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At least 19 recordsLinked to original sources

Medicolegal aspects of tornadic storms in Kansas, U.S.A.

Kansas is known for its fierce whether, including tornados in the spring and fall and blizzards in the winter. A recent series of tornados cut a path of destruction a mile wide for greater than 40 miles (64 km), killed 20 people, and caused several hundred casualities on the evening of April 26, 1991, in Tornado Alley, which runs from the northern border of Oklahoma through southern Kansas past Wichita toward Emporium, Kansas. The wind velocity was greater than 200 mph. Twenty people were killed, 17 of these in Andover, Kansas, a small town east of Wichita. Injuries caused by the tornados and the excellent emergency response and care provided by medical, law-enforcement, and volunteer personnel in the wake of the storms are described here.

Cause of Death

Tornado disaster--Kansas, 1991.

On April 26, 1991, 54 tornadoes swept across six midwestern states, causing 24 deaths and more than 200 injuries, requiring disaster-relief services for more than 8000 persons, and causing property damage of more than $250 million. In Kansas, one tornado, with wind speeds exceeding 260 mph, caused 17 deaths. The 46-mile path of the tornado led through Andover, Kansas (Butler County) (population: 4300), where the town's only outdoor warning siren failed. A mobile-home park (MHP) in Andover with 244 homes and one community storm shelter was struck by the tornado, resulting in the destruction of 205 (84%) of these homes. This report summarizes a poststorm survey, conducted by local health departments, the Kansas Department of Health and Environment, the American Red Cross, and CDC, to identify risk factors for injury and death among persons in the MHP.

Adult

Ixodes scapularis (Acari: Ixodidae) in Kansas: a new distribution record.

The blacklegged tick, Ixodes scapularis Say, previously known to occur only in the extreme southeastern corner of Kansas, has been collected in Douglas and Jefferson counties in the northeast. The new collections extend the northern range of this species in Kansas by approximately 240 km. The role of I. scapularis as a vector of the Lyme borreliosis spirochete, Borrelia burgdorferi, makes this a noteworthy extension of its known range. The proximity of these new collection sites to large centers of human population is of special significance to health-care providers in that region.

Animals

First record of Ixodes brunneus in Kansas.

A single specimen, a partially engorged female, of Ixodes brunneus was recovered from a common grackle (Quiscalus quiscula) in Butler County, near El Dorado, Kansas (USA). The discovery of this tick in Kansas represents a new state record.

Animals

Insecticide residues in the Tuttle Creek Reservoir Ecosystem, Kansas-1970-71.

Various components of the aquatic ecosystem of Tuttle Creek Reservoir on the Big Blue River in northeastern Kansas were examined for organochlorine insecticide residues in 1970-71. Components examined were water, sediments, periphyton, zooplankton, insects, and whole-body samples of 10 common fish species. Only dieldrin and sigmaDDT residues were detected. Dieldrin was found in part of the nonfish samples at levels ranging up to 0.01 ppm and in 97 percent of the fish samples with a high level of 0.17 ppm. SigmaDDT residues were also detected in part of the nonfish samples at levels ranging up to 0.42 ppm, and in 98 percent of the fish samples at levels as high as 0.57 ppm. Authors' findings are roughly similar to those of other surveys of Kansas fishes. All levels are relatively low compared with those reported in surveys from other parts of the Nation.

Animals

Hemoglobin Kansas found in a patient with polycythemia.

A 62-year-old woman, long suspected of having heart disease, was admitted to our hospital for thorough examination. Her hemoglobin level was 17.7 g/dl and her 2.3-DPG level was 8.90 microM/ml RBC. The patient proved to have polycythemia, hemoglobin Kansas, and diabetes mellitus. To our knowledge, this is the third case of hemoglobin Kansas in the world.

2,3-Diphosphoglycerate

Non-equivalence and inverse allosteric response of the alpha and beta chains in haemoglobins. An electron spin resonance study of NO-ligated Hb Kansas.

The electron spin resonance (ESR) spectra of 15NO- and 14NO-ligated Hb Kansas have been measured at 77 K in the range of pH 5 TO 10. At low pH the ESR spectrum is the composite of a type I and a type II spectrum which changes to another composite of type I and type II spectrum at high pH. For the definition of type I and type II spectra and the correlation of these types with two tertiary conformation states see Overkamp et al., Z. Naturforsch. 31 c, 524 [1976]. Both, the type I and the type II spectra observed at low and high pH respectively are different with regard to g-tensors and hyperfine-splitting constants. Therefore at intermediate pH values the ESR spectra of NO-Hb Kansas are the composites of four spectral components. The assignments of the four spectral components to the alpha and the beta chains are arrived at from the comparison of the ESR spectra of the alpha2Mmet beta2NO and of the alpha2MNObeta2NO species of Hb M Iwate. alpha and beta chains are both characterized by a pH-dependent spectral transition from a type I to a type II spectrum. The chains are non-equivalent with regard to both the type I and the type II spectra. The type I spectra assigned to the alpha and the beta chains are characterized by G*ZZ=2.0095 with a hyperfine splitting of alpha*ZZ(15NO)=2.36 mT and gZZ-2.0085 with a hyperfine splitting of aZZ(15NO)=2.41 mT respectively. The type II spectra assigned to the alpha and the beta chains are characterized by g*'ZZ-2.005 and a hyperfine splitting of alpha*'ZZ(15NO)-3.07 mT and g'ZZ-2.005 and a hyperfine splitting of alpha'ZZ(15NO)=3.31 mT. The change of the hyperfine splitting at gZZ during the transition from type I to type II corresponds to an increase of the spin density at the NO by about 25% in both types of chains. Comparison of type I spectra of the NO-ligated alpha and beta chains respectively demonstrates that the spin density at the NO is larger in the beta chains that in the alpha chains. The spectral types are correlated with functional states defined by the kinetics of N0-binding. Binding of inosital hexaphosphate has no influence on the ESR spectra in the whole range of pH as it is expected if NO-Hb Kandas is in the quaternary T structure.

Allosteric Site

Nonequivalence of subunits in [15N]nitrosylhemoglobin Kansas. A single crystal electron paramagnetic resonance investigation.

EPR spectra of Hb15NO crystals of mutant Kansas (Asn G4(102) beta leads to Thr) have been recorded at every 5' intervals and in three orthogonal planes. The nitrosylhemes are nonequivalent for the alpha and beta subunits, their assignments are made possible by comparison with the powder EPR specrtra of Hb15NO of mutant Iwate (His F8(87)alpha leads to Tyr) (Trittelvitz, E., Gersonde, K., and Winterhalter, K.H. (1975) Eur. J. Biochem. 51, 33-42). The EPR parameters for the beta-nitrosylhemes of Hb Kansas are: gxx=2.094 gyy=2.031, gzz=2.00, Azetazeta=11 G, Azetazeta=32.5 G, Aetaeta=12.5 G; the Fe-N-O bond angle is about 105 degrees. The paramters for the alpha-nitrosyl hemes are: gxx=2.058, gyy=2.021, gzz=1.977, Azetazeta=24.5 G, Azetazeta less than or equal to 5G, Aetaeta=23 G; the Fe-N-O bond angle is about 167 degrees. Hyperfine splittings of 7 to 8 gauss with 14Nepsilon atom of His(F8) were observed for the beta-nitrosylhemes; none was resolved for the alpha-nitrosylhemes. The results were interpreted to mean that the tension on the iron of the beta subunits is not large in the unliganded state and this tension was not greatly increased by the binding of nitric oxide in the strongly bent configuration. The tension at the iron in the deoxyhemoglobin is dominant at the alpha subunits. Binding of nitric oxide in this case causing either the breaking or great weakening of the Fe-His(F8) bond. The nitrosyl is in a nearly linear configuration. The unpaired electron densities at the nitrogen atom of the bound nitric oxide is about 63% for the beta-nitrosylheme and 37% for the alpha-nitrosylhemes.

Binding Sites

Myxosoma funduli Kudo 1918 (Protozoa: Myxosporida) in Fundulus kansae: summer epizootiology.

The occurrence and distribution of the myxosporida Myxosoma funduli on the gills of the plains killifish (Fundulus kansae) were investigated; Fundulus kansae is reported as a new host. Host samples from various sites on the South Platte River, Nebraska, were collected during the summer months of 1975 and 1976. The protozoan parasite population was shown to be overdispersed within the host population, and this distribution was similar to that described by the negative binomial equation. Demographic characteristics of the infected fish subpopulation were virtually identical to those of the whole fish population. Infection intensity was independent of gill bar number or side. The frequency of bilateral infections was 0.54, of left only infections was 0.23, and of right only infections was 0.22. Distribution of immature and mature plasmodia indicated that a pre-existing infection did not preclude a new infection, and suggested a prepatent period of less than two months.

Animals

Soil survival of toxoplasma oocysts in Kansas and Costa Rica.

Toxoplasma oocysts in cat feces were marked with a tracer amount of strontium-85 (85-SR), and were superficially buried simulating the natural disposal of feces by cats. Oocyst infectivity in Costa Rica was followed qualitatively and persisted for 1 year in three shaded sites, two moist, and one relatively dry site. Oocyst infectivity was quantitated in the Kansas deposit over a period of 18 months, including two winters. After initial mixing in soil, the level of infectivity remained fairly stable. Infectivity was recovered, probably from the surface on one Musca, several isopods, and earthworms. These data on persistence of Toxoplasma oocysts in soil support the concept that Toxoplasma infectivity in nature may be increased logarithmically by cats.

Animals

Some hematologic and blood chemistry values in two herds of American bison in Kansas.

The data presented are compiled from two herds of American bison (Bison bison) in Kansas. In this study there were differences in the mean values of white blood cell count, neutrophil percentage, lymphocyte percentage and cholestrol, alkaline phosphatase, specific glutamic-oxalacetic transaminase concentrations between the age groups of animals under 2 years of age and bison over 2 year old. Differences in the two age groups paralleled those found in Jersey and Hereford cattle. Packed cell volume and hemoglobin concentrations was considerably higher than found in domestic Bovidae. More data is needed from other bison herds in this country to better describe the range of normal variation in individuals, population and age groups of B. bison.

Alkaline Phosphatase

Serologic survey for selected microbial pathogens in bison from Kansas.

A serologic survey was conducted on an American bison (Bison bison) herd in Kansas for antibodies against Brucella spp., Leptospira interrogans serovar canicola, pomona, grippotyphosa, icterohaemorrhagiae, and hardjo, Anaplasma spp., bluetongue virus, infectious bovine rhinotracheitis virus and bovine viral diarrhea virus. There was an increase in prevalence of bluetongue antibodies from 38% in 1987 to 100% in 1989 in animals greater than or equal to 24-mo-old. Prevalences of antibodies against the other livestock pathogens were either negative or at levels associated with previous vaccination.

Anaplasmosis

Syphilis--Ford County, Kansas, 1992.

In January 1992, the Ford County (Kansas) Health Department received a report of a pregnant women with a positive serologic test for syphilis. Syphilis had not been reported in the county (1990 population: 27,463) since September 1989. As a result of the investigation summarized in this report, six additional persons with syphilis were identified by contact tracing.

Adolescent