Comparison of recidivism rates for a teenage trauma prevention program after the addition of high-fidelity patient simulation

Objectives: We evaluated the benefits of adding high-fidelity simulation to a teenage trauma prevention program to decrease recidivism rates and encourage teens to discuss actionable steps toward safe driving.

Methods: A simulated pediatric trauma scenario was integrated into an established trauma prevention program. Participants were recruited because they were court-ordered to attend this program after misdemeanor convictions for moving violations. The teenage participants viewed this simulation from the emergency medical services (EMS) handoff to complete trauma care. Participants completed a postsimulation knowledge assessment and care evaluation, which included narrative data about the experience. Qualitative analysis of color-coded responses identified common themes and experiences in participants' answers. Court records were reviewed 6 years after course completion to determine short- and long-term recidivism rates, which were then compared to our program's historical rate.

Results: One hundred twenty-four students aged 16–20 years participated over a 2-year study period. Narrative responses included general reflection, impressions, and thoughts about what they might change as a result of the course. Participants reported that they would decrease speed (30%), wear seat belts (15%), decrease cell phone use (11%), and increase caution (28%). The recidivism rate was 55% within 6 years. At 6 months it was 8.4%, at 1 year it was 20%, and it increased approximately 5–8% per year after the first year. Compared with our programs, for historical 6-month and 2-year recidivism rates, no significant difference was seen with or without simulation.

Conclusions: Adding simulation is well received by participants and leads to positive reflections regarding changes in risk-taking behaviors but resulted in no changes to the high recidivism rates This may be due to the often ineffectiveness of fear appeals.     

The conspicuity of first-responder safety garments

Introduction

This study compared the conspicuity of three types of first-responder safety garments (NFPA 1971-2007 turnout gear coats, and ANSI/ISEA 107 and 207 safety vests).

Method

Participants drove instrumented vehicles on a closed track during both daytime and nighttime, indicating when they could first detect pedestrians in a simulated emergency response scene. Pedestrians wore one of the safety garments and stood on either side of the emergency scene, facing or perpendicular to oncoming traffic, and either stationary or walking in place.

Results

All three garment standards provided equal levels of conspicuity, in that the distances at which the pedestrians were detected were equivalent. Time of day was a significant factor, with longer mean detection distances being observed in daytime. Pedestrian orientation was significant, with mean detection distances being longest when facing traffic. Pedestrian motion did not result in significant differences in detection distance.

Discussion

The results suggest that all three garment types studied are equivalent in making first responders conspicuous as pedestrians when working an emergency response scene in close proximity to traffic.

Impact on Industry

Whether an NFPA or ANSI/ISEA compliant is worn, first responders are equally likely to be detected by passing motorists, and as such these garments should be considered to be equivalent.     

Climatology of PM2.5 organic carbon concentrations from a review of ground-based atmospheric measurements by evolved gas analysis

In this work we have compared ground-based measurements of organic carbon (OC) in the fine aerosol (PM2.5) fraction that are reported in peer-reviewed publications as part of both short campaigns and continuous monitoring networks. The comparison provides a quantitative review of global OC measurements for the purpose of establishing the extent to which organic aerosol concentrations are known with sufficient geographic and historical resolution to constrain global climate models. Only North America has sufficient measurements to provide meaningful spatial and temporal trends, although available measurements from China and Japan indicate that the Asian region is the most polluted with OC concentrations of approximately 10 μg m^?3. These measurements have a low spatial resolution, with most sites located in highly urban areas within a small geographic region. OC concentrations in North America are approximately 1 μg m^?3 and are better characterized spatially, temporally, and historically by continuous monitoring networks established decades ago. OC concentration shows a weakly increasing trend in some regions from 1997 to 2006, although in most regions it has remained effectively constant over the last ten years. Eastern U.S. sites show maximum OC in the winter and western U.S. sites show maximum OC in the summer. There is no correlation at U.S. sites between OC concentration and sulfate, nitrate, or ammonium ions, with R² < 0.1 in each case.     

Long‐Term High‐Resolution Radar Rainfall Fields for Urban Hydrology

Accurate records of high‐resolution rainfall fields are essential in urban hydrology, and are lacking in many areas. We develop a high‐resolution (15 min, 1 km²) radar rainfall data set for Charlotte, North Carolina during the 2001‐2010 period using the Hydro‐NEXRAD system with radar reflectivity from the National Weather Service Weather Surveillance Radar 1988 Doppler weather radar located in Greer, South Carolina. A dense network of 71 rain gages is used for estimating and correcting radar rainfall biases. Radar rainfall estimates with daily mean field bias (MFB) correction accurately capture the spatial and temporal structure of extreme rainfall, but bias correction at finer timescales can improve cold‐season and tropical cyclone rainfall estimates. Approximately 25 rain gages are sufficient to estimate daily MFB over an area of at least 2,500 km², suggesting that robust bias correction is feasible in many urban areas. Conditional (rain‐rate dependent) bias can be removed, but at the expense of other performance criteria such as mean square error. Hydro‐NEXRAD radar rainfall estimates are also compared with the coarser resolution (hourly, 16 km²) Stage IV operational rainfall product. Stage IV is adequate for flood water balance studies but is insufficient for applications such as urban flood modeling, in which the temporal and spatial scales of relevant hydrologic processes are short. We recommend the increased use of high‐resolution radar rainfall fields in urban hydrology.     

The effect of scientific evidence on conservation practitioners’ management decisions

A major justification of environmental management research is that it helps practitioners, yet previous studies show it is rarely used to inform their decisions. We tested whether conservation practitioners focusing on bird management were willing to use a synopsis of relevant scientific literature to inform their management decisions. This allowed us to examine whether the limited use of scientific information in management is due to a lack of access to the scientific literature or whether it is because practitioners are either not interested or unable to incorporate the research into their decisions. In on‐line surveys, we asked 92 conservation managers, predominantly from Australia, New Zealand, and the United Kingdom, to provide opinions on 28 management techniques that could be applied to reduce predation on birds. We asked their opinions before and after giving them a summary of the literature about the interventions’ effectiveness. We scored the overall effectiveness and certainty of evidence for each intervention through an expert elicitation process—the Delphi method. We used the effectiveness scores to assess the practitioners’ level of understanding and awareness of the literature. On average, each survey participant changed their likelihood of using 45.7% of the interventions after reading the synopsis of the evidence. They were more likely to implement effective interventions and avoid ineffective actions, suggesting that their intended future management strategies may be more successful than current practice. More experienced practitioners were less likely to change their management practices than those with less experience, even though they were not more aware of the existing scientific information than less experienced practitioners. The practitioners’ willingness to change their management choices when provided with summarized scientific evidence suggests that improved accessibility to scientific information would benefit conservation management outcomes. El Efecto de la Evidencia Científica sobre las Decisiones de Manejo de Quienes Practican la Conservación     

Ontogenetic habitat shift,population growth,and burrowing behavior of the Indo-Pacific beach star, <Emphasis Type="Italic">Archaster typicus</Emphasis> (Echinodermata; Asteroidea)

Archaster typicus, a common sea star in Indo-Pacific regions, has been a target for the ornamental trade, even though little is known about its population biology. Spatial and temporal patterns of abundance and size structure of A. typicus were studied in the Davao Gulf, the Philippines (125°42.7′E, 7°0.6′N), from February 2008 to December 2009. Specimens of A. typicus were associated with intertidal mangrove prop roots, seagrass meadows, sandy beaches, and shoals. Among prop roots, specimens were significantly smaller and had highest densities (131 ind. m⁻²) between November and March. High organic matter in sediment and a relatively low predation rate seemed to support juvenile life among mangroves. Size and density analyses provided evidence that individuals gradually move to seagrass, sandy habitats, and shoals as they age. Specimens were significantly larger at a shoal (maximum radius R = 81 mm). New recruits were found between August and November in both 2008 and 2009. Timing of recruitment and population size frequencies confirmed a seasonal reproductive cycle. Juveniles had relatively high growth rates (2–7 mm month⁻¹) and may reach an R of 20–25 mm after 1 year. Growth rates of larger specimens (R > 30 mm) were generally <2 mm month⁻¹. The activity pattern of A. typicus was related to the tidal phase and not to time of day: Specimens moved over the sediment surface during low tides and were burrowed during high tides possibly avoiding predation. This is one of the first studies to document an ontogenetic habitat shift for sea stars and provides new biological information as a basis for management of harvested A. typicus populations.