Wounding patterns and human performance in knife attacks: optimising the protection provided by knife-resistant body armour

Stab attacks generate high loads,1 and to defeat them, armour needs to be of a certain thickness and stiffness.2,3 Slash attacks produce much lower loads and armour designed to defeat them can be far lighter and more flexible.Methods and subjects: Phase 1: Human performance in slash attacks: 87 randomly selected students at the Royal Military College of Science were asked to make one slash attack with an instrumented blade on a vertically mounted target. No instructions on how to slash the target were given. The direction, contact forces and velocity of each attack were recorded. Phase 2: Clinical experience with edged weapon attacks: The location and severity of all penetrating injuries in patients attending the Glasgow Royal Infirmary between 1993 and 1996 were charted on anatomical figures.Results Phase 1: Two types of human slash behaviour were evident: a ‘chop and drag’ blow and a ‘sweep motion’ type of attack. ‘Chop and drag’ attacks had higher peak forces and velocities than sweep attacks. Shoulder to waist blows (diagonal) accounted for 82% of attacks, 71% of attackers used a long diagonal slash with an average cut length of 34 cm and 11% used short diagonal attacks with an average cut length of 25 cm. Only 18% of attackers slashed across the body (short horizontal); the average measured cut length of this type was 28 cm. The maximum peak force for the total sample population was 212 N; the maximum velocity was 14.88 m s−1. The 95 percentile force for the total sample population was 181 N and the velocity was 9.89 m s−1. Phase 2: 431 of the 500 patients had been wounded with edged weapons. The average number of wounds sustained by victims in knife assaults was 2.4. The distribution of wounds by frequency and severity are presented.Conclusions Anti-slash protection is required for the arms, neck, shoulders, and thighs. The clinical experience of knife-attack victims provides information on the relative vulnerabilities of different regions of the body. It is anticipated that designing a tunic-type of Police uniform that is inherently stab and slash resistant will eventually replace the current obvious and often bulky extra protective vest. Attempts at making a combined garment will need to be guided by ergonomic considerations and field testing. A similar anatomical regional risk model might also be appropriate in the design of anti-ballistic armour and combined anti-ballistic and knife-resistant armour

Blade Sharpness and its Effect on the Testing of Body Armours

Factors such as edge sharpness and tip sharpness have been identified by Horsfall,1 as keyvariables in the testing of stab and slash resistant armours. This paper evaluates the influenceof blade sharpness on the mechanics of penetration and its relationship with a variety ofmaterials used for body armour systems. The differences in performance between blunt andsharp blades are compared by dynamic tests using an instrumented drop tower, measuringpeak loads and energy to penetration. Variance in the initial impact forces required topenetrate body armour between blunt and sharp blades is shown. However, the total energyto penetration for both sharp and blunt knives was found to be similar for a specific bodyarmour system. Dynamic tests were also used to evaluate the effect of wear on bladeperformance by the comparison of the initial loads for puncture and depth of penetration onaramid and metallic armour systems. The effect of sharpness on the reproducibility of testresults is also investigated and discussed. Various test methods are described for themeasurement of sharpness for both stab and slash and compared. The recent development ofa new non-destructive proof test method to measure tip and edge sharpness is also described

Impact perforation testing of stab-resistant armour materials

This paper describes the development of a method for the investigation and comparison of materials for use in stab resistant body armour. A number of polymer composite panels of different thicknesses and construction have been tested. A dynamic test which simulated the real threat has been used and the results compared to a simpler quasi-static test that might be used in initial materials selection. The materials tested were glass-epoxy, and glass-nylon composite panels of several thicknesses between 1.8 and 5.8mm. Additional tests were also performed on similar composites containing tungsten wires. An accelerated instrumented drop-tower was used to drive a knife through composite panels and record the force resisting penetration by the knife. The final penetration of the knife through the armour into a soft backing was also measured. For comparison,a similar geometry quasi-static test was carried out on the same specimens. It was found that energy absorbtion took the form of an initial resistance to perforation and then by a resistance to further penetration. This is thought to stem from resistance to cutting ofthe panel material and gripping of the knife blade. The energy required to produce a given penetration in dynamic tests was found to be in good agreement with the penetration achieved at similar energies under quasi-static conditions. For the materials tested there was no significant difference between the penetration resistance of single or two layer systems. The penetration achieved through a panel of a given material was approximately proportional to the inverse square of the panel's thickness. The relative performance of different armour materials was assessed by plotting the energy required to penetrate a fixed distance against the areal density of the panel

Comparison of Two Detailed Models of Aedes aegypti Population Dynamics

The success of control programs for mosquito-­borne diseases can be enhanced by crucial information provided by models of the mosquito populations. Models, however, can differ in their structure, complexity, and biological assumptions, and these differences impact their predictions. Unfortunately, it is typically difficult to determine why two complex models make different predictions because we lack structured side-­by-­side comparisons of models using comparable parameterization. Here, we present a detailed comparison of two complex, spatially explicit, stochastic models of the population dynamics of Aedes aegypti, the main vector of dengue, yellow fever, chikungunya, and Zika viruses. Both models describe the mosquito?s biological and ecological characteristics, but differ in complexity and specific assumptions. We compare the predictions of these models in two selected climatic settings: a tropical and weakly seasonal climate in Iquitos, Peru, and a temperate and strongly seasonal climate in Buenos Aires, Argentina. Both models were calibrated to operate at identical average densities in unperturbedconditions in both settings, by adjusting parameters regulating densities in each model (number of larval development sites and amount of nutritional resources). We show that the models differ in their sensitivityto environmental conditions (temperature and rainfall) and trace differences to specific model assumptions.Temporal dynamics of the Ae. aegypti populations predicted by the two models differ more markedly under strongly seasonal Buenos Aires conditions. We use both models to simulate killing of larvae and/or adults with insecticides in selected areas. We show that predictions of population recovery by the models differ substantially, an effect likely related to model assumptions regarding larval development and (director delayed) density dependence. Our methodical comparison provides important guidance for model improvement by identifying key areas of Ae. aegypti ecology that substantially affect model predictions, and revealing the impact of model assumptions on population dynamics predictions in unperturbed and perturbed conditions.Fil: Legros, Mathieu. University of North Carolina; Estados UnidosFil: Otero, Marcelo Javier. Universidad de Buenos Aires; ArgentinaFil: Romeo Aznar, Victoria Teresa. Universidad de Buenos Aires; ArgentinaFil: Solari, Hernan Gustavo. Universidad de Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Física de Buenos Aires. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Física de Buenos Aires; ArgentinaFil: Gould, Fred. National Institutes of Health; Estados UnidosFil: Lloyd, Alun L.. National Institutes of Health; Estados Unido

How young people from culturally and linguistically diverse backgrounds experience mental health: some insights for mental health nurses

This article reports on a part of a study which looked at the mental health of culturally and linguistically diverse (CALD) young people. The research sought to learn from CALD young people, carers, and service providers experiences relevant to the mental health of this group of young people. The ultimate goal was to gain insights that would inform government policy, service providers, ethnic communities and most importantly the young people themselves. To this end, qualitative interviews were undertaken with 123 CALD young people, 41 carers and 14 mental health service providers in Queensland, Western Australia and South Australia. Only one aspect of the study will be dealt with here, namely the views of the young CALD participants, which included risk factors, coping strategies and recommendations about how they could be supported in their struggle to maintain mental health. One of the most important findings of the study relates to the resilience of these young people and an insight into the strategies that they used to cope. The efforts of these young people to assist us in our attempts to understand their situation deserve to be rewarded by improvements in the care that we provide. To this end this article sets out to inform mental health nurses of the results of the study so that they will be in a position to better understand the needs and strengths of their CALD clients and be in a better position to work effectively with them

Screening for important unwarranted variation in clinical practice: a triple-test of processes of care, costs and patient outcomes

Objective: Unwarranted variation in clinical practice is a target for quality improvement in health care, but there is no consensus on how to identify such variation or to assess the potential value of initiatives to improve quality in these areas. This study illustrates the use of a triple test, namely the comparative analysis of processes of care, costs and outcomes, to identify and assess the burden of unwarranted variation in clinical practice. Methods: Routinely collected hospital and mortality data were linked for patients presenting with symptoms suggestive of acute coronary syndromes at the emergency departments of four public hospitals in South Australia. Multiple regression models analysed variation in re-admissions and mortality at 30 days and 12 months, patient costs and multiple process indicators. Results: After casemix adjustment, an outlier hospital with statistically significantly poorer outcomes and higher costs was identified. Key process indicators included admission patterns, use of invasive diagnostic procedures and length of stay. Performance varied according to patients’ presenting characteristics and time of presentation. Conclusions: The joint analysis of processes, outcomes and costs as alternative measures of performance inform the importance of reducing variation in clinical practice, as well as identifying specific targets for quality improvement along clinical pathways. Such analyses could be undertaken across a wide range of clinical areas to inform the potential value and prioritisation of quality improvement initiatives.Andrew Partington, Derek P. Chew, David Ben-Tovim, Matthew Horsfall, Paul Hakendorf and Jonathan Karno

The Effect of Weekly Training Load on Match Result in American Professional Soccer

BACKGROUND: During a professional soccer season, training load (TL) will fluctuate due to the need to prepare for the next competition. Based on the technical staff’s daily and weekly evaluation, TL will be adjusted as they prepare the team and maximize individual performance and achieve a favorable result. Therefore, the programming of each match week (MW) TL may promote a favorable result. PURPOSE: The purpose of this study was to examine variation in daily GPS-derived TL variables based on match result using the Match Day Minus (MD-) system. This study provides descriptive TL data yet to be reported in this novel population. METHODS: Twenty-four male United Soccer League One (USL1) players were monitored through the full competitive in-season macrocycle. Using GPS units, metrics of interest were identified to best provide a full picture of training load. Duration (D), Total Distance (DT), High Metabolic Load Distance (HMLD), Total Loading (LT), Number of Accelerations (#A), and Number of Decelerations (#D), collectively make up weekly TL. The MD- system was used to categorize each training day. One-Way ANOVA was used for each MD- to compare results, with a Bonferroni Correction. RESULTS: D, DT, HMLD, and LT were the metrics of interest that had the largest effect throughout the MW. CONCLUSION: Based on the results of this study, weekly TL has been shown to influence match results in American professional soccer. Special consideration should be given to the metrics of interest during the MW in preparation for weekly competition

Structural basis for the broad-spectrum inhibition of metallo-beta-lactamases by thiols

The development of broad-spectrum metallo-beta-lactamase (MBL) inhibitors is challenging due to structural diversity and differences in metal utilisation by these enzymes. Analysis of structural data, followed by non-denturing mass spectrometric analyses, identified thiols proposed to inhibit representative MBLs from all three sub-classes: B1, B2 and B3. Solution analyses led to the identification of broad spectrum inhibitors, including potent inhibitors of the CphA MBL (Aeromonas hydrophila). Structural studies revealed that, as observed for other B1 and B3 MBLs, inhibition of the L1 MBL thiols involves metal chelation. Evidence is reported that this is not the case for inhibition of the CphA enzyme by some thiols; the crystal structure of the CphA-Zn-inhibitor complex reveals a binding mode in which the thiol does not interact with the zinc. The structural data enabled the design and the production of further more potent inhibitors. Overall the results suggest that the development of reasonably broad-spectrum MBL inhibitors should be possible.</p

3D structures for silicon carbide transistors utilising Al2O3 as a gate dielectric

This paper reports on the first investigation of the characteristics of 3D structures formed in silicon carbide for the realisation of ultra-high performance nanoscale transistors, based on the FINFET topology. Capacitance–voltage characteristics show evidence of a second flatband voltage, located at a higher bias than that seen for purely planar devices. Two distinct peaks in the conductance–voltage characteristics are observed, centred at the flatband voltages, where the amplitude of the high voltage peak correlates with the sidewall area. This suggests that the chemical behaviour of the sidewalls differ from those of the (0001) wafer surface. The breakdown electric field of the dielectric film grown on the 3D structure is in excess of 3 MV cm−1. It is demonstrated that 3D transistors (FINFETs) do not utilise the gate voltage range where the abnormal characteristics exist and so this work reports for the first time the possibility of high performance nanoscale transistors in silicon carbide that can operate at high temperatures

Chemical Speciation of some Heavy Metals in Sand Filter Media [SFM] Waste Dumpsite in Yenagoa, Nigeria

The chemical speciation of five heavy metals [HMs] in spent sand-filter-media [SFM] waste dumpsite was investigated with a view to ascertain their distribution and chemical availability of the heavy metals in the dumpsite. Samples were collected at the surface, 100cm depth of the dumpsite and 100m away from the dumpsite and analysed using FAAS for total concentration of Cr, Fe, Mn. Ni and Pb. Speciation analysis was carried out usingmodified Tessier’s sequential extraction method. The percentage concentrations showed that Pb occurred more at the exchangeable fraction with 90.6% at the top, 91.34% at 100cm depth. This signifies that Pb is biochemically available for in-take by living organisms. Fe had the highest concentration by mass 12mg/g but its occurrence of between 22- 28% is in the residual/inert fraction. Ni had 40% in the exchangeable and&nbsp; carbonate fractions at the surface and at 100cm depth. Cr had highest exchangeable fraction of 46.29% and 45.59% at the surface and 100cm depth of the SFM. Mn had 37.30% and 42.26% at the surface and at 100cm depth of the SFM. Although Fe had highest concentration by mass, it is least biochemically available occurring more at the residual/inert fraction while the other four metals [Pb, Ni, Cr, Mn] are all biochemically available for intake by organisms and may enhance biochemical accumulation overtime and finally become harmful to living organisms around that dumpsite. Keywords: Speciation, Heavy metals, Sand Filter Media, Waste Dumpsit