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Patients may be intubated after exposure to a variety of substances because of respiratory failure, CNS sedation, pulmonary pathology, or cardiovascular instability. However, there is little data describing the types of substances that are associated with endotracheal intubation or the rates of intubation after these exposures. Evaluation of this association may inform future research on intubation after exposures to specific substances and guide poison prevention education. Our objective was to determine which exposures were commonly associated with intubation using the data from National Poison Data System (NPDS). The NPDS tracks data from potential exposures to substances reported to all American Association of Poison Control Centers. We performed a retrospective analysis of NPDS data from January 1st, 2000 to December 31st, 2013 to identify human exposures to substances that were associated with endotracheal intubation. Descriptive statistics were used to analyze the data. There were 93,474 single substance exposures and 228,507 multiple substance exposures that were associated with intubation. The most common exposures to substances that were associated with intubation were atypical antipsychotics (7.4 %) for single exposures and benzodiazepines (27.4 %) for multiple exposures. Within each age group, the most common known exposures to substances were for patients under 6 years, clonidine for single and multiple exposures; for patients aged 6-12 years, clonidine for single exposures and atypical antipsychotics for multiple exposures; for patients aged 13-19 years, atypical antipsychotics for single and multiple exposures; and for patients over 19 years, atypical antipsychotics for single exposures and benzodiazepines for multiple exposures. From 2000-2013, the exposures to substances most commonly associated with intubation varied by single versus multiple exposures and by age. This study helps clarify the exposures to substances that are associated with intubation reported to poison centers in the USA.

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Federal funding of poison centers (PCs) in the United States was established in 2000 through the Poison Control Center Enhancement and Awareness Act. Unfortunately, the problems with financial stability of PCs that this legislation was intended to improve persist because of continued reliance on fragile local funding sources. In the past few months budget cuts have had an impact on PC activity and threaten the continued existence of a nationwide network of PCs in the United States. This commentary discusses the problems faced by PCs in this changing environment and illustrates the many competing tasks that the PC network performs for the U.S. population. PCs face continuing challenges in coming months and a unified approach at a national level may provide the best opportunity for a solution to this crisis.

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We report on efficient conversion of a 1064-nm Nd:YAG laser to tunable visible light. The conversion scheme uses noncritically phase-matched second-harmonic generation of a pulsed Nd:YAG-pumped LiF:F2- laser in lithium triborate. Optimization yields 42% LiF:F2- laser efficiency and 56% frequency-doubling efficiency, providing >20% conversion from 1064 nm to broadly tunable visible output. A dramatic sensitivity of laser efficiency to pump pulse duration is recorded, with a fundamental efficiency improvement of over 30-fold measured for an increase in pump pulse duration from 5 to 34 ns.

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In 1991, Oregon became the first state in the U.S. to require the addition of an aversive agent to ethylene glycol-containing antifreeze and methanol-containing windshield wiper fluid. This new law, entitled "Toxic Household Products (THP) Act," was designed to reduce pediatric and animal poisonings from accidental ingestion of these two potentially lethal consumer automotive products. While not the stated intention of the law, addition of aversive agents to consumer automotive products could also reduce adult poisonings associated with intentional (suicides or alcoholics ingesting methanol-containing windshield wiper fluid) or accidental exposures. This law went into effect April 30, 1995, following settlement of a lawsuit brought by the Chemical Manufacturing Specialties Association (CSMA), a trade group representing the five largest manufacturers of ethylene glycol-based antifreeze in the U.S. This paper discusses the major policy issues that arose following the passage of Oregon's THP Act. Major provisions of the law are provided along with a discussion of CSMA's opposition to the Act's implementation. A description of the eventual settlement that was reached with CSMA as well as the major components of Oregon Health Division's (OHD) enforcement program are also highlighted. Data are presented for 1987 through 1998 on the number of exposures and severity of effects for pediatric cases (children < 6 years old) following exposure to both of these potentially lethal automotive products. However, because of the low incidence of exposures each year, these data are insufficient to draw any conclusions on the impact of the THP Act.

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Broadband tunability in the yellow-red region is obtained by use of intracavity type II second-harmonic generation of gain-switched Cr:forsterite lasers in KTiOPO(4) . An operating wavelength range of 67 nm, from 587 to 654 nm, is obtained. Second-harmonic energy of almost 1 mJ is achieved at a peak wavelength of 620 nm. A measured factor-of-34 enhancement in acceptance angle is obtained with broadband harmonic generation. Frequency doubling is optimized with respect to the Cr:forsterite pump and laser parameters.

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We present measurements of thermal and optical properties of poly(methyl methacrylate) (PMMA), PMMA modified by the addition of ethanol (MPMMA), and copolymers of methyl methacrylate with 2-hydroxyethyl methacrylate [P(HEMA:MMA)]. Spectral transmission of the polymers is excellent (alpha = 0.5 cm(-1) at 400 nm, decreasing to 0.04 cm(-1) at 633 nm). Measured laser damage thresholds of MPMMA and P(HEMA:MMA) show at least a twofold increase over PMMA. Thermal lensing measured in these hosts doped with Rhodamine 6G is shown to be similar (f = -450 mm for pump power of 200 mW in a 2-mm-diameter spot, scaling with pump intensity). Compared with MPMMA, P(HEMA:MMA) offers an improved surface quality and a more uniform dye distribution.

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A new broadly tunable visible solid-state laser is reported. Wavelengths between 550 and 610 nm are generated by intracavity frequency doubling of tuned and free-running room-temperature pulsed LiF:F(2)(-) lasers in potassium titanyl phosphate. Second-harmonic energy of 1.3 mJ has been achieved, corresponding to a fundamental-to-second-harmonic conversion efficiency of 20%. Operation is optimized with respect to LiF:F(2)(-) laser parameters.