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Nowadays, the use of a drug to modify a person's behavior with criminal intentions has become a growing public concern. In fact, stealthy drink spiking with certain drugs can cause the incapacitation of a potential victim of assault and in extreme cases can even lead to death. Belonging to the group of drugs used to commit drug-facilitated crimes is glibenclamide, which not only exhibits high sedation secondary effects but when subject to an overdose intake can lead to intense hypoglycemic episodes that could end with death. Suicide attempts and homicides through overdose with glibenclamide have already been reported. In this work and for the first time, it was developed a new methodology for detection of glibenclamide in spiked liquid samples (teas) by fluorometry (λ(ex)=300 nm; λ(em)=404 nm). The novel methodology was also implemented in a miniaturized and portable automatic flow system based in the concept of multipumping with an in-line pre-separation unit. The separation of the drug from the liquid samples was achieved through adsorption of the drug into activated charcoal packed within a mini column followed by elution with a solution composed by ethanol, hydrochloric acid and the surfactant CTAB (70%, 1.0 mol L(-1), 0.01 mol L(-1), respectively). The results allowed to obtain a linear working range for glibenclamide concentrations of up to 50 mg L(-1) (r=0.9999) and the detection limit was about 0.81 mg L(-1) of glibenclamide.

This study presents the prevalence of ethanol and illicit drugs in fatal road traffic accident victims in the Centre of Portugal between January 1990 and December 2007. Among the violent deaths, road traffic accidents presented the highest percentage (around 35%; n=3095), but decreasing throughout the years. Accidents were preponderant in males (about 80%; n=2402), between 21 and 30 years-old. Accidents involving drivers (55%; n=1310) were of the most common, being the car the main vehicle (45%), followed by the motorcycle (40%). An alcohol analysis request was present in 50% of the cases (n=1687), but increasing each year. Ethanol concentrations >1.2g/L, the legal limit in Portugal, were found in 55% (n=283) of the cases. Concerning drugs of abuse requests, only 4.4% (n=137) and 17.3% (58 cases) of the cases included the analysis at the Forensic Pathology Department (FPD) and at the Medico-Legal Office (MLO), respectively. Among the road accident cases analysed, 18 were positive, mainly in men (84%), between 21 and 30 years-old; opiates (47.1%; n=8) and cannabinoids (50%; n=4) were the most found, at the FPD and at the MLO, respectively. In conclusion, ethanol was identified as a key factor to traffic accidents, which explains the definition of specific legislation and methods of enforcement to prohibit this form of impairing. Nevertheless, ethanol still remains the psychoactive substance most frequently identified in the blood of divers killed in road-traffic crashes, recommending additional actions of supervision and control.

Alcohol use disorders affect millions of people worldwide causing huge social and economic burden on modern society. Excessive alcohol consumption or intoxication provokes severe damage to the body inducing immune suppression, liver damage and neurological disorder. In the central nervous system (CNS), alcohol exposure can lead to neuronal loss, cognitive decline, motor dysfunction, inflammation and impairment of neuroimmune responses. Glial cells, from which microglia represent roughly 10-15%, are primary modulators of the neuroimmune responses and inflammation in the CNS. Here we overview literature relating alcohol exposure with microglia activation and brain inflammation, highlighting that microglia are critical regulators of alcohol responses in the CNS. Different studies indicate that alcohol intake alters the microglial activation spectrum, with the microglial response varying according to the dose, duration, and pattern of alcohol administration. Presently, further investigation is required to establish whether microglia dysfunction initiates or simply amplifies the neurotoxicity of alcohol in the brain. Such knowledge can be greatly facilitated by the use of microglia-specific genetic targeting in animal models and will be critical for the development of better therapeutics for mitigating the neurotoxicity induced by alcohol.

In this study the desensitizing power of increasing concentrations of resiniferatoxin applied topically to the bladder mucosa, and the irritating properties of the most effective desensitizing dose, were determined with the aid of the spinal expression of the proto-oncogene c-fos. Desensitization was assessed by the decrease in the number of Fos-immunoreactive spinal neurons induced by the intravesical instillation of 1% acetic acid, when the latter was preceded by resiniferatoxin in concentrations between 1 and 1000 nM. Irritation, as shown by the noxious excitation of vesical sensory innervation, was measured by the c-fos response evoked by a single application of resiniferatoxin. As to the desensitizing power, resiniferatoxin produced a dose-dependent effect with a maximum at 100 nM, which decreased Fos-immunoreactive cell numbers to less than 10% of controls. No further decrease of c-fos activation occurred at 1000 nM. As to the irritating power, the saturation dose of resiniferatoxin (100 nM) produced a very weak c-fos activation in lumbosacral spinal cord segments. These data show that in an effective desensitizing concentration, resiniferatoxin is virtually devoid of nociceptive effects, in agreement with current clinical observations.

Temperature record-breaking events, such as the observed more intense, longer-lasting, and more frequent heat waves, pose a new global challenge to health sectors worldwide. These threats are of particular interest in low-income regions with limited investments in public health and a growing urban population, such as Brazil. Here, we apply a comprehensive interdisciplinary climate-health approach, including meteorological data and a daily mortality record from the Brazilian Health System from 2000 to 2015, covering 21 cities over the Metropolitan Region of Rio de Janeiro. The percentage of absolute mortality increase due to summer extreme temperatures is estimated using a negative binomial regression modeling approach and maximum/minimum temperature-derived indexes as covariates. Moreover, this study assesses the vulnerability to thermal stress for different age groups and both genders and thoroughly analyzes four extremely intense heat waves during 2010 and 2012 regarding their impacts on the population. Results showed that the highest absolute mortality values during heat-related events were linked to circulatory illnesses. However, the highest excess of mortality was related to diabetes, particularly for women within the elderly age groups. Moreover, results indicate that accumulated heat stress conditions during consecutive days preferentially preceded by persistent periods of moderate-temperature, lead to higher excess mortality rather than sporadic single hot days. This work may provide directions in human health policies related to extreme climate events in large tropical metropolitan areas from developing countries, contributing to altering the historically based purely reactive response.

Abstract The combustion of solid-fuels for heating and cooking in traditional fireplaces and stoves remains as the most popular residential energy system for 40% of the world population. Among the major contributors to air pollution, the World Health Organization considers it the largest global environmental health risk. Research stressed the need to increase the performance of conventional interplays between users, stoves and buildings. This scientific review aims to characterize the performance and environmental effects of 9 wood-burning stove categories by installations worldwide. This investigation shows that the efficiency of new heating stoves tends to be higher than 80% (45% for cookstoves) when fuel loads are adjusted to heating requirements. The adoption of air-tight installations can reduce wood consumption by more than 50% when compared with fireplaces. Fine particulate matter emissions from wood combustion can be reduced by more than 30% when switching from appliances using a manual control of combustion air inlets to automate systems that optimize air-staging to values below 150 mg/MJ-del. The mitigation of household air pollution in areas with limited access to modern fuels requires information campaigns to tackle the new air quality standards. Further investigations are recommended to evaluate the performance of advanced stoves during daily-life practices.

Valproic acid (VPA) has been used as an anticonvulsant for the treatment of epilepsy. The authors present a fatal case involving a 45-year-old female, found dead lying in bed with empty tablets of Diplexil(®) next to her. She was a chronic alcoholic and epileptic who had been under psychiatric treatment, having repeatedly demonstrated intent to commit suicide. A rapid method was developed and validated to determine VPA in blood by ultra-performance liquid chromatography (UPLC) coupled with tandem mass spectrometry (MS/MS) with electrospray ionization source in negative ion mode. The method involved sample treatment with phosphoric acid followed by solid-phase extraction. Chromatographic separation was achieved using an Acquity UPLC(®) BEH (2.1 × 50 mm id, 1.7 μm) column and a mobile phase containing ammonium acetate and acetonitrile, at a 0.5 mL/min flow rate. Detection and quantification of VPA was achieved using multiple reaction monitoring (MRM). The MS/MS transitions used for monitoring were m/z 143.1-143.1 for valproic acid and m/z 296.1-205.0 for hydrochlorothiazide used as an internal standard (IS). The limit of quantification (LOQ) was 0.5 μg/mL and the method was linear in the concentration range of 0.5-100 μg/mL. The coefficients of variation obtained for accuracy and precision were less than 10% and the mean recovery was 95% for the three concentrations levels studied (5 μg/mL, 10 μg/mL and 50 μg/mL). Toxicological results showed high concentration of VPA (556 μg/mL) and therapeutic concentrations of tiapride, mirtazapine, oxazepam and nordiazepam. Blood sample analysis also revealed the presence of ethanol at a concentration of 1.34 g/L. A specific, selective and sensitive method for the determination of VPA in blood was developed and can be used in routine forensic investigation. Toxicological results led the pathologist to rule that death was due to an intoxication caused by the simultaneous ingestion of high VPA concentrations and alcohol, with a suicidal legal-medical etiology.

Abstract A dynamic one-dimensional isothermal phenomenological model was developed in order to describe the steady-state and transient behavior of high temperature polymer electrolyte membrane fuel cells (PEMFC). The model accounts for transient species mass transport at the bipolar plates and gas diffusion layers and the electric double layers charge/discharge. To record the impedance spectra, a small sinusoidal voltage perturbation was imposed to the simulator over a wide range of frequencies, and the resultant current density amplitude and phase were recorded. The steady-state behavior of the fuel cell, as well as the impedance spectra were obtained and compared to experimental data of two different fuel cells equipped with different MEAs based on phosphoric acid polybenzimidazole membrane. This approach is new and allows a deeper analysis of the controlling phenomena. The model fitted quite well the I–V curves for both systems, but fairly well the Nyquist plots. The differences observed in the Nyquist plots were attributed to proton resistance in the catalyst layer and the gas diffusion limitations to cross the phosphoric acid layer that coats the catalyst, phenomena not included in the proposed phenomenological model.

Algeria adopted an ambitious program of sustainable development and renewable energy to expand the use of renewable energies and to save fossil energy reserves. The energy efficiency program (EEP), which is focused on three main sectors—transport, residential, and industry—is aimed at diversifying the energy sources and at reducing between 7 and 22% pollutant emissions by 2030. The present study is a first attempt to evaluate the impact of the EEP policies on air quality and human health by 2030, in an urban area (the capital Algiers), using a numerical modeling approach. Three emission scenarios were developed for 2030: (i) business as usual (BaU), (ii) governmental energy policies, and (iii) additional measures. The air pollutants nitrogen dioxide (NO2) and particulate matter (PM10) were considered. Results suggest that the maximum annual concentration levels for PM10 and NO2 will increase from 122 to 129 μg/m3 and from 91 to 124 μg/m3, respectively, between 2012 and 2030 (BaU scenario). These values are much higher than those set by national and international guidelines. The planned governmental energy policies could reduce approximately 20 μg/m3 of PM10 and 15 μg/m3 of NO2 by 2030, representing a reduction up to 15% for both pollutants compared to the BaU scenario. Considering governmental and additional measures, a reduction of around 35 and 30 μg/m3 for PM10 and NO2, respectively, is estimated, which corresponds to reductions up to 24% for both pollutants. Based on the obtained results, the implementation of additional air quality planning strategies is strongly recommended to promote the citizens’ health.