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.     

Mainstreaming human and large carnivore coexistence through institutional collaboration

Achieving coexistence between large carnivores and humans in human-dominated landscapes (HDLs) is a key challenge for societies globally. This challenge cannot be adequately met with the current sectoral approaches to HDL governance and an academic community largely dominated by disciplinary sectors. Academia (universities and other research institutions and organizations) should take a more active role in embracing societal challenges around conservation of large carnivores in HDLs by facilitating cross-sectoral cooperation to mainstream coexistence of humans and large carnivores. Drawing on lessons from populated regions of Europe, Asia, and South America with substantial densities of large carnivores, we suggest academia should better embrace the principles and methods of sustainability sciences and create institutional spaces for the implementation of transdisciplinary curricula and projects; reflect on research approaches (i.e., disciplinary, interdisciplinary, or transdisciplinary) they apply and how their outcomes could aid leveraging institutional transformations for mainstreaming; and engage with various institutions and stakeholder groups to create novel institutional structures that can respond to multiple challenges of HDL management and human–large carnivore coexistence. Success in mainstreaming this coexistence in HDL will rest on the ability to think and act cooperatively. Such a conservation achievement, if realized, stands to have far-reaching benefits for people and biodiversity.     

Interinstrument comparison of remote-sensing devices and a new method for calculating on-road nitrogen oxides emissions and validation of vehicle-specific power

Emissions of nitrogen oxides (NOx) by vehicles in real driving environments are only partially understood. This has been brought to the attention of the world with recent revelations of the cheating of the type of approval tests exposed in the dieselgate scandal. Remote-sensing devices offer investigators an opportunity to directly measure in situ real driving emissions of tens of thousands of vehicles. Remote-sensing NO₂ measurements are not as widely available as would be desirable. The aim of this study is to improve the ability of investigators to estimate the NO₂ emissions and to improve the confidence of the total NOx results calculated from standard remote-sensing device (RSD) measurements. The accuracy of the RSD speed and acceleration module was also validated using state-of-the-art onboard global positioning system (GPS) tracking. Two RSDs used in roadside vehicle emissions surveys were tested side by side under off-carriageway conditions away from transient pollution sources to ascertain the consistency of their measurements. The speed correlation was consistent across the range of measurements at 95% confidence and the acceleration correlation was consistent at 95% confidence intervals for all but the most extreme acceleration cases. VSP was consistent at 95% confidence across all measurements except for those at VSP ≥ 15 kW t^?1, which show a small underestimate. The controlled distribution gas nitric oxide measurements follow a normal distribution with 2σ equal to 18.9% of the mean, compared to 15% observed during factory calibration indicative of additional error introduced into the system. Systematic errors of +84 ppm were observed but within the tolerance of the control gas. Interinstrument correlation was performed, with the relationship between the FEAT and the RSD4600 being linear with a gradient of 0.93 and an R² of 0.85, indicating good correlation. A new method to calculate NOx emissions using fractional NO₂ combined with NO measurements made by the RSD4600 was constructed, validated, and shown to be more accurate than previous methods.

Implications: Synchronized remote-sensing measurements of NO were taken using two different remote-sensing devices in an off-road study. It was found that the measurements taken by both instruments were well correlated. Fractional NO₂ measurements from a prior study, measurable on only one device, were used to create new NO_x emission factors for the device that could not be measured by the second device. These estimates were validated against direct measurement of total NO_x emission factors and shown to be an improvement on previous methodologies. Validation of vehicle-specific power was performed with good correlation observed.     

Fishing‐gear restrictions and biomass gains for coral reef fishes in marine protected areas

Considerable empirical evidence supports recovery of reef fish populations with fishery closures. In countries where full exclusion of people from fishing may be perceived as inequitable, fishing‐gear restrictions on nonselective and destructive gears may offer socially relevant management alternatives to build recovery of fish biomass. Even so, few researchers have statistically compared the responses of tropical reef fisheries to alternative management strategies. We tested for the effects of fishery closures and fishing gear restrictions on tropical reef fish biomass at the community and family level. We conducted 1,396 underwater surveys at 617 unique sites across a spatial hierarchy within 22 global marine ecoregions that represented 5 realms. We compared total biomass across local fish assemblages and among 20 families of reef fishes inside marine protected areas (MPAs) with different fishing restrictions: no‐take, hook‐and‐line fishing only, several fishing gears allowed, and sites open to all fishing gears. We included a further category representing remote sites, where fishing pressure is low. As expected, full fishery closures, (i.e., no‐take zones) most benefited community‐ and family‐level fish biomass in comparison with restrictions on fishing gears and openly fished sites. Although biomass responses to fishery closures were highly variable across families, some fishery targets (e.g., Carcharhinidae and Lutjanidae) responded positively to multiple restrictions on fishing gears (i.e., where gears other than hook and line were not permitted). Remoteness also positively affected the response of community‐level fish biomass and many fish families. Our findings provide strong support for the role of fishing restrictions in building recovery of fish biomass and indicate important interactions among fishing‐gear types that affect biomass of a diverse set of reef fish families.     

Behavioral intentions toward genetically modified crops in Southwest Iran: a multi-stakeholder analysis

This study examined the influencing factors of the self-reported behavioral intentions toward genetically modified (GM) crops using a multi-stakeholder approach in the Khuzestan Province in Southwest Iran. The study focused on three different groups, including: “agricultural students,” “agricultural private firms’ managers” and “rich-resource farmers.” Data were collected using a researcher-made questionnaire and was analyzed by SPSS (V20) and AMOS (V20). Results indicated that the respondents perceive more benefits than risks for GM crops and that the perception of benefits and risks, respectively, had positive and negative impacts on the self-reported behavioral intention of the respondents. The knowledge of the respondents regarding these crops had positive impacts on perception of benefits. The results showed that both managers and students worried about the food safety and impact of GM crops on human health while farmers worried about the environmental risks of GM crops. The results also revealed that those who are the most conscious about GM crops are more trusted. The findings also showed that the majority of the respondents hold a positive view of the potential of GM crops.     

Modeling the decline of labor-sharing in the semi-desert region of Chile

Regional Environmental Change - The rapid environmental changes currently underway in many dry regions of the world, and the deep uncertainty about their consequences, underscore a critical...     

Assessing groundwater quality and its sustainability in Joypurhat district of Bangladesh using GIS and multivariate statistical approaches

Sustainable groundwater quality is a key global concern and has become a major issue of disquiets in most parts of the world including Bangladesh. Hence, the assessment of groundwater quality is an important study to ensure its sustainability for various uses. In this study, a combination of multivariate statistics, geographical information system (GIS) and geochemical approaches was employed to evaluate the groundwater quality and its sustainability in Joypurhat district of Bangladesh. The results showed that the groundwater samples are mainly Ca–Mg–HCO₃ type. Principal component analysis (PCA) results revealed that geogenic sources (rock weathering and cation exchange) followed by anthropogenic activities (domestic sewage and agro-chemicals) were the major factors governing the groundwater quality of the study area. Furthermore, the results of PCA are validated using the cluster analysis and correlation matrix analysis. Based on the groundwater quality index (GWQI), it is found that all the groundwater samples belong to excellent to good water quality domains for human consumption, although iron, fluoride and iodide contaminated to the groundwater, which do not pose any significant health hazard according to World Health Organization’s and Bangladesh’s guideline values. The results of irrigation water quality index including sodium adsorption ratio (SAR), permeability index and sodium percentage (Na %) suggested that most of the groundwater samples are good quality water for agricultural uses. The spatial distribution of the measured values of GWQI, SAR, Fe (iron), EC (electrical conductivity) and TH (total hardness) were spatially mapped using the GIS tool in the study area.     

Ecophysiology of Steppe Mouse Subspecies <Emphasis Type="Italic">Mus spicilegius spicilegus</Emphasis>, Peteni, 1883 (Rodentia,Mammalia) at the South Boundary of its Distribution

Diet, food preferences and main ecophysiological characteristics such like energy requirements and thermoregulation characteristics of Mus spicilegus spicilegus (Petenyi, 1882) were studied. The most preferred foods for the mice were seeds of weed species that composed more than 85% of their diet. The results of food selection experiments shows that the total daily consumption by mice is 2.77 ± 0.76 g/animal/day or 5.5 kJ/g/day or 84.9 kJ/animal/day. From the total daily energy consumption 16.4% go back to nature in the form of feces and urine and the rest 83.6% animals utilized for assimilation. The results of the temperature preferences for Mus s. spicilegus shows preferred temperature zone from around 26 to 36°C where mice spent about 72% of the experimental time. The lowest value of oxygen consumption for resting metabolism rate (RMR) was registered at 30°C–3.20 ± 0.71 cm³ O₂/g/h. It is possible to consider that the thermoneutral zone is around these temperature values. The obtained results give reason to conclude that from an ecophysiologycal point of view the climate in the south boundary of distribution provides optimal conditions for species development. The main cause for population decreasing probably is the loss of open habitats including natural steppe grasslands.     

Correction to: Opportunities to reduce nutrient inputs to the Baltic Sea by improving manure use efficiency in agriculture

While progress has been made in reducing external nutrient inputs to the Baltic Sea, further actions are needed to meet the goals of the Baltic Sea Action Plan (BSAP), especially for the Baltic Proper, Gulf of Finland, and Gulf of Riga sub-basins. We used the net anthropogenic nitrogen and phosphorus inputs (NANI and NAPI, respectively) nutrient accounting approach to construct three scenarios of reduced NANI-NAPI. Reductions assumed that manure nutrients were redistributed from areas with intense animal production to areas that focus on crop production and would otherwise import synthetic and mineral fertilizers. We also used the Simple as Necessary Baltic Long Term Large Scale (SANBALTS) model to compare eutrophication conditions for the scenarios to current and BSAP-target conditions. The scenarios suggest that reducing NANI-NAPI by redistributing manure nutrients, together with improving agronomic practices, could meet 54–82% of the N reductions targets (28–43 kt N reduction) and 38–64% P reduction targets (4–6.6 kt P reduction), depending on scenario. SANBALTS output showed that even partial fulfillment of nutrient reduction targets could have ameliorating effects on eutrophication conditions. Meeting BSAP targets will require addressing additional sources, such as sewage. A common approach to apportioning sources to external nutrients loads could enable further assessment of the feasibility of eutrophication management targets.

     

Fluoride removal and its impact on oral health in Sri Lanka's dry zone: Discussion and recommendation

Fifty percent of the dry zone areas in Sri Lanka have fluoride levels above 1 ppm. This paper discusses the ground conditions and recommends an appropriate range of fluoride in drinking water which can support preventive practices for improving the oral health of children 8-years old and younger. In efforts to address the Chronic Kidney Disease of Unknown etiology (CKDU), water treatment to reduce contaminant level in potable water has been implemented. Such treatment would also remove fluoride and has resulted in potable water with various fluoride levels, depending on concentrations in the raw water. While it is important to reduce fluoride levels, it is important to have appropriate residual levels for prevention of dental caries. It needs, however, to be noted fluoride in excess can cause dental fluorosis. In Sri Lanka's dry zone areas increasing prevalence of dental fluorosis with decreasing prevalence of dental caries has been noted. Consumption of tea and powdered milk could increase total intake of fluoride. Fluoridated toothpaste, when used properly, may, however, result in negligible intake of fluoride. Sri Lanka's hot tropical climate which results in substantial intake of fluids reinforces the need to consider reduction in water fluoride. Consideration of local studies and international standards indicate fluoride levels should be in the range of 0.225–0.500 ppm. In the range of 0.225–0.500 ppm, the prevalence of dental fluorosis and caries was only 14% and 8%, respectively, in an endemic district. When fluoride levels are above 0.500 ppm, the issue of dental fluorosis shall need to be addressed. When levels are below 0.225 ppm, oral health care services shall need to be directed at preventing dental caries.