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Vitreoretinal surgery of the posterior segment for explosive trauma in terrorist warfare.

BACKGROUND: To describe surgical management and establish anatomic and visual results of patients with explosive ocular trauma in terrorist attacks treated with extreme vitreoretinal surgery. METHODS: Retrospective study of clinical records (6-month follow-up) of patients with visual acuity (VA) of light perception or better with posterior segment injuries [vitreous hemorrhage, retinal detachment (RD), intra-ocular foreign bodies (IOFB), perforating trauma (PT)] from explosive weapons who underwent vitreoretinal surgery. We reviewed the demographic characteristics, type of weapon, time between injury and surgery, VA at arrival and 6 months after surgery, and type of trauma according to the International Trauma Classification. RESULTS: Fifty-seven out of 236 patients with ocular injuries from explosive weapons were included in the study; all of them were military men, average age 22 years (range 16-53 years). The average time between the blast and primary closing was 1 day, and 10 days between primary closing and vitreoretinal surgery. Open traumas by laceration accounted for 96% of cases and 4% were closed traumas; 76% of the eyes had IOFB, of which 18% involved PT; 5% had endophthalmitis. Contusion was the diagnosis for 100% of the closed traumas. Of the open traumas, 40% were localized at zone I, 44% at zone II, and 16% at zone III. Upon arrival, 98% of patients had VA 20/800-LP and 2% had >20/40. The patients with closed trauma had the injuries at zone III and presented VA 20/800-LP. All patients underwent posterior vitrectomy, scleral buckling, endotaponade and when required, lensectomy (82%), IOFB removal (72%), and/or retinectomy (25%). Postoperative VA improved in 43% of the patients, stabilized in 41% and evolved to NLP in 15% of the cases. Initial expressions of ocular trauma such as RD, PT and endophthalmitis suggest bad prognosis. CONCLUSIONS: We presented a series of patients with severe ocular trauma of the posterior segment from explosive weapons. These patients were treated according to our surgical protocol with extreme vitreoretinal surgery within the first 2 weeks after the blast; with our procedure we obtained stabilization or improvement of the VA for 84% of the cases.

Adolescent↗

Anaerobic biotransformation of explosives in aquifer slurries amended with ethanol and propylene glycol.

Hexahydro-1,3,5-trinitro-1,3,5-triazine (RDX), octahydro-1,3,5,7-tetranitro-1,3,5,7-tetrazocine (HMX), and 2,4,6-trinitrotoluene (TNT) are explosives that are frequently found as environmental contaminants on military installations. Hydrogen has been shown to support the anaerobic transformation of these explosives. We investigated ethanol and propylene glycol as electron donors for providing syntrophically produced H2 for stimulating the anaerobic biodegradation of explosives in contaminated soil. The study was conducted using anoxic microcosms constructed with slurries of the contaminated soil and groundwater. The addition of 5mM ethanol and propylene glycol enhanced the biodegradation of RDX and HMX relative to the control bottles. Ethanol was depleted within about 20 days, resulting in the transient formation of hydrogen, acetate, and methane. The hydrogen headspace concentration increased from 8 ppm to 1838 ppm before decreasing to background concentrations. Propylene glycol was completely degraded after 15 days, forming hydrogen, propionate, and acetate as end-products. The hydrogen headspace concentrations increased from 56 ppm to 628 ppm before decreasing to background concentrations. No methane formation was observed during the incubation period of 48 days. Our findings indicate the addition of ethanol and propylene to the aquifer slurries increased the hydrogen concentrations and enhanced the biotransformation of RDX and HMX in the explosive-contaminated soil.

Anaerobiosis↗

Use of reversed-phase high-performance liquid chromatography-diode array detection for complete separation of 2,4,6-trinitrotoluene metabolites and EPA Method 8330 explosives: influence of temperature and an ion-pair reagent.

Explosives such as 2,4,6-trinitrotoluene (TNT), octahydro-1,3,5,7-tetranitro-1,3,5,7-tetrazocine (HMX), and hexahydro-1,3,5-trinitro-1,3,5-triazine (RDX) are widely distributed environmental contaminants. Complete chromatographic separation is necessary in order to accurately determine and quantify explosives and their degradation products in environmental samples and in (bio)transformation studies. The present study describes a RP-HPLC method with diode array detection using a LC-8 guard column, a Supelcosil LC-8 chromatographic column, and a gradient elution system. This gradient method is capable of baseline separating the most commonly observed explosives and TNT transformation metabolites including 2,4,6-triaminotoluene (TAT) in a single run. The TNT metabolites separated were 2-hydroxylamino-4,6-dinitrotoluene, 4-hydroxylamino-2,6-dinitrotoluene, 2,4-dihydroxylamino-6-nitrotoluene, 4,4',6,6'-tetranitro-2,2'-azoxytoluene, 2,2',6,6'-tetranitro-4,4'-azoxytoluene, 4,4',6,6'-tetranitro-2,2'-azotoluene, 2,2',6,6'-tetranitro-4,4'-azotoluene, 2-amino-4,6-dinitrotoluene, 4-amino-2, 6-dinitrotoluene, 2,6-diamino-4-nitrotoluene, 2,4-diamino-6-nitrotoluene, and TAT. The same gradient method at a different column temperature can also be used to baseline separate the explosives targeted in the Environmental Protection Agency (EPA) Method 8330 with approximately 22% reduction in total run time and 48% decrease in solvent consumption compared to previously published methods. Good separation was also obtained when all TNT metabolites and EPA Method 8330 compounds (a total of 23 compounds) were analyzed together; only 2,6-DANT and HMX co-eluted in this case. The influence of temperature (35-55 degrees C) and the use of an ion-pair reagent on the chromatographic resolution and retention were investigated. Temperature was identified as the key parameter for optimal baseline separation. Increased temperature resulted in shorter retention times and better peak resolution especially for the aminoaromatics investigated. The use of an ion-pair reagent (octanesulfonic acid) generally resulted in longer retention times for compounds containing amine functional groups, more baseline noise, and decreased peak resolution.

Chromatography, High Pressure Liquid↗

Simple determination of performance of explosives without using any experimental data.

A simple procedure is introduced by which detonation pressure of CaHbNcOd explosives can be predicted from a, b, c, d and calculated gas phase heat of formation of explosives at any loading density without using any assumed detonation products and experimental data. It is shown here that the loading density, simply calculated heat of formation by additivity rule and atomic composition can be integrated into an empirical formula for predicting the detonation pressure of proposed explosives. Calculated detonation pressures by the introduced method for both pure and explosive formulations show good agreement with respect to measured detonation pressure over a wide range of loading density. The deviations are within about experimental errors.

Explosions↗

A simple approach for determining detonation velocity of high explosive at any loading density.

A simple empirical relationship is introduced between detonation velocity at any loading density and chemical composition of high explosive as well as its gas phase heat of formation, which is calculated by group additivity rules. The present work may be applied to any explosive that contains the elements of carbon, hydrogen, nitrogen and oxygen with no difficulties. The new correlation can easily be applied for determining detonation velocity of explosives with loading densities less than 1g/cm3 as well as greater than 1g/cm3. Calculated detonation velocities by this procedure for both pure and explosive formulations show good agreement with respect to measured detonation velocity over a wide range of loading density.

Carbon↗

Determination of performance of non-ideal aluminized explosives.

Non-ideal explosives can have Chapman-Jouguet (C-J) detonation pressure significantly different from those expected from existing thermodynamic computer codes, which usually allows finding the parameters of ideal detonation of individual high explosives with good accuracy. A simple method is introduced by which detonation pressure of non-ideal aluminized explosives with general formula C(a)H(b)N(c)O(d)Al(e) can be predicted only from a, b, c, d and e at any loading density without using any assumed detonation products and experimental data. Calculated detonation pressures show good agreement with experimental values with respect to computed results obtained by complicated computer code. It is shown here how loading density and atomic composition can be integrated into an empirical formula for predicting detonation pressure of proposed aluminized explosives.

Explosions↗

An investigation of the consequences of primary dust explosions in interconnected vessels.

In this article Eulerian-Lagrangian 2D computer simulations of consequences of primary dust explosions in two vessels connected by a duct are described. After an explosion in the primary vessel a propagation of hot pressurised gases to the secondary vessel, initially uniformly filled with dust particles, is simulated. The gas phase is described by the standard equations and it is coupled with the particulate phase through the drag force and the convective heat transfer. No chemical reaction is considered in the model since the objective was to model the system up to the time of ignition. The computation was performed for different lengths and diameters (heights) of the linking duct. Having analysed the results, it was concluded that the simulations agree with experimental observations in that the probability of transmission of an explosion from the primary to the secondary vessel decreases with decreasing diameter (height) and increasing length of the connecting pipeline. Snapshots of particle positions for different times are presented. The work illustrates the behaviour of the mixture in the secondary vessel: the particles tend to concentrate in clouds, and domains with no particles are observed. This may influence the explosion characteristics of the system.

Computer Simulation↗

Using liquid superheating energy for a quick estimation of overpressure in BLEVEs and similar explosions.

A method is proposed for the quick estimation of the peak overpressure caused by a Boiling Liquid Expanding Vapor Explosion (BLEVE) or a similar explosion. The method is based on the use of the "superheating energy" (SE), which is the difference between the specific enthalpy of the liquid at the temperature just before the explosion and the specific enthalpy of the liquid at its saturation temperature, at atmospheric pressure. The analysis performed with a set of reference substances showed that in a BLEVE or in similar explosions, the energy converted into overpressure will range between 3.5 and 14% of SE. The comparison of the values thus obtained with experimental data from the literature shows a fairly good agreement.

Energy Transfer↗

Method for preparation of fine TATB (2-5 microm) and its evaluation in plastic bonded explosive (PBX) formulations.

There is a need of fine 1,3,5-triamino-2,4,6-trinitrobenzene (TATB) (2-5 microm) for various high explosive formulations to achieve desired mechanical strength, ease in processing and finally, provide better performance of end product. The reprecipitation method for TATB has been developed using concentrated sulfuric acid as a solvent. The reprecipitation parameters of TATB were optimized to achieve required fine TATB of particle size approximately 2-5 microm. The characteristic properties of fine TATB thus obtained have been confirmed by FTIR, DSC and TG-FTIR. The spectroscopic and thermal data obtained for fine TATB were compared with standard coarse TATB and found chemically unchanged during particle size reduction. In the present study, the preparation of fine TATB was also attempted using ultrasonication method. The fine (2-5 microm) TATB has been introduced to study in the bimodal high explosive formulations. High explosive formulations based on coarse (55 microm) and fine TATB ( approximately 2-5 microm) with 10% polyurethane were studied. It was observed that properties like bulk density (1.70 g/cm(3)), mechanical strength/compressed strength (115.9 mg/cm(2)), %elongation (6.36) were improved for fine TATB in comparison with coarse TATB ( approximately 55 microm) alone in high explosive formulations.

Calorimetry, Differential Scanning↗

The rate of pressure rise of gaseous propylene-air explosions in spherical and cylindrical enclosures.

The maximum rates of pressure rise of propylene-air explosions at various initial pressures and various fuel/oxygen ratios in three closed vessels (a spherical vessel with central ignition and two cylindrical vessels with central or with top ignition) are reported. It was found that in explosions of quiescent mixtures the maximum rates of pressure rise are linear functions on total initial pressure, at constant initial temperature and fuel/oxygen ratio. The slope and intercept of found correlations are greatly influenced by vessel's volume and shape and by the position of the ignition source--factors which determine the amount of heat losses from the burned gas in a closed vessel explosion. Similar data on propylene-air inert mixtures are discussed in comparison with those referring to propylene-air, revealing the influence of nature and amount of inert additive. The deflagration index KG of centrally ignited explosions was also calculated from maximum rates of pressure rise.

Air↗

New method for calculating densities of nitroaromatic explosive compounds.

A new model has been introduced for simple calculation of crystal density of an important class of organic explosives, namely nitroaromatic energetic compounds. This model is based on the fundamental correlation. The introduced procedure has been applied to 60 well-known and new synthesized organic nitroaromatic explosives. The results show that the present method gives comparable prediction respect to well-developed group additivity method for estimation of crystal density of organic explosives. The introduced simple method can be applied to any complex nitroaromatic explosive that contains the elements of carbon, hydrogen, nitrogen and oxygen with no difficulties.

Crystallization↗

Weapons of mass destruction: Overview of the CBRNEs (Chemical, Biological, Radiological, Nuclear, and Explosives).

The events of September 11, 2001, made citizens of the world acutely aware of disasters consequent to present-day terrorism. This is a war being waged for reasons obscure to many of its potential victims. The term "NBCs" was coined in reference to terrorist weapons of mass destruction, i.e., nuclear, biological and chemical. The currently accepted acronym is "CBRNE" which includes Chemical, Biological, Radiological, Nuclear, and Explosive weapons. Non-nuclear explosives are the most common terrorist weapon now in use. Nuclear and radiological weapons are beyond the scope of this publication, which focuses on the "CBEs", i.e. chemical, biological and explosive weapons. Although neurologists will not be the first responders to CBEs, they must know about the neurological effects in order to provide diagnosis and treatment to survivors. Neurological complications of chemical, biological and explosive weapons which have or may be used by terrorists are reviewed by international experts in this publication. Management and treatment profiles are outlined.

Biological Warfare↗

Trauma from tire and rim explosions: A retrospective analysis.

PURPOSE: The purpose of this study is to review injuries occurring as a result of tire and rim explosions treated at a level I trauma center. MATERIALS AND METHODS: The retrospective audit evaluated the university hospital trauma database based on ICD-9 code to isolate patients sustaining tire and rim explosion injuries. A total of 12 complete patient records were derived from this search to allow determination of injuries and outcome assessments. RESULTS: Injury patterns from tire and rim explosions were categorized in terms of anatomic region, treatment and hospitalization, disposition, and outcome assessment. Maxillofacial injuries were further subdivided into specific injuries involving a total of 7 patients from this case series. CONCLUSIONS: Significant blast injuries can result from tire and rim explosions, which can often involve the maxillofacial region due to proximity to the source. Reductions in injuries have been seen since the implementation of physical safety measures by the Occupational Safety and Health Administration and the National Highway Transportation Safety Board.

Accidents, Occupational↗

An exploratory approach to modeling explosive compound persistence and flux using dissolution kinetics.

Recent advances in the description of aqueous dissolution rates for explosive compounds enhance the ability to describe these compounds as a contaminant source term and to model the behavior of these compounds in a field environment. The objective of this study is to make predictions concerning the persistence of 2,4,6-trinitrotoluene (TNT) and octahydro-1,3,5,7-tetranitro-1,3,5,7-tetrazocine (HMX) in solid form both as individual explosive compounds and components of octol, and the resultant concentrations of explosives in water as a result of dissolution using three exploratory modeling approaches. The selection of dissolution model and rate greatly affect not only the predicted persistence of explosive compound sources but also their resulting concentrations in solution. This study identifies the wide range in possible predictions using existing information and these modeling approaches to highlight the need for further research to ensure that risk assessment, remediation and predicted fate and transport are appropriately presented and interpreted.

Azocines↗

Airblast TNT equivalence for a range of commercial blasting explosives.

Results are reported from a programme of work undertaken by the UK Health and Safety Executive to investigate the airblast produced by commercial sector explosives having velocities of detonation (VoD) in the range 2000-8200 m s(-1). The data produced will be useful in evaluating the blast hazards of such explosives in industrial circumstances and also as a means of assessing post-accident damage. All of the solid explosive materials studied produced blast waves which ramped up into shock-wave form close to the point of initiation. The dependence of peak overpressure and positive phase impulse on scaled distance is presented and compared to that of TNT. The TNT equivalence (TNT(e)) technique is shown to be applicable to solid phase explosives with a wide range of VoD, although the precise values of TNT(e) vary with distance.

Air Movements↗

Flixborough revisited - an explosion simulation approach.

A literature study of explosion estimation reports from the Flixborough accident was performed and commented. The results from this survey were compared to the results obtained from explosion simulations. The simulations were done with a computer model of the Flixborough plant using the EXSIM software simulation tool. The comparison showed that explosion magnitude estimates in the literature based on visual inspection are much lower than the simulated results, while the estimates based on calculations to a large degree conform with the simulations. The simulations also showed that the exact location of the ignition source does not seem to be significant for the magnitude of the explosion.

Accidents, Occupational↗

Theoretical and experimental investigation into the explosive boiling potential of thermally stratified liquid-liquid systems.

The occurrence of a rapid phase transition, or so-called explosive boiling, when a cold volatile liquid comes into contact with a hot liquid or hot surface is a potential hazard in industry. This study was focused on the explosive boiling potential of thermally stratified liquid-liquid systems that result from a runaway reaction. The experimental runs were performed on both a non-reacting and a reacting system. The experimental results showed that under the analysed conditions, the cold phase was superheated but did not evaporate explosively, as the limits of superheat of the phase were not achieved. The response of the cold phase appeared to be completely controlled by the interface temperature between the hot and the cold phase. In general, based on the order of magnitude of temperature differences that result from a runaway reaction in a multi-phasic system and the fact that the system is pressurised by its own vapour pressure, the occurrence of explosive boiling under runaway conditions appears unlikely for these type of systems.

Accidents↗

Passive explosion suppression by blast-induced atomisation from water containers.

The experimental findings of a combined wind tunnel and field-scale explosion study of blast-induced water release and its effect on blast suppression are reported. The release of water, and its subsequent atomisation, from containers both with open and partly enclosed surfaces, was first studied in a wind tunnel. An array of water containers were then placed at differing positions from the ignition point, together with flame acceleration obstacle arrays at fixed positions, inside a 5.1 m long by 0.3 m(2) cross-section explosion duct. The droplet size and the minimum flame speed necessary for the container array to suppress the explosion were found to depend upon the number of containers in the array and on their shape and size. One particular container array extinguished the flame when placed at any position beyond 1.7 m from the ignition point. When extinction was observed the internal over-pressure was substantially reduced and the external over-pressure completely eliminated. This study suggests a new approach toward passive explosion suppression.

Explosions↗