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.     

Vitamins,folic acid and neural tube defects: Comments on investigations in the United States

No clear answer concerning whether multivitamin/folate supplementation prevents neural tube defects (NTDs) is provided by three studies in the United States. All these studies are occurrence in nature, no recurrence studies having been conducted. The Atlanta Birth Defects Study is subject to pronounced memory and recall biases, the length between event and interview being as long as 16 years. In a second study (Boston University), objections can be raised to certain aspects of the experimental design, and the claim that 22 per cent of women started vitamins sufficiently early after pregnancy diagnosis to influence NTD formation is suspicious. Our NICHD case control study of 541 women in California and Illinois revealed no evidence for multivitamins or folic acid preventing NTDs. U.S. public policy-makers face difficulties in applying results of recurrence or occurrence studies in high-risk areas to low-risk areas in the U.S.     

Bison and cattle grazing management,bare ground coverage,and links to suspended sediment concentrations in grassland streams

This study quantified the impact of bison and cattle grazing management practices on bare ground coverage at the watershed, riparian, and forested riparian scales within the Flint Hills ecoregion in Kansas. We tested for correlations between bare ground coverage and fluvial suspended sediment concentrations during base‐flow and storm‐flow events. We used remotely sensed imagery combined with field surveys to classify ground cover and quantify the presence of bare ground. Base‐flow water samples were collected bi‐monthly during rain‐free periods and 24 h following precipitation events. Storm‐flow water samples were collected on the rising limb of the hydrograph, using single‐stage automatic samplers. Ungrazed treatments contained the lowest coverage of bare ground at the watershed, riparian, and forested riparian scales. Bison treatments contained the highest coverage of bare ground at the watershed scale, while high‐density cattle treatments contained the highest coverage of bare ground at the riparian and forested riparian scales. In bison and cattle‐grazed treatments, a majority of bare ground was located near fence lines, watershed boundaries, and third‐ and fourth‐order stream segments. Inorganic sediment concentrations at base flow were best predicted by riparian bare ground coverage, while storm‐flow sediment concentrations were best predicted by watershed scale bare ground coverage.     

Effects of economic growth on biodiversity in the United States

For many citizens and policymakers, the empirical relationship between economic growth and biodiversity conservation has not been sufficiently established for purposes of identifying the types of economic policies amenable to biodiversity conservation. Some think economic growth conflicts with biodiversity conservation; others think economic growth conduces biodiversity conservation. With panel data from 1997‐2011, encompassing US continental states, we developed a series of statistical models to investigate the relationships among species endangerment, human population, and economic growth as indicated by GDP and per capita GDP. Species endangerment is highly correlated with population and GDP, and per capita GDP is a significant regressor of species endangerment. Across US continental states, competitive exclusion of non‐human species occurs via human economic growth and population growth.     

Species-specific effects of elevated ozone on wetland plants and decomposition processes

Seven species from two contrasting wetlands, an upland bog and a lowland rich fen in North Wales, UK, were exposed to elevated ozone (150 ppb for 5 days and 20 ppb for 2 days per week) or low ozone (20 ppb) for four weeks in solardomes. The rich fen species were: Molinia caerulea, Juncus subnodulosus, Potentilla erecta and Hydrocotyle vulgaris and the bog species were: Carex echinata, Potentilla erecta and Festuca rubra. Senescence significantly increased under elevated ozone in all seven species but only Molinia caerulea showed a reduction in biomass under elevated ozone. Decomposition rates of plants exposed to elevated ozone, as measured by carbon dioxide efflux from dried plant material inoculated with peat slurry, increased for Potentilla erecta with higher hydrolytic enzyme activities. In contrast, a decrease in enzyme activities and a non-significant decrease in carbon dioxide efflux occurred in the grasses, sedge and rush species.     

INTEGRATING SCIENCE AND TECHNOLOGY TO SUPPORT STREAM NATURALIZATION NEAR CHICAGO,ILLINOIS1

ABSTRACT: Many urban and suburban communities in the Midwest are seeking to establish sustainable, morphologically and hydraulically varied, yet dynamically stable fluvial systems that are capable of supporting healthy, biologically diverse aquatic ecosystems — a process known as stream naturalization. This paper describes an integrated research program that seeks to develop a scientific and technological framework to support two stream naturalization projects near Chicago, Illinois. The research program integrates theory and methods in fluvial geomorphology, aquatic ecology, hydraulic engineering and social theory. Both the conceptual and the practical challenges of that integration are discussed. Scientific and technical support emphasize the development of predictive tools to evaluate the performance of possible naturalization designs at scales most appropriate to community based projects. Social analysis focuses on place based evaluations of how communities formulate an environmental vision and then, through decision making, translate this vision into specific stream naturalization strategies. Integration of scientific and technical with social components occurs in the context of community based decision making as the predictive tools are employed by project scientists to help local communities translate their environmental visions into concrete environmental designs. Social analysis of this decision making process reveals how the interplay between the community's vision of what they want the watershed to become, and the scientific perspective on what the watershed can become to achieve the community's environmental goals, leads to the implementation of specific stream naturalization practices.     

Selecting islands and shoals for conservation based on biological and aesthetic criteria

Consideration of biological quality has long been an important component of rating areas for conservation. Often these same areas are highly valued by people for aesthetic reasons, creating demands for housing and recreation that may conflict with protection plans for these habitats. Most methods of selecting land for conservation purposes use biological factors alone. For some land areas, analysis of aesthetic qualities is also important in describing the scenic value of undisturbed land. A method for prioritizing small islands and shoals based on both biological and visual quality factors is presented here. The study included 169 undeveloped islands and shoals ⩽0.8 ha in the Thousand Islands Region of the St. Lawrence River, New York. Criteria such as critical habitat for uncommon plant and animal species were considered together with visual quality and incorporated into a rating system that ranked the islands and shoals according to their priority for conservation management and protection from development. Biological factors were determined based on previous research and a field survey. Visual quality was determined by visual diagnostic criteria developed from public responses to photographs of a sample of islands. Variables such as elevation, soil depth, and type of plant community can be used to classify islands into different categories of visual quality but are unsuccessful in classifying islands into categories of overall biological quality.     

GRADUATE TRAINING IN WATER TRACK ENVIRONMENTAL ENGINEERING: RESULTS OF A SURVEY OF EMPLOYERS1

ABSTRACT: The authors conducted a mail survey of 600 employers in the government and private sectors who were thought to hire water track environmental engineers. Of a total of 148 respondents, over 80 percent employed a combined total of over 2,800 environmental engineers. The survey addressed two basic questions: (1) what is the quality of graduate education recently trained engineers have received, and (2) what effect does a nonengineering undergraduate degree have on an engineering graduate student's employment potential. In answer to the first question, respondents indicated that engineering graduates were deficient in report writing, business law (contracts and specifications), economics and finance, and practical design. Many employers stated that students could better prepare themselves for employment by (1) obtaining professional experience through internships and summer or part-time jobs, and (2) learning to communicate effectively, both orally and in writing. In answer to the second question, 50 percent of the respondents indicated that engineers without an engineering undergraduate degree would not necessarily be limited in their abilities to perform engineering duties.