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.     

profiling areas of ground water contamination by pesticides in california: phase ii – evaluation and modification of a statistical model

A well sampling study was conducted to evaluate anempirical approach to classifying areasof land in California as vulnerable to ground watercontamination by pesticides (Troiano et al., 1994). Wells were sampled from sections of land that had noprevious detections of pesticideresidues. The sections had been classified into vulnerablesoil clusters or into a not-classified groupusing a procedure based on Principal Components Analysis(PCA). Grape, citrus, and olive growingareas of Fresno and Tulare Counties were targeted, areas wherepre-emergence herbicide residues hadbeen detected in well water. Overall, herbicide residues weredetected in 75 of 176 sampled wells, ahigh frequency of detection in relation to results fromprevious targeted well sampling studies. Sinceresidues were also detected in the not-classified group, theclassification procedure was modified usingan approach based on Canonical Variates Analysis (CVA). Moresections were classified intovulnerable soil clusters with the CVA approach than with thePCA method. Data from two otherexplanatory variables, depth to ground water and amount ofpesticide used per section, were includedto illustrate how additional information can be incorporatedinto this approach of identifying vulnerable areas.     

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.     

Gas chromatographic separation and determination of chloroanthracene isomers on fly ash

An efficient, reproducible and rapid fused silica capillary column gas chromatographic method, in splitless mode, for analysing of the three chloroanthracene isomers is described. The method affords efficient separation and good linearity for each isomer in the range of 0.2 -200 μg/ml. The method can also be used in separation and determination of another thirty three aromatic and their halosubstituted compounds. This paper also presents the applications of the method in analysing of complex products mixture from reaction of the selected aromatic compounds with hydrogen chloride on fly ash surface from municipal incinerator.     

HEAVY RAINFALL DISTRIBUTIONS BY SEASON IN LOUISIANA: SYNOPTIC INTERPRETATIONS AND QUANTILE ESTIMATES1

ABSTRACT: In most studies, quantile estimates of extreme 24-hour rainfall are given in annual probabilities. The probability of experiencing an excessive storm event, however, differs throughout the year. As a result, this paper explored the differences between heavy rainfall distributions by season in Louisiana. It was concluded by using the Kruskal-Wallis and Mann-Whitney tests that the distribution of heavy rainfall events differs significantly between particular seasons at the sites near the Gulf Coast. Furthermore, seasonal frequency curves varied dramatically at the four sites examined. Mixed distributions within these data were not found to be problematic, but the mechanisms that produced the events were found to change seasonally. Extreme heavy rainfall events in winter and spring were primarily generated by frontal weather systems, while summer and fall events had high proportions of events produced by tropical disturbances and airmass (free-convective) conditions.     

NUTRIENT CONCENTRATION CRITERIA AND CHARACTERIZATION OF PATTERNS IN TROPHIC STATE FOR RIVERS IN HETEROGENEOUS LANDSCAPES1

ABSTRACT: A method is demonstrated for the development of nutrient concentration criteria and large scale assessment of trophic state in environmentally heterogeneous landscapes. The method uses the River Environment Classification (REC) as a spatial framework to partition rivers according to differences in processes that control the accrual and loss of algae biomass. The method is then applied to gravel bed rivers with natural flow regimes that drain hilly watersheds in New Zealand's South Island. An existing model is used to characterize trophic state (in terms of chlorophyll a as a measure of maximum biomass) using nutrient concentration, which controls the rate of biomass accrual, and flood frequency, which controls biomass loss. Variation in flood frequency was partitioned into three classes, and flow data measured at 68 sites was used to show that the classes differ with respect to flood frequency. Variation in nutrient concentration was partitioned at smaller spatial scales by subdivision of higher level classes into seven classes. The median of flood frequency in each of the three higher level classes was used as a control variable in the model to provide spatially explicit nutrient concentration criteria by setting maximum chlorophyll a to reflect a desired trophic state. The median of mean monthly soluble reactive phosphorus and soluble inorganic nitrogen measured at 68 water quality monitoring sites were then used to characterize the trophic state of each of the seven lower level classes. The method models biomass and therefore allows variation in this response variable to provide options for trophic state and the associated nutrient concentrations to achieve these. Thus it is less deterministic than using reference site water quality. The choice from among these options is a sociopolitical decision, which reflects the management objectives rather than purely technical considerations.     

Techniques for accuracy assessment of tree locations extracted from remotely sensed imagery

Remotely sensed imagery is becoming a common source of environmental data. Consequently, there is an increasing need for tools to assess the accuracy and information content of such data. Particularly when the spatial resolution of imagery is fine, the accuracy of image processing is determined by comparisons with field data. However, the nature of error is more difficult to assess. In this paper we describe a set of tools intended for such an assessment when tree objects are extracted and field data are available for comparison. These techniques are demonstrated on individual tree locations extracted from an IKONOS image via local maximum filtering. The locations of the extracted trees are compared with field data to determine the number of found and missed trees. Aspatial and spatial (Voronoi) analysis methods are used to examine the nature of errors by searching for trends in characteristics of found and missed trees. As well, analysis is conducted to assess the information content of found trees.     

Recent climate change in the Prince Edward County winegrowing region,Ontario, Canada: implications for adaptation in a fledgling wine industry

There is mounting evidence that climate change is already having an impact on the wine industry, with effects being region specific. In order to understand the capacity of regional wine sectors to adapt to changing climate, it is useful to document the conditions that are important to producers and to identify adaptation and management strategies that are employed in the industry. This paper analyzes climatic conditions and adaptation strategies in the wine region of Prince Edward County Ontario, Canada. Wine producers identified the climate variables most important to their operations and described strategies they use to manage climate-related conditions. The identified variables were analyzed for trends over the study period 1987–2011, and interview data were analyzed in order to categorize adaptive strategies. Results indicate that the wine sector is very sensitive to climate, and the region is already experiencing the effects of climate change, especially with regard to increasing growing season mean minimum daily temperatures, increasing total summer rainfall, and later onset of fall frosts. Adaptive strategies employed by producers are largely learned though collaborative efforts and trial and error. The adaptations are mostly tactical and reactive in the short term, but with continued climate change, these strategies may develop into strategic, anticipatory measures. Climate change has the potential to present both challenges and opportunities to Prince Edward County wine producers, and adaptations will continue to require strong networking and collaborative efforts.     

An improvement selection methodology for key performance indicators

Key performance indicators (KPIs) are critical measures for determining the health of a manufacturing plant in relationship to the plant’s goals. In today’s competitive environment, manufacturers cannot be careless about their business; in fact, they must ensure that their KPIs are effective and use them to make improvements when necessary. This paper describes a method for suggesting improvements to a manufacturer’s KPIs, based on the results achieved from a workshop to score the KPI on a number of predefined criteria. The approach uses a prospect theory approach to weight the scoring. Different problem formulations were derived that allow for both recommendations for improvements and the recommendations for disinvestments to over-performing KPIs. The authors applied the developed approach to two workshop outputs, each from independent manufacturers, and the results highlighted the significant difference between the two manufacturers in terms of improvement priorities and KPI assessment. The optimal improvement suggestions were compared to those found through a fast heuristic. It was determined that given the underlying assumptions of the approach that the heuristic solutions were just as adequate as the optimal ones.