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To investigate dislocation densities of deformed polycrystalline ice the modified Warren-Averbach and modified Williamson-Hall plots of X-ray line broadening have been applied to artificial ice with and without silica particles, which model microparticles in ice sheets. This also provides us with the dislocation velocity during creep. Creep tests were conducted at −20ºC and 2 MPa by altering the strains using the artificial ice. In the primary creep region the ice with microparticles is remarkably deformed, and the strain rate is suppressed because of high dislocation densities. At 10% strain the dislocation density shows the maximum value due to the continuous dislocation pile-ups in the silica-containing ice: the dislocation density in the pure ice remains almost constant within the maximum strain used in this study. As the strains continuously decrease, microparticles pin the grain boundaries, leading to small grain sizes. Such small grain sizes provide sinks for dislocation annihilations, resulting in decrease in the dislocation densities in the silica-containing ice.
In addition to national nuclear disaster training, local training is conducted once a year to identify issues with training.
Method:
The facility is located in the urgent protective action planning zone (UPZ), an exposure medical facility was built in 2015 and has conducted four trainings so far. The fifth training was conducted this time to develop human resources (training), manage equipment and materials, receive medical teams, collaborate with the Advanced Radiation Medical Support Center, review manuals, and inform local residents.
Results:
There are currently eleven nurses registered as nuclear disaster response nurses at the facility, and two nurses participate in the national nuclear disaster training program each year. On the other hand, unlike physicians and other professionals, the number of nurses enrolled for reasons such as relocation has not increased. The facility also functions as a core hospital in the event of a disaster, and currently has about 30 nurses who are willing to be dispatched in the event of a disaster. It was found that even in core facilities for nuclear disaster response, awareness of nuclear disasters within the facilities is low and few personnel are willing to work there. Previous studies have shown that they are anxious about radiation, the possibility of late effects from low-dose exposure, and concerns about the genetic effects of exposure and its effects on themselves in nursing.
Conclusion:
As a core facility for nuclear disasters, issues were reported on and identified through training, such as human resource development, management of materials and equipment, and review of manuals.
Japan is the only country to have experienced the atomic bombings and still has many nuclear power plants. In 2011, a nuclear power plant accident occurred during a major magnitude 9.0 earthquake, and there was a great deal of concern about radiation exposure medicine for the public. It is necessary to provide appropriate radiation exposure medicine.
Method:
The facility is located within the IAEA's UPZ, and in the event of an emergency, it is necessary to provide medical care for a large number of people exposed to radiation, so an advanced radiation exposure medical facility was built in 2015 (the surrounding population is approximately 300,000).
Results:
The basics of radiation exposure medicine are: 1) medical priority, 2) prevention of the spread of radioactive materials, and 3) protection of our responders from radiation exposure. Everything from whole body assessments, contamination examinations due to exposure, medical procedures (including advanced medical procedures), and decontamination were able to be performed. The facility is also equipped with WBC (whole body counter) that can assess internal exposure. A support system for other medical facilities was being developed in the region by forming a team that can respond to radiation exposure.
Conclusion:
With the current system, not only radiation exposure medicine will be handled, but also CBRNE and other such services in the future. For this reason, repeated training and human resource development are very important.
At mass-gathering events of the Olympic and Paralympic Games, a well-organized, on-site medical system is essential. This study evaluated the vulnerabilities of the prehospital medical system of the TOKYO 2020 Olympic and Paralympic Games (TOKYO2020) to propose corrections that can be generalized to other mass gatherings. The healthcare failure mode and effect analysis (HFMEA) was adopted to analyze vulnerabilities of the on-site medical system proposed by the organizing committee of TOKYO2020. Processes from detecting a patient on the scene to completing transport to a hospital were analyzed. Ten processes with 47 sub-processes and 122 possible failure modes were identified. HFMEA revealed 9 failure modes as vulnerabilities: misidentification of patient, delayed immediate care at the scene, misjudgment of disposition from the on-site medical suite, and inappropriate care during transportation to hospital. Proposed corrections included surveillance to decrease blind spots, first aid brochures for spectators, and uniform protocol for health care providers at the scene. The on-site medical system amended by HFMEA seemed to work appropriately in TOKYO2020.
Tiny samples of ancient atmosphere in air bubbles within ice cores contain argon (Ar), which can be used to reconstruct past temperature changes. At a sufficient depth, the air bubbles are compressed by the overburden pressure under low temperature and transform into air-hydrate crystals. While the oxygen (O2) and nitrogen (N2) molecules have indeed been identified in the air-hydrate crystals with Raman spectroscopy, direct observational knowledge of the distribution of Ar at depth within ice sheet and its enclathration has been lacking. In this study, we applied scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDS) to five air-hydrate crystals in the Greenland NEEM ice core, finding them to contain Ar and N. Given that Ar cannot be detected by Raman spectroscopy, the method commonly used for O2 and N2, the SEM-EDS measurement method may become increasingly useful for measuring inert gases in deep ice cores.
A 13-year-old girl with a single ventricle and bilateral systemic-to-pulmonary shunts developed hypoxia due to shunt stenosis, which was caused by a methicillin-sensitive Staphylococcus aureus abscess. Stent implantation associated with appropriate antibiotic administration was crucial to dilate and maintain shunt patency.
Having experienced the Tokyo subway sarin attack in 1995, Japan has established extremely strict rules on handling injured victims before they are sent to a hospital. As a result, it takes a long time before rescue actions are taken. This report aims to propose a reform to change the system that focuses on saving lives.
Methods:
First, the issues in firefighting on sites that currently present problems in Japan were identified. Then, Japanese guidelines were compared with those that were considered in other countries. Based on this, an ideal way of running rescue operations was examined, and a proposal to save many lives was made. This research was conducted with funding from the Ministry of Health, Labour, and Welfare of Japan (MHLW; Chiyoda, Tokyo, Japan).
Results:
In addition to preventing secondary injuries, the temporal aspect of rescuing people early with the clear goal of saving many lives was emphasized. Priority was given to measures against nerve agents to prevent secondary injuries, which put the rescuers’ lives at risk. Possible decontamination methods were pursued before choosing the one that was most appropriate. A linear algorithm was used to determine which decontamination method could be started immediately, and then the gradual use of equipment was recommended. Even if Level A personal protective equipment (PPE) and other dedicated equipment and materials cannot be procured, the possibility of starting rescue activities under certain condition using regular equipment was pointed out. The need for a system for possible victims who would require support, such as foreigners, the handicapped, and elderly people, was also identified. Japan limits the scope of activities that can be undertaken by emergency medical technicians (EMTs) on-site. The way in which on-site medical care can be provided with future legal revisions in mind was also discussed.
Conclusion:
There is an urgent need to build a framework in which rescue activities can take place so that the number of deaths would not rise, even if sarin and other poisons are scattered.
We investigated the effects of microparticles and grain size on the microstructural evolutions and mechanical properties of polycrystalline ice. Uniaxial compression tests were conducted using fine-grained pure ice and silica-dispersed ice under various conditions. Deformation behavior of fine-grained ice was found to be characterized by stress exponent n ≈ 2 and activation energy Q ≈ 60 kJ mol−1. The derived strain rates of fine-grained ice were ≈ 1 order of magnitude larger than those of coarse-grained ice obtained in previous studies, and they were found to be independent of particle dispersion and dependent on the mean grain size of ice, with grain size exponent p ≈ 1.4. Work hardening was observed in dislocation creep, while the strain rate continued to decrease. These results indicate that the deformation mechanism of fine-grained ice is different from typical dislocation creep, often associated with n = 3. Although microparticles restricted grain growth, there was little direct effect on the deformation of fine-grained ice. Microstructural observations of the ice samples indicated that the grain boundaries were straight and that the subgrain boundary densities increased after deformation. Our experiments suggest that grain size and boundaries play important roles in the deformation processes of polycrystalline ice.
The present international scenario recognizes organic agriculture as an innovative solution to reduce agrochemicals and practices that degrade the agroecosystem. Yet, the shift from an already well-established agricultural model to a relatively new one is a challenging task and requires further scientific support. This work investigated the influence of transitional management – TM (from conventional to organic agriculture) on the soil fungal community under citrus, in dry and rainy periods. From 2012 to 2015 on, an area in Mogi Guaçú, SP, Brazil was selected, and two treatments were installed: a conventional management (CM) system based on farming practices with agrochemicals and fertilizers use, and another, transition management (TM) based on a 25% reduction per year of the chemical substances used in CM, with soil conditioner bokashi introduced. The performance of the transition system was evaluated in the context of soil fertility and diversity index of fungal taxa, by plate culture isolation, through the richness of Margalef (Dmg), diversity of Shannon (H′) and reverse Simpson (D). Differences in the occurrence and frequency of Paecilomyces, greater under CM and Penicillium, greater under TM, highlighted the influence of the management system employed. Richness and diversity indices were higher under TM. Principal component analysis revealed that 49.9% of the differences in fungal diversity was due to the management system. Only 16.5% was a result of the season of sampling. Four years of reduction/replacement of chemical practices in TM was sufficient to modify and favor some soil fungal taxa and consequently their activity. This research brings promising results to organic agriculture initiatives with relevant results for a tropical climate area.
The Magellanic Clouds offer the opportunity to obtain a spatially resolved view of external galaxies at reduced metallicity with no distance ambiguity. Our ALMA observations of the active star-forming region N83C in the Small Magellanic Cloud (SMC) revealed subparsec-scale molecular structures in 12CO and 13CO (2-1) emission Muraoka et al. (2017). We found strong CO peaks associated with Young Stellar Objects(YSOs) and derived a typical gas density of ∽104 cm−3 and gas temperature of 40-60 K from the excitation analysis. The high gas density and temperature are presumably due to the effect of the HII region under the low-metallicity environment. We have found that the column density ratios N(CI)/N(CO) are generally high throughout the cloud compared with the Galaxy, ranging from 0.2 to 2.0. A peak of the ratio is observed toward a CO peak associated with a massive protostar.
We have constructed a chemical evolution model in order to reproduce the both metallicity distribution functions (MDFs) of red giant branch stars (RGBs) and RR Lyrae stars (RRLs) of a dwarf galaxy, simultaneously. The detailed chemical abundances of RGBs of the Local Group dwarf galaxies have been measured by spectroscopic observations. Moreover, the metallicity of RRLs of a dwarf galaxy are estimated by using the theoretical period-luminosity relations in the previous study and it is found that the mean metallicity of RRLs are lower than that of RGBs. In order to investigate the MDFs of RGBs and RRLs, we combine our chemical evolution model with the stellar evolutionally isochrones and calculate the metallicity of RGBs and RRLs, respectively. As a result, our chemical evolution model reproduces the peak metallicity of both MDFs of RGBs and RRLs of Sculptor and Fornax dwarf spheroidal galaxies (dSphs), simultaneously. Therefore, it is found that the difference of the mean metallicity between RGBs and RRLs are caused by the effects of stellar evolution. Moreover, by using the theoretical period-luminosity-metallicity relation of the RRLs, our chemical evolution model determines that the distance modulus of Sculptor and Fornax dSphs are 19.68 ± 0.09 and ${20.81^{+0.13}_{-0.11}}$, respectively. However, our model underestimates the number of metal-rich RRLs ([Fe/H] > −1.5) of Fornax dSph. This result suggests that the mass-loss rate of metal-rich RGBs would be larger than that of metal-poor RGBs.
This study aimed to predict eosinophilic chronic rhinosinusitis prognosis by investigating changes in the blood eosinophil count and other disease biomarkers after surgery.
Methods:
Blood eosinophil numbers and serum interleukin-5 levels were measured in 22 eosinophilic chronic rhinosinusitis patients before and after functional endoscopic sinus surgery, and compared with equivalent measures in non-eosinophilic chronic rhinosinusitis patients and chronic rhinosinusitis without polyps patients. Differences between well-controlled eosinophilic chronic rhinosinusitis patients and those who experienced recurrence were also assessed.
Results:
Blood eosinophil numbers and serum interleukin-5 level decreased after surgery in eosinophilic chronic rhinosinusitis patients. In this patient group, blood eosinophil counts before surgery were significantly higher in patients who experienced recurrence (825.7 ± 26.1 vs 443.9 ± 76.6 cells/μl, p < 0.05), and decreased significantly after surgery (825.7 ± 26.1 vs 76.7 ± 25.8 cells/μl, p < 0.05).
Conclusion:
Blood eosinophil numbers may reflect disease severity in eosinophilic chronic rhinosinusitis patients and their prognosis after surgery.
This report outlines the need for the development of an advanced course in mass-casualty life support (MCLS) and introduces the course content. The current problems with education on disasters involving chemical agents, biological agents, radiation/nuclear attacks, or explosives (CBRNE) in Japan are presented. This newly developed “MCLS-CBRNE” program was created by a Ministry of Health, Labour, and Welfare (Tokyo, Japan) research group based on these circumstances. Modifications were then made after a trial course. Training opportunities for relevant organizations to learn how to act at a CBRNE disaster site currently are lacking. The developed course covers initial responses at a disaster site. This one-day training course comprises lectures, three tabletop simulations, and practical exercises in pre-decontamination triage and post-decontamination triage. With regard to field exercises conducted to date, related organizations have experienced difficulties in understanding each other and adapting their approaches. Tabletop simulations provide an opportunity for participants to learn how organizations working on-site, including fire, police, and medical personnel, act with differing goals and guiding principles. This course appears useful as a means for relevant organizations to understand the importance of developing common guidelines. The MCLS-CBRNE training is proposed to support CBRNE disaster control measures during future events.
AnanH, OtomoY, KondoH, HommaM, KoidoY, MorinoK, OshiroK, HarikaeK, AkasakaO. Development of Mass-casualty Life Support-CBRNE (MCLS-CBRNE) in Japan. Prehosp Disaster Med. 2016;31(5):547–550.
The aim of this study was to investigate the prevalence of post-traumatic stress disorder (PTSD) and its association with each traumatic experience among 5- to 8-year-old children 2 years after the Great East Japan Earthquake.
Method
Children ages 5-8 years who were in selected preschool classes on March 11, 2011, in 3 prefectures affected by the earthquake and 1 prefecture that was unaffected, participated in the study (N=280). PTSD symptoms were assessed through questionnaires completed by caregivers and interviews by psychiatrists or psychologists conducted between September 2012 and May 2013 (ie, 1.5-2 years after the earthquake).
Results
Among children who experienced the earthquake, 33.8% exhibited PTSD symptoms. Of the different traumatic experiences, experiencing the earthquake and the loss of distant relatives or friends were independently associated with PTSD symptoms; prevalence ratios: 6.88 (95% confidence interval [CI]: 2.06-23.0) and 2.48 (95% CI: 1.21-5.08), respectively.
Conclusion
Approximately 1 in 3 young children in the affected communities exhibited PTSD symptoms, even 2 years after the Great East Japan Earthquake. These data may be useful for preventing PTSD symptoms after natural disasters and suggest the importance of providing appropriate mental health services for children. (Disaster Med Public Health Preparedness. 2017;11:207–215)
Landslides represent a frequent and threatening natural disaster. The aim of this study was to investigate the injury patterns observed after a landslide and to discuss how to minimize the damage caused by a landslide disaster.
Methods
A landslide occurred on Oshima Island, Japan, on October 16, 2013. A total of 49 victims with landslide-related injuries were identified and analyzed.
Results
The patients ranged in age from 5 to 89 years with an average age of 61.0±19.3 years. Of all patients, 69.4% were triaged as black. Of 15 patients who were treated in the nearest hospital (the only hospital on the island), 8 were triaged as red and yellow with severe chest or pelvic injury and a high Injury Severity Score (average score, 25.6; range, 4–45). Of these, 75% had chest injury and 75% had pelvic injury. The percentage of chest and/or pelvic injury was 100% in patients triaged as red or yellow. Traumatic asphyxia was diagnosed in 62.5% of these patients.
Conclusions
Compression of the trunk was the main injury in patients triaged as red or yellow after this landslide disaster. Evacuation in advance, the rapid launch of emergency medical support, and knowledge of this specific injury pattern are essential to minimize the potential damage resulting from landslide disasters. (Disaster Med Public Health Preparedness. 2016;10:248–252)
We have synthesized and investigated electronic properties of several non-centrosymmetric actinide compounds, which do not have an inversion center in the crystal structure “globally” or “locally”, under high pressure. The Néel temperature of an antiferromagnet UIrSi3 with “globally” non-centrosymmetric structure increases with increasing pressure at a rate of 2.5 K/GPa up to 5 GPa. On the other hand, TNs of U2Rh3Si5 and U2Ir3Si5, which are “locally” non-centrosymmetric compounds, decrease with -1 K/GPa and -0.5 K/GPa with increasing pressure, respectively. Here, U2Ir3Si5 is a new antiferromagnet crystallizing in the U2Co3Si5-type of orthorhombic structure. Below TN = 36.5 K, U2Ir3Si5 shows magnetic order-order transition at T0 = 26.1 K with a first-order nature. Electrical resistivity in U2Ir3Si5 shows semiconducting-like behavior due to the formation of the super-zone gap in the antiferromagnetic state. TN and T0 as well as semi-conducting-like behavior in resistivity are suppressed by external pressure.