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.     

Piggery: from environmental pollution to a climate change solution

Pig farms are a vital component of rural economies in Australia. However, disposal of effluent leads to many environmental problems. This case study of the Berrybank Farm piggery waste management system in Victoria estimates greenhouse gas (GHG) benefits from three different activities. Analysis reveals that the capturing and combusting of methane from piggery effluent could save between 4859 and 5840 tCO2e yr(-1) of GHG emissions. Similarly, using methane for replacing fuels for electricity generation could save another 800 tCO2e yr(-1)of GHGs. Likewise, by utilizing the biogas wastes to replace inorganic fertilizers there could be a further saving of 1193 to 1375 tCO2e yr(-1) of GHG, depending on the type of fertilizers the waste replaces. Therefore, a well-managed piggery farm with 15,000 pigs could save 6,852 to 8,015 tCO2e yr(-1), which equates to the carbon sequestrated from 6,800 to 8,000 spotted gum trees (age=35 year) in their above plus below-ground biomass. Implementation of similar project in suitable areas in Australia could have significant environmental and financial benefits.     

Black cherry growth response to ambient ozone and EDU

Field-grown black cherry (Prunus serotina Ehrh.) seedlings were treated with the antioxidant ethylenediurea (EDU) to evaluate height, diameter, and above-ground dry-weight biomass growth response to ambient ozone over four years. Nine blocks with 44 trees/block were used in a randomized complete block design with three foliar spray treatments: (1) 1000 ppm EDU mixed with a surfactant and water; (2) surfactant mixed with water; and (3) water only. In each growing season treatments were applied seven times at approximately 10-day intervals. Repeated measures analysis of variance indicated significant (P< or =0.05) treatment and year effects for log-transformed height and diameter growth over the four-year period. After four years, EDU-treated trees were approximately 17% taller and stem diameters were 21% greater than non-EDU-treated trees. Total above-ground dry-weight biomass at the end of four years was 47% greater for EDU-treated trees compared to non-EDU-treated trees.     

Current strategies in nitrite detection and their application to field analysis

The various analytical protocols that have been developed to aid the measurement of nitrite within environmental samples have been critically appraised and their applicability to field measurement assessed. The present communication presents a perspective on current techniques and technologies encompassing spectroscopic, electrochemical and chromatographic methodologies and highlights those that are liable to emerge in the near future. Commercial devices have been included and where appropriate the advantages and limitations posed by their operation within field contexts have been described.     

Application of a checklist for quality assistance in environmental modelling to an energy model

Large, complex energy models present considerable challenges to develop and test. Uncertainty assessments of such models provide only partial guidance on the quality of the results. We have developed a model quality assistance checklist to aid in this purpose. The model checklist provides diagnostic output in the form of a set of pitfalls for the model application. The checklist is applied here to an energy model for the problem of assessing energy use and greenhouse gas emissions. Use of the checklist suggests that results on this issue are contingent on a number of assumptions that are highly value-laden. When these assumptions are held fixed, the model is deemed capable of producing moderately robust results of relevance to climate policy over the longer term. Checklist responses also indicate that a number of details critical to policy choices or outcomes on this issue are not captured in the model, and model results should therefore be supplemented with alternative analyses.     

Public participation in environmental monitoring: A means of attaining network capability

In the Puget Sound region of the United States a task force of community volunteers using bees monitored environmental pollution. This paper discusses advantages and limitations of public involvement in the assessment of regional environmental problems, particularly with respect to biological monitoring. This approach not only yielded extensive information about pollution levels but also was very cost effective.Work supported by Cooperative Agreement CR-810035-01-0 with the U.S. Environmental Protection Agency, Environmental Research Laboratory, Corvallis, Oregon, U.S.A.     

Factor structure of the transformational leadership model in human service teams

The purpose of this study was to examine the factor structure of the transformational leadership model in human service teams. As the nature of this work environment mandates certain management‐by‐exception practices, patterns of correlations between perceptions of active and passive management‐by‐exception behaviors and transformational, transactional, and laissez‐faire leadership were of interest. 236 leaders and 620 subordinates from 54 mental health teams completed the Multifactor Leadership Questionnaire, form 8Y. Results suggest that active and passive management‐by‐exception factors are independent constructs. Copyright © 2003 John Wiley & Sons, Ltd.     

Can Hazard Risk be Communicated through a Virtual Experience?

Cyberspace, defined by William Gibson as a consensual hallucination, now refers to all computer-generated interactive environments. Virtual reality, one of a class of interactive cyberspaces, allows us to create and interact directly with objects not available in the everyday world. Despite successes in the entertainment and aviation industries, this technology has been called a 'solution in search of a problem'. The purpose of this commentary is to suggest such a problem: the inability to acquire experience with a hazard to motivate mitigation. Direct experience with a hazard has been demonstrated as a powerful incentive to adopt mitigation measures. While we lack the ability to summon hazard events at will in order to gain access to that experience, a virtual environment can provide an arena where potential victims are exposed to a hazard's effects. Immersion as an active participant within the hazard event through virtual reality may stimulate users to undertake mitigation steps that might otherwise remain undone. This paper details the possible direction in which virtual reality may be applied to hazards mitigation through a discussion of the technology, the role of hazard experience, the creation of a hazard simulation and the issues constraining implementation.     

DENSITY CURRENT INTRUSIONS IN AN ICE-COVERED URBAN LAKE1

ABSTRACT: Evidence is presented that snowmelt runoff from an urban watershed can produce density current intrusions (underflows) in a lake. Several episodes of density current intrusions are documented. Water temperatures and salinities measured near the bottom of a 10 m deep Minneapolis lake during the late winter warming periods in 1989, 1990, 1991, and 1995 show significant rapid changes which are correlated with observed higher air temperatures and snowmelt runoff. The snowmelt runoff entering this particular lake (Ryan Lake) has increased electrical conductivity, salinity, and density. The source of the salinity is the salt spread on urban streets in the winter. Heating of littoral waters in spring may also contribute to the occurrence of the sinking flows, but is clearly not the only cause.