Objective: Though motor vehicle crashes (MVCs) were the main cause of head trauma from road traffic injuries (RTIs), motorcycle crashes (MCCs) are now a major cause of RTI-related head injury (HI) in many developing countries.
Methods: Using a prospective database of HIs from a neurosurgical practice in a sub-Saharan African developing country, a cross-sectional survey was conducted for the trauma demography and clinical epidemiology of this MCC-related HI.
Results: Motorcycle crashes accounted for 57% (473/833) of all RTI-related HIs in this registry. The victims, with a mean age of 33.1 years (SD = 18.3), consisted mainly of males (83.1%), those of low socioeconomic status (>90%), and those aged between 20 and 40 years old (56%). MCCs involved only riders in 114 cases (114/473, 32.1%), of which 69% were motorcycle–motorcycle crashes. The HI was moderate–severe in 50.8%; clinical symptomatology of significant HI included loss of consciousness (92%), anisocoria (35%), Abbreviated Injury Scale head (AIS–head) score > 3 (28%), and CT-Rotterdam score > 3 (30%). Extracranial systemic injury involved the limbs most frequently, with an Injury Severity Score (ISS) >25 in 49%. The fatality rate was 24%.
MCC-related HI among pedestrian victims involved more vulnerable age groups (the young and elderly) but have lower mean ISS compared to motorcycle passengers (mean ISS = 23.5 [11.6] vs. 27.4 [13.0]; 95% confidence interval [CI], 1.27–6.49; P = .004). In addition, compared to a contemporary cohort of MVC-related HIs in our registry, MCC victims were older (mean age 34.8 years [18.0] vs. 30.8 [18.4]; P = .002); had higher proportions of certain extracranial trauma like long bone fractures (71 vs. 29%; P = .02); and suffered fewer surgical brain lesions (25.5 vs. 17.2%; P = .004).
Conclusions: Motorcycle crashes are now a significant threat to the heads, limbs, and lives of vulnerable road users in developing countries. 相似文献
A combined approach of physicochemical extraction and sulfur K-edge X-ray absorption near-edge structure(XANES) spectroscopy was applied to characterize the extracellular polymeric substances(EPS) of typical bacterial biofilms in this study. Physicochemical analysis showed variation of the contents of DNA,polysaccharide and protein in different fractions of EPS in different mediums. The sulfur K-edge XANES analysis yielded a variety of spectra.Spectral fitting of the XANES spectra utilizing a large set of model compounds showed that there was more reduced sulfur in both LB-EPS(loosely bound EPS) and TB-EPS(tightly bound EPS) of all the biofilms in LB medium than in R2 A medium. More oxidized sulfur was identified in LB-EPS than that in TB-EPS,suggesting different niches and physiological heterogeneity in the biofilms. Our results suggested that the sulfur K-edge XANES can be a useful tool to analyze the sulfur speciation in EPS of biofilms. 相似文献
The growing industrial interest in adopting sustainability programmes has ushered in studies regarding sustainability indicators which have continually flourished in current literature. However, limited attention is given to the development of priority ranking, which is an important input for any adopting firm. This paper presents a hybrid multi-criteria approach in determining priority areas in sustainable manufacturing (SM). Using fuzzy analytic hierarchy process to address uncertainty in hierarchical decision-making, this paper determines SM priority strategies and eventually identifies even lower level strategies. The computed sustainable manufacturing index is presented at both the organizational and operational levels for a real case study of an industrial plastic manufacturing firm. This work provides a detailed and transparent hierarchical decision-making approach based on SM framework, the use of which could be valuable to practicing managers across industries in their pursuit of greater sustainability. 相似文献
The incidence of diabetes has increased dramatically in recent decades and become one of the leading health problems worldwide. Lifestyle and dietary changes alone cannot account for the dramatic rise of diabetes, while an increasing number of publications have reported the possible relationships between exposure to environmental pollutants and risk of diabetes. In the present review, our objective was to summarize the human studies on environmental pollutants, which includes persistent organic pollutants, pesticides (not on the Stockholm Convention list), bisphenol A, and phthalates, and the risk of diabetes. Currently published results suggest a positive relationship between certain persistent organic pollutants (dichlorodiphenyldichloroethene, dichlorodiphenyltrichloroethane, hexachlorobenzene, and polychlorinated biphenyls) and bisphenol A exposure and risk of diabetes. For pyrethroids, organophosphates, carbamates, and phthalates, there are insufficient studies to reach conclusions and therefore more studies, especially prospective studies, are needed along with in vivo and in vitro studies to understand the underlying mechanisms. 相似文献
This study examines the relationship between national-level militarism and consumption-based carbon dioxide emissions. We analyze panel data from 1990 to 2010 for 81 nations to determine whether the magnitude of the effects of (1) military expenditures as percent of total gross domestic product and (2) military personnel as percent of total labor force on carbon emissions change over time. Results of two-way fixed effects models highlight the temporal stability of the environmental impacts of both national-level military characteristics. The findings also reveal that the effect of military expenditures on emissions is larger in the more developed OECD nations than in the developing non-OECD nations. Overall, the results support the treadmill of destruction perspective, which suggests that the nations’ militaries are an important social institution to consider in sustainability science research on the human drivers of global environmental change. 相似文献
The environmental sciences/studies movement, with more than 1000 programs at colleges and universities in the United States and Canada, is unified by a common interest??ameliorating environmental problems through empirical enquiry and analytic judgment. Unfortunately, environmental programs have struggled in their efforts to integrate knowledge across disciplines and educate students to become sound problem solvers and leaders. We examine the environmental program movement as a policy problem, looking at overall goals, mapping trends in relation to those goals, identifying the underlying factors contributing to trends, and projecting the future. We argue that despite its shared common interest, the environmental program movement is disparate and fragmented by goal ambiguity, positivistic disciplinary approaches, and poorly rationalized curricula, pedagogies, and educational philosophies. We discuss these challenges and the nature of the changes that are needed in order to overcome them. In a subsequent article (Part 2) we propose specific strategies for improvement. 相似文献
Animal color patterns often reflect a compromise between natural selection for crypsis or inconspicuousness to predators and
sexual selection for conspicuousness to potential mates. In leaf litter-dwelling wolf spider species like Schizocosa ocreata, body coloration often closely matches the background coloration of a generally brown environment. However, body parts used
in communication should exhibit high contrast against background coloration. We used spectral analysis to examine male and
female S. ocreata for matching and contrasting coloration against leaf litter. Values were plotted in multivariate color space, based on reflectivity
in different frequency ranges. When viewed from above, colors of both males and females overlap with values for dead brown
leaf litter and soil, suggesting cryptic coloration when viewed by potential predators. However, when viewed from a lateral
perspective, both males and females show color values that are polar opposites of litter backgrounds, suggesting higher contrast
when viewed by other spiders. Moreover, male secondary characters used in visual signaling by S. ocreata (tibia brushes) show the highest level of background contrast. These findings suggest that S. ocreata wolf spiders have color patterns that provide both crypsis and background contrast at the same time, depending on receiver
viewing perspective. 相似文献
Liu, Clark C.K. and John J. Dai, 2012. Seawater Intrusion and Sustainable Yield of Basal Aquifers. Journal of the American Water Resources Association (JAWRA) 48(5): 861‐870. DOI: 10.1111/j.1752‐1688.2012.00659.x Abstract: Basal aquifers, in which freshwater floats on top of saltwater, are the major freshwater supply for the Hawaiian Islands, as well as many other coastal regions around the world. Under unexploited or natural conditions, freshwater and the underlying seawater are separated by a relatively sharp interface located below mean sea level at a depth of about 40 times the hydraulic head. With forced draft, the hydraulic head of a basal aquifer would decline and the sharp interface would move up. It is a serious problem of seawater intrusion as huge amounts of freshwater storage is replaced by saltwater. Also, with forced draft, the sharp interface is replaced by a transition zone in which the salinity increases downward from freshwater to saltwater. As pumping continues, the transition zone expands. The desirable source‐water salinity in Hawaii is about 2% of the seawater salinity. Therefore, the transition zone expansion is another serious problem of seawater intrusion. In this study, a robust analytical groundwater flow and salinity transport model (RAM2) was developed. RAM2 has a simple mathematical structure and its model parameters can be determined satisfactorily with the available field monitoring data. The usefulness of RAM2 as a viable management tool for coastal ground water management is demonstrated by applying it to determine the sustainable yield of the Pearl Harbor aquifer, a principal water supply source in Hawaii. 相似文献
The extent to which genetic divergence can occur in the absence of physical barriers to gene flow is currently one of the
most controversial topics in evolutionary biology, with implications for our understanding of speciation, phenotypic plasticity
and adaptive potential. This is illustrated by a recent study reporting a surprising pattern of genetic differentiation between
intertidal and subtidal morphotypes of the broadcast-spawning Antarctic limpet Nacella concinna. To explore this further, we collected almost 400 Antarctic limpets from four depths (intertidal, 6, 15 and 25 m) at Adelaide
island, Antarctica, and conducted a combined morphometric and genetic analysis using 168 polymorphic amplified fragment length
polymorphism (AFLP) loci. Morphological analysis revealed not only pronounced differences between the two morphotypes, but
also a continuous cline in shell shape from the intertidal zone down to 25 m depth, suggesting that the distinction between
the morphotypes may be artificial. Moreover, genetic analysis using both Fst and a Bayesian analogue found no evidence for differentiation either between the two morphotypes or by depth, and a Bayesian
cluster analysis did not detect any cryptic genetic structure. Our findings lend support to the notion that limpets can be
phenotypically highly plastic, although further studies are required to determine unequivocally whether there is any genetic
basis to the observed variation in shell morphology. 相似文献
In April-May 1998, mass coral bleaching was observed in the lagoon of Rangiroa Atoll, Tuamotu Archipelago, French Polynesia. Six months later, the extent of bleaching-induced coral mortality was assessed at three sites. Corals in the fast-growing genus Pocillopora had experienced >99% mortality. Many large colonies of the slow-growing genus Porites (mean horizontal cross-sectional area 5.8 m2) had also died - a phenomenon not previously observed in French Polynesia and virtually unprecedented world-wide. At one site, 25% of colonies, or 44% of the pre-bleaching cover of living Porites, experienced whole-colony mortality. At the two other sites, recently dead Porites accounted for 41% and 82% of the pre-bleaching live cover. Mortality in Porites was negatively correlated with depth between 1.5 and 5 m. Using a 50-year dataset of mean monthly sea surface temperature (SST), derived from ship- and satellite-borne instruments, we show that bleaching occurred during a period of exceptionally high summer SST. 1998 was the first year in which mean monthly SSTs exceeded the 1961-1990 upper 95% confidence limit (29.4°C) for a period of three consecutive months. We suggest that the sustained 3-month anomaly in local summer SST was a major cause of coral mortality, but do not discount the synergistic effect of solar radiation. Recovery of the size-frequency distribution of Porites colonies to pre-bleaching levels may take at least 100 years. 相似文献