The New York Times editorial column noted words such as "Westinghoused" (after the Westinghouse Electric alternating current equipment that was to be used), "Gerrycide" (after Elbridge Thomas Gerry, who headed the New York death penalty commission that suggested adopting the electric chair), and "Browned" (after anti-AC activist Harold P. Brown). Thomas Edison preferred the words dynamort, ampermort and electromort. The New York Times hated the word electrocution, describing it as being pushed forward by "pretentious ignoramuses". Medical aspects
Fish & Geddes state: "Contact with 20 mA of current can be fatal".The health hazard of an electric current flowing through the body depends on the amount of current and the length of time for which it flows, not merely on the voltage. However, a high voltage is required to produce a high current through the body. This is due to the relatively high resistance of skin when dry, requiring a high voltage to pass through. The severity of a shock also depends on whether the path of the current includes a vital organ. Death can occur from any shock that carries enough sustained current to stop the heart. Low currents (70–700 mA) usually trigger fibrillation in the heart, which is reversible via defibrillator but is nearly always fatal without help. Currents as low as 30 mA AC or 300–500 mA DC applied to the body surface can cause fibrillation. Large currents (> 1 A) cause permanent damage via burns and cellular damage. References
Bibliography
Brandon, Craig (2009). The Electric Chair: An Unnatural American History. McFarland. ISBN 978-0786444939. Moran, Richard (2007).
Causes
Causes of Page kidney have appeared to change over time. Initially, the phenomena were most often caused by traumatic injuries, such as contact sports or motor vehicle collisions. More recently, the majority of cases are postprocedural or secondary to mass lesions. Several factors have been implicated as contributory to this change, namely: the more liberal use of high-quality imaging and the increased utilization of invasive procedures. Documented iatrogenic causes include: intra-abdominal surgery, lithotripsy, renal biopsy, and percutaneous endopyelotomy. The biggest shift in cause comes from kidney allograft biopsy, which now accounts for the majority of Page kidney cases. Pathophysiology
Although to date there have not been any studies specific to Page kidney in humans, two studies in animals and known renal physiology provide a likely mechanism. The elevated blood pressure seen in Page kidney is thought to be caused by the activation of the renin–angiotensin–aldosterone system (RAAS). Compression of the renal parenchyma alters intrarenal blood flow, resulting in a localized decrease in blood flow to the affected nephrons. This decrease in blood flow is recognized by the juxtaglomerular (JG) cells and promotes the cleavage of prorenin into renin. Each kidney is surrounded by two layers of connective tissue, the inner renal capsule and outer renal (Gerotas) fascia. These layers thus form two potential spaces where fluid can form, the small subcapsular space and the large perinephric space. The renal capsule is fibrous and does not easily expand. Thus, even a small collection of blood in the subcapsular space can cause mass effect on the renal parenchyma.