Optimization of Nonambulant Mass Casualty Decontamination Protocols as Part of an Initial or Specialist Operational Response to Chemical Incidents

© 2018 The Author(s). Published with license by Taylor & Francis.© 2018 Robert P. Chilcott, Hannah Mitchell, Hazem Matar. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-ncnd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.Objective: The UK's Initial Operational Response (IOR) is a new process for improving the survival of multiple casualties following a chemical, biological, radiological or nuclear incident. Whilst the introduction of IOR represents a patient-focused response for ambulant casualties, there is currently no provision for disrobe and dry decontamination of nonambulant casualties. Moreover, the current specialist operational response (SOR) protocol for nonambulant casualty decontamination (also referred to as “clinical decontamination”) has not been subject to rigorous evaluation or development. Therefore, the aim of this study was to confirm the effectiveness of putatively optimized dry (IOR) and wet (SOR) protocols for nonambulant decontamination in human volunteers. Methods: Dry and wet decontamination protocols were objectively evaluated using human volunteers. Decontamination effectiveness was quantified by liquid chromatography–mass spectrometry analysis of the recovery of a chemical warfare agent simulant (methylsalicylate) from skin and hair of volunteers, with whole-body fluorescence imaging to quantify the skin distribution of residual simulant. Results: Both the dry and wet decontamination processes were rapid (3 and 4 min, respectively) and were effective in removing simulant from the hair and skin of volunteers, with no observable adverse effects related to skin surface spreading of contaminant. Conclusions: Further studies are required to assess the combined effectiveness of dry and wet decontamination under more realistic conditions and to develop appropriate operational procedures that ensure the safety of first responders.Peer reviewe

Droplets displacement and oscillations induced by ultrasonic surface acoustic waves: a quantitative study

We present an experimental study of a droplet interacting with an ultrasonic surface acoustic wave (SAW). Depending on the amplitude of the wave, the drop can either experience an internal flow with its contact-line pinned, or (at higher amplitude) move along the direction of the wave also with internal flow. Both situations appear together with oscillations of the drop free-surface. The physical origins of the internal mixing flow as well as the drop displacement and surface waves are still not well understood. In order to give insights of the underlying physics involved in these phenomena, we carried out an experimental and numerical study. The results suggest that the surface deformation of the drop can be related as a combination between acoustic streaming effect and radiation pressure inside the drop.Comment: 9 pages, 14 figures. To appear in Physical Review

Electronic and Magnetic Properties of Fe 2

The electronic and magnetic properties of the nitrides Fe2N and hypothetical FeN were investigated by use of the ASW method. For both nitrides, the calculations were done in the orthorhombic structure of Fe2N for the two nitrides. The magnetization is low (0.95 μB/at.) for Fe2N and vanishes for FeN. The decrease of the magnetization with increasing amount of N is assessed within the Fe-N system in a model derived from a Slater-Pauling type behavior. Accordingly, a trend from weak to strong ferromagnetism is suggested

Hybrid in vitro diffusion cell for simultaneous evaluation of hair and skin decontamination: temporal distribution of chemical contaminants

Most casualty or personnel decontamination studies have focused on removing contaminants from the skin. However, scalp hair and underlying skin are the most likely areas of contamination following airborne exposure to chemicals. The aim of this study was to investigate the interactions of contaminants with scalp hair and underlying skin using a hybrid in vitro diffusion cell model. The in vitro hybrid test system comprised “curtains” of human hair mounted onto sections of excised porcine skin within a modified diffusion cell. The results demonstrated that hair substantially reduced underlying scalp skin contamination and that hair may provide a limited decontamination effect by removing contaminants from the skin surface. This hybrid test system may have application in the development of improved chemical incident response processes through the evaluation of various hair and skin decontamination strategies.Peer reviewedFinal Published versio

High Pressure X-Ray Diffraction Study of UMn2Ge2

Uranium manganese germanide, UMn2Ge2, crystallizes in body-centered tetragonal ThCr2Si2 structure with space group I4/mmm, a = 3.993A and c = 10.809A under ambient conditions. Energy dispersive X-ray diffraction was used to study the compression behaviour of UMn2Ge2 in a diamond anvil cell. The sample was studied up to static pressure of 26 GPa and a reversible structural phase transition was observed at a pressure of ~ 16.1 GPa. Unit cell parameters were determined up to 12.4 GPa and the calculated cell volumes were found to be well reproduced by a Murnaghan equation of state with K0 = 73.5 GPa and K' = 11.4. The structure of the high pressure phase above 16.0 GPa is quite complicated with very broad lines and could not be unambiguously determined with the available instrument resolution

The stability of slowly evaporating thin liquid films of binary mixtures

We consider the evaporation of a thin liquid layer which consists of a binary mixture of volatile liquids. The mixture is on top of a heated substrate and in contact with the gas phase that consists of the same vapour as the binary mixture. The effect of thermocapillarity, solutocapillarity and the van der Waals interactions are considered. We derive the long-wave evolution equations for the free interface and the volume fraction that govern the two-dimensional stability of the layer subject to the above coupled mechanisms and perform a linear stability analysis. Our results demonstrate two modes of instabilities, a monotonic instability mode and an oscillatory instability mode. We supplement our results from stability analysis with transient simulations to examine the dynamics in the nonlinear regime and analyse how these instabilities evolve with time. More precisely we discuss how the effect of relative volatility along with the competition between thermal and solutal Marangoni effect defines the mode of instability that develops during the evaporation of the liquid layer due to preferential evaporation of one of the components.Comment: 19 page

Regulatory T cells but not NKT I cells are modulated by a single low-dose Cyclophosphamide in a B cell lymphoma tumor-model

Aim: Experimental and clinical studies showed that the administration of cyclophosphamide (Cy) in low doses leads to an enhancement of the antitumor immune response. Our objective was to study the modulation, if any, by low dose Cy, of T regulatory (Treg) and natural killer T (NKT) I cells, two cell populations of the innate immune response with opposing effects on the tumors, in a rat B cell lymphoma model. Methods: Inbred e rats were challenged s.c. with L-TACB lymphoma and on day 14 animals were distributed in two groups. Treated: injected i.p. with cyclophosphamide (10mg/kg of body weight) and Control: injected i.p. with saline. Blood samples were taken from days 0 to 21 and the percentage of T regulatory and natural killer T I cells were determined by flow cytometry. Results: We found that the increase of natural and inducible T regulatory cells of peripheral blood achieved during tumor growth was significantly downregulated by cyclophosphamide. On the contrary, natural killer T I cells were not modulated by the treatment. Conclusion: The antimetastatic effect of a single low dose of Cy would be due, at least in part, to downregulation of natural and inducible T regulatory cells