Acetaminophen (Paracetamol) Induces Hypothermia During Acute Cold Stress.

BACKGROUND Acetaminophen is an over-the-counter drug used to treat pain and fever, but it has also been shown to reduce core temperature (T c) in the absence of fever. However, this side effect is not well examined in humans, and it is unknown if the hypothermic response to acetaminophen is exacerbated with cold exposure. OBJECTIVE To address this question, we mapped the thermoregulatory responses to acetaminophen and placebo administration during exposure to acute cold (10 °C) and thermal neutrality (25 °C). METHODS Nine healthy Caucasian males (aged 20-24 years) participated in the experiment. In a double-blind, randomised, repeated measures design, participants were passively exposed to a thermo-neutral or cold environment for 120 min, with administration of 20 mg/kg lean body mass acetaminophen or a placebo 5 min prior to exposure. T c, skin temperature (T sk), heart rate, and thermal sensation were measured every 10 min, and mean arterial pressure was recorded every 30 min. Data were analysed using linear mixed effects models. Differences in thermal sensation were analysed using a cumulative link mixed model. RESULTS Acetaminophen had no effect on T c in a thermo-neutral environment, but significantly reduced T c during cold exposure, compared with a placebo. T c was lower in the acetaminophen compared with the placebo condition at each 10-min interval from 80 to 120 min into the trial (all p  0.05). CONCLUSION This preliminary trial suggests that acetaminophen-induced hypothermia is exacerbated during cold stress. Larger scale trials seem warranted to determine if acetaminophen administration is associated with an increased risk of accidental hypothermia, particularly in vulnerable populations such as frail elderly individuals

Documentation for RISKIN: A risk integration code for MACCS (MELCOR Accident Consequence Code System) output

This document has been prepared as a user's guide for the computer program RISKIN developed at Sandia National Laboratories. The RISKIN code generates integrated risk tables and the weighted mean risk associated with a user-selected set of consequences from up to five output files generated by the MELCOR Accident Consequence Code System (MACCS). Each MACCS output file can summarize the health and economic consequences resulting from up to 60 distinct severe accident source terms. Since the accident frequency associated with these source terms is not included as a MACCS input parameter a postprocessor is required to derived results that must incorporate accident frequency. The RISKIN code is such a postprocessor. RISKIN will search the MACCS output files for the mean and peak consequence values and the complementary cumulative distributive function (CCDF) tables for each requested consequence. Once obtained, RISKIN combines this data with accident frequency data to produce frequency weighted results. A postprocessor provides RISKIN an interface to the proprietary DISSPLA plot package. The RISKIN code has been written using ANSI Standard FORTRAN 77 to maximize its portability

SECPOP90: Sector population, land fraction, and economic estimation program

In 1973 Mr. W. Athey of the Environmental Protection Agency wrote a computer program called SECPOP which calculated population estimates. Since that time, two things have changed which suggested the need for updating the original program - more recent population censuses and the widespread use of personal computers (PCs). The revised computer program uses the 1990 and 1992 Population Census information and runs on current PCs as {open_quotes}SECPOP90.{close_quotes} SECPOP90 consists of two parts: site and regional. The site provides population and economic data estimates for any location within the continental United States. Siting analysis is relatively fast running. The regional portion assesses site availability for different siting policy decisions; i.e., the impact of available sites given specific population density criteria within the continental United States. Regional analysis is slow. This report compares the SECPOP90 population estimates and the nuclear power reactor licensee-provided information. Although the source, and therefore the accuracy, of the licensee information is unknown, this comparison suggests SECPOP90 makes reasonable estimates. Given the total uncertainty in any current calculation of severe accidents, including the potential offsite consequences, the uncertainty within SECPOP90 population estimates is expected to be insignificant. 12 refs., 55 figs., 7 tabs

Uncertainty and sensitivity analysis of chronic exposure results with the MACCS reactor accident consequence model

Uncertainty and sensitivity analysis techniques based on Latin hypercube sampling, partial correlation analysis and stepwise regression analysis are used in an investigation with the MACCS model of the chronic exposure pathways associated with a severe accident at a nuclear power station. The primary purpose of this study is to provide guidance on the variables to be considered in future review work to reduce the uncertainty in the important variables used in the calculation of reactor accident consequences. The effects of 75 imprecisely known input variables on the following reactor accident consequences are studied: crop growing season dose, crop long-term dose, water ingestion dose, milk growing season dose, long-term groundshine dose, long-term inhalation dose, total food pathways dose, total ingestion pathways dose, total long-term pathways dose, total latent cancer fatalities, area-dependent cost, crop disposal cost, milk disposal cost, population-dependent cost, total economic cost, condemnation area, condemnation population, crop disposal area and milk disposal area. When the predicted variables are considered collectively, the following input variables were found to be the dominant contributors to uncertainty: dry deposition velocity, transfer of cesium from animal feed to milk, transfer of cesium from animal feed to meat, ground concentration of Cs-134 at which the disposal of milk products will be initiated, transfer of Sr-90 from soil to legumes, maximum allowable ground concentration of Sr-90 for production of crops, fraction of cesium entering surface water that is consumed in drinking water, groundshine shielding factor, scale factor defining resuspension, dose reduction associated with decontamination, and ground concentration of 1-131 at which disposal of crops will be initiated due to accidents that occur during the growing season

Uncertainty and sensitivity analysis of food pathway results with the MACCS Reactor Accident Consequence Model

Uncertainty and sensitivity analysis techniques based on Latin hypercube sampling, partial correlation analysis and stepwise regression analysis are used in an investigation with the MACCS model of the food pathways associated with a severe accident at a nuclear power station. The primary purpose of this study is to provide guidance on the variables to be considered in future review work to reduce the uncertainty in the important variables used in the calculation of reactor accident consequences. The effects of 87 imprecisely-known input variables on the following reactor accident consequences are studied: crop growing season dose, crop long-term dose, milk growing season dose, total food pathways dose, total ingestion pathways dose, total long-term pathways dose, area dependent cost, crop disposal cost, milk disposal cost, condemnation area, crop disposal area and milk disposal area. When the predicted variables are considered collectively, the following input variables were found to be the dominant contributors to uncertainty: fraction of cesium deposition on grain fields that is retained on plant surfaces and transferred directly to grain, maximum allowable ground concentrations of Cs-137 and Sr-90 for production of crops, ground concentrations of Cs-134, Cs-137 and I-131 at which the disposal of milk will be initiated due to accidents that occur during the growing season, ground concentrations of Cs-134, I-131 and Sr-90 at which the disposal of crops will be initiated due to accidents that occur during the growing season, rate of depletion of Cs-137 and Sr-90 from the root zone, transfer of Sr-90 from soil to legumes, transfer of Cs-137 from soil to pasture, transfer of cesium from animal feed to meat, and the transfer of cesium, iodine and strontium from animal feed to milk

Consequences of Tritium Release to Water Pathways from Postulated Accidents in a DOE Production Reactor (U)

A full-scale PRA of a DOE production reactor has been completed that considers full release of tritium as part of the severe accident source term. Two classes of postulated reactor accidents, a loss-of-moderator pumping accident and a loss-of-coolant accident, are used to bound the expected dose consequence from liquid pathway release. Population doses from the radiological release associated with the two accidents are compared for aqueous discharge and atmospheric release modes. The expectation values of the distribution of possible values for the societal effective dose equivalent to the general public, given a tritium release to the atmosphere, is 2.8 person-Sv/PBq (9.9 {times} 10{sup {minus}3} person-rem/Ci). The general public drinking water dose to downstream water consumers is 6.5 {times} 10{sup {minus}2} person-Sv/Pbq (2.4 {times} 10{sup {minus}4} person-rem/Ci) for aqueous releases to the surface streams eventually reaching the Savannah River. Negligible doses are calculated for freshwater fish and saltwater invertebrate consumption, irrigation, and recreational use of the river, given that an aqueous release is assumed to occur. Relative to the balance of fission products released in a hypothetical severe accident, the tritium-related dose is small. This study suggests that application of regional models (1610 km radius) will indicate larger dose consequences from short-term tritium release to the atmosphere than from comparable tritium source terms to water pathways. However, the water pathways assessment is clearly site-specific, and the overall aqueous dose will be dependent on downstream receptor populations and uses of the river