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.     

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.     

Effects of meteorology on ground-level ozone (GLO) concentrations and identifying the hot spots having significantly higher GLO concentration in a semi-urban area

The present study aims to analyse the influences of five meteorological parameters (temperature, wind speed, barometric pressure, rainfall, and solar radiations) on ground-level ozone (GLO) concentrations over the region of Ranchi Municipal Corporation (Jharkhand, India). The diurnal variation of GLO concentration and the meteorological parameters were analysed in each month to understand the associations. The results indicated that the correlation coefficients of GLO concentration with SR, AT, and DPT are found to be positive in each month and also statistically significant. But, the association between WS and GLO concentration was not uniform between the study days. Furthermore, the study also demonstrates an approach for identifying the hot spots that are having the higher level of GLO concentration. The hot spot maps were produced for each month to understand the shifting of the locations of hot spot locations. The results reveal that the hot spot locations are changes frequently in each case. Since the hot spot analysis was conducted with limited data, the presented hot spots are indicative and dependent on the meteorological conditions of the specific period and cannot be considered as a robust epidemiological study.     

Partial characterization of the exopolysaccharide from Oscillatoria trichoides Szafer and the role of released polysaccharide in sequestration of Cr6+

The structural investigation and the chromium adsorptive potential of an exopolysaccharide (EPS) released during the growth of an indigenous cyanobacterium, Oscillatoria trichoides Szafer, were investigated in a laboratory‐scale study. The results showed that, of the total EPS produced, 410.53 milligrams/gram (mg g^?1) were released polysaccharides (RPS) and 11.36 mg g^?1 were capsular polysaccharides (CPS). The sorption of hexavalent chromium (Cr⁶⁺) by the RPS achieved a maximum amount of metal removal (q_max) value of 76.92 mg g^?1 of polysaccharide dry weight. The highest coefficient of determination (0.9742) for the Langmuir adsorption model indicates best fitness of the model in explaining the sorption as a unilayer process. Equilibrium studies indicated that 30 to 40 milligrams per liter initial chromium concentration and a pH of 2 were optimal for biosorption of chromium by the RPS. Scanning electron microscopy with energy‐dispersive X‐ray spectroscopy analysis of Cr⁶⁺‐treated RPS showed the presence of 3.76% bound chromium. Compositional analysis of the EPS showed the presence of carbohydrates, proteins, pyruvic acid, and hexosamines. High‐performance liquid chromatography analysis demonstrated the presence of hexoses, as neutral sugars and glucuronic acid as an acidic sugar. The presence of carboxylic groups was also detected by infrared spectroscopy. The presence of these chemical constituents may serve as binding sites for the metal ions; therefore, the RPS of this species appears to be a promising biosorbent for Cr⁶⁺.     

Prioritizing sites for conservation based on similarity to historical baselines and feasibility of protection

The concept of shifting baselines in conservation science implies advocacy for the use of historical knowledge to inform these baselines but does not address the feasibility of restoring sites to those baselines. In many regions, conservation feasibility varies among sites due to differences in resource availability, statutory power, and land‐owner participation. We used zooarchaeological records to identify a historical baseline of the freshwater mussel community's composition before Euro‐American influence at a river‐reach scale (i.e., a kilometer stretch of river that is abiotically similar) in the Leon River of central Texas (U.S.A.). We evaluated how the community reference position and the feasibility of conservation might enable identification of sites where conservation actions would preserve historically representative communities and be likely to succeed. We devised a conceptual model that incorporated community information and landscape factors to link the best conservation areas to potential cost and conservation benefits. Using fuzzy ordination, we identified modern mussel beds that were most like the historical baseline. We then quantified housing density and land use near each river reach identified to estimate feasibility of habitat restoration. Using our conceptual framework, we identified reaches of high conservation value (i.e., contain the best mussel beds) and where restoration actions would be most likely to succeed. Reaches above Lake Belton were most similar in species composition and relative abundance to zooarchaeological sites. A subset of these mussel beds occurred in locations where conservation actions appeared most feasible. Our results show how to use zooarchaeological data (biodiversity data often readily available) and estimates of conservation feasibility to inform conservation priorities at a local spatial scale.     

Progress and challenges in consolidating the management of Amazonian protected areas and indigenous territories

Effective management refers to the ability of a protected area or indigenous territory to meet its objectives, particularly as they relate to the protection of biodiversity and forest cover. Effective management is achieved through a process of consolidation, which among other things requires legally protecting sites, integrating sites into land‐use planning, developing and implementing management and resource‐use plans, and securing long‐term funding to pay for recurrent costs. Effectively managing all protected areas and indigenous territories in the Amazon may be needed to avoid a deforestation tipping point beyond which regional climatic feedbacks and global climate change interact to catalyze irreversible drying and savannization of large areas. At present, protected areas and indigenous territories cover 45.5% (3.55 million km²) of the Amazon, most of the 60–70% forest cover required to maintain hydrologic and climatic function. Three independent evaluations of a long‐term large‐scale philanthropic initiative in the Amazon yielded insights into the challenges and advances toward achieving effective management of protected areas and indigenous territories. Over the life of the initiative, management of sites has improved considerably, particularly with respect to management planning and capacity building, but few sites are effectively managed and many lack sufficient long‐term financing, adequate governance, support of nongovernmental organizations, and the means to withstand economic pressures. The time and money required to complete consolidation is still poorly understood, but it is clear that philanthropic funding is critical so long as essential funding needs are not met by governments and other sources, which could be on the order of decades. Despite challenges, it is encouraging that legal protection has expanded greatly and management of sites is improving steadily. Management of protected areas in other developing countries could be informed by improvements that have occurred in Amazonian countries.     

Adsorption/desorption of arsenite and arsenate on chitosan and nanochitosan

Equilibrium sorption studies of anionic species of arsenite, As(III) ions and arsenate As(V) ions onto two biosorbents, namely, chitosan and nanochitosan, have been investigated and compared. The results and trends in the sorption behavior are novel, and we have observed during the sorption process of the As(III) and As(V) on chitosan, a slow process of desorption occurred after an initial maximum adsorption capacity was achieved, before reaching a final but lower equilibrium adsorption capacity. The same desorption trend, however, is not observed on nanochitosan. The gradual desorption of As(III) and As(V) in the equilibrium sorption on chitosan is attributed to the different fractions of the dissociated forms of arsenic on the adsorbent surface and in solution and the extent of protonation of chitosan with the changing of solution pH during sorption. The change of solution pH during the sorption of arsenite ions on chitosan was also influenced by the interaction between the buffering effect of the arsenite species in the aqueous medium and the physical properties of chitosan. The final equilibrium adsorption capacity of chitosan for As(III) and As(V) was found to be around 500 and 8000 μg/g, respectively, whereas the capacities on nanochitosan are 6100 and 13,000 μg/g, respectively.

     

Energy–growth nexus revisited: an empirical application on transition countries

This study investigates the energy–growth nexus for transition countries analysing Granger causality between GDP growth per capita and energy use per capita. For this purpose, 17 countries located at Central and Eastern Europe and Caucasian region are chosen and a panel dataset consisting of these countries for the available period of 1990–2011 is studied. In the study, Granger causality is investigated using bootstrapped panel causality approach proposed by Konya (Econ Modell 23(6):978–992, 2006). The approach gives consistent results in case of cross-sectional dependency and heterogeneity of slope coefficients between countries. Causality is examined for two scenarios: one with a trend and one without a trend. The results reveal that, in general, there is no causality running between energy consumption and economic growth, yet there is causality running from energy consumption to economic growth for some countries and sign of the relationship is always negative. Therefore, increases in energy consumption harm economic growth.     

Closing the material cycle of biomass-derived fly ashes: a regional case study of natural ageing in Finland

Journal of Material Cycles and Waste Management - The amount of biomass-derived ashes is expected to rise in the EU due to targets to increase the use of renewable energy resources. To promote the...