Fall-related traumatic brain injury deaths and hospitalizations among older adults--United States, 2005

PROBLEM: Among older adults, both unintentional falls and traumatic brain injuries (TBI) result in significant morbidity and mortality; however, only limited national data on fall-related TBI are available. METHOD: To examine the relationship between older adult falls and TBI deaths and hospitalizations, CDC analyzed 2005 data from the National Center for Health Statistics' National Vital Statistics System and the Agency for Healthcare Research and Quality's Nationwide Inpatient Sample. RESULTS: In 2005, among adults>or=65 years, there were 7946 fall-related TBI deaths and an estimated 56,423 hospitalizations for nonfatal fall-related TBI in the United States. Fall-related TBI accounted for 50.3% of unintentional fall deaths and 8.0% of nonfatal fall-related hospitalizations. SUMMARY: These findings underscore the need for greater dissemination and implementation of evidence-based fall prevention interventions.     

苯醚甲环唑对斑马鱼抗氧化酶的影响

以斑马鱼为模式生物研究了三唑类杀菌剂苯醚甲环唑对斑马鱼脑和肝脏中超氧化物歧化酶(SOD)、过氧化氢酶(CAT)、谷胱甘肽过氧化物酶(GPx)和谷胱甘肽还原酶(GR)四种抗氧化酶活性的影响.结果发现:苯醚甲环唑暴露后,斑马鱼脑中CAT酶活性随暴露时间延长呈现出先升高后降低的趋势.50μg/L及更高浓度的苯醚甲环唑能够显著抑制斑马鱼脑和肝脏中GPx的活性,且对脑中GPx活性的抑制程度更强.另外,500μg/L苯醚甲环唑处理后,斑马鱼肝脏和脑中GR活性表现出不同的变化趋势,肝脏中GR活性下降,而脑中GR活性升高.上述结果表明50μg/L的苯醚甲环唑即可影响斑马鱼的抗氧化系统,其对农业水域中的鱼类影响值得重视.     

Protective action of zinc against lead poisoning in tilapia Oreochromis niloticus

The accumulation of lead (Pb) in tilapias Oreochromis niloticus, acclimatized in cement tanks, and fed once a day with pellets of commercial food with lead nitrate, was investigated by square wave anodic stripping voltammetry (SWV). The head (including head bones, proteins, and brain) was the main target of lead uptake by tilapias, with a small amount in muscle tissue. A high concentration of Pb was found in feces which indicated low absorption by the organism when fed with high Pb concentration. The protective effects of zinc (Zn) against the Pb poisoning, the accumulation of Pb in the heads of the fishes of 107.8?±?3.1?mg?kg^?1 and in the viscera of 57.1?±?2.9?mg?kg^?1 with consequent decrease of calcium (Ca) concentration, were observed. In spite of the experimental time of 16 months and higher Pb concentration in the dietary food of 320?mg?kg^?1, no death of tilapias was observed due to the protective action of Zn.     

二嗪磷对鸟类脑组织乙酰胆碱酯酶活性的影响

为了初步研究有机磷农药二嗪磷对鸟类的毒性作用,采用室内饲喂染毒的方法,分析了二嗪磷对鹌鹑、鹧鸪及斑鸠3种鸟脑组织乙酰胆碱酯酶(AChE)活性的影响。鹌鹑、鹧鸪采用经食饲喂,染毒剂量分别为0、40、80、160、320、600mg·kg-1饲料和0、400、800、1600、3200、6000mg·kg-1饲料,试验周期8d;斑鸠采用拌种饲喂(1mL50%二嗪磷乳油拌500g麦种),染毒剂量为0、1.2、2.0、4.0、8.0mg·kg-1体重,一次性染毒后进行常规饲养,试验周期15d。结果表明,二嗪磷对3种鸟脑组织AChE活性均有一定程度的抑制作用:各染毒组死亡鸟AChE活性较对照降低显著(p<0.05,p<0.01),活性抑制率均超过40%;各染毒组存活鸟AChE活性较对照也有所降低,但活性抑制率均未超过20%.以上结果提示,抑制脑组织AChE活性可能是二嗪磷致鸟类死亡的重要原因。     

Impact of helmet use on traumatic brain injury from road traffic accidents in Cambodia

Objective: Rapid urbanization and motorization without corresponding increases in helmet usage have made traumatic brain injury due to road traffic accidents a major public health crisis in Cambodia. This analysis was conducted to quantify the impact of helmets on severity of injury, neurosurgical indication, and functional outcomes at discharge for motorcycle operators who required hospitalization for a traumatic brain injury following a road traffic accident in Cambodia.

Methods: The medical records of 491 motorcycle operators who presented to a major tertiary care center in Cambodia with traumatic brain injury were retrospectively analyzed using multivariate logistic regression.

Results: The most common injuries at presentation were contusions (47.0%), epidural hematomas (30.1%), subdural hematomas (27.9%), subarachnoid hemorrhages (12.4%), skull fractures (21.4%), and facial fractures (18.5%). Moderate-to-severe loss of consciousness was present in 36.3% of patients. Not wearing a helmet was associated with an odds ratio of 2.20 (95% confidence interval [CI], 1.15–4.22) for presenting with moderate to severe loss of consciousness compared to helmeted patients. Craniotomy or craniectomy was indicated for evacuation of hematoma in 20.0% of cases, and nonhelmeted patients had 3.21-fold higher odds of requiring neurosurgical intervention (95% CI, 1.25–8.27). Furthermore, lack of helmet usage was associated with 2.72-fold higher odds of discharge with functional deficits (95% CI, 1.14–6.49). In total, 30.1% of patients were discharged with severe functional deficits.

Conclusions: Helmets demonstrate a protective effect and may be an effective public health intervention to significantly reduce the burden of traumatic brain injury in Cambodia and other developing countries with increasing rates of motorization across the world.     

Racial disparities in parent knowledge of concussion and recognition of signs and symptoms

Introduction: Concussion is a type of traumatic brain injury that can be sustained through participation in different sports. It is important that a parent be able to identify common and uncommon symptoms of a concussion to ensure the safety and good health of their child. The purpose of this study was to compare knowledge of concussion scores among White and African American parents and guardians. Methodology: This cross-sectional study consisted of a single survey of 53 questions that was given to parents/guardians of high school athletes at a preseason parent meeting. Parent and guardian knowledge of concussion was assessed through a series of 45 questions. Participants were asked to correctly identify signs and symptoms of concussion, answer questions regarding the anatomy of a concussion (i.e. a concussion is an injury to the brain), answer true/false questions about general concussion knowledge, select from a list the consequences of multiple concussions and select from a list the consequences of returning to play too soon from a concussion. Knowledge of concussion was calculated by summing correct responses for the 45 knowledge questions. Racial differences were calculated using an ANCOVA, controlling for socioeconomic school type. The statistical significance level was set a priori p ≤ 0.05 for all analyses. Results: Participants of this study consisted of 176 [115 (65.3%) White, 61 (34.7%) African American] parents/guardians of high school athletes. Significant differences in knowledge of concussion scores between White parents/guardians [38.50 ± 4.55 (85.6% correct)], and African American parents/guardians [35.15 ± 4.97, 78.1% correct)] were identified (F_(1,172) = 4.82, p = 0.03). Conclusion: Knowledge of concussion disparities exist between African American and White parents/guardians. This disparity could cause complications from concussion to surface among children and adolescents participating in sport as their parents/guardians may not be able to correctly identify the signs and symptoms in order to seek proper medical care. Practical Application: Findings from this study highlight quantitative differences in concussion knowledge of parents from different demographics. These findings underline disparities and inequities in access to concussion-health resources that need to be addressed.     

Impact of environmental concentrations of beta-cypermethrin on the antioxidant system in the brain and liver of zebrafish (Danio rerio)

Beta-cypermethrin (beta-CYP) is a widely used pyrethroid pesticide, the extensive application of which may potentially cause damage to non-target organisms. To investigate the effect of beta-CYP on the antioxidant system of aquatic animals, adult zebrafish were exposed to environmentally relevant dosages (0.01, 0.1 and 1.0 μg/L) of beta-CYP. The activities of four antioxidant enzymes in zebrafish liver and brain tissue were tested after 7, 15 and 30 days of exposure. Our results showed that exposure of beta-CYP could induce different levels of increase in hepatic superoxide dismutase (SOD), catalase (CAT), glutathione reductase (GR) and glutathione peroxidase (GPx) activities at 7 and 15 days post exposure (dpe), but caused apparent inhibition of hepatic SOD, GR and GPx activities at 30 dpe. Unlike in liver tissue, SOD and CAT activities in zebrafish brain did not show any apparent response to beta-CYP during the whole treatment period. In addition, increased brain GPx activities were observed at 7 and 30 dpe.     

Histopathological impact of industrial wastewater on the vital organs of Oreochromis mossambicus

The acute toxicity of paper mill wastewater to Oreochromis mossambicus was investigated with the lethal concentration (LC50) value 6.5% for 96?h exposure. This concentration was used as a baseline to study the effects of paper mill effluent on histopathological changes in gills, liver, kidney, and brain of fish. In the gills, filament cell proliferation, cellular infiltration, hemorrhage, and epithelial lifting were observed. In the liver, vacuolation of hepatocytes and necrosis were noted. In kidney, exfoliation and swollen with pyknotic nuclei were identified. Similarly, the brain also showed enlarged pyramidal cells, binucleated nuclei, vacoulation, and necrosis. These changes occurred predominantly in 21days following exposure of fish to the industrial waste water. Paper mill wastewater was found to be highly toxic to fish.     

Assessment of the neurotoxicity of intramuscular artemether in mice

Artemether has been shown to be a very reliable antimalarial drug particularly because of its potency against multidrug resistant strain of malaria parasite; however, there is concern about its potential toxic effects. This study was designed to evaluate the neurotoxic effect of artemether using a mouse model. The photomicrographs of brains of the mice in the different artemether treated groups showed neurodegeneration. This observation is an indication that artemether may be neurotoxic in mice.     

Repeated-dose toxicity attributed to aluminum nanoparticles following 28-day oral administration,particularly on gene expression in mouse brain

Nanotechnology is a rapidly growing industry that has elicited much concern due to the lack of available toxicity data. Aluminum oxide nanoparticles (AlNP) were listed as a high-priority group in the Organization for Economic Co-operation and Development (OECD) Steering Group for Test Guidelines. In this study, AlNP 35 ± 18.8 nm in size were administered daily at doses of 15, 30, or 60 mg k^?1 for 28 days. A significant decrease in white blood cells (WBC), neutrophils, lymphocytes, and monocytes was observed in the group treated with 60 mg kg^?1 of AlNP, accompanied by a significant increase in platelets. The concentration of aluminum (Al) rose significantly in the thymus, lung, and brain of the group treated with 60 mg kg^?1 of AlNP. However, no significant changes in histopathology were observed. The expression for feeding behavior, energy expenditure, and neurodegeneration-related genes were up-regulated more than twofold by 60 mg kg^?1 AlNP. Consequently, data suggest that exposure to AlNP may result in adverse health effects, including but not limited to growth inhibition, immunosuppression, and neurodegeneration.