Unintentional non-traffic injury and fatal events: Threats to children in and around vehicles

Objective: There have been substantial reductions in motor vehicle crash–related child fatalities due to advances in legislation, public safety campaigns, and engineering. Less is known about non-traffic injuries and fatalities to children in and around motor vehicles. The objective of this study was to describe the frequency of various non-traffic incidents, injuries, and fatalities to children using a unique surveillance system and database.

Methods: Instances of non-traffic injuries and fatalities in the United States to children 0–14 years were tracked from January 1990 to December 2014 using a compilation of sources including media reports, individual accounts from families of affected children, medical examiner reports, police reports, child death review teams, coroner reports, medical professionals, legal professionals, and other various modes of publication.

Results: Over the 25-year period, there were at least 11,759 events resulting in 3,396 deaths. The median age of the affected child was 3.7 years. The incident types included 3,115 children unattended in hot vehicles resulting in 729 deaths, 2,251 backovers resulting in 1,232 deaths, 1,439 frontovers resulting in 692 deaths, 777 vehicles knocked into motion resulting in 227 deaths, 415 underage drivers resulting in 203 deaths, 172 power window incidents resulting in 61 deaths, 134 falls resulting in 54 deaths, 79 fires resulting in 41 deaths, and 3,377 other incidents resulting in 157 deaths.

Conclusions: Non-traffic injuries and fatalities present an important threat to the safety and lives of very young children. Future efforts should consider complementary surveillance mechanisms to systematically and comprehensively capture all non-traffic incidents. Continued education, engineering modifications, advocacy, and legislation can help continue to prevent these incidents and must be incorporated in overall child vehicle safety initiatives.     

Patients' attitudes following chorionic villus sampling

The attitudes of 190 patients who had undergone chorionic villus sampling (CVS) were assessed by means of a questionnaire. One hundred and fifty-two patients replied of whom 68 (45 per cent) were referred because of increased maternal age and in the other 84 cases the indications included previous chromosomal abnormalities, fetal sexing, DNA analysis, and biochemical analysis. One hundred and twenty-two patients had a transcervical procedure, 24 had a transabdominal, and six patients required both procedures. One hundred and forty-one patients (93 per cent) reported CVS to be a satisfactory procedure, and the same percentage thought earlier diagnosis was beneficial. Thirty-nine patients (81 per cent) reported a better experience with CVS than with a previous amniocentesis. A majority of patients (93 per cent) wished a CVS in a future pregnancy and 137 patients (97 per cent) would accept a risk of miscarriage from the procedure of twice that quoted for amniocentesis (1 per cent).     

Limb reduction and chorion villus sampling

Upper limb reduction was diagnosed by ultrasound scan at 17 weeks after chorion villus sampling at 9 weeks' gestation. Pregnancy was terminated and necropsy confirmed limb reduction in an otherwise normal fetus. The relationship of limb reduction to amniotic band syndrome is discussed.     

Spontaneous abortion after transcervical chorionic villus sampling: A case report

A case of spontaneous abortion after transcervical CVS is presented. Despite no evidence of bacteria in the vagina and cervix prior to sampling and the prophylactic use of Metronidazole, pathological evidence of chorioamnionitis was found. The implications of this are discussed.     

The competitive position of Canadian copper supply

The author examines the proposition that the Canadian copper industry has reached a mature, less competitive, stage of growth. Employing a break-even-cost approach, he compares the Canadian industry to those of other copper-producing nations in terms of cost competitiveness and prospects for new entrants. He finds little evidence to support the proposition, and concludes that Canada's copper industry will continue to maintain its strong competitive position during the 1980s.     

Disappearance of dimethoate,methamidophos and pirimicarb in lettuce

Abstract

Foliar sprays of dimethoate at 150 or 300 g a.i./ha, methamidophos at 450 or 900 g a.i./ha and pirimicarb at 140 or 280 g a.i./ha were applied for control of the green peach aphid, Myzus pericae (Sulzer), and the lettuce aphid, Nasonovia ribisnigri (Mosley), about 2 weeks before the lettuce started heading, and again about 1 week from harvest. In lettuce, dimethoate partially oxidized to its oxon and pirimicarb converted to its methylamino‐ and/or formyl methylamino‐analogues. Most residues were present in the outer leaves which were exposed directly to the sprays; only traces of residues were detected in samples of the inner head leaves. Total residues disappeared rapidly. Pirimicarb was the least persistent and only traces of residues (<0.01 ppm) were detected in marketable heads. Concentrations of dimethoate, including the oxon and of methamidophos were well below their respective tolerances of 2 and 1 ppra respectively.     

Public involvement processes, conflict, and challenges for rural residents near intensive hog farms

Large-scale hog operations have generated intense conflict in rural communities in North America, and more recently in Alberta, Canada. The structure and process of public involvement processes for intensive hog operations influences how well the core issues of concern are addressed by public officials and pork producer proponents. This study reports interview findings from 43 key players in intensive hog operation controversies across four cases in Alberta, and summarizes four inter-related areas of the public participation processes that affect levels of trust among stakeholders, thereby altering the perceived fairness and the balance of power: (1) the timing of the public participation process; (2) information sharing; (3) accessibility of the process; and (4) accountability of public institutions and policies. Recent changes to the regulations of intensive livestock operations will unlikely address core issues of conflict without incorporating the above elements of democratic public involvement processes.     

Publisher’s Note

Editorial

Publisher’s Note     

Handedness, Hand Roles, and Hand Injuries at Work

Hand injuries form a significant proportion of all workplace injuries. They are costly to treat, and lead to significant loss of time at work. This paper has two parts. First, there is a review of the literature that discusses prevalence of hand injury, and the significance of hand roles and handedness in industrial injuries. The second part represents an initial attempt to document the roles of the two hands in a particular industry, the metal manufacturing industry. The purpose of this survey of 30 different work stations in seven different industrial plants was to see whether there is a significant bias in terms of movement requirements for one or the other hand, leading to a possible differential risk of injury for the left and right hands. Overall, there was no clear bias favoring the right hand in activities assigned to the hands in seven different movement categories (MTM). However, the location of emergency controls favored the right hand unequivocally. The implications of biases favoring the left/right hand for safety of machine operation are discussed in the light of current findings on left/right hand performance in right- and lefthanders.