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.     

Life cycle of PCBs and contamination of the environment and of food products from animal origin

This report gives a summary of the historic use, former management and current release of polychlorinated biphenyls (PCBs) in Germany and assesses the impact of the life cycle of PCBs on the contamination of the environment and of food products of animal origin. In Germany 60,000 t of PCBs were used in transformers, capacitors or as hydraulic oils. The use of PCB oils in these “closed applications”, has been banned in Germany in 2000. Thirty to 50% of these PCBs were not appropriately managed. In West Germany, 24,000 t of PCBs were used in open applications, mainly as additive (plasticiser, flame retardant) in sealants and paints in buildings and other construction. The continued use in open applications has not been banned, and in 2013, an estimated more than 12,000 t of PCBs were still present in buildings and other constructions. These open PCB applications continuously emit PCBs into the environment with an estimated release of 7–12 t per year. This amount is in agreement with deposition measurements (estimated to 18 t) and emission estimates for Switzerland. The atmospheric PCB releases still have an relevant impact on vegetation and livestock feed. In addition, PCBs in open applications on farms are still a sources of contamination for farmed animals. Furthermore, the historic production, use, recycling and disposal of PCBs have contaminated soils along the lifecycle. This legacy of contaminated soils and contaminated feed, individually or collectively, can lead to exceedance of maximum levels in food products from animals. In beef and chicken, soil levels of 5 ng PCB-TEQ/kg and for chicken with high soil exposure even 2 ng PCB-TEQ/kg can lead to exceedance of EU limits in meat and eggs. Areas at and around industries having produced or used or managed PCBs, or facilities and areas where PCBs were disposed need to be assessed in respect to potential contamination of food-producing animals. For a large share of impacted land, management measures applicable on farm level might be sufficient to continue with food production. Open PCB applications need to be inventoried and better managed. Other persistent and toxic chemicals used as alternatives to PCBs, e.g. short chain chlorinated paraffins (SCCPs), should be assessed in the life cycle for exposure of food-producing animals and humans.     

Effect of lower chlorinated hydroxylated-polychlorobiphenyls on development of PC12 cells

Hydroxylated polychlorobiphenyls (OH-PCBs) are major metabolites of PCBs that are widely distributed in the environment. While the effects of penta- to hepta-chlorinated OH-PCBs on neuronal differentiation have been widely reported, those of lower chlorinated OH-PCBs have not been extensively studied. To investigate the effects of lower chlorinated OH-PCBs on neuronal development, we studied the effects of mono- to hexa-chlorinated OH-PCBs on PC12 cells. Morphological changes were examined using an automatic system IN Cell Analyzer. Seventeen of the 20 OH-PCBs investigated promoted neuronal elongation in an OH-PCB concentration-dependent manner, while three OH-PCB congeners suppressed neuronal elongation based on Dunnett’s analysis. In particular, the top five OH-PCBs (4OH-PCB2, 4′OH-PCB3, 4′OH-PCB25, 4′OH-PCB68, and 4′OH-PCB159), which have hydroxyl groups at the para-position and chlorine substitutions at the 2, 4, or 3′ positions, significantly promoted neuronal elongation. Moreover, these neuronal elongations were suppressed by U0126, and phosphorylation of extracellular signal-regulated kinase (ERK) 1/2 was observed in PC12 cells treated with 4OH-PCB2, 4′OH-PCB25, and 4′OH-PCB159. Taken together, our results indicate that the effect of OH-PCB on neuronal development is not dependent on the number of chlorine groups but on the chemical structure, and the mitogen-activated kinase kinase (MEK)-ERK1/2 signaling pathway is involved in this process.     

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.     

Reduction of sludge formed during a coagulation treatment of Ridomil Gold by means of non-thermal quenched plasma pre-treatment

Chemical coagulation and adsorption, despite many drawbacks, are actually the main techniques used for the removal of pollutants from aqueous solution; however, these techniques are becoming ineffective due to the exponential increase in the amount and complexity of discharged pollutants; thus, the sludge treatment process became a more complex challenge. The present study focuses on the way to reduce the quantity of sludge formed during the removal of Ridomil Gold, a widely used pesticide-fungicide in agriculture. Results revealed that pre-treatment of initial waste solution by the gliding arc (Glidarc), a source of non-thermal plasma, leads to a significant reduction of the sludge formed during the coagulation treatment. For a 20-min pre-treated effluent Glidarc followed by chemical coagulation, there was a reduction in the volume of sludge formed in the order of 90 and 80% for alum and ferric sulfate coagulants respectively without reducing the performance of pesticide removal. Therefore, there is a positive synergism between treatment by chemical coagulation and plasma treatment. These results suggest that the Glidarc can be an effective solution for the reduction of sludge obtained during treatment by coagulation.     

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.