Social and hospital costs of patients admitted to a university hospital in Brazil due to motorcycle crashes

Objective: This study aimed to investigate the social and hospital costs of patients treated at a public hospital who were motorcycle crash victims.

Method: This prospective study was on 68 motorcycle riders (drivers or passengers), who were followed up from hospital admission to 6 months after the crash. A questionnaire covering quantitative and qualitative questions was administered.

Results: Motorcycle crash victims were responsible for 12% of the institution's hospital admissions; 54.4% were young (18–28 years of age); 92.6% were the drivers; 91.2% were male; and 50% used their motorcycles as daily means of transportation. Six months afterward, 94.1% needed help from someone; 83.8% had changed their family dynamics; and 73.5% had not returned to their professional activities. Among the injuries, 94.7% had some type of fracture, of which 53.5% were exposed fractures; 35.3% presented temporary sequelae; and 32.4% presented permanent sequelae. They used the surgical center 2.53 times on average, with a mean hospital stay of 18 days. The per capita hospital cost of these victims’ treatment was US$17,481.50.

Conclusion: The social and hospital costs were high, relative to the characteristics of a public institution. Temporary or permanent disability caused changes to family dynamics, as shown by the high numbers of patients who were still away from their professional activities more than 6 months afterward.     

Application of Poly(styrene-co-divinylbenzene) Macroporous Microparticles as a Catalyst Support in the Enzymatic Synthesis of Biodiesel

Macroporous poly(styrene-co-divinylbenzene) microparticles, with three different structural characteristics, have been synthesized and used as supports in the immobilization of lipase from Burkholderia cepacia. The best immobilization yield was found upon using microparticles with 35 % of divinylbenzene and the immobilized lipase on this type of particles was used as a catalyst to obtain biodiesel from soybean oil and ethanol. From the experimental results of the transesterification reaction, an empirical model quantitatively relating the temperature, the concentration of the enzyme and the transesterification yield was obtained. Statistical analysis of this model indicated that within the range of values of the variables studied (35–47 °C and 231–788 U/mg respectively) only the enzyme concentration exerted a significant influence on the reaction yield. Additionally, the good fit of a Michaelis–Menten-type model to the experimental results suggests that the limiting step of the reaction was the formation of the enzyme-substrate complex.     

A 1-Year Study on the Detection of Human Enteric Viruses in New Caledonia

Human enteric viruses occur in high concentrations in wastewater and can contaminate receiving environmental waters. Due to the lack of data on the prevalence of enteric viruses in New Caledonia, the presence and the concentrations of enteric viruses in wastewater and seawater were determined. Untreated wastewater and seawater samples were collected monthly for 1 year from a wastewater treatment plant (WWTP) and from the WWTP’s outlet, located directly on a popular recreational beach. Samples were tested for norovirus genogroups I and II (NoV GI and GII), astroviruses (AsV), sapoviruses (SaV), enteroviruses (EV), hepatitis A viruses (HAV), rotaviruses (RoV), human adenoviruses (HAdV) and human polyomaviruses (HPyV). To support these data, faecal samples from cases of gastroenteritis were tested for the first time for NoV and detected in the population. NoV GI, NoV GII, EV, SaV, HAdV and HPyV were detected in all wastewaters, RoV in 75 % and AsV in 67 %. HAV were not detected in wastewater. Overall, 92 % of seawater samples were positive for at least one virus. HPyV were detected most frequently in 92 % of samples and at concentrations up to 7.7 × 10³ genome copies/L. NoV GI, NoV GII, EV, SaV, RoV and HAdV were found in 33, 66, 41, 33, 16 and 66 % of seawater samples, respectively. AsV were not detected in seawater. This study reports for the first time the presence of NoV and other enteric viruses in New Caledonia and highlights the year-round presence of enteric viruses in the seawater of a popular beach.     

Sex allocation in Savi’s warblers <Emphasis Type="Italic">Locustella luscinioides</Emphasis>: multiple factors affect seasonal trends in brood sex ratios

Sex allocation theory predicts that whenever the relative fitness of sons and daughters differ, females should invest more in the sex with the greatest fitness return. In this study, we evaluated the influence of various ecological factors on the brood sex ratio (BSR) of Savi’s warblers (Locustella luscinioides) across several breeding seasons. There was a slight but significant female production bias at the population level, which is consistent with the ‘local resource competition’ hypothesis, as the breeding density is very high and females are more prone to disperse. We found that there was a significant decline in BSR during the breeding season, but no influence of male size, female size, social status nor extra-pair paternity were detected. The seasonal decline in BSR was further evaluated by assessing the within- and between-female effects, which indicated that multiple factors were operating simultaneously in our study population. First, there was a significant within-female decline in BSR, which was consistent with the decline in female condition due to the reproductive effort associated with multiple brooding (supporting the Trivers and Willard hypothesis). Second, a significant decline in BSR with the laying date of first clutches of different pairs indicated that male and/or female qualities are also associated with the seasonal variation in BSR. Finally, a comparison between the sex of the youngest nestling with the remaining ones did not suggest any bias, indicating that females do not compensate for the increased mortality of the last nestling (caused by asynchronous hatching) by producing a male from the last laid egg.     

Applications of steroid drugs entrapped in cyclodextrins

Environmental Chemistry Letters - Steroids are abundant in living organisms and are responsible for various biological functions. They are good candidates for inclusion complexes formation with...     

Integrating empirical and heuristic knowledge in a KBS to approach stream eutrophication

The nutrient enrichment of rivers and its consequences are among the most severe water quality problems in Europe, causing eutrophication and other problems. The decision-making processes involved in the management of these problems require extensive human expertise from people who deal directly with day-to-day stream problems, as well as empirical knowledge based on scientific research. This means that eutrophication is a complex problem, the optimal management of which requires an integrated and multidisciplinary approach. This approach can be taken using a Knowledge-Based System (KBS) built upon the concepts and methods of human reasoning. Accordingly, a KBS was developed within the STREAMES project. In this KBS most of the knowledge needed for managing eutrophication problems was organised and structured in the form of a decision tree (DT). The methodology specially developed to build this KBS, as well as the internal structure of the eutrophication decision tree, is presented here. The good DT obtained led to consider the KBS a suitable tool to support the management of eutrophication.     

Benzene, toluene, ethyl benzene and xylenes in ambient air and Pinus sylvestris L. needles: a comparative study between Belgium, Hungary and Latvia

Concentrations of benzene, toluene, ethyl benzene and xylenes (BTEX) in ambient air and in 1 yr old Pinus sylvestris pine needles were monitored along a busy road, petrol station and rural area of Belgium, Hungary and Latvia in a 1 yr period. To test P. sylvestris as a possible biomonitor for the BTEX concentrations, samples were taken in the four seasons. As the distribution of data was not normal, the level of pollution on different sites and seasons was compared and evaluated by non-parametric tests. The measured air concentrations did not differ significantly from one season to another throughout the year. There were, however, differences between sampling places. The C₂-alkylbenzene and toluene concentrations in the needles were similar in the autumn/winter and spring/summer periods but a significant decrease in their concentration was observed in every place between winter and spring. This effect was less obvious for toluene.     

Relation between occupational safety management and firm performance

Occupational accidents severely deteriorate human capital, and hence negatively affect the productivity and competitiveness of countries. But despite this, we still observe a scarcity of preventive practices, an unsatisfactory management commitment and an absence of safety culture among Spanish firms. The result is evident in firms’ high accident rates. This situation is a consequence of the general belief among firms that investing in safety is a cost, and hence has negative repercussions for their competitiveness. The current work aims to identify good practices in safety management, and analyse the effect of these practices on a set of indicators of organisational performance. For this, we first carry out an exhaustive literature review, and then formulate a series of hypotheses. We then test the proposed model on a sample of 455 Spanish firms. Our findings show that safety management has a positive influence on safety performance, competitiveness performance, and economic-financial performance. Hence they provide evidence of the compatibility between worker protection and corporate competitiveness.