Data and analyzed its previous definitions in order to pursue two results: first, to provide a summary of the key research areas related to the phenomenon, identifying emerging trends and suggesting opportunities for future development; second, to provide a consensual definition for Big Data, by synthesizing common themes of existing works and patterns in previous definitions.

Fatalities due to indigenous and exotic species in Florida.

PubMed

Wolf, Barbara C; Harding, Brett E

2014-01-01

Florida's climate is suitable for many potentially hazardous animals, including both indigenous and exotic species, which are frequently kept as in zoos or as pets. This has resulted in many unforeseen fatal encounters between animals and the ever expanding human population. While the literature and knowledge pool for more common types of deaths referred to medical examiner/coroner's offices is abundant, the appreciation of wildlife and exotic pet-related deaths is far less widespread. We report seven animal attack-related deaths that occurred in Florida. The inflicted injuries included blunt and sharp force injuries, asphyxia, drowning, and envenomation. The underlying cause of death, however, was always a result of the human/animal interaction and in many cases related to human error and failure to appreciate the potentially dangerous behavior of nondomesticated species. These cases illustrate the varied circumstances and pathophysiologies associated with deaths due to indigenous and exotic species and the importance of the multidisciplinary approach in the medicolegal investigation of these cases. © 2013 American Academy of Forensic Sciences.

A follow-up study of attempted railway suicides.

PubMed

O'Donnell, I; Arthur, A J; Farmer, R D

1994-02-01

This paper reports the subsequent mortality of 94 persons who attempted suicide by jumping in front of London Underground trains between 1977 and 1979. The follow-up period was 10 yr. Despite the apparent seriousness of the method, completion of suicide was not found to be higher than in previous studies of attempted suicide by other methods. By the end of the follow-up period 18 persons had died, nine of natural causes. Coroners' inquests were held for the unnatural deaths. Seven verdicts of suicide and two of accidental death were recorded. Of the nine unnatural deaths four were from multiple injuries, three from drowning, one from asphyxia and one from acute narcotic poisoning. All four multiple injury deaths were women, three of these were from repeated incidents involving London Underground trains. The time interval between the index attempt and eventual death for the suicide/accident group ranged from 1 day to 43 months. For ethical reasons it was not possible to follow-up attempted suicides who were presumed to have remained alive.

Neonaticides following "secret" pregnancies: seven case reports.

PubMed Central

Saunders, E

1989-01-01

Seven neonaticides were reported during a 14-month period in the State of Iowa. This is an alarming number considering that only one such case was reported in the previous year. The majority of cases involved the birth of a live infant to an adolescent who had reportedly kept her pregnancy secret from family and friends. The death of the infants resulted from exposure or drowning. Efforts were made by the mother to hide or dispose of her infant's body. Basic information about each of the reported cases is presented, as well as the sentences given the adult mothers charged with the crime of child endangerment. The dynamics of these cases are reviewed in the context of earlier studies dealing with the phenomenon of neonaticide. Infanticide has deep roots in several cultures. It was practiced in some primitive societies and was decreed a capital offense as early as 1643. Its occurrence recently prompts suggestions for activities by professionals to prevent these tragedies. More research and further attention to this problem is warranted. PMID:2502808

Neonaticides following "secret" pregnancies: seven case reports.

PubMed

Saunders, E

1989-01-01

Seven neonaticides were reported during a 14-month period in the State of Iowa. This is an alarming number considering that only one such case was reported in the previous year. The majority of cases involved the birth of a live infant to an adolescent who had reportedly kept her pregnancy secret from family and friends. The death of the infants resulted from exposure or drowning. Efforts were made by the mother to hide or dispose of her infant's body. Basic information about each of the reported cases is presented, as well as the sentences given the adult mothers charged with the crime of child endangerment. The dynamics of these cases are reviewed in the context of earlier studies dealing with the phenomenon of neonaticide. Infanticide has deep roots in several cultures. It was practiced in some primitive societies and was decreed a capital offense as early as 1643. Its occurrence recently prompts suggestions for activities by professionals to prevent these tragedies. More research and further attention to this problem is warranted.

Health care expenditures in Croatia, 2000-2013: is primary health care in the right position?

PubMed

Brodarić, Zvjezdana; Keglević, Mladenka Vrcić

2014-12-01

The research was undertaken to determine the trends in the amount and the structure of the health care expenditures in Croatia from 2000 to 2013. It is based on routinely collected and publicly available data, The Annual Reports of the Croatian Health Insurance Fund and OECD data. The income of Croatian Health Insurance Fund (CHIF) increased by 66.9%, while total expenditures increased by 62.1%. The fastest growth of expenditure is noticed in expenditures on health care. The hospital and specialist-consultant services have the highest expenditures. Furthermore, the fastest growth is that of other expenses, from 7% of total health care expenditures in 2000, to 26.7% in 2013; which can partly be interpreted as part of hospital care expenses. In the contrast, total expenditures for primary health care decreased, from 22% in 2002, to 13.1% in 2013. The publicly available data are not sufficient enough to drown up any specific conclusions about the underlying reasons for such distribution of the costs.

Some epidemiological aspects and economic costs of injuries in Malaysia.

PubMed

Arokiasamy, J T; Krishnan, R

1994-01-01

Injuries are one of the leading causes of death in the world. In Malaysia, injuries form one of the three main causes of mortality. They are also an important cause of permanent and temporary disability and work absenteeism in the productive age group. Increasing affluence and industrialization coupled with growing population and transportation needs in rapidly developing countries like Malaysia have resulted in a surge of road and occupational injuries. Three quarters of fatalities due to road, occupational, drowning and home injuries occur in those below 45 years of age. A majority of injuries in these categories are attributed to "human" factors and therefore can be prevented by public education and enforced training of workers. The total annual economic loss due to all types of injuries is estimated to be 2 billion Malaysian Ringgit (US$1 = MR2.76 approximately). The government is currently in the process of setting up full-time departments for road safety and occupational health and safety.

Rapid sea level rise and ice sheet response to 8,200-year climate event

USGS Publications Warehouse

Cronin, T. M.; Vogt, P.R.; Willard, D.A.; Thunell, R.; Halka, J.; Berke, M.; Pohlman, J.

2007-01-01

The largest abrupt climatic reversal of the Holocene interglacial, the cooling event 8.6–8.2 thousand years ago (ka), was probably caused by catastrophic release of glacial Lake Agassiz-Ojibway, which slowed Atlantic meridional overturning circulation (AMOC) and cooled global climate. Geophysical surveys and sediment cores from Chesapeake Bay reveal the pattern of sea level rise during this event. Sea level rose ∼14 m between 9.5 to 7.5 ka, a pattern consistent with coral records and the ICE-5G glacio-isostatic adjustment model. There were two distinct periods at ∼8.9–8.8 and ∼8.2–7.6 ka when Chesapeake marshes were drown as sea level rose rapidly at least ∼12 mm yr−1. The latter event occurred after the 8.6–8.2 ka cooling event, coincided with extreme warming and vigorous AMOC centered on 7.9 ka, and may have been due to Antarctic Ice Sheet decay.

Developing facilitation skills--a narrative.

PubMed

Newton, Jennifer M

2003-07-01

Effective facilitation has been identified in the literature as one of three elements, along with context and evidence, that have a dynamic and coexisting relationship to enable the successful uptake of evidence into practice. This paper presents an overview of the concept of facilitation within the context of practice development, ahead of a personal and professional reflective account of a 'developing facilitator'. In the summer of 2001, the author was instrumental in organising the first Practice Development School in Melbourne. Thrown in at the deep end, she found herself co-facilitating with an experienced practice developer from the United Kingdom. Having never facilitated in the arena of an action learning group, nor worked in the field of practice development, there was initially a sense of impending overload and drowning in the new knowledge and skills that needed to be acquired. Drawing upon the work of narrative inquiry the author shares her experiences in the anticipation that in telling her story it will assist others in their journey of becoming a facilitator.

Profiling Oman education data using data visualization technique

NASA Astrophysics Data System (ADS)

Alalawi, Sultan Juma Sultan; Shaharanee, Izwan Nizal Mohd; Jamil, Jastini Mohd

2016-10-01

This research works presents an innovative data visualization technique to understand and visualize the information of Oman's education data generated from the Ministry of Education Oman "Educational Portal". The Ministry of Education in Sultanate of Oman have huge databases contains massive information. The volume of data in the database increase yearly as many students, teachers and employees enter into the database. The task for discovering and analyzing these vast volumes of data becomes increasingly difficult. Information visualization and data mining offer a better ways in dealing with large volume of information. In this paper, an innovative information visualization technique is developed to visualize the complex multidimensional educational data. Microsoft Excel Dashboard, Visual Basic Application (VBA) and Pivot Table are utilized to visualize the data. Findings from the summarization of the data are presented, and it is argued that information visualization can help related stakeholders to become aware of hidden and interesting information from large amount of data drowning in their educational portal.

Social marketing as a strategy to increase immunization rates.

PubMed

Opel, Douglas J; Diekema, Douglas S; Lee, Nancy R; Marcuse, Edgar K

2009-05-01

Today in the United States, outbreaks of vaccine-preventable disease are often traced to susceptible children whose parents have claimed an exemption from school or child care immunization regulations. The origins of this immunization hesitancy and resistance have roots in the decline of the threat of vaccine-preventable disease coupled with an increase in concerns about the adverse effects of vaccines, the emergence of mass media and the Internet, and the intrinsic limitations of modern medicine. Appeals to emotion have drowned out thoughtful discussion in public forums, and overall, public trust in immunizations has declined. We present an often overlooked behavior change strategy-social marketing-as a way to improve immunization rates by addressing the important roots of immunization hesitancy and effectively engaging emotions. As an example, we provide a synopsis of a social marketing campaign that is currently in development in Washington state and that is aimed at increasing timely immunizations in children from birth to age 24 months.

Wearable sensor systems for infants.

PubMed

Zhu, Zhihua; Liu, Tao; Li, Guangyi; Li, Tong; Inoue, Yoshio

2015-02-05

Continuous health status monitoring of infants is achieved with the development and fusion of wearable sensing technologies, wireless communication techniques and a low energy-consumption microprocessor with high performance data processing algorithms. As a clinical tool applied in the constant monitoring of physiological parameters of infants, wearable sensor systems for infants are able to transmit the information obtained inside an infant's body to clinicians or parents. Moreover, such systems with integrated sensors can perceive external threats such as falling or drowning and warn parents immediately. Firstly, the paper reviews some available wearable sensor systems for infants; secondly, we introduce the different modules of the framework in the sensor systems; lastly, the methods and techniques applied in the wearable sensor systems are summarized and discussed. The latest research and achievements have been highlighted in this paper and the meaningful applications in healthcare and behavior analysis are also presented. Moreover, we give a lucid perspective of the development of wearable sensor systems for infants in the future.

The Safe Harbor Mouse Retreat(™) is an innovative enrichment shelter that saves mice and money.

PubMed

Froberg-Fejko, Karen M; Lecker, Jaime L

2013-10-01

Environmental enrichment can be defined as altering the living environment of captive animals in order to provide them with opportunities to express their natural behavioral repertoire. As important as offering an enriched environment is assuring lab animals are housed in the safest conditions possible. Cage flooding events are an unfortunate reality; however, technology is advancing to minimize these events. Bio-Serv, in collaboration with Allentown, Inc., has developed an innovative and economical shelter called the Safe Harbor Mouse Retreat (Fig. 1). This shelter offers a life-saving refuge for mice during these occasional, but devastating cage-flooding accidents. Mice will not be lost due to chilling or drowning caused by water exposure. Breeding mice can save their litters by moving their pups to the second level, and all mice can escape to the higher level where they can remain warm and dry until they are rescued. This clever shelter is not only life-saving for mice but offers several other significant benefits as well.

'Hidden' suicides amongst deaths certified as undetermined intent, accident by pesticide poisoning and accident by suffocation in Taiwan.

PubMed

Chang, Shu-Sen; Sterne, Jonathan A C; Lu, Tsung-Hsueh; Gunnell, David

2010-02-01

To identify cause-of-death categories in which suicides might be misclassified in Taiwan. We plotted secular trends (1971-2007) in sex- and method-specific rates of deaths classified as suicide, undetermined intent and accident for the Taiwanese population aged 15+ and compared the sex, age and marital status profiles of deaths in these three categories by method of death. The demographic profiles of registered suicides generally resembled those for deaths of undetermined intent and accidents by pesticide poisoning/suffocation but differed from those for accidents from non-pesticide poisoning/drowning/falling/poisoning by non-domestic gas. For the period 1990-2007, suicide rates based on suicides alone (14.8 per 100,000) would increase by 23, 7 and 1%, respectively, when including deaths of undetermined intent, accidental pesticide poisonings and accidental suffocations. Suicide rates may be underestimated by more than 30% in Taiwan because some suicides are 'hidden' amongst deaths certified as due to other causes.

The Use of the Developmental Rate of the Aquatic Midge Chironomus riparius (Diptera, Chironomidae) in the Assessment of the Postsubmersion Interval.

PubMed

González Medina, Alejandro; Soriano Hernando, Óscar; Jiménez Ríos, Gilberto

2015-05-01

Nonbiting midges (Diptera, Chironomidae) are the most abundant members of the fauna associated with submerged carcasses, but their use in the medicolegal context is very restricted because of their complex ontogeny. In this case, the corpse of a woman was recovered in late spring from a river in Granada (Iberian Peninsula). It showed obvious signs of long permanence in the aquatic environment and, along with pulmonary and microscopical analyses, led to the conclusion that the cause of death was drowning. Several larvae-like specimens were sampled from the scalp and later identified by morphological external features as IV instar larvae of Chironomus riparius Meigen, 1804 (Diptera, Chironomidae). Sequencing of cytochrome oxidase subunit I was performed to confirm the identification. The knowledge of the biology of C. riparius at low temperatures was critical to assess a postsubmersion interval of 16-17 days. © 2015 American Academy of Forensic Sciences.

Suicide in classical mythology: cues for prevention.

PubMed

Preti, A; Miotto, P

2005-05-01

To compare well established antecedents and correlates of completed suicide with the motives and the mechanics reported in Greek mythology. A well-known collection of Greek myths, the Book of fables by Hyginus, was explored to investigate the mechanics driving an individual to imagine, design and carry out a suicide attempt. Females outnumber males in the mythographer's list, their favourite methods to die being drowning, hanging, self-burning and throwing themselves down from on high. Some kind of familial recurrence of suicide was accounted for, and a large percentage of these suicides was connected to incest. Shame, sense of guilt and grief for the death of a loved one are the most frequently reported psychological correlates of the act, whereas defeat, failure or a catastrophic change in living conditions and, among females, an unfortunate love affair figure as the main antecedents of suicide. Negative life events and emotional reactions to the severing of social ties frequently occur as antecedents of suicide in Greek mythology. Copyright Blackwell Munksgaard 2005.

Response of coral reefs to climate change: Expansion and demise of the southernmost Pacific coral reef

NASA Astrophysics Data System (ADS)

Woodroffe, Colin D.; Brooke, Brendan P.; Linklater, Michelle; Kennedy, David M.; Jones, Brian G.; Buchanan, Cameron; Mleczko, Richard; Hua, Quan; Zhao, Jian-xin

2010-08-01

Coral reefs track sea level and are particularly sensitive to changes in climate. Reefs are threatened by global warming, with many experiencing increased coral bleaching. Warmer sea surface temperatures might enable reef expansion into mid latitudes. Here we report multibeam sonar and coring that reveal an extensive relict coral reef around Lord Howe Island, which is fringed by the southernmost reef in the Pacific Ocean. The relict reef, in water depths of 25-50 m, flourished in early Holocene and covered an area more than 20 times larger than the modern reef. Radiocarbon and uranium-series dating indicates that corals grew between 9000 and 7000 years ago. The reef was subsequently drowned, and backstepped to its modern limited extent. This relict reef, with localised re-establishment of corals in the past three millennia, could become a substrate for reef expansion in response to warmer temperatures, anticipated later this century and beyond, if corals are able to recolonise its surface.

Deaths Associated With Brotizolam Poisoning From a Single Drug Overdose: Four Reported Cases.

PubMed

Sakai, Kentaro; Saito, Kazuyuki; Takada, Aya; Hikiji, Wakako; Kikuchi, Yosuke; Fukunaga, Tatsushige

2018-03-01

Brotizolam is a short-acting hypnotic in the benzodiazepine family, and fatal poisonings by an overdose of brotizolam are rare. This report describes 4 cases of deaths associated with brotizolam poisoning from a single drug overdose. The ages ranged from 51 to 90 years, and the postmortem interval between death and tissue sampling was 1.5 to 2.5 days. These deaths were classified as 1 homicide and 3 suicides. The concentration of the brotizolam ranged from 0.05 to 0.21 mg/L in the blood samples. Ethanol, which could cause mild alcohol intoxication, was detected in the blood samples from 2 cases. Postmortem examinations did not find any significant pathologic conditions, except for a case of death by drowning in a bathtub due to brotizolam poisoning. These 4 cases suggest that a brotizolam overdose should not be underestimated in terms of its fatal effects, particularly when situations involve alcohol intoxication, injury subsequent to the poisoning, or underlying medical conditions including aging.

Mediterranean megaturbidite triggered by the AD 365 Crete earthquake and tsunami

PubMed Central

Polonia, Alina; Bonatti, Enrico; Camerlenghi, Angelo; Lucchi, Renata Giulia; Panieri, Giuliana; Gasperini, Luca

2013-01-01

Historian Ammianus Marcellinus documented the devastating effects of a tsunami hitting Alexandria, Egypt, on July 21, AD 365. "The solidity of the earth was made to shake … and the sea was driven away. The waters returning when least expected killed many thousands by drowning. Huge ships… perched on the roofs of houses… hurled miles from the shore….”. Other settlements around the Mediterranean were hit at roughly the same time. This scenario is similar to that of the recent Sumatra and Tohoku tsunamis. Based on geophysical surveys and sediment cores from the Ionian Sea we show that the 20–25 m thick megaturbidite known in the literature as Homogenite/Augias was triggered not by the Santorini caldera collapse but by the 365 AD Cretan earthquake/tsunami. An older similar megaturbidite was deposited after 14.590 ± 80 yr BP, implying a large recurrence time of such extreme sedimentary events in the Mediterranean Sea. PMID:23412517

Drowning the pain: Intimate partner violence, and drinking to cope prospectively predict problem drinking

PubMed Central

Øverup, Camilla S.; DiBello, Angelo M.; Brunson, Julie A.; Acitelli, Linda K.; Neighbors, Clayton

2016-01-01

The present study examined the longitudinal association among drinking problems, drinking to cope, and degree of intimate partner violence (IPV). Two competing models were tested; the first model posited that drinking to cope leads to greater drinking problems and this subsequently leads to more violence in the relationship (an intoxication-violence model). The second model speculated that violence in the relationship leads to drinking to cope, which in turn leads to greater drinking problems (a self-medication model). Eight hundred and eighteen undergraduate students at a large north-western university participated in the study over a two year period, completing assessments of IPV, alcohol related problems and drinking to cope at five time points over a two year period as part of a larger social norms intervention study. Analyses examined two competing models; Analyses indicated there was support for the self-mediation model, whereby people who have experienced violence have more drinking problems later, and this association is temporally mediated by drinking to cope. PMID:25452060

Wearable Sensor Systems for Infants

PubMed Central

Zhu, Zhihua; Liu, Tao; Li, Guangyi; Li, Tong; Inoue, Yoshio

2015-01-01

Continuous health status monitoring of infants is achieved with the development and fusion of wearable sensing technologies, wireless communication techniques and a low energy-consumption microprocessor with high performance data processing algorithms. As a clinical tool applied in the constant monitoring of physiological parameters of infants, wearable sensor systems for infants are able to transmit the information obtained inside an infant's body to clinicians or parents. Moreover, such systems with integrated sensors can perceive external threats such as falling or drowning and warn parents immediately. Firstly, the paper reviews some available wearable sensor systems for infants; secondly, we introduce the different modules of the framework in the sensor systems; lastly, the methods and techniques applied in the wearable sensor systems are summarized and discussed. The latest research and achievements have been highlighted in this paper and the meaningful applications in healthcare and behavior analysis are also presented. Moreover, we give a lucid perspective of the development of wearable sensor systems for infants in the future. PMID:25664432

Pathological findings and probable causes of the death of Stejneger's beaked whales (Mesoplodon stejnegeri) stranded in Japan from 1999 and 2011.

PubMed

Tajima, Yuko; Maeda, Kaori; Yamada, Tadasu K

2015-01-01

One hundred and twenty stranding events of Stejneger's beaked whales were reported in Japan between 1999 and 2011. The purpose of this study is to introduce pathological data and to discuss probable causes of death for 44 Stejneger's beaked whales among them. The significant pathological findings were the pulmonary edema, parasitic granulomatous nephritis, emaciation, amyloidosis, suppurative bronchopneumonia and so on. The probable causes of death were categorized as noninfectious in 43 of the cases, which included drowning, starvation and secondary amyloidosis. One individual was diagnosed with septicemia, which was the only example of an infectious disease. Because we could not always perform advanced analyses, such as microbiology tests, biotoxin examinations or contaminant analyses, the finality of our findings may be impaired. However, the present study has broad implications on the causes of death of Stejneger's beaked whales of the seas around Japan, which are valuable for the future studies and for the detection of emerging diseases.

Desert bighorn sheep mortality due to presumptive type C botulism in California

USGS Publications Warehouse

Swift, P.K.; Wehausen, J.D.; Ernest, H.B.; Singer, R.S.; Pauli, A.M.; Kinde, H.; Rocke, T.E.; Bleich, V.C.

2000-01-01

During a routine telemetry flight of the Mojave Desert (California, USA) in August 1995, mortality signals were detected from two of 12 radio-collared female desert bighorn sheep (Ovis canadensis) in the vicinity of Old Dad Peak in San Bernardino County (California). A series of field investigations determined that at least 45 bighorn sheep had died near two artificial water catchments (guzzlers), including 13 bighorn sheep which had presumably drowned in a guzzler tank. Samples from water contaminated by decomposing bighorn sheep carcasses and hemolyzed blood from a fresh bighorn sheep carcass were tested for the presence of pesticides, heavy metals, strychnine, blue-green algae, Clostridium botulinum toxin, ethylene glycol, nitrates, nitrites, sodium, and salts. Mouse bioassay and enzyme-linked immunosorbent assay detected type C botulinum toxin in the hemolyzed blood and in fly larvae and pupae. This, coupled with negative results from other analyses, led us to conclude that type C botulinum poisoning was most likely responsible for the mortality of bighorn sheep outside the guzzler tank.

Underwater and hyperbaric medicine as a branch of occupational and environmental medicine.

PubMed

Lee, Young Il; Ye, Byeong Jin

2013-12-19

Exposure to the underwater environment for occupational or recreational purposes is increasing. As estimated, there are around 7 million divers active worldwide and 300,000 more divers in Korea. The underwater and hyperbaric environment presents a number of risks to the diver. Injuries from these hazards include barotrauma, decompression sickness, toxic effects of hyperbaric gases, drowning, hypothermia, and dangerous marine animals. For these reasons, primary care physicians should understand diving related injuries and assessment of fitness to dive. However, most Korean physicians are unfamiliar with underwater and hyperbaric medicine (UHM) in spite of scientific and practical values.From occupational and environmental medicine (OEM) specialist's perspective, we believe that UHM should be a branch of OEM because OEM is an area of medicine that deals with injuries caused by physical and biological hazards, clinical toxicology, occupational diseases, and assessment of fitness to work. To extend our knowledge about UHM, this article will review and update on UHM including barotrauma, decompression illness, toxicity of diving gases and fitness for diving.

Modeling of the Bosphorus exchange flow dynamics

NASA Astrophysics Data System (ADS)

Sözer, Adil; Özsoy, Emin

2017-04-01

The fundamental hydrodynamic behavior of the Bosphorus Strait is investigated through a numerical modeling study using alternative configurations of idealized or realistic geometry. Strait geometry and basin stratification conditions allow for hydraulic controls and are ideally suited to support the maximal-exchange regime, which determines the rate of exchange of waters originating from the adjacent Black and Mediterranean Seas for a given net transport. Steady-state hydraulic controls are demonstrated by densimetric Froude number calculations under layered flow approximations when corrections are applied to account for high velocity shears typically observed in the Bosphorus. Analyses of the model results reveal many observed features of the strait, including critical transitions at hydraulic controls and dissipation by turbulence and hydraulic jumps. It is found that the solution depends on initialization, especially with respect to the basin initial conditions. Significant differences between the controlled maximal-exchange and drowned solutions suggest that a detailed modeling implementation involving coupling with adjacent basins needs to take full account of the Bosphorus Strait in terms of the physical processes to be resolved.

[Revised act on organ transplantation: a pediatrician's viewpoint].

PubMed

Mizuguchi, Masashi

2010-06-01

In Japan, from July 2010, an infant or a child with brain death will be legally regarded as a candidate of donor for organ transplantation under the consent of his or her family members. Official diagnostic criteria of brain death in children are currently under compilation. The causes and incidence of brain death remarkably differ among individuals belonging to different age groups. Secondary brain damages resulting from asphyxia, drowning, hypoxemia, and cardiopulmonary arrest more commonly occur in childhood than in adulthood. Child abuse or neglect is suspected to be involved in many of the cases of brain death. The current Japanese diagnostic criteria hitherto used for adults require several modifications before these can be applied to infants and children. According to the requirements of the new act, abused or neglected infants and children must be excluded from the category of donor candidates. Neonates and young infants below 12 weeks of corrected age will also be excluded, because neurological diagnosis of brain death is difficult in these individuals.

Multiple nosocomial infections: a risk of modern intensive care.

PubMed

Leviten, D L; Shulman, S T

1980-03-01

Many components of modern medical care greatly predispose subjects to nosocomial infection. These include cancer chemotherapy, organ transplantation, immunosuppression, and intensive supportive care, particularly in conjunction with mechanical ventilatory support, invasive monitoring devices and prolonged central or peripheral intravenous therapy. The hazard of nosocomial infection associated with residence in a modern intensive care unit is dramatized by the case history of a near-drowning victim whose hospital course was complicated by an unusually large number and variety of nosocomial bacterial infections. Sixteen different bacterial organisms were isolated from cultures of blood, purulent thoracostomy tube drainage, or purulent tracheal secretions during the patient's prolonged hospital course. Factors which predisposed this patient to nosocomial infections included prolonged positive pressure mechanical ventilation, long-term broad spectrum antibiotics, indwelling arterial and central venous lines, violation of anatomic barriers by foreign bodies such as multiple thoracostomy tubes, and residence in an intensive care unit. This patient's case demonstrates that effective means to prevent nosocomial colonization and infection are urgently needed.

Coralgal reef morphology records punctuated sea-level rise during the last deglaciation.

PubMed

Khanna, Pankaj; Droxler, André W; Nittrouer, Jeffrey A; Tunnell, John W; Shirley, Thomas C

2017-10-19

Coralgal reefs preserve the signatures of sea-level fluctuations over Earth's history, in particular since the Last Glacial Maximum 20,000 years ago, and are used in this study to indicate that punctuated sea-level rise events are more common than previously observed during the last deglaciation. Recognizing the nature of past sea-level rises (i.e., gradual or stepwise) during deglaciation is critical for informing models that predict future vertical behavior of global oceans. Here we present high-resolution bathymetric and seismic sonar data sets of 10 morphologically similar drowned reefs that grew during the last deglaciation and spread 120 km apart along the south Texas shelf edge. Herein, six commonly observed terrace levels are interpreted to be generated by several punctuated sea-level rise events forcing the reefs to shrink and backstep through time. These systematic and common terraces are interpreted to record punctuated sea-level rise events over timescales of decades to centuries during the last deglaciation, previously recognized only during the late Holocene.

Accident frequency and unrealistic optimism: Children's assessment of risk.

PubMed

Joshi, Mary Sissons; Maclean, Morag; Stevens, Claire

2018-02-01

Accidental injury is a major cause of mortality and morbidity among children, warranting research on their risk perceptions. Three hundred and seven children aged 10-11 years assessed the frequency, danger and personal risk likelihood of 8 accidents. Two social-cognitive biases were manifested. The frequency of rare accidents (e.g. drowning) was overestimated, and the frequency of common accidents (e.g. bike accidents) underestimated; and the majority of children showed unrealistic optimism tending to see themselves as less likely to suffer these accidents in comparison to their peers, offering superior skills or parental control of the environment as an explanation. In the case of pedestrian accidents, children recognised their seriousness, underestimated the frequency of this risk and regarded their own road crossing skill as protection. These findings highlight the challenging task facing safety educators who, when teaching conventional safety knowledge and routines, also need to alert children to the danger of over-confidence without disabling them though fear. Copyright © 2017 Elsevier Ltd. All rights reserved.

The Ordovician Sebree Trough: An oceanic passage to the Midcontinent United States

USGS Publications Warehouse

Kolata, Dennis R.; Huff, W.D.; Bergstrom, Stig M.

2001-01-01

The Sebree Trough is a relatively narrow, shale-filled sedimentary feature extending for several hundred kilometers across the Middle and Late Ordovician carbonate platform of the Midcontinent United States. The dark graptolitic shales within the trough stand in contrast to the coeval bryozoan-brachiopod-echinodermrich limestones on the flanking platforms. We infer from regional stratal patterns, thickness and facies trends, and temporal relations established by biostratigraphy and K-bentonite stratigraphy that the Sebree Trough initially began to develop during late Turinian to early Chatfieldian time (Mohawkian Series) as a linear bathymetric depression situated over the failed late Precambrian-Early Cambrian Reelfoot Rift. Rising sea level and positioning of a subtropical convergence zone along the southern margin of Laurentia caused the rift depression to descend into cool, oxygen-poor, phosphate-rich oceanic waters that entered the southern reaches of the rift from the Iapetus Ocean. The trough apparently formed in a system of epicontinental estuarine circulation marked by a density-stratified water column. Trough formation was accompanied by cessation of carbonate sedimentation, deposition of graptolitic shales, development of hardground omission surfaces, substrate erosion, and local phosphogenesis. The carbonate platforms on either side of the trough are dominated by bryozoan-brachiopod-echinoderm grainstones and packstones that were deposited in zones of mixing where cool, nutrient-rich waters encountered warmer shelf waters. Concurrently, lime mudstone and wackestone were deposited shoreward (northern Illinois, Wisconsin, Iowa, Minnesota, Michigan) in warmer, more tropical shallow seas. Coeval upward growth of the flanking carbonate platforms sustained and enhanced development of the trough shale facies. Five widespread diachronous late Mohawkian and Cincinnatian omission surfaces are present in the carbonate facies of the Midcontinent. These surfaces include sub-Deicke K-bentonite, DSI; top of Black River Limestone, DS2; base and top of the Guttenberg Limestone Member of the Decorah Formation, DS3 and DS4; and top of the Trenton Limestone, DS5. Some of the surfaces correspond to previously described depositional sequence boundaries. All five surfaces, which embody deepening phases on top of high-stand-systems tracts, converge in the Sebree Trough, indicating that the trough was a long-lived feature and was the source of eutrophic waters that episodically spread across the adjacent platforms, terminating carbonate production. Late Turinian and early Chatfieldian incipient drowning episodes were followed by a final drowning event that began in the Sebree Trough during the late Chatfieldian (Climacograptus spiniferus Zone) and reached southernmost Minnesota and other regions far within the platform interior by Richmondian time (Amorphognathus ordovicicus Zone).

Rudist bivalve shells as palaeoenvironmental archive: assessing ecological boundary conditions of Barremian subtropical carbonate platform ecosystems

NASA Astrophysics Data System (ADS)

Huck, Stefan; Heimhofer, Ulrich

2013-04-01

Mid-Cretaceous shoal-water ecosystems have been proven to show characteristic response modes (microencruster blooms, carbonate platform drowning) to major climatic and environmental changes that finally culminated in so-called oceanic anoxic events (OAEs). During most OAEs, the widespread burial of unusual amounts of organic matter in pelagic basins caused a strong carbon-cycle perturbation, expressed as prominent positive carbon-isotope excursion. Stratigraphically, the Aptian OAE1a is marked by a well-defined carbon-isotope pattern (negative spike and subsequent positive anomaly). Judging from high-resolution chemostratigraphic (C, Sr) studies, the observed neritic response modes are diachronous in nature and certain biotic changes (orbitolinid-rich sediments, Lithocodium blooms, carbonate platform drowning) clearly predate the deposition of OAE1a black-shales. The perturbations observed in the neritic realm underline the previously quoted progressive nature of Late Barremian-Early Aptian environmental change. Considering the observed time lag between the earliest biotic perturbations and widespread oceanic anoxia, a volcanic scenario related to the release of large volumes of CO2 during the formation of the Ontong Java large igneous province seems at least likely. The aim of the current project is to reconstruct the evolution of carbonate platform ecosystems in the northern subtropical realm during the early onset of enhanced (submarine) volcanic activity. A Late Barremian carbonate platform succession (Sausset-les-Pins section), deposited on a proximal part of the Provence platform (Marseille area, SE France), has been investigated applying high-resolution chemostratigraphy and detailed sedimentological analysis. The 60-m thick section is composed of peloidal to bioclastic packstones and grainstones rich in rudist bivalves (Urgonian limestones sensu stricto) and subordinate mudstones and wackestones. In order to obtain information on the palaeoecological and palaeoenvironmental boundary conditions of this subtropical carbonate platform, we combine (i) an in-depth microfacies analysis based on 60 thin sections with (ii) a detailed geochemical analysis of rudist bivalve shells (Toucasia, Monopleura and Requienia). The outer (fibrous prismatic) low-Mg calcite shell layer of these rudists is relatively resistant against diagenetic alteration and therefore might serve both as chemostratigraphic (C + Sr) and palaeoenvironmental archive. Intra-shell (sclerochronological) variations in isotopic (δ18O, δ13C, clumped isotopes) and geochemical composition (Sr, Fe, Mn, Ba, Ca/Mg) will provide insights into seasonal (intra-annual) and long-term (Myr) palaeoclimatic and palaeoenvironmental changes. The outcome of this work will be of significance both for those studying the triggering factors of oceanic anoxic events and the palaeoecology of rudist bivalves.

An audit of the contribution to post-mortem examination diagnosis of individual analyte results obtained from biochemical analysis of the vitreous.

PubMed

Mitchell, Rebecca; Charlwood, Cheryl; Thomas, Sunethra Devika; Bellis, Maria; Langlois, Neil E I

2013-12-01

Biochemical analysis of the vitreous humor from the eye is an accepted accessory test for post-mortem investigation of cause of death. Modern biochemical analyzers allow testing of a range of analytes from a sample. However, it is not clear which analytes should be requested in order to prevent unnecessary testing (and expense). The means and standard deviation of the values obtained from analysis of the vitreous humor for sodium, potassium, chloride, osmolality, glucose, ketones (β-hydroxybutyrate), creatinine, urea, calcium, lactate, and ammonia were calculated from which the contribution of each analyte was reviewed in the context of post-mortem findings and final cause of death. For sodium 32 cases were regarded as high (more than one standard deviation above the mean), from which 9 contributed to post-mortem diagnosis [drowning (4), heat related death (2), diabetic hyperglycemia (2), and dehydration (1)], but 25 low values (greater than one standard deviation below the mean) made no contribution. For chloride 29 high values contributed to 4 cases--3 drowning and 1 heat-related, but these were all previously identified by a high sodium level. There were 29 high and 35 low potassium values, none of which contributed to determining the final cause of death. Of 22 high values of creatinine, 12 contributed to a diagnosis of renal failure. From 32 high values of urea, 18 contributed to 16 cases of renal failure (2 associated with diabetic hyperglycemia), 1 heat-related death, and one case with dehydration. Osmolarity contributed to 12 cases (5 heat-related, 4 diabetes, 2 renal failure, and 1 dehydration) from 36 high values. There was no contribution from 32 high values and 19 low values of calcium and there was no contribution from 4 high and 2 low values of ammonia. There were 11 high values of glucose, which contributed to the diagnosis of 6 cases of diabetic hyperglycemia and 21 high ketone levels contributed to 8 cases: 4 diabetic ketosis, 3 hypothermia, 3 ketosis of unknown cause, and 2 alcohol related deaths. A high lactate was identified in 25 cases, which contributed to 1 case with a diagnosis of metformin toxicity (1), but none of the 22 low lactate values contributed. The results of this audit have been used to reduce vitreous biochemistry test requests for sodium, osmolality, glucose, ketones, urea, and creatinine in most cases. Critical appraisal of each part of the post-mortem process should be undertaken to provide evidence to justify any investigative methods used in an autopsy.

Surfing or drowning? Student nurses' Internet skills.

PubMed

Bond, Carol S

2004-04-01

The ability to use the Internet is an essential skill for nursing students, both to support their studies, especially as nursing students spend a lot of their time in placements away from the university campus, and to support their development of skills in using what is becoming an increasingly essential tool for professionals. A study at Bournemouth University, England, found that new student nurses had poor Internet skills and were not frequent users prior to starting the course. No link was found between the students' ages and their Internet use or skills. A clear link was however found between ability and frequency of use, except in relationship to the students' ability to conduct an effective search. Almost half of the respondents said that they find far too much irrelevant information when searching for information on the Internet. Given the importance of Information and Technology skills to nurses, both as lifelong learners and as competent practitioners and to nursing students throughout their pre-registration education, the inclusion of a programme to ensure that they develop these skills during their pre-registration education is essential.

Lump Solutions and Interaction Phenomenon for (2+1)-Dimensional Sawada-Kotera Equation

NASA Astrophysics Data System (ADS)

Huang, Li-Li; Chen, Yong

2017-05-01

In this paper, a class of lump solutions to the (2+1)-dimensional Sawada-Kotera equation is studied by searching for positive quadratic function solutions to the associated bilinear equation. To guarantee rational localization and analyticity of the lumps, some sufficient and necessary conditions are presented on the parameters involved in the solutions. Then, a completely non-elastic interaction between a lump and a stripe of the (2+1)-dimensional Sawada-Kotera equation is obtained, which shows a lump solution is drowned or swallowed by a stripe soliton. Finally, 2-dimensional curves, 3-dimensional plots and density plots with particular choices of the involved parameters are presented to show the dynamic characteristics of the obtained lump and interaction solutions. Supported by the Global Change Research Program of China under Grant No. 2015CB953904, National Natural Science Foundation of China under Grant Nos. 11675054 and 11435005, Outstanding Doctoral Dissertation Cultivation Plan of Action under Grant No. YB2016039, and Shanghai Collaborative Innovation Center of Trustworthy Software for Internet of Things under Grant No. ZF1213

Analysis of bronchoalveolar lavage fluid (Balf) from patients with adult respiratory distress syndrome (ARDS)

DOE Office of Scientific and Technical Information (OSTI.GOV)

Henderson, R.F.; Baughman, R.P.; Waide, J.J.

1995-12-01

The pathogenesis of ARDS is largely unknown, but many factors are known to predispose one to ARDS: sepsis, aspiration of gastric contents, pneumonia, fracture, multiple transfusions, cardiopulmonary bypass, burn, dissemination intravascular coagulation, pulmonary contusion, near drowning, and pancreatitis. ARDS is characterized by severe hypoxemia, diffuse pulmonary infiltrates, and decreased pulmonary compliance. Current treatment methods still result in 50% mortality. Studies are underway at the University of Cincinnati to determine if treatment with a synthetic pulmonary surfactant, Exosurf{sup {reg_sign}} (contains dipalmitoyl phosphatidyl choline, Burroughs-Wellcome), improves the prognosis of these patients. BALF from these patients, before and after treatment, was analyzed tomore » determine if the treatment resulted in an increase in disaturated phospholipids (surfactant phospholipids) in the epithelial lining fluid and if the treatments reduced the concentration of markers of inflammation and toxicity in the BALF. This study indicates that the method of administering Exosurf{sup {reg_sign}} did not lead to an increase in surfactant lipid or protein in the bronchoalveolar region of the respiratory tract.« less

[Effect of hedgehog hydnum on the delay of fatigue in mice].

PubMed

Lu, Y H; Xin, C L; Zhou, Y F; Liu, X W; Chi, J W; Chang, X

1996-02-01

Two groups of mice were fed with either hedgehog hydnum powder or extract for sixty days. For the assay of fatigue, the activity of serum lactate dehydrogenase, the serum urea nitrogen content, blood lactic acid, hepatic and muscular glycogen, and the physical stamina of the mice were determined. The activity of serum lactate dehydrogenase and the hepatic and muscular glycogen content in the experimental mice were evidently higher than that in the control mice (P < 0.05 or P < 0.01). After exercise, the increase in blood lactic acid and serum urea nitrogen in the experimental mice was significantly lower than that in the control mice (P < 0.05 or P < 0.01), but the rate of elimination of blood lactic acid in the experimental mice was significantly higher than that in the control mice (P < 0.05). In the physical stamina swimming, the experimental mice drowned after a longer period of time than the control mice (P < 0.05). In conclusion hedgehog hydnum had a significant effect on raising physical stamina and delaying fatigue in mice.

The predictive value of childhood animal cruelty methods on later adult violence: examining demographic and situational correlates.

PubMed

Hensley, Christopher; Tallichet, Suzanne E; Dutkiewicz, Erik L

2012-04-01

The present study seeks to replicate Tallichet, Hensley, and Singer's research on childhood animal cruelty methods by using a sample of 180 male inmates surveyed at both medium- and maximum-security prisons in a southern state. The purpose of the current study was to first reexamine the relationship between demographic and situational factors and specific methods of childhood animal cruelty. Second, the correlation between an abuser's chosen method(s) of childhood animal cruelty on later recurrent acts of adult violent crimes was reinvestigated. Regression analyses revealed that respondents who engaged in frequent animal cruelty were more likely to have drowned, shot, kicked, or had sex with animals. Those who had grown up in urban areas and those who did not become upset after abusing animals were more likely to have kicked animals. Respondents who covered up their abuse were more likely to have had sex with animals. Sex with animals was the only method of childhood animal cruelty that predicted the later commission of adult violent crimes.

Babson, Bahnson, the DeWitts and the General Relativity Renaissance

NASA Astrophysics Data System (ADS)

Carter, Hamilton

2012-03-01

During the 1950s the efforts of an unlikely group composed of two colorful businessmen, a handful of physicists, and Air Force representatives helped to create a renaissance in general relativity research. Industrialist Agnew Bahson was an air conditioning magnate with connections to leading scientists, and the Air Force. In addition to his contribution to ``respectable'' physics, his life and death are shrouded in a cloak of UFO and anti-gravity conspiracy theories. Business theorist Roger Babson was driven to search for a solution to anti-gravity after first his sister and later his grandson drowned tragically as children. This presentation tells of the globe spanning, harrowing adventure of mountainside crashes, an international love affair, physicists masquerading as secretaries, the founding of Les Houches, the development of the first radar defense system and how Bahnson and Babson became benefactors of mainstream physics, leading to the creation of the Institute of Field Physics at the University of North Carolina Chapel Hill led by Cecile and Bryce DeWitt and ultimately to the groundbreaking research that predicted the Higgs boson.

Calpionellid distribution and microfacies across the Jurassic/ Cretaceous boundary in western Cuba (Sierra de los Órganos)

NASA Astrophysics Data System (ADS)

López-Martínez, Rafael; Barragán, Ricardo; Reháková, Daniela; Cobiella-Reguera, Jorge Luis

2013-06-01

A detailed bed-by-bed sampled stratigraphic section of the Guasasa Formation in the Rancho San Vicente area of the "Sierra de los Órganos", western Cuba, provides well-supported evidence about facies and calpionellid distribution across the Jurassic/Cretaceous boundary. These new data allowed the definition of an updated and sound calpionellid biozonation scheme for the section. In this scheme, the drowning event of a carbonate platform displayed by the facies of the San Vicente Member, the lowermost unit of the section, is dated as Late Tithonian, Boneti Subzone. The Jurassic/Cretaceous boundary was recognized within the facies of the overlying El Americano Member on the basis of the acme of Calpionella alpina Lorenz. The boundary is placed nearly six meters above the contact between the San Vicente and the El Americano Members, in a facies linked to a sea-level drop. The recorded calpionellid bioevents should allow correlations of the Cuban biozonation scheme herein proposed, with other previously published schemes from distant areas of the Tethyan Domain.

The implementation of vessel-sinking policy as an effort to protect indonesian fishery resources and territorial waters

NASA Astrophysics Data System (ADS)

Nurdin; Ikaningtyas; Kurniaty, Rika

2018-04-01

This study aims to analysis the effectiveness of foreign ship sinking policies to eradicate illegal, unreported, and unregulated (IUU) fishing. There are many foreign fishing vessels were detained due to IUU fishing in Indonesia`s exclusive economic zone (EEZ) waters, particularly in the Natuna and Anambas region. In combating illegal fishing, the government of the Republic of Indonesia take concrete actions in protecting marine potentials by sinking foreign vessel policies. In the last three years more than 300 foreign ships are drowned by Indonesian government. This study revealed that regulations concerning the act of sinking the vessel have been in existence since 2009 but lack of socialization. The Indonesian government’s policy regarding foreign-flagged vessel carrying out IUU fishing is regulated under Law Number 45 of 2009 on Fisheries, and internationally permitted with certain restrictions on conditions set forth in article 73 paragraph (3) of UNCLOS 1982. These policy is part of an effort to improve the deterrence effect of regional offenses that could harm and threaten the sovereignty of the state.

Compositional Discrimination of Decompression and Decomposition Gas Bubbles in Bycaught Seals and Dolphins

PubMed Central

Bernaldo de Quirós, Yara; Seewald, Jeffrey S.; Sylva, Sean P.; Greer, Bill; Niemeyer, Misty; Bogomolni, Andrea L.; Moore, Michael J.

2013-01-01

Gas bubbles in marine mammals entangled and drowned in gillnets have been previously described by computed tomography, gross examination and histopathology. The absence of bacteria or autolytic changes in the tissues of those animals suggested that the gas was produced peri- or post-mortem by a fast decompression, probably by quickly hauling animals entangled in the net at depth to the surface. Gas composition analysis and gas scoring are two new diagnostic tools available to distinguish gas embolisms from putrefaction gases. With this goal, these methods have been successfully applied to pathological studies of marine mammals. In this study, we characterized the flux and composition of the gas bubbles from bycaught marine mammals in anchored sink gillnets and bottom otter trawls. We compared these data with marine mammals stranded on Cape Cod, MA, USA. Fresh animals or with moderate decomposition (decomposition scores of 2 and 3) were prioritized. Results showed that bycaught animals presented with significantly higher gas scores than stranded animals. Gas composition analyses indicate that gas was formed by decompression, confirming the decompression hypothesis. PMID:24367623

Epilepsy.

PubMed

Devinsky, Orrin; Vezzani, Annamaria; O'Brien, Terence J; Jette, Nathalie; Scheffer, Ingrid E; de Curtis, Marco; Perucca, Piero

2018-05-03

Epilepsy affects all age groups and is one of the most common and most disabling neurological disorders. The accurate diagnosis of seizures is essential as some patients will be misdiagnosed with epilepsy, whereas others will receive an incorrect diagnosis. Indeed, errors in diagnosis are common, and many patients fail to receive the correct treatment, which often has severe consequences. Although many patients have seizure control using a single medication, others require multiple medications, resective surgery, neuromodulation devices or dietary therapies. In addition, one-third of patients will continue to have uncontrolled seizures. Epilepsy can substantially impair quality of life owing to seizures, comorbid mood and psychiatric disorders, cognitive deficits and adverse effects of medications. In addition, seizures can be fatal owing to direct effects on autonomic and arousal functions or owing to indirect effects such as drowning and other accidents. Deciphering the pathophysiology of epilepsy has advanced the understanding of the cellular and molecular events initiated by pathogenetic insults that transform normal circuits into epileptic circuits (epileptogenesis) and the mechanisms that generate seizures (ictogenesis). The discovery of >500 genes associated with epilepsy has led to new animal models, more precise diagnoses and, in some cases, targeted therapies.