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Marine Envenomations
Environmental Marine envenomations Ingrid Berling Geoffrey Isbister Background The majority of marine envenomings are minor and do Marine stings are common but most are minor and do not not require medical intervention. Jellyfish stings are a require medical intervention. Severe and systemic marine frequent reason for presentation to first aid and primary envenoming is uncommon, but includes box jellyfish stings, healthcare providers. A knowledge of the variety of stings Irukandji syndrome, major stingray trauma and blue-ringed and envenoming syndromes that occur in Australia, octopus envenoming. Almost all marine injuries are caused including those that are clinically significant, and available by jellyfish stings, and penetrating injuries from spiny fish, treatments, is necessary for practitioners, particularly those stingrays or sea urchins. working in coastal regions. Objective This article describes the presentation and management Marine envenoming can be considered in two broad categories: of marine envenomations and injuries that may occur in jellyfish stings and penetrating venomous marine injuries. Jellyfish Australia. stings range from the life-threatening major box jellyfish (Chironex Discussion fleckeri) to painful, but generally benign, bluebottle stings common First aid for jellyfish includes tentacle removal, application to most southeastern Australian beaches (Figure 1). Penetrating of vinegar for box jellyfish, and hot water immersion (45°C venomous marine injuries often occur when handling fish, but can for 20 min) for bluebottle jellyfish stings. Basic life support occur to anyone involved in water activities, fresh water or marine. is essential for severe marine envenomings that result in They are typically more painful than just the trauma of the wound, and cardiac collapse or paralysis. -
The Polyp and the Medusa Life on the Move
The Polyp and the Medusa Life on the Move Millions of years ago, unlikely pioneers sparked a revolution. Cnidarians set animal life in motion. So much of what we take for granted today began with Cnidarians. FROM SHAPE OF LIFE The Polyp and the Medusa Life on the Move Take a moment to follow these instructions: Raise your right hand in front of your eyes. Make a fist. Make the peace sign with your first and second fingers. Make a fist again. Open your hand. Read the next paragraph. What you just did was exhibit a trait we associate with all animals, a trait called, quite simply, movement. And not only did you just move your hand, but you moved it after passing the idea of movement through your brain and nerve cells to command the muscles in your hand to obey. To do this, your body needs muscles to move and nerves to transmit and coordinate movement, whether voluntary or involuntary. The bit of business involved in making fists and peace signs is pretty complex behavior, but it pales by comparison with the suites of thought and movement associated with throwing a curve ball, walking, swimming, dancing, breathing, landing an airplane, running down prey, or fleeing a predator. But whether by thought or instinct, you and all animals except sponges have the ability to move and to carry out complex sequences of movement called behavior. In fact, movement is such a basic part of being an animal that we tend to define animalness as having the ability to move and behave. -
Asphyxia Neonatorum
CLINICAL REVIEW Asphyxia Neonatorum Raul C. Banagale, MD, and Steven M. Donn, MD Ann Arbor, Michigan Various biochemical and structural changes affecting the newborn’s well being develop as a result of perinatal asphyxia. Central nervous system ab normalities are frequent complications with high mortality and morbidity. Cardiac compromise may lead to dysrhythmias and cardiogenic shock. Coagulopathy in the form of disseminated intravascular coagulation or mas sive pulmonary hemorrhage are potentially lethal complications. Necrotizing enterocolitis, acute renal failure, and endocrine problems affecting fluid elec trolyte balance are likely to occur. Even the adrenal glands and pancreas are vulnerable to perinatal oxygen deprivation. The best form of management appears to be anticipation, early identification, and prevention of potential obstetrical-neonatal problems. Every effort should be made to carry out ef fective resuscitation measures on the depressed infant at the time of delivery. erinatal asphyxia produces a wide diversity of in molecules brought into the alveoli inadequately com Pjury in the newborn. Severe birth asphyxia, evi pensate for the uptake by the blood, causing decreases denced by Apgar scores of three or less at one minute, in alveolar oxygen pressure (P02), arterial P02 (Pa02) develops not only in the preterm but also in the term and arterial oxygen saturation. Correspondingly, arte and post-term infant. The knowledge encompassing rial carbon dioxide pressure (PaC02) rises because the the causes, detection, diagnosis, and management of insufficient ventilation cannot expel the volume of the clinical entities resulting from perinatal oxygen carbon dioxide that is added to the alveoli by the pul deprivation has been further enriched by investigators monary capillary blood. -
The Bug Beneath the Bathing Suit: a Case Report and Discussion of Seabather’S Eruption Versus Cutaneous Larva Migrans
The bug beneath the bathing suit: A case report and discussion of seabather’s eruption versus cutaneous larva migrans Andrew Jensen, BS,* Marcus Goodman, DO, FAOCD** *Medical Student, 4th year, Philadelphia College of Osteopathic Medicine - Georgia Campus, Suwanee, GA **Dermatology Residency Program Director, PCOM/North Fulton Hospital Medical Campus, Roswell, GA Abstract Seabather’s eruption is an important differential diagnosis when a patient who has recently swum in a subtropical ocean presents with a pruritic rash in the distribution of their swimwear. Treatment with systemic corticosteroids is indicated in severe cases and can successfully reduce symptoms. Oral steroid therapy in general has proven to be an effective treatment for many acute and chronic diseases but has long been associated with increased risk for infections. In this report, we present an atypical case of cutaneous larva migrans and discuss its clinical unmasking after systemic steroid treatment was given for an initial diagnosis of seabather’s eruption. Introduction Case Report Figure 2 Seabather’s eruption is a benign, superficial A 52-year-old female presented to her reaction to toxins from marine-animal larvae. dermatologist complaining of an itchy rash on It is the most common marine-related problem her groin and upper leg for one week. The patient in the waters south of the United States.1 stated she recently traveled to Mexico, where she It was reported in Florida as early as 1903 spent several days on the beach and swimming in as a “rash which set up an intense itching” the ocean. Physical exam revealed erythematous, shortly after bathing in ocean water.2 In 1949, edematous papules on her lower abdomen and Sams postulated the eruption was caused by groin, assuming a location directly beneath her “some living, microorganism, in the nature of swimsuit (Figure 1). -
Marine Mammals and Sea Turtles of the Mediterranean and Black Seas
Marine mammals and sea turtles of the Mediterranean and Black Seas MEDITERRANEAN AND BLACK SEA BASINS Main seas, straits and gulfs in the Mediterranean and Black Sea basins, together with locations mentioned in the text for the distribution of marine mammals and sea turtles Ukraine Russia SEA OF AZOV Kerch Strait Crimea Romania Georgia Slovenia France Croatia BLACK SEA Bosnia & Herzegovina Bulgaria Monaco Bosphorus LIGURIAN SEA Montenegro Strait Pelagos Sanctuary Gulf of Italy Lion ADRIATIC SEA Albania Corsica Drini Bay Spain Dardanelles Strait Greece BALEARIC SEA Turkey Sardinia Algerian- TYRRHENIAN SEA AEGEAN SEA Balearic Islands Provençal IONIAN SEA Syria Basin Strait of Sicily Cyprus Strait of Sicily Gibraltar ALBORAN SEA Hellenic Trench Lebanon Tunisia Malta LEVANTINE SEA Israel Algeria West Morocco Bank Tunisian Plateau/Gulf of SirteMEDITERRANEAN SEA Gaza Strip Jordan Suez Canal Egypt Gulf of Sirte Libya RED SEA Marine mammals and sea turtles of the Mediterranean and Black Seas Compiled by María del Mar Otero and Michela Conigliaro The designation of geographical entities in this book, and the presentation of the material, do not imply the expression of any opinion whatsoever on the part of IUCN concerning the legal status of any country, territory, or area, or of its authorities, or concerning the delimitation of its frontiers or boundaries. The views expressed in this publication do not necessarily reflect those of IUCN. Published by Compiled by María del Mar Otero IUCN Centre for Mediterranean Cooperation, Spain © IUCN, Gland, Switzerland, and Malaga, Spain Michela Conigliaro IUCN Centre for Mediterranean Cooperation, Spain Copyright © 2012 International Union for Conservation of Nature and Natural Resources With the support of Catherine Numa IUCN Centre for Mediterranean Cooperation, Spain Annabelle Cuttelod IUCN Species Programme, United Kingdom Reproduction of this publication for educational or other non-commercial purposes is authorized without prior written permission from the copyright holder provided the sources are fully acknowledged. -
Failure of Hypothermia As Treatment for Asphyxiated Newborn Rabbits R
Arch Dis Child: first published as 10.1136/adc.51.7.512 on 1 July 1976. Downloaded from Archives of Disease in Childhood, 1976, 51, 512. Failure of hypothermia as treatment for asphyxiated newborn rabbits R. K. OATES and DAVID HARVEY From the Institute of Obstetrics and Gynaecology, Queen Charlotte's Maternity Hospital, London Oates, R. K., and Harvey, D. (1976). Archives of Disease in Childhood, 51, 512. Failure of hypothermia as treatment for asphyxiated newborn rabbits. Cooling is known to prolong survival in newborn animals when used before the onset of asphyxia. It has therefore been advocated as a treatment for birth asphyxia in humans. Since it is not possible to cool a human baby before the onset of birth asphyxia, experiments were designed to test the effect of cooling after asphyxia had already started. Newborn rabbits were asphyxiated in 100% nitrogen and were cooled either quickly (drop of 1 °C in 45 s) or slowly (drop of 1°C in 2 min) at varying intervals after asphyxia had started. When compared with controls, there was an increase in survival only when fast cooling was used early in asphyxia. This fast rate of cooling is impossible to obtain in a human baby weighing from 30 to 60 times more than a newborn rabbit. Further litters ofrabbits were asphyxiated in utero. After delivery they were placed in environmental temperatures of either 37 °C, 20 °C, or 0 °C and observed for spon- taneous recovery. The animals who were cooled survived less often than those kept at 37 'C. The results of these experiments suggest that hypothermia has little to offer in the treatment of birth asphyxia in humans. -
The Post-Mortem Appearances in Cases of Asphyxia Caused By
a U?UST 1902.1 ASPHYXIA CAUSED BY DROWNING 297 Table I. Shows the occurrence of fluid and mud in the 55 fresh bodies. ?ritfinal Jlrttclcs. Fluid. Mud. Air-passage ... .... 20 2 ? ? and stomach ... ig 6 ? ? stomach and intestine ... 7 1 ? ? and intestine X ??? Stomach ... ??? THE POST-MORTEM APPEARANCES IN Intestine ... ... 1 Stomach and intestine ... ... i CASES OF ASPHYXIA CAUSED BY DROWNING. Total 46 9 = 55 By J. B. GIBBONS, From the above table it will be seen that fluid was in the alone in 20 LIEUT.-COL., I.M.S., present air-passage cases, in the air-passage and stomach in sixteen, Lute Police-Surgeon, Calcutta, Civil Surgeon, Ilowrah. in the air-passage, stomach and intestine in seven, in the air-passage and intestine in one. As used in this table the term includes frothy and non- frothy fluid. Frothy fluid is only to be expected In the period from June 1893 to November when the has been quickly recovered from months which I body 1900, excluding three during the water in which drowning took place and cases on leave, 15/ of was privilege asphyxia examined without delay. In some of my cases were examined me in the due to drowning by it was present in a most typical form; there was For the of this Calcutta Morgue. purpose a bunch of fine lathery froth about the nostrils, all cases of death inhibition paper I exclude by and the respiratory tract down to the bronchi due to submersion and all cases of or syncope was filled with it. received after into death from injuries falling The quantity of fluid in the air-passage varies the water. -
A Guide to Harmful and Toxic Creatures in the Goa of Jordan
Published by the Royal Marine Conservation Society of Jordan. P. O. Box 831051, Abdel Aziz El Thaalbi St., Shmesani 11183. Amman Copyright: © The Royal Marine Conservation Society of Jordan Reproduction of this publication for educational and other non- commercial purposes is authorized without prior written approval from the copyright holder provided the source is fully acknowledged. ISBN: 978-9957-8740-1-8 Deposit Number at the National Library: 2619/6/2016 Citation: Eid, E and Al Tawaha, M. (2016). A Guide to Harmful and Toxic Creature in the Gulf of Aqaba of Jordan. The Royal Marine Conservation Society of Jordan. ISBN: 978-9957-8740-1-8. Pp 84. Material was reviewed by Dr Nidal Al Oran, International Research Center for Water, Environment and Energy\ Al Balqa’ Applied University,and Dr. Omar Attum from Indiana University Southeast at the United State of America. Cover page: Vlad61; Shutterstock Library All photographs used in this publication remain the property of the original copyright holder, and it should not be reproduced or used in other contexts without permission. 1 Content Index of Creatures Described in this Guide ......................................................... 5 Preface ................................................................................................................ 6 Part One: Introduction ......................................................................................... 8 1.1 The Gulf of Aqaba; Jordan ......................................................................... 8 1.2 Aqaba; -
Respiratory and Gastrointestinal Involvement in Birth Asphyxia
Academic Journal of Pediatrics & Neonatology ISSN 2474-7521 Research Article Acad J Ped Neonatol Volume 6 Issue 4 - May 2018 Copyright © All rights are reserved by Dr Rohit Vohra DOI: 10.19080/AJPN.2018.06.555751 Respiratory and Gastrointestinal Involvement in Birth Asphyxia Rohit Vohra1*, Vivek Singh2, Minakshi Bansal3 and Divyank Pathak4 1Senior resident, Sir Ganga Ram Hospital, India 2Junior Resident, Pravara Institute of Medical Sciences, India 3Fellow pediatrichematology, Sir Ganga Ram Hospital, India 4Resident, Pravara Institute of Medical Sciences, India Submission: December 01, 2017; Published: May 14, 2018 *Corresponding author: Dr Rohit Vohra, Senior resident, Sir Ganga Ram Hospital, 22/2A Tilaknagar, New Delhi-110018, India, Tel: 9717995787; Email: Abstract Background: The healthy fetus or newborn is equipped with a range of adaptive, strategies to reduce overall oxygen consumption and protect vital organs such as the heart and brain during asphyxia. Acute injury occurs when the severity of asphyxia exceeds the capacity of the system to maintain cellular metabolism within vulnerable regions. Impairment in oxygen delivery damage all organ system including pulmonary and gastrointestinal tract. The pulmonary effects of asphyxia include increased pulmonary vascular resistance, pulmonary hemorrhage, pulmonary edema secondary to cardiac failure, and possibly failure of surfactant production with secondary hyaline membrane disease (acute respiratory distress syndrome).Gastrointestinal damage might include injury to the bowel wall, which can be mucosal or full thickness and even involve perforation Material and methods: This is a prospective observational hospital based study carried out on 152 asphyxiated neonates admitted in NICU of Rural Medical College of Pravara Institute of Medical Sciences, Loni, Ahmednagar, Maharashtra from September 2013 to August 2015. -
Euteleost Tree of Life – Web Module Summative Evaluation Report
Euteleost Tree of Life – Web Module Summative Evaluation Report Submitted to: University of Kansas Submitted by: July 2013 Julia Hazer Adam Moylan 595 Market Street Suite 2570 • San Francisco, CA 94105-2802 • 415.544.0788 • FAX 415.544.0789 www.rockman.com Table of Contents Introduction.............................................................................................................................................1 Methodology............................................................................................................................................2 Phase 1: Background Survey & Web Module Activities ............................................................................ 2 Phase 2: Focus Group Discussion........................................................................................................................ 5 Participant Background Information .............................................................................................6 Demographics ............................................................................................................................................................. 6 Prior Science Performance and Attitudes....................................................................................................... 6 Prior Evolutionary Tree Knowledge.................................................................................................................. 7 Findings.....................................................................................................................................................9 -
Venom Evolution Widespread in Fishes: a Phylogenetic Road Map for the Bioprospecting of Piscine Venoms
Journal of Heredity 2006:97(3):206–217 ª The American Genetic Association. 2006. All rights reserved. doi:10.1093/jhered/esj034 For permissions, please email: [email protected]. Advance Access publication June 1, 2006 Venom Evolution Widespread in Fishes: A Phylogenetic Road Map for the Bioprospecting of Piscine Venoms WILLIAM LEO SMITH AND WARD C. WHEELER From the Department of Ecology, Evolution, and Environmental Biology, Columbia University, 1200 Amsterdam Avenue, New York, NY 10027 (Leo Smith); Division of Vertebrate Zoology (Ichthyology), American Museum of Natural History, Central Park West at 79th Street, New York, NY 10024-5192 (Leo Smith); and Division of Invertebrate Zoology, American Museum of Natural History, Central Park West at 79th Street, New York, NY 10024-5192 (Wheeler). Address correspondence to W. L. Smith at the address above, or e-mail: [email protected]. Abstract Knowledge of evolutionary relationships or phylogeny allows for effective predictions about the unstudied characteristics of species. These include the presence and biological activity of an organism’s venoms. To date, most venom bioprospecting has focused on snakes, resulting in six stroke and cancer treatment drugs that are nearing U.S. Food and Drug Administration review. Fishes, however, with thousands of venoms, represent an untapped resource of natural products. The first step in- volved in the efficient bioprospecting of these compounds is a phylogeny of venomous fishes. Here, we show the results of such an analysis and provide the first explicit suborder-level phylogeny for spiny-rayed fishes. The results, based on ;1.1 million aligned base pairs, suggest that, in contrast to previous estimates of 200 venomous fishes, .1,200 fishes in 12 clades should be presumed venomous. -
Perinatal Asphyxia Neonatal Therapeutic Hypothermia
PERINATAL ASPHYXIA NEONATAL THERAPEUTIC HYPOTHERMIA Sergio G. Golombek, MD, MPH, FAAP Professor of Pediatrics & Clinical Public Health – NYMC Attending Neonatologist Maria Fareri Children’s Hospital - WMC Valhalla, New York President - SIBEN ASPHYXIA From Greek [ἀσφυξία]: “A stopping of the pulse” “Loss of consciousness as a result of too little oxygen and too much CO2 in the blood: suffocation causes asphyxia” (Webster’s New World Dictionary) On the influence of abnormal parturition, difficult labours, premature birth, and asphyxia neonatorum, on the mental and physical condition of the child, especially in relation to deformities. By W. J. Little, MD (Transactions of the Obstetrical Society of London 1861;3:243-344) General spastic contraction of the lower Contracture of adductors and flexors of lower extremities. Premature birth. Asphyxia extremities. Left hand weak. Both hands awkward. neonatorum of 36 hr duration. Hands More paralytic than spastic. Born with navel-string unaffected. (Case XLVII) around neck. Asphyxia neonatorum 1 hour. (Case XLIII) Perinatal hypoxic-ischemic encephalopathy (HIE) Associated with high neonatal mortality and severe long-term neurologic morbidity Hypothermia is rapidly becoming standard therapy for full-term neonates with moderate-to-severe HIE Occurs at a rate of about 3/1000 live-born infants in developed countries, but the rate is estimated to be higher in the developing world Intrapartum-related neonatal deaths (previously called ‘‘birth asphyxia’’) are the fifth most common cause of deaths among children under 5 years of age, accounting for an estimated 814,000 deaths each year, and also associated with significant morbidity, resulting in a burden of 42 million disability adjusted life years (DALYs).