Design and validation of a practical index for trauma assessment

In the past 20 years a variety of indices have been suggested for measuring the severity of trauma, however none of them meets the requirement of being a simple and objective instrument that can be utilized efficiently by lay persons and providers of health services without previous experience in triaging. A new system has been proposed which meets this requirement and which has been validated with 197 injured persons at the emergency ward of the Valle University Hospital in Call, Colombia. The instrument showed a high level of concordance with the conventional triaging method and classifies victims into four categories: critical with recovery unlikely, critical but recoverable, moderately serious, and ambulatory. There is discussion on the reliability of this instrument and it is recommended that it be validated with victims from larger disasters. Regardless, it has the advantage of being specific and free of the subjectivity that characterizes other indices.     

Training refugees as primary health care workers: Past imperfect, future conditional

Many problems have been encountered in the planning and implementation of health care in refugee camps, and more specifically in the training of refugees as primary health care workers. A review of the published literature and a "survey" of the opinions and experiences of refugee, national and international health personnel regarding training has therefore been undertaken to provide an overview of what has been done and to make recommendations for future work.
The review highlights the need to reallocate resources away from high visibility emergency aid to development activities, such as training, that will create an infrastructure for primary health care and promote self-reliance.     

Assessment of uncertainty of NO2 measurements by the chemiluminescence method and discussion of the quality objective of the NO2 European Directive

Hereafter, an assessment of the ability of the chemiluminescence method to measure ambient NO2 with an accuracy within 15%, as requested by the data quality objective of European directive 1999/30/CE, is presented. In general, uncertainty is evaluated using the response to reference materials or by means of inter-comparisons used to determine some statistics like repeatability, reproducibility and calibration bias. These are incomplete approaches and the method of the Guide to the Expression of Uncertainty in Measurement, advised by the Directive, should be preferred. In fact, even if it requires a large data set, it allows the relative influence of all possible sources of uncertainty to be studied. The extent of NO2 uncertainty is mainly dependent on the level of NO. It is decreased by NOx and the correlation between NOx and NO. Furthermore, the uncertainty budget reveals that the contribution of accuracy of calibration standard, linearity, converter efficiency and drift of the analyser between calibration checks to the overall uncertainty is less important than the contribution of interference, mainly humidity and PAN in rural areas. The relative expanded uncertainty of the NO2 hourly average exceeds 30% for NO2 concentrations lower than 40 microg m(-3). Nevertheless, the data quality objective of 15% is reached for 200 microg m(-3), the hourly limit value of the European directive. On the contrary, at the limit value on the annual average, 40 microg m(-3), the data quality objective is not met if NO is higher than 100 microg m(-3). However, the data quality objective could be reached by correcting the measurements with the bias due to interference.     

The distribution of molybdenum in the tissues of wild ducks

The Mo contents and the relations between Mo and Cu or Crcontents were investigated in the organs of Japanese wild ducks(spotbill duck, pintail, wigeon, scaup and tufted duck). Thehighest Mo content in kidney and liver of the dabbling duckswere more than 30 g g^-1 dry weight (g g^-1 d.wt.), though that of diving ducks were less than 11 gg^-1 d. wt. The contents were lower in the ducks migratingwithin Japan, Eurasia and North America than those in the birdsmigrating between Japan and Eurasia. The contents of liver inall species were more than 50 and less than 5 g g^-1 d.wt. for Cu and Cr, respectively. Significant correlations werefound between Mo and both elements in pintail and scaup, and Moand Cr in tufted duck. These results suggest that thecontamination of wild ducks reflects the reproductive area, andnot the collected area. Mo contents closely correlated with theCu and/or Cr contaminations.     

Mobilization of aluminium and deposition on fish gills during sea salt episodes--catchment liming as countermeasure

Episodic events may be critical with respect to aluminium (Al) toxicity in moderately acidified salmon rivers. The present work demonstrates that sea salt episodes enhance the toxicity of Al in acidic rivers. The documented sea salt episode (300 [micro sign]M Cl) mobilized positively charged Al species (0.4 to 1.1 [micro sign]M Al(i)), enhanced the Al accumulation on fish gills (0.9 to 10 [micro sign]mol g(-1) dw) and caused increased stress responses (6 to15 mM blood glucose) in fish. Accumulated Al on gills remained high several days after the episode. The presented results are based on a six-week field study in two tributary rivers on the west coast of Norway. Changes in the river water qualities and Al speciation were followed using in situ fractionation techniques. Al accumulation on gills and stress responses were followed for Atlantic salmon (Salmo salar) kept in tanks continually exposed to the changing water quality. The potential mobilization of Al from the two catchments was studied by extracting soils with diluted seawater (salinity of 3). To counteract Al toxicity, one of the tributary catchments has been limed. The potential mobility of Al by sea salt was lower in limed soils compared to acid soils, and the Al deposition on fish gills (<3.5 [micro sign]mol g(-1) dw) and associated stress responses stayed low during the sea salt episode in the river draining the limed catchment. Thus, for acid river systems in coastal areas, catchment liming should be considered as a useful countermeasure for Al toxicity.     

Suggested protocol for collecting, handling and preparing peat cores and peat samples for physical, chemical, mineralogical and isotopic analyses

For detailed reconstructions of atmospheric metal deposition using peat cores from bogs, a comprehensive protocol for working with peat cores is proposed. The first step is to locate and determine suitable sampling sites in accordance with the principal goal of the study, the period of time of interest and the precision required. Using the state of the art procedures and field equipment, peat cores are collected in such a way as to provide high quality records for paleoenvironmental study. Pertinent field observations gathered during the fieldwork are recorded in a field report. Cores are kept frozen at -18 degree C until they can be prepared in the laboratory. Frozen peat cores are precisely cut into 1 cm slices using a stainless steel band saw with stainless steel blades. The outside edges of each slice are removed using a titanium knife to avoid any possible contamination which might have occurred during the sampling and handling stage. Each slice is split, with one-half kept frozen for future studies (archived), and the other half further subdivided for physical, chemical, and mineralogical analyses. Physical parameters such as ash and water contents, the bulk density and the degree of decomposition of the peat are determined using established methods. A subsample is dried overnight at 105 degree C in a drying oven and milled in a centrifugal mill with titanium sieve. Prior to any expensive and time consuming chemical procedures and analyses, the resulting powdered samples, after manual homogenisation, are measured for more than twenty-two major and trace elements using non-destructive X-Ray fluorescence (XRF) methods. This approach provides lots of valuable geochemical data which documents the natural geochemical processes which occur in the peat profiles and their possible effect on the trace metal profiles. The development, evaluation and use of peat cores from bogs as archives of high-resolution records of atmospheric deposition of mineral dust and trace elements have led to the development of many analytical procedures which now permit the measurement of a wide range of elements in peat samples such as lead and lead isotope ratios, mercury, arsenic, antimony, silver, molybdenum, thorium, uranium, rare earth elements. Radiometric methods (the carbon bomb pulse of (14)C, (210)Pb and conventional (14)C dating) are combined to allow reliable age-depth models to be reconstructed for each peat profile.     

Water Quality Evaluation and Trend Analysis in Selected Watersheds of the Atlantic Region of Canada

Water quality indices (WQIs) have been developed to assess the suitability of water for a variety of uses. These indices reflect the status of water quality in lakes, streams, rivers, and reservoirs. The concept of WQIs is based on a comparison of the concentration of contaminants with the respective environmental standards. The number, frequency, and magnitude by which the environmental standards for specific variables are not met in a given time period are reflected in WQIs. Further, the water quality trend analysis predicts the behavior of the water quality parameters and overall water quality in the time domain. In this paper, the concept of WQI was applied to three selected watersheds of Atlantic region: the Mersey River, the Point Wolfe River, and the Dunk River sites. To have robust study, two different water quality indices are used: Canadian Water Quality Index (CWQI), and British Columbia Water Quality Index (BWQI). The complete study was conducted in two steps. The first step was to organize and process the data into a format compatible with WQI analysis. After processing the input data, the WQI was calculated. The second step outlined in the paper discusses detailed trend analysis using linear and quadratic models for all the three sites. As per the 25 years trend analysis, overall water quality for agriculture use observed an improving trend at all the three sites studied. Water quality for raw water used for drinking (prior to treatment) and aquatic uses has shown improving trend at Point Wolfe River. It is further observed that pH, SO₄, and NO₃ concentrations are improving at Dunk River, Mersey River, and Point Wolfe River sites. To ascertain the reliability and significance of the trend analysis, a detailed error analysis and parametric significance tests were also conducted It was observed that for most of the sites and water uses quadratic trend models were a better fit than the linear models.     

Photocatalytic degradation of phenol

In this study photocatalytic degradation of phenol in thepresence of UV irradiated TiO₂ catalyst andH₂O₂was investigated. Effects of TiO₂ andH₂O₂concentrations and pH on photocatalytic degradation were examined. The rate constants for photocatalytic degradation wereevaluated as a function of TiO₂ and H₂O₂ concentrations and pH of the solution. It was found thatphotodegradation is an effective method for the removal of phenoland disappearance of phenol obeyed first order kinetics. The amount of CO₂h produced during photocatalytic degradation wascorresponding to the complete mineralization. Photodegradationcan be an alternative method for the treatment of phenol containing wastewaters.     

Competitive Retention of Lead and Cadmium on an Agricultural Soil

Lead and cadmium contamination of an agricultural soil has been studied using batch and column experiments. Thermodynamics of theretention phenomena may be represented by a Langmuir isotherm foran aqueous metal concentration up to 100 mg L^-1. First order kinetics with respect to the solid phase yield good predictabilityfor both batch and column experiments. Kinetics and thermodynamics of lead retention predominate over those ofcadmium. As a consequence, lead is preferentially retainedand can even displace sorbed cadmium. In the event of anspill involving both metals, cadmium would move further inthe soil and its aqueous concentration downstream could beeven higher than that of the influent solution, increasingpotential risks. A two-region model has been used to fit all the experimental results. Satisfactory predictions for column experiments are obtained with parameters which are consistent with those obtained for the batch experiments, for which sorption is described by a Langmuir isotherm including competitive retention.