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D R Leonard

Publications and source records attributed to D R Leonard.

12 recordsLinked to original sources
PubMed1999

Distinctive emergency department usage for injury for workers' compensation cases in Utah in 1996.

To compare emergency department services paid by worker's compensation (WC) with services paid by other payers, a state database of 72,747 emergency department visits for injured adults (ages 21 to 54) in 1996 in Utah was analyzed. WC visits accounted for 21.6% (15,704) of all adult injury visits. The mean emergency department charge for WC visits was $282, and the admission rate was 17 per 1000 visits. The mean charge for other payers was $334, and the admission rate was 43 per 1000 visits. Differences were also found between these groups for Injury Severity Scores and diagnoses. In summary, WC emergency department usage was associated with less severe injuries than was emergency department usage for other payers in Utah in 1996.

Accidents, Occupational↗
PubMed1998

Dose due to man-made radionuclides in terrestrial wild foods near Sellafield.

Radiological dose implications for consumers of wild foods around Sellafield have been assessed. Habits were surveyed from 72 households, mostly within a few kilometres of Sellafield. A few people were included who lived further away but collect wild foods close to Sellafield. Dose estimates were based on measured gamma emitters, as well as 239Pu, 241Am, 14C and 129I in selected samples. In all cases, doses were dominated by 137Cs. One infant was identified who consumed wild food, giving an estimated effective dose of 0.3 microSv a(-1). In the age group 2 to 10 years a mean dose of 0.51 microSv a(-1), and a maximum of 2.8 microSv a(-1), were estimated. Intakes by adults were higher and resulted in more radiologically significant doses. The extreme individual received a dose of 32 microSv a(-1) largely due to consumption of honey that included contributions from the Chernobyl accident, and hedgerow fruits. This is comparable to doses to the critical group for consumption of conventional agricultural produce close to the Sellafield site. The 97.5th percentile dose, for all age groups of consumers taken together, was 16.6 microSv a(-1), or 6.2 microSv a(-1) if the contributions from Chernobyl are excluded. Considering the contributions from different foods to the whole group of 181 wild food consumers, the rank order is honey, blackberries and venison.

Adult↗
PubMed1997

Towards a generalized model for the primary and secondary contamination of lakes by Chernobyl-derived radiocesium.

As part of the UK Ministry of Agriculture Fisheries and Food Directorate of Fisheries Research (MAFF/DFR) post-Chernobyl monitoring program, a detailed study was carried out of the change over time in dissolved-phase 137Cs concentrations in a number of lakes in Cumbria, UK. These measurements have been combined with published data on 137Cs in Cumbrian and other European lakes in order to develop and test a "double exponential" model for changes in lakewater concentrations: A exp(-k1t) + B exp(-k2t) where the exponential terms correspond, respectively, to the initial fast flush of activity through the system followed by longer-term transfers (timescale, years) from the catchment. Parameter values have been determined for this model by curve-fitting to the set of measurements of post-Chernobyl 137Cs activities in lakes. Values of fitted parameters are shown to be related, in a simple manner, to the physical characteristics of the system, in particular water residence time and mean lake depth. These parameters are generalized to give a simple empirical model for the full set of study lakes. The model is shown to give estimates of 137Cs activity to within a factor of 5 of field data for a period of several years after the fallout. Initial fractional losses of activity from catchment to lake were determined to be within the range 0.44-8.7% per year, declining exponentially with a mean rate constant 0.98 x 10(-3) d(-1).

Biophysical Phenomena↗
PubMed1996

Radioactivity in two tide-washed marsh areas in the eastern Irish Sea: a radiological assessment.

The doses received by man from exposure to artificial radionuclides deposited onto marsh land during tidal inundation on the English side of the Solway Firth and the Dee Estuary have been assessed. The range of total doses received by the different marsh user groups was similar in both study areas, varying from < 1 microSv year-1 to approximately 55 microSv year-1, with total dose dominated by the contribution from external exposure (generally 80% of the total). The maximum doses in both study areas were received by people working on the marshes and are well below the annual dose limit recommended by ICRP for members of the public (1 mSv year-1). The largest dose estimated (56 microSv year-1) is only 6% of the recommended dose limit.

Animals↗
PubMed1990

Transfer of environmental plutonium and americium across the human gut: a second study.

A follow-up to our previous study is described on human gut transfer factors for plutonium and americium in winkles harvested from the shoreline near the British Nuclear Fuels plc Sellafield reprocessing plant. Six male and two female adult volunteers ate single quantities of shellfish; samples of their urine before and after consumption were analysed. As in the previous study, the plutonium and americium excreted were difficult to detect, and counting times of approximately 8 weeks were employed. Results are presented in detail to allow further interpretation, but preliminary assessment has been carried out on the basis of published data for excretion following transfer to blood. The mean and range obtained for the gut transfer for plutonium was 1.3 (0.2-3.2) x 10(-4); for americium the result was 0.8 (0.4-1.7) x 10(-4). Combined with the results of the previous study when interpreted on the same basis, the results were 1.7 (0.2-4.9) x 10(-4) and 0.9 (0.3-2.8) x 10(-4), respectively. No significant evidence was revealed in this study for differences in gut transfer between males and females, nor for seasonal differences, e.g. due to differences in form of incorporation of actinides in shellfish. For realistic assessments of doses due to shellfish consumption near Sellafield, to assess compliance with criteria recommended by the International Commission on Radiological Protection (ICRP), a suitable value for the gut transfer factor of both plutonium and americium might be 2 x 10(-4). A value of 5 x 10(-4) would appear to be cautious.

Adult↗
PubMed1986

Transfer of environmental plutonium and americium across the human gut.

Data on gut transfer factors for environmental forms of radionuclides are essential for estimates of public radiation exposures following ingestion, and thus in decisions on controlling waste discharges. Dose estimates for transuranic nuclides are particularly sensitive to uncertainties stemming from gut transfer data being related to non-environmental forms and/or derived from animal experiments. We have measured human gut transfer factors for plutonium and americium in two experiments using marine foods obtained near Sellafield, Cumbria. Firstly, the urine of volunteer members of the critical group of shellfish consumers was analysed for transuranics and the results related to their consumption rates. Secondly, remotely-based volunteers ate single quantities of shellfish obtained near Sellafield, and their urine was analysed. An overall result for the gut transfer factor for environmental plutonium of 0.8 X 10(-4) indicates no need to increase the value of 1 X 10(-4), currently used by the International Commission on Radiological Protection (ICRP) for soluble forms. Results for americium show that the ICRP value of 5 X 10(-4) is maximising, and that a value of 1 X 10(-4) would be supportable. The results from the study of critical group members provide confidence in our habits survey techniques and reassurance that there are no significant pathways for intake of transuranics by these people that have not been recognised.

Adult↗
PubMed1979

Cadaver nephrectomy: an operation on the donor's family.

Thirty-two relatives of cadaver kidney donors were interviewed six months or longer after the donor's death. Most had positive attitudes to kidney transplantation that had been strengthened by experience, especially when they knew that they were fulfilling the donor's wishes. Twenty-three of the relatives had gained some solace from knowing that others might benefit from their misfortune, but three claimed adverse effects. In identifying the factors that influenced them to grant permission or hesitate, relatives revealed defects in the way their permission had been sought. Twelve did not clearly understand the donor's hopeless prognosis until then, and seven reacted adversely to the interviewers, finding them blunt and callous. Nevertheless, most were pleased that they had been asked. Doctors who care for unconscious, dying patients should try to give relatives explicit information on the patient's condition, whether or not the patient is a potential kidney donor, and permission for organ recovery should not be sought until they understand that death is inevitable.

Attitude↗
PubMed1974

Influence of sodium and parathyroid hormone on calcium release from intestinal mucosal cells.

The uptake and release of (45)Ca from the intestinal mucosal epithelium were investigated under a variety of conditions. The initial rate of uptake characterized a calcium pool with a half-time of saturation of less than 2 min. The entry of (45)Ca into this pool was inhibited by NaCN and ethacrynic acid and was stimulated by the removal of Cl(-) from the incubation. The initial rate of (45)Ca release was also inhibited by NaCN and removal of Na(+) from the incubation. Parathyroid hormone administration enhanced the release of (45)Ca from cells prepared from parathyroid-ectomized animals. These observations suggest that calcium transport across the brush border and basallateral membranes are identifiable components of the kinetics of (45)Ca uptake and release and that parathyroid hormone stimulates a sodium-dependent mechanism of calcium transport across the basal-lateral membranes.

Animals↗