Efficacy of first-line sodium thiosulphate administration in a case of potassium cyanide poisoning

Cyanide poisoning may occur following accidental fire-smoke inhalation or deliberate ingestion of salts. Hydroxocobalamin represents a first-line life-saving antidote. Although hydroxocobalamin represents a first-line lifesaving antidote, it is still not promptly available in the emergency department. Sodium thiosulfate can be administered in association with hydroxocobalamin whereas the delayed onset of clinical response makes sodium thiosulfate less suitable for emergency use. We describe a case of cyanide intoxication of a 43-year-old man who ingested an unknown amount of potassium cyanide, purchased via the Internet, in an attempted suicide. At admission to the emergency department, the patient presented GCS 3 with severe lactic acidosis. Orotracheal intubation, gastric lavage and oral activated charcoal were applied. Sodium thiosulfate was available in the emergency department and 10 grams were infused over a 30 minute period. Hydroxocobalamin was prescribed by the poison control centre and 5 grams were infused 2 hours after admission. Following sodium thiosulfate administration the patient was arousable and lactate concentration improved. No adverse effects were noted. Metabolic acidosis completely resolved 12 hours later. Cyanide concentration performed on blood samples collected at admission confirmed high cyanide blood levels (15 mg/L). This report highlights as the first-line administration of sodium thiosulfate, in rapid infusion, resulted effective and safe for cyanide poisoning. Our report suggests that sodium thiosulfate should be considered when hydroxocobalamin is not promptly available in an emergency settin

deterministic safety technology for rbmk reactors

The present paper deals with the description of the technical activities conducted within the TACIS Project R2.03/97, 2 EC Contract no. 30303, related to RBMK. The project activities are focused toward the setting-up of a chain of computational tools suitable for the analysis of transients expected in the RBMK nuclear power plant (NPP). The accident leading to the rupture of one pressure channel, with fuel melting or high temperature damage, creep and brittle failure of the pressure tube and of graphite bricks with possibility of rupture propagation, constitutes the reference scenario for the project. However, a series of expected scenarios has been selected to prove the capability of the individual codes or chains of code in simulating the envisaged phenomenology. The paper summarizes the activities performed at NIKIET in Moscow and at University of Pisa (UNIPI) in Pisa. A top-down approach is pursued in structuring the executive summary that includes the following sections: (i) the safety needed for the RBMK NPP, (ii) the roadmap, (iii) the adopted computational tools, (iv) key findings, (v) Emphasis is given to the multiple pressure tube rupture (MPTR) issue and the individual channel monitoring (ICM) proposal

CFD Code Validation against Stratified Air-Water Flow Experimental Data

Pressurized thermal shock (PTS) modelling has been identified as one of the most important industrial needs related to nuclear reactor safety. A severe PTS scenario limiting the reactor pressure vessel (RPV) lifetime is the cold water emergency core cooling (ECC) injection into the cold leg during a loss of coolant accident (LOCA). Since it represents a big challenge for numerical simulations, this scenario was selected within the European Platform for Nuclear Reactor Simulations (NURESIM) Integrated Project as a reference two-phase problem for computational fluid dynamics (CFDs) code validation. This paper presents a CFD analysis of a stratified air-water flow experimental investigation performed at the Institut de Mécanique des Fluides de Toulouse in 1985, which shares some common physical features with the ECC injection in PWR cold leg. Numerical simulations have been carried out with two commercial codes (Fluent and Ansys CFX), and a research code (NEPTUNE CFD). The aim of this work, carried out at the University of Pisa within the NURESIM IP, is to validate the free surface flow model implemented in the codes against experimental data, and to perform code-to-code benchmarking. Obtained results suggest the relevance of three-dimensional effects and stress the importance of a suitable interface drag modelling

Morphological Study of the Larval Spiracular System in Eight Lutzomyia Species (Diptera: Psychodidae)

The morphology of the spiracles of fourth instar larva in eight sandfly species were examined by light and scanning electron microscopy. Species studied were: Lutzomyia longipalpis (Lutz & Neiva), L. ovallesi (Ortiz), L. youngi Feliciangeli & Murillo, L. evansi (Nuñez-Tovar), L. trinidadensis (Newstead), L. migonei (França), L. absonodonta Feliciangeli, and L. venezuelensis (Floch & Abonnenc). In larvae of all eight species both thoracic and abdominal spiracles are located at the top of a globular bulge. Their structure consists of a spiracular plate with a sclerotized central portion and a rose-like peripheral portion. The latter has circularly arranged papillae, separated from each other by elongated septa. Each papilla is longitudinally crossed by a fine cleft dividing it into two identical parts. The taxonomic and adaptative value of spiracular morphology is discusse

Grotta Romanelli (Southern Italy, Apulia). Legacies and issues in excavating a key site for the Pleistocene of the Mediterranean

Grotta Romanelli, located on the Adriatic coast of southern Apulia (Italy), is considered a key site for the Mediterranean Pleistocene for its archaeological and palaeontological contents. The site, discovered in 1874, was re-evaluated only in 1900, when P. E. Stasi realised that it contained the first evidence of the Palaeolithic in Italy. Starting in 1914, G. A. Blanc led a pioneering excavation campaign, for the first-time using scientific methods applied to systematic palaeontological and stratigraphical studies. Blanc proposed a stratigraphic framework for the cave. Different dating methods (C-14 and U/Th) were used to temporally constrain the deposits. The extensive studies of the cave and its contents were mostly published in journals with limited distribution and access, until the end of the 1970s, when the site became forgotten. In 2015, with the permission of the authorities, a new excavation campaign began, led by a team from Sapienza University of Rome in collaboration with IGAG CNR and other research institutions. The research team had to deal with the consequences of more than 40 years of inactivity in the field and the combined effect of erosion and legal, as well as illegal, excavations. In this paper, we provide a database of all the information published during the first 70 years of excavations and highlight the outstanding problems and contradictions between the chronological and geomorphological evidence, the features of the faunal assemblages and the limestone artefacts

Effects of Acetyl-L-Carnitine on Oxidative Stress in Amyotrophic Lateral Sclerosis Patients: Evaluation on Plasma Markers and Members of the Neurovascular Unit

Oxidative stress, the alteration of mitochondrial function, and the neurovascular unit (NVU), play a role in Amyotrophic Lateral Sclerosis (ALS) pathogenesis. We aimed to demonstrate the changes in the plasma redox system and nitric oxide (NO) in 32 new ALS-diagnosed patients in treatment with Acetyl-L-Carnitine (ALCAR) compared to healthy controls. We also evaluated the effects of plasma on human umbilical cord-derived endothelial vascular cells (HUVEC) and astrocytes. The analyses were performed at the baseline (T0), after three months (T1), and after six months (T2). In ALS patients at T0/T1, the plasma markers of lipid peroxidation, thiobarbituric acid reactive substances (TBARS) and 4-hydroxy nonenal (4-HNE) were higher, whereas the antioxidants, glutathione (GSH) and the glutathione peroxidase (GPx) activity were lower than in healthy controls. At T2, plasma TBARS and 4-HNE decreased, whereas plasma GSH and the GPx activity increased in ALS patients. As regards NO, the plasma levels were firmly lower at T0–T2 than those of healthy controls. Cell viability, and mitochondrial membrane potential in HUVEC/astrocytes treated with the plasma of ALS patients at T0–T2 were reduced, while the oxidant release increased. Those results, which confirmed the fundamental role of oxidative stress, mitochondrial function, and of the NVU in ALS pathogenesis, can have a double meaning, acting as disease markers at baseline and potential markers of drug effects in clinical practice and during clinical trial

Tactile mapping of harsh, constrained environments, with an application to oil wells

Thesis (Ph. D.)--Massachusetts Institute of Technology, Dept. of Mechanical Engineering, 2011.Cataloged from PDF version of thesis.Includes bibliographical references (p. [110]-114).This work develops a practical approach to explore rough environments when time is critical. The harsh environmental conditions prevent the use of range, force/torque or tactile sensors. A representative case is the mapping of oil wells. In these conditions, tactile exploration is appealing. In this work, the environment is mapped tactilely, by a manipulator whose only sensors are joint encoders. The robot autonomously explores the environment collecting few, sparse tactile data and monitoring its free movements. These data are used to create a model of the surface in real time and to choose the robot's movements to reduce the mapping time. First, the approach is described and its feasibility demonstrated. Real-time impedance control allows a robust robot movement and the detection of the surface using a manipulator mounting only position sensors. A representation based on geometric primitives describes the surface using the few, sparse data available. The robustness of the method is tested against surface roughness and different surrounding fluids. Joint backlash strongly affect the robot's precision, and it is inevitable because of the thermal expansion in the joints. Here, a new strategy is developed to compensate for backlash positioning errors, by simultaneously identifying the surface and the backlash values. Second, an exploration strategy to map a constraining environment with a manipulator is developed. To maximize the use of the acquired data, this work proposes a hybrid approach involving both workspace and configuration space. The amount of knowledge of the environment is evaluated with an approach based on information theory, and the robot's movements are chosen to maximize the expected increase of such knowledge. Since the robot only possesses position sensors, the location along the robot where contact with the surface occurs cannot be determined with certainty. Thus a new approach is developed, that evaluates the probability of contact with specific parts of the robot and classifies and uses the data according to the different types of contact. This work is validated with simulations and experiments with a prototype manipulator specifically designed for this application.by Francesco Mazzini.Ph.D

Spreading and accumulation of river-borne sediments in the coastal ocean after the environmental disaster at the Doce River in Brazil

This study is focused on the fate of a large volume of mine slurry discharged from the Doce River (DR) to the coastal ocean after the worst environmental disaster in Brazilian which occurred in November 2015. We used Eulerian (ROMS) and Lagrangian (STRiPE) numerical models, as well as satellite remote sensing data, to study the spreading and seafloor accumulation of fine river-borne sediments during the initial six months following the disaster. We show that the regions of intense sediment accumulation were determined by spreading patterns of the surface-advected DR plume. The river discharge rate governed the plume surface area, while its position depended on local wind forcing conditions. The spreading of sediments carried by the DR plume was dominated by southward transport caused by prevailing upwelling-favorable northeasterly winds during the study period. Under high discharge conditions, river-borne sediments were transported over 100 km southward from the DR mouth and reached the outer shelf. In contrast, sediments were arrested near the mouth during drought periods and remained on the inner shelf. As a result, fine river-borne sediments accumulated on the seafloor, mainly in the large shallow shelf area southward from the DR mouth. Conversely, only a small fraction of residue was deposited northward. Thus, the Environmental Protection Area (EPA) of Costa das Algas, located 40 km southward from the DR, potentially exhibited more susceptibility to sediment arrival. On the other hand, their influence on Abrolhos Marine National Park, located 200 km northeastward from the DR mouth, was presumably minimal