Trauma demography and clinical epidemiology of motorcycle crash–related head injury in a neurosurgery practice in an African developing country

Objective: Though motor vehicle crashes (MVCs) were the main cause of head trauma from road traffic injuries (RTIs), motorcycle crashes (MCCs) are now a major cause of RTI-related head injury (HI) in many developing countries.

Methods: Using a prospective database of HIs from a neurosurgical practice in a sub-Saharan African developing country, a cross-sectional survey was conducted for the trauma demography and clinical epidemiology of this MCC-related HI.

Results: Motorcycle crashes accounted for 57% (473/833) of all RTI-related HIs in this registry. The victims, with a mean age of 33.1 years (SD = 18.3), consisted mainly of males (83.1%), those of low socioeconomic status (>90%), and those aged between 20 and 40 years old (56%). MCCs involved only riders in 114 cases (114/473, 32.1%), of which 69% were motorcycle–motorcycle crashes. The HI was moderate–severe in 50.8%; clinical symptomatology of significant HI included loss of consciousness (92%), anisocoria (35%), Abbreviated Injury Scale head (AIS–head) score > 3 (28%), and CT-Rotterdam score > 3 (30%). Extracranial systemic injury involved the limbs most frequently, with an Injury Severity Score (ISS) >25 in 49%. The fatality rate was 24%.

MCC-related HI among pedestrian victims involved more vulnerable age groups (the young and elderly) but have lower mean ISS compared to motorcycle passengers (mean ISS = 23.5 [11.6] vs. 27.4 [13.0]; 95% confidence interval [CI], 1.27–6.49; P = .004). In addition, compared to a contemporary cohort of MVC-related HIs in our registry, MCC victims were older (mean age 34.8 years [18.0] vs. 30.8 [18.4]; P = .002); had higher proportions of certain extracranial trauma like long bone fractures (71 vs. 29%; P = .02); and suffered fewer surgical brain lesions (25.5 vs. 17.2%; P = .004).

Conclusions: Motorcycle crashes are now a significant threat to the heads, limbs, and lives of vulnerable road users in developing countries.     

A new economic instrument for financing accelerated landfill aftercare

The key aspects of landfill operation that remain unresolved are the extended timescale and uncertain funding of the post-closure period. This paper reviews the topic and proposes an economic instrument to resolve the unsustainable nature of the current situation. Unsustainability arises from the sluggish degradation of organic material and also the slow flushing of potential pollutants that is exacerbated by low-permeability capping. A landfill tax or aftercare provision rebate is proposed as an economic instrument to encourage operators to actively advance the stabilization of landfilled waste. The rebate could be accommodated within existing regulatory and tax regimes and would be paid for: (i) every tonne of nitrogen (or other agreed leachate marker) whose removal is advanced via the accelerated production and extraction of leachate; (ii) every tonne of non-commercially viable carbon removed via landfill gas collection and treatment. The rebates would be set at a level that would make it financially attractive to operators and would encourage measures such as leachate recirculation, in situ aeration, and enhanced flushing. Illustrative calculations suggest that a maximum rebate of up to ～€50/tonne MSW would provide an adequate incentive.     

Threats to intact tropical peatlands and opportunities for their conservation

Large, intact areas of tropical peatland are highly threatened at a global scale by the expansion of commercial agriculture and other forms of economic development. Conserving peatlands on a landscape scale, with their hydrology intact, is of international conservation importance to preserve their distinctive biodiversity and ecosystem services and maintain their resilience to future environmental change. We explored threats to and opportunities for conserving remaining intact tropical peatlands; thus, we excluded peatlands of Indonesia and Malaysia, where extensive deforestation, drainage, and conversion to plantations means conservation in this region can protect only small fragments of the original ecosystem. We focused on a case study, the Pastaza‐Marañón Foreland Basin (PMFB) in Peru, which is among the largest known intact tropical peatland landscapes in the world and is representative of peatland vulnerability. Maintenance of the hydrological conditions critical for carbon storage and ecosystem function of peatlands is, in the PMFB, primarily threatened by expansion of commercial agriculture linked to new transport infrastructure that is facilitating access to remote areas. There remain opportunities in the PMFB and elsewhere to develop alternative, more sustainable land‐use practices. Although some of the peatlands in the PMFB fall within existing legally protected areas, this protection does not include the most carbon‐dense (domed pole forest) areas. New carbon‐based conservation instruments (e.g., REDD+, Green Climate Fund), developing markets for sustainable peatland products, transferring land title to local communities, and expanding protected areas offer pathways to increased protection for intact tropical peatlands in Amazonia and elsewhere, such as those in New Guinea and Central Africa which remain, for the moment, broadly beyond the frontier of commercial development.     

Inflammation biomarkers associated with arsenic exposure by drinking water and respiratory outcomes in indigenous children from three Yaqui villages in southern Sonora,México

Environmental Science and Pollution Research - Environmental arsenic exposure in adults and children has been associated with a reduction in the expression of club cell secretory protein (CC16) and...     

Environmental pollution,energy import,and economic growth: evidence of sustainable growth in South Africa and Nigeria

Environmental Science and Pollution Research - Simultaneous achievement of sustainable development goals (SDGs), especially energy efficiency (SDG 7), economic growth (SDG 8), and pollution...     

Soil contamination in Colombian playgrounds: effects of vehicles,construction, and traffic

The presence of potentially hazardous elements (PHEs) in playground soils is generally associated with anthropogenic sources such as vehicle traffic, industries, construction sites, and biomass burning. Studies indicate that PHEs are harmful to human health and may even be carcinogenic. Therefore, the aim of this study was to evaluate the physicochemical, morphological, and mineralogical properties of soil samples from three public playgrounds located in the cities of Bogota, Medellin, and Barranquilla. Besides, the possible impacts caused by the aerodynamics of particles in Colombian cities were verified. The morphology, composition, and structure of the nanoparticles (NPs) (< 100 nm) present in these soils were evaluated by field emission scanning electron microscopy (FE-SEM) equipped with high-precision field emission (FE) and high-resolution transmission electron microscopy (HR-TEM). Soil samples were predominantly feldspar, quartz, and, to a lesser extent, clay minerals, carbonates, and hematites. The average content of PHEs was anthropogenically enriched in relation to the upper continental crust. As and Sn showed a large spatial variation, indicating the influence of local sources, such as vehicle traffic and industries. There is an inverse relationship between the total concentrations of some elements and their leachable fractions. The accumulation of traffic-derived PHEs has a negative impact on human health and the environment, which is alarming, especially for elements such as Pb, Sb, or As. Therefore, the presence of PHEs should receive greater attention from public health professionals, and limits should be set and exposures controlled. This study includes the construction of a baseline that provides basic information on pollution, its sources, and exposure routes for humans in the vicinity of Colombia’s major cities, characterized by their increasing urbanization and industrialization.

     

Sublethal and environmentally relevant concentrations of triclosan and triclocarban induce histological,genotoxic, and embryotoxic effects in Clarias gariepinus (Burchell, 1822)

Environmental Science and Pollution Research - Antimicrobial additives in personal care products (PCPs) such as triclosan (TCS) and triclocarban (TCC) are of environmental concern due to their...     

Magnetic photocatalysts from δ-FeOOH and TiO2 and application in reactions for degradation of methylene blue and paracetamol with UV-C and sunlight

Environmental Science and Pollution Research - Water contamination is a common problem, especially considering dyes and drugs disposal. A possible and effective treatment method to remove these...