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The most common cause of heat fatalities is environmental exposure during heat waves. Deserts of the southwestern USA are known for temperatures that exceed 32 degrees C for 30 days or more; yet, heat-related fatalities are rare among residents of the region. We compiled data from the National Weather Service and the Office of the Medical Examiner in order to determine the relationship between temperature and occurrence of heat fatalities in Pima County, AZ. Logistic regression indicated that for each degree of increase in temperature (degrees C), there was a 35% increase in the odds of a heat fatality occurring (p

Terrorist blasts and landmine injuries have become more common in the past several decades generating thousands of casualties. Preventive and prognostic measures are limited by the lack of knowledge of these complex events. Previous blast research has focused on primary blast injuries that involve the lung, despite musculoskeletal injuries being the most common. Through the use of instrumented cadavers, Hybrid III test dummies, and other surrogates, unique models of these events have been created. The investigations studied the effectiveness of antimine footwear, forces and injury mechanisms in temporary shelters subjected to blast, modeling of blast-induced glass fragmentation, and helmet deformation and injury potential under ballistic load. Despite blasts being much higher rate events than those seen in automotive blunt trauma, we were able to measure forces and create injury models. We found that antimine footwear will require additional development to be effective. Guidelines for shelter placement have been altered, and tempered glass seems to offer no protection when compared with annealed glass. Although these models are in their nascent phase, the thorough understanding of the biomechanical nature of these blast injuries will assist in developing strategies to reduce injuries and in the creation of forecasting models.

The legs and wings of insects are borne on the middle body segments, which make up the thorax. The nervous system inside of the thorax is part of the insect equivalent of the spinal cord and contains clusters of interneurons that relay signals between the sensory nerves, the brain and the muscles. This enables the insect to perform complex actions such as walking and flying. The thoracic interneurons are produced by a fixed set of stem cells. Each stem cell makes neurons in a pair-wise fashion by producing a sequence of neural progenitor cells, each of which then divides to produce two different types of daughter neurons. All of the daughter neurons of the same type are said to belong to the same hemilineage, and in the fruit fly Drosophila, the majority of the interneurons in the thorax are from one of 33 hemilineages. Each interneuron cluster in the insect thorax is made up of cells from a single hemilineage. Harris et al. developed genetic tools that allow the different hemilineages in the Drosophila thorax to be labeled, and used this to create a set of flies that allows the role of the different clusters to be investigated. Each fly type was modified so that increasing the temperature activated a heat-sensitive channel in the neurons of a single hemilineage, and Harris et al. recorded the behavioral response this produced. Each hemilineage caused the fly to move in a distinctive way when stimulated, and many of these movements were unique to a single cluster. Furthermore, the hemilineages can be divided into different groups based on their complexity. Activating the simplest group of hemilineage clusters produces simple movements such as leg twitches and stretches. Another group of hemilineages are then able to organize these movements into more complicated behaviors, such as walking. The third, most complex, hemilineages can coordinate several complex actions to enable the flies to perform very complicated tasks, like take off for flight. These findings suggest that hemilineages act as the basic modules of the nervous system in the fly thorax. Furthermore, the flies and techniques developed by Harris et al. will provide valuable resources for future studies into the organization and function of the nervous system.

Widespread media reports have described an increase in heat-related deaths among illegal immigrant border crossers in Southern Arizona in recent years. We conducted a retrospective case series review of heat-related deaths reported by a large border county medical examiner office in an attempt to estimate the occurrence and distribution of these deaths for the years 1998–2003. United States Border Patrol apprehension data were also collected and used in the analysis to estimate the size of the population of border crossers. An increase in the total heat-related deaths has occurred since 1999 in Pima County Arizona and has continued to date. Precise estimates of rates are not possible but appear to have increased as well. Implications for understanding the complexity of researching this public health issue including the definition of cases and population at risk are discussed.