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INTEGRATED AND ADAPTIVE RESPONSES TO TOXIC EMERGENCIES FOR RAPID TRIAGE: ENGINEERING THE ROADMAP FROM CASUALTY TO PATIENT TO SURVIVOR.

Livrables

Cross-cultural and social factors in planning for crises management

A white paper that will address the direct tension between the privacy-by-design principal and the need to establish situation awareness. Our ethics and governance panel will be tasked to oversee this activity and comment on the project’s findings on design standards, ethical guidelines, codes of practice and professional standards for emergency CBRN responses within ethnically and culturally highly heterogeneous communities. • Key Headings will include: • Processes • Communication protocols • Consented and non-consented physical and virtual interventions

Guidelines for the care and triage of vulnerable groups in crises-management operations

A report with design and operational guidelines for the triage and management of casualties with: cognitive impairment, mobility impairment, sensory impairment, clinical complications (bariatric patients, cardiac, respiratory, diabetes, liver, kidney diseases, immune compromised and casualties with cancer), pregnancy, lone children, and finally casualties impaired from alcohol and recreational drug use.

Annual reports, with restricted technical annexes

Six monthly activity and financial reports supported by summaries of milestones and deliverables will be produced and highlighted in our bulletin. These will be compiled, indexed and summarised for the annual reports and review. Furthermore formal and detailed presentation supported by appropriate technical specialists will be given by the co-ordinator to the annual conferences and project reviews.

Report on the Clinical trials

Research Papers reporting on the findings from the clinical studies undertaken in Norway, Scotland, and Sri-Lanka on the diagnosis and identification of poisoning.

Messages for Clear and compelling communication during crises management

A systematically catalogued and indexed lexicon of timely and compelling instructions, briefings and prepared messages for all types of media and stake-holders

Triage verification facility

Laboratory infrastructure and SOPs for the evaluation of C-, B-, R/N triage systems challenged by pesticides, chlorine, chloropicrin, sarin, VX- nerve agents, ricin, and the N42 34 ANSI isotope list. A range of matrices including: food, water, clothing (PPE) and building materials under a range of environmental conditions will be included.

Website

The public's interface to the Project

Promotional campaign trade exhibitions with press and media events

A dissemination strategy and delivery timetable for three annual campaigns supporting commercial development of TOXI-triage outcomes involving press releases; social media, trade conferences, publications; research conferences; training materials and events. Scheduling and logistical planning to integrate meetings, workshops, reviews and field trials into the dissemination and marketing plan. A secondary and equally significant dissemination pathway will be the co-ordination of our activity, followed by the transfer of know-how and methodologies into CBRN research programmes undertaken by government laboratories, such as Dstl and Bundeswehr Institute of Pharmacology and Toxicology.

Data and publication repository

The repository will also include all PU dissemination level deliverables from TOXI-triage. (All subject to security clearance evaluation) TOXI-triage will provide immediate, unrestricted, on-line access to published output of publically funded research; often referred to as the ‘gold’ route. Supporting data will also be lodged in the repository.

Database of biomarkers of exposure to chemical, radiological and nuclear hazards

A data base will consolidate, and link to other metabolomics repositories, the outcomes of: • In-clinic metabolomic definition studies describing markers of injury, prognosis, and recovery for OP pesticides (study based at SATRC), toxic alcohol adulterants of drink (Oslo University Hospital, Norway, and Royal Infirmary of Edinburgh, UK,) and radiation injury (Edinburgh Cancer Research Centre, UK). • In-vitro studies presenting data from liver-liposomes and infused organ (animal, pig, ) challenges by live agents chemical (chlorine, chloropicrin, sarin and VX-nerve agents), biological (ricin), and radiation exposures.

Social media data for crises management operations implementation

ICT tools for distributed knowledge extraction, dynamic semantic modelling and embedded reasoning recovered from social network data streams. This deliverable will use proven techniques that have resulted in the highly effective Natural Language Processing E-mail Knowledge Extraction (EKE) system.

Business plans and commercialisation outcomes

A high-level strategy and manifesto for the realisation of: • An effective dissemination strategy. • Integration with CBRN networks established through previous initiatives • Compliance with current standards. • Realise opportunities for commercial exploitation in other sectors, with special emphasis on emergency medicine, environmental protection and fire and rescue. • an approach to the European Medicines Agency to propose registration of the methodologies and any biomarkers of CBRN injury.

Prototype diagnostic system for toxicity injury and exposure

Presentation of optimized prototypes ( sampling, analytics, data-flows, and patient stratification) by studying patients with exposure to OP pesticides, toxic alcohol adulterants, and radiation, as well as exposure to unknown chemicals.

Prototype sampling system for reproducible non-invasive Clinical sampling.

Devices, systems and SOPs for the non-invasive sampling from suspected casualties with breath, skin and saliva variants.

Publications

A rapid and non-invasive method to determine toxic levels of alcohols and γ -hydroxybutyric acid in saliva samples by gas chromatography–differential mobility spectrometry

Auteurs: L Criado-García, D M Ruszkiewicz, G A Eiceman, C L P Thomas
Publié dans: Journal of Breath Research, Numéro 10/1, 2016, Page(s) 017101, ISSN 1752-7163
Éditeur: IOP Publishing Ltd
DOI: 10.1088/1752-7155/10/1/017101

Systems mapping for technology development in CBRN response

Auteurs: Graham Hancox, Sue Hignett, Hilary Pillin, Spyros Kintzios, Jyri Silmäri, C.L. Paul Thomas
Publié dans: International Journal of Emergency Services, Numéro 7/2, 2018, Page(s) 111-119, ISSN 2047-0894
Éditeur: Emera;ld
DOI: 10.1108/ijes-08-2017-0044

Application of comprehensive NMR-based analysis strategy in annotation, isolation and structure elucidation of low molecular weight metabolites of Ricinus communis seeds

Auteurs: Ivan Vučković, Marja-Leena Rapinoja, Matti Vaismaa, Paula Vanninen, Harri Koskela
Publié dans: Phytochemical Analysis, Numéro 27/1, 2016, Page(s) 64-72, ISSN 0958-0344
Éditeur: John Wiley & Sons Inc.
DOI: 10.1002/pca.2600

Real-time monitoring of exhaled volatiles using atmospheric pressure chemical ionization on a compact mass spectrometer

Auteurs: Liam M Heaney, Dorota M Ruszkiewicz, Kayleigh L Arthur, Andria Hadjithekli, Clive Aldcroft, Martin R Lindley, CL Paul Thomas, Matthew A Turner, James C Reynolds
Publié dans: Bioanalysis, Numéro 8/13, 2016, Page(s) 1325-1336, ISSN 1757-6180
Éditeur: Future Science
DOI: 10.4155/bio-2016-0045

Comparison of in vitro metabolism and cytotoxicity of capsaicin and dihydrocapsaicin

Auteurs: Mia Halme, Maija Pesonen, Heta Salo, Martin Söderström, Markku Pasanen, Kirsi Vähäkangas, Paula Vanninen
Publié dans: Journal of Chromatography B, Numéro 1009-1010, 2016, Page(s) 17-24, ISSN 1570-0232
Éditeur: Elsevier BV
DOI: 10.1016/j.jchromb.2015.11.042

How long may a breath sample be stored for at  −80 °C? A study of the stability of volatile organic compounds trapped onto a mixed Tenax:Carbograph trap adsorbent bed from exhaled breath

Auteurs: S Kang, C L Paul Thomas
Publié dans: Journal of Breath Research, Numéro 10/2, 2016, Page(s) 026011, ISSN 1752-7163
Éditeur: IOP Publishing Ltd
DOI: 10.1088/1752-7155/10/2/026011

Biological toxins of potential bioterrorism risk: Current status of detection and identification technology

Auteurs: Brigitte G. Dorner, Reinhard Zeleny, Kirsi Harju, Jacques-Antoine Hennekinne, Paula Vanninen, Heinz Schimmel, Andreas Rummel
Publié dans: TrAC Trends in Analytical Chemistry, Numéro 85, 2016, Page(s) 89-102, ISSN 0165-9936
Éditeur: Elsevier BV
DOI: 10.1016/j.trac.2016.05.024

Volatile organic compound markers of psychological stress in skin: a pilot study

Auteurs: H J Martin, M A Turner, S Bandelow, L Edwards, Svetlana Riazanskaia, C L P Thomas
Publié dans: Journal of Breath Research, Numéro 10/4, 2016, Page(s) 046012, ISSN 1752-7163
Éditeur: IOP Publishing Ltd
DOI: 10.1088/1752-7155/10/4/046012

A pilot clinical study of the neuromuscular blocker rocuronium to reduce the duration of ventilation after organophosphorus insecticide poisoning

Auteurs: Jeevan Dhanarisi, Fathima Shihana, Kirsi Harju, Fahim Mohamed, Vasundhara Verma, Seyed Shahmy, Paula Vanninen, Olli Kostiainen, Indika Gawarammana, Michael Eddleston
Publié dans: Clinical Toxicology, 2019, Page(s) 1-8, ISSN 1556-3650
Éditeur: Taylor & Francis
DOI: 10.1080/15563650.2019.1643467

Miniaturized high-performance drift tube ion mobility spectrometer

Auteurs: André Ahrens, Moritz Hitzemann, Stefan Zimmermann
Publié dans: International Journal for Ion Mobility Spectrometry, Numéro 22/2, 2019, Page(s) 77-83, ISSN 1435-6163
Éditeur: Springer Verlag
DOI: 10.1007/s12127-019-00248-w

Molecularly Imprinted Polymer Materials as Selective Recognition Sorbents for Explosives: A Review

Auteurs: Mashaalah Zarejousheghani, Wilhelm Lorenz, Paula Vanninen, Taher Alizadeh, Malcolm Cämmerer, Helko Borsdorf
Publié dans: Polymers, Numéro 11/5, 2019, Page(s) 888, ISSN 2073-4360
Éditeur: MDPI AG Basel, Switzerland
DOI: 10.3390/polym11050888

A versatile and compact reference gas generator for calibration of ion mobility spectrometers

Auteurs: Thomas Mayer, Malcolm Cämmerer, Helko Borsdorf
Publié dans: International Journal for Ion Mobility Spectrometry, Numéro June 2019, 2019, Page(s) pp 1-10, ISSN 1435-6163
Éditeur: Springer Verlag
DOI: 10.1007/s12127-019-00252-0

Convolutional neural networks for automated targeted analysis of raw gas chromatography-mass spectrometry data

Auteurs: Angelika Skarysz, Yaser Alkhalifah, Kareen Darnley, Michael Eddleston, Yang Hu, Duncan B McLaren, William H Nailon, Dahlia Salman, Martin Sykora, C L Paul Thomas, Andrea Soltoggio
Publié dans: 2018 International Joint Conference on Neural Networks (IJCNN), 2018, Page(s) 1-8, ISBN 978-1-5090-6014-6
Éditeur: IEEE
DOI: 10.1109/IJCNN.2018.8489539

Integrating macro and micro Hierarchical Task Analyses to embed new medical devices in complex systems

Auteurs: Hignett, S., Hancox, G., Pillin, H., Silmäri, J., O’Leary, A., Brodrick, E.
Publié dans: HEPS 2019, 2019, Page(s) p 49-53
Éditeur: Healthcare Ergonomics & Patient Safety (HEPS) International Conference

Methode zur Risikoidentifizierung in Prozessen der Gefahrenabwehr

Auteurs: Amelunxen, C., Rupp, N. & Sander, J. I.,
Publié dans: Mensch und Computer 2018 - Workshop, Numéro September 2018, 2018, Page(s) 634-641
Éditeur: Gesellschaft für Informatik e.V
DOI: 10.18420/muc2018-ws12-0458

Mental health surveillance after the terrorist attacks in Paris

Auteurs: Oliver Gruebner, Martin Sykora, Sarah R Lowe, Ketan Shankardass, Ludovic Trinquart, Tom Jackson, S V Subramanian, Sandro Galea
Publié dans: The Lancet, Numéro 387/10034, 2016, Page(s) 2195-2196, ISSN 0140-6736
Éditeur: The Lancet Publishing Group
DOI: 10.1016/S0140-6736(16)30602-X

Chemical, biological, radiological, nuclear and explosive (CBRNe) events

Auteurs: Sue Hignett, Graham Hancox, Mary Edmunds Otter
Publié dans: International Journal of Emergency Services, Numéro August 2019, 2019, Page(s) pp. 175-190, ISSN 2047-0894
Éditeur: Emerald Publishing Limited
DOI: 10.1108/ijes-05-2018-0030

The hyperspectral and smartphone technology in CBRNE countermeasures and defence

Auteurs: Kuula, Jaana
Publié dans: 2016, ISBN 978-951-39-6889-5
Éditeur: University of Jyväskylä

Droits de propriété intellectuelle

T4i DOVER

Numéro de demande/publication: UK 00003167285
Date: 2016-05-31
Demandeur(s): T4I ENGINEERING LTD

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