Emergency department visits by pediatric patients sustained as a passenger on a motorcycle

Objective: Currently only 5 out of the 50 states in the United States have laws restricting the age of passengers permitted to ride on a motorcycle. This study sought to characterize the visits by patients under the age of 16 to U.S. emergency departments (EDs) for injuries sustained as a passenger on a motorcycle.

Methods: In this retrospective cohort study, data were obtained from the Nationwide Emergency Department Sample (NEDS) for the years 2006 to 2011. Pediatric patients who were passengers on a motorcycle that was involved in a crash were identified using International Classification of Diseases, Ninth Revision (ICD-9) External Cause of Injury codes. We also examined gender, age, disposition, regional differences, common injuries, and charges.

Results: Between 2006 and 2011 there were an estimated 9,689 visits to U.S. EDs by patients under the age of 16 who were passengers on a motorcycle involved in a crash. The overall average patient age was 9.4 years, and they were predominately male (54.5%). The majority (85%) of these patients were treated and released. The average charges for discharged patients were $2,116.50 and amounted to roughly $17,500,000 during the 6 years. The average cost for admission was $51,446 per patient and totaled over $54 million. The most common primary injuries included superficial contusions; sprains and strains; upper limb fractures; open wounds of head, neck, and trunk; and intracranial injuries.

Conclusion: Although there were only about 9,700 visits to U.S. EDs for motorcycle crashes involving passengers less than 16 years old for 2006 to 2011, the total cost of visits that resulted in either ED discharge or hospital admission amounted to over $71 million.     

Spectral trend of vegetation with rainfall in events of El Niño-Southern Oscillation for Atlantic Forest biome,Brazil

This study aimed to analyze the spectral trend of vegetation with rainfall in El Niño-Southern Oscillation events (ENSO) in the Atlantic Forest, Brazil. Monthly rainfall data were collected from 85 conventional meteorological stations (EMC), data from the Enhanced Vegetation Index 2 (EVI2) and ENSO events (El Niño, La Niña, and Neutral) in the period from 2001 to 2013. Afterwards, state cluster analysis was performed using the results of non-parametric tests. The Mann-Kendall (MK) non-parametric test did not identify a trend pattern in rainfall distribution in the Atlantic Forest. The results for EVI2 by state and region showed that the trend is decreasing in the Northeast Region, except for the states of Alagoas and Pernambuco. Southeast region showed an increasing trend of EVI2 (except for Rio de Janeiro and São Paulo), while the South region showed a decreasing trend. In the Midwest, the trend was significantly decreasing. In the prognosis elaborated for the future, the regions with significant declines of the vegetation were the Northeast and Midwest. This study shows that the Atlantic Forest in some regions of Brazil has been suffering from the growing urbanization process and there is a trend of soil degradation.     

Air Quality Modeling Using the PSO-SVM-Based Approach,MLP Neural Network,and M5 Model Tree in the Metropolitan Area of Oviedo (Northern Spain)

The main aim of this study was to construct several regression models of air quality using techniques based on the statistical learning, in the metropolitan area of Oviedo, in northern Spain. In this research, a hybrid particle swarm optimization-based evolutionary support vector regression is implemented to predict the air quality from the experimental dataset (specifically, nitrogen oxides, carbon monoxide, sulfur dioxide, ozone, and dust) collected from 2013 to 2015 in the metropolitan area of Oviedo. Furthermore, a multilayer perceptron network (MLP) and the M5 model tree were also fitted to the experimental dataset for comparison purposes. Finally, the predicted results show that the hybrid proposed model is more robust than the MLP and M5 model tree prediction methods in terms of statistical estimators and testing performances.     

Freshwater stress on small island developing states: population projections and aridity changes at 1.5 and 2 °C

Small island developing states (SIDS) face multiple threats from anthropogenic climate change, including potential changes in freshwater resource availability. Due to a mismatch in spatial scale between SIDS landforms and the horizontal resolution of global climate models (GCMs), SIDS are mostly unaccounted for in GCMs that are used to make future projections of global climate change and its regional impacts. Specific approaches are required to address this gap between broad-scale model projections and regional, policy-relevant outcomes. Here, we apply a recently developed methodology that circumvents the GCM limitation of coarse resolution in order to project future changes in aridity on small islands. These climate projections are combined with independent population projections associated with shared socioeconomic pathways (SSPs) to evaluate overall changes in freshwater stress in SIDS at warming levels of 1.5 and 2 °C above pre-industrial levels. While we find that future population growth will dominate changes in projected freshwater stress especially toward the end of the century, projected changes in aridity are found to compound freshwater stress for the vast majority of SIDS. For several SIDS, particularly across the Caribbean region, a substantial fraction (~?25%) of the large overall freshwater stress projected under 2 °C at 2030 can be avoided by limiting global warming to 1.5 °C. Our findings add to a growing body of literature on the difference in climate impacts between 1.5 and 2 °C and underscore the need for regionally specific analysis.     

Preparation of Viscose Fibres Stripped of Reactive Dyes and Wrinkle-Free Crosslinked Cotton Textile Finish

The chemical recycling of cellulosic fibres may represent a next-generation fibre–fibre recycling system for cotton textiles, though remaining challenges include how to accommodate fibre blends, dyes, wrinkle-free finishes, and other impurities from finishing. These challenges may disrupt the regeneration process steps and reduce the fibre quality. This study examines the impact on regenerated viscose fibre properties of a novel alkaline/acid bleaching sequence to strip reactive dyes and dimethyloldihydroxyethyleneureas (DMDHEU) wrinkle-free finish from cotton textiles. Potentially, such a bleaching sequence could advantageously be integrated into the viscose process, reducing the costs and environmental impact of the product. The study investigates the spinning performance and mechanical properties (e.g., tenacity and elongation) of the regenerated viscose fibres. The alkaline/acid bleaching sequence was found to strip the reactive dye and DMDHEU wrinkle-free finish from the cotton fabric, so the resulting pulp could successfully be spun into viscose fibres, though the mechanical properties of these fibres were worse than those of commercial viscose fibres. This study finds that reactive dyes and DMDHEU wrinkle-free finish affect the viscose dope quality and the regeneration performance. The results might lead to progress in overcoming quality challenges in cellulosic chemical recycling.     

Variation in posture quality across musical instruments and its impact during performances

Objective. Bad posture increases the risk that a musician may suffer from musculoskeletal disorders. This study compared posture quality required by different instruments or families of instruments. Methods. Using an ad-hoc postural observation instrument embracing 11 postural variables, four experts evaluated the postures of 100 students attending a Spanish higher conservatory of music. Results. The agreement of the experts’ evaluations was statistically confirmed by a Cohen's κ value between 0.855 and 1.000 and a Kendall value between 0.709 and 1.000 (p?χ² tests revealed significant association between instrument families and seated posture with respect to pelvic attitude, dorsal curvature and head alignment in both sagittal and frontal planes. This analysis also showed an association between instrument families and standing posture with respect to the frontal plane of the axis of gravity, pelvic attitude, head alignment in the frontal plane, the sagittal plane of the shoulders and overall posture. Conclusions. While certain postural defects appear to be common to all families of instruments, others are more characteristic of some families than others. The instrument associated with the best posture quality was the bagpipe, followed by percussion and strings.     

Designing the next generation of climate adaptation research for development

Adaptation research has changed significantly in recent years as funders and researchers seek to encourage greater impact, ensure value for money and promote interdisciplinarity across the natural and social sciences. While these developments are inherently positive, they also bring fresh challenges. With this in mind, this paper presents an agenda for the next generation of climate adaptation research for development. The agenda is based on insights from a dialogue session held at the 2016 Adaptation Futures conference as well as drawing on the collective experience of the authors. We propose five key areas that need to be changed in order to meet the needs of future adaptation research, namely: increasing transparency and consultation in research design; encouraging innovation in the design and delivery of adaptation research programmes; demonstrating impact on the ground; addressing incentive structures; and promoting more effective brokering, knowledge management and learning. As new international funding initiatives start to take shape, we underscore the importance of learning from past experiences and scaling-up of successful innovations in research funding models.

     

Minimizing opportunity costs to aquatic connectivity restoration while controlling an invasive species

Controlling invasive species is critical for conservation but can have unintended consequences for native species and divert resources away from other efforts. This dilemma occurs on a grand scale in the North American Great Lakes, where dams and culverts block tributary access to habitat of desirable fish species and are a lynchpin of long‐standing efforts to limit ecological damage inflicted by the invasive, parasitic sea lamprey (Petromyzon marinus). Habitat restoration and sea‐lamprey control create conflicting goals for managing aging infrastructure. We used optimization to minimize opportunity costs of habitat gains for 37 desirable migratory fishes that arose from restricting sea lamprey access (0–25% increase) when selecting barriers for removal under a limited budget (US$1–105 million). Imposing limits on sea lamprey habitat reduced gains in tributary access for desirable species by 15–50% relative to an unconstrained scenario. Additional investment to offset the effect of limiting sea‐lamprey access resulted in high opportunity costs for 30 of 37 species (e.g., an additional US$20–80 million for lake sturgeon [Acipenser fulvescens]) and often required ≥5% increase in sea‐lamprey access to identify barrier‐removal solutions adhering to the budget and limiting access. Narrowly distributed species exhibited the highest opportunity costs but benefited more at less cost when small increases in sea‐lamprey access were allowed. Our results illustrate the value of optimization in limiting opportunity costs when balancing invasion control against restoration benefits for diverse desirable species. Such trade‐off analyses are essential to the restoration of connectivity within fragmented rivers without unleashing invaders.     

Contamination of soil and the medicinal plant <Emphasis Type="Italic">Phyllanthus niruri</Emphasis> Linn. with cadmium in ceramic industrial areas

Phyllanthus niruri is a plant that is used to prevent calcium oxalate crystallisation and to block the stone formation in urolithiasis. Contaminants in the environment can be readily taken up by medicinal plants due to their ability to absorb chemicals into their tissues. If contaminated plants are ingested, they have the potential to negatively affect human and environmental health. The aim of this study was to assess contamination in the soil and the medicinal plant P. niruri by cadmium (Cd) in ceramic industrial areas of Monte Carmelo, Brazil. Soil samples and plant samples (divided in root, shoot and leaves) were collected from a contaminated monitoring site and from a rural area (which was used as a reference site for comparative purposes). The Cd concentrations of the samples were analysed with an atomic absorption spectrometer. P. niruri was found to be sensitive to soil contamination by Cd that was attributed to ceramic industrial emissions. The results revealed that Cd bioaccumulation in the roots and shoots of P. niruri was associated with a significant increase (p?<?0.05) in the concentration of active lignan compounds (phyllanthin and hypophyllanthin) in the leaves. The identification of high concentrations of Cd and active lignan compounds suggests a risk of contamination of the site and the risk of a high dose of Cd to people exposed at the site.     

Pressurized liquid extraction of six tetracyclines from agricultural soils

Veterinary antibiotics used in agriculture can be introduced into the environment through land application of animal manure, accumulating in soils and groundwaters and posing a significant risk to human health and animal well-being. As the analysis of tetracyclines in soil is challenging due to their strong interaction with soil minerals and organic carbon, the objective of this study was to develop a reliable and reproducible method for quantitative analysis of chlortetracycline and oxytetracycline, and their respective metabolites in soils. A method based on pressurized liquid extraction (PLE) with in-cell clean-up was developed for the extraction of chlortetracycline and oxytetracycline and four likely metabolites from a set of four soils. Optimized conditions included a cell size of 22?mL, soil loading of 5?g, pH of 8.0, methanol:water ratio of 3:1, 50?°C, and two cycles. Soil extracts were analysed by high-performance liquid chromatography (HPLC) coupled with ion trap mass spectrometry (MS). Recoveries of seven tetracyclines from soil ranged from 41% to 110%. The limits of detection for tetracyclines were 0.08–0.3 µg g^?1 soil, and intra- and inter-day variation ranged from 0.12–0.34%. The proposed PLE method is suitable for quantification of tetracyclines in agricultural soils at typical concentrations expected in contaminated environments.