Using data linkage to assess the impact of motorized recreational vehicle-related injuries in Ohio

Problem

Motorized recreational vehicle (MRV)-related injuries can result in severe medical and financial consequences. The objective of this study was to describe the epidemiology, and clinical and financial impact of MRV-related injuries in Ohio.

Method

Probabilistically linked statewide Emergency Medical Services (EMS) and hospital (inpatient and emergency department) data for 2003 and 2004 were examined. Record pairs with a MRV-related E-code (E821-E823, E825) were included in this study.

Results

There were 2,893 patients with MRV-related injuries, who had linked EMS and hospital records, resulting in more than $15 million in hospital charges and 1,921 inpatient days of hospitalization. The male-to-female ratio was nearly 4:1, and 19% were younger than 16. Almost 82% of cases were not wearing a helmet; there was a trend of decreasing helmet use with increasing age. Mean (SE) inpatient hospital charges and length of stay (LOS) were $22,218 ($1,290) and 3.8 (0.2) days, respectively. The mean (SE) Injury Severity Score (ISS) for inpatients was 9.2 (0.4). Individuals injured on a street/highway were 3.20 times more likely to sustain an ISS ≥ 16 (95% CI: 1.03, 9.88; p = 0.044) and 3.05 times more likely to sustain a traumatic brain injury (TBI) (95% CI: 1.17, 7.94; p = 0.024) than those who were injured at a place designated for sport or recreation. Children aged 12 to 15 and young adults aged 16 to 25 were 2.47 and 2.14 times more likely, respectively, to sustain a TBI than adults aged 36 or older (aged 12 to 15: 95% CI: 1.13, 5.38; p = 0.024; aged 16 to 25: 95% CI: 1.26, 3.64; p = 0.005). Higher ISS was associated with both higher total charges (p < 0.001) and longer LOS (p < 0.001).

Discussion

This study demonstrates that MRV-related injuries are an important public health problem in Ohio, with a substantial clinical and financial impact.

Impact on Industry

Enactment and enforcement of statewide MRV safety legislation and training of MRV users offer valuable opportunities to prevent these costly injuries.     

Electronic scraps--recovering of valuable materials from parallel wire cables

Every year, the number of discarded electro-electronic products is increasing. For this reason recycling is needed, to avoid wasting non-renewable natural resources. The objective of this work is to study the recycling of materials from parallel wire cable through unit operations of mineral processing. Parallel wire cables are basically composed of polymer and copper. The following unit operations were tested: grinding, size classification, dense medium separation, electrostatic separation, scrubbing, panning, and elutriation. It was observed that the operations used obtained copper and PVC concentrates with a low degree of cross contamination. It was concluded that total liberation of the materials was accomplished after grinding to less than 3 mm, using a cage mill. Separation using panning and elutriation presented the best results in terms of recovery and cross contamination.     

Solid waste characterization and recycling potential for a university campus

Integrated waste management systems are one of the greatest challenges for sustainable development. For these systems to be successful, the first step is to carry out waste characterization studies. In this paper are reported the results of a waste characterization study performed in the Campus Mexicali I of the Autonomous University of Baja California (UABC). The aim of this study was to set the basis for implementation of a recovery, reduction and recycling waste management program at the campus. It was found that the campus Mexicali I produces 1ton of solid wastes per day; more than 65% of these wastes are recyclable or potentially recyclable. These results showed that a program for segregation and recycling is feasible on a University Campus. The study also showed that the local market for recyclable waste, under present conditions - number of recycling companies and amounts of recyclables accepted - can absorb all of these wastes. Some alternatives for the potentially recyclables wastes are discussed. Finally some strategies that could be used to reduce waste at the source are discussed as well.     

Urban observatories opportunities for environmental monitoring: solid wastes

Towns concentrate around 50% of world-wide population and the trend is oriented to underscore an urban profile of population. In addition, towns have become important for their economic contribution to the Gross Internal Product. The negative side of towns is the environmental and social impacts as a result of productive and domestic activities, besides the lack of available data. In order to overcome these shortcomings, the United Nations has established a project of urban monitoring throughout the Global Network of Urban Observatories; Mexico joined the project in 2005. The Local Urban Observatory of Mexicali has the task to produce information about cities that is useful to design public policies. Some of this information deals with a set of environmental indicators in the United Nations Habitat Agenda, which includes solid wastes. Therefore, this paper deals with two main topics; firstly, from the Habitat Agenda, a comparative urban analysis of waste production and coverage of domestic waste collection services; secondly, from the Local Agenda, the identification and ranking of environmental problems according to public perception coming from people involved in the municipal planning and decision making process. Results will be used to develop local indicators and public environmental policies.     

Processing and Properties of Mixtures of PHB-V with Post-consumer LDPE

Mixtures of poly-β-(hydroxybutyrate-co-valerate) PHB-V with virgin and post-consumer low density polyethylene (LDPE) were prepared by melt mixing in proportions of 100/0, 90/10, 80/20, 70/30 and 0/100 (wt/wt%). The mixtures were analysed by infrared spectroscopy, differential scanning calorimetry (DSC), dynamic mechanical thermal analysis (DMTA), melting flow index (MFI), tensile tests, scanning electron microscopy (SEM) and biodegradation in simulated soil. The DMTA and DSC curves of post-consumer LDPE suggested that this polymer was a mixture of LDPE and linear low density polyethylene (LLDPE). Virgin and post-consumer LDPE had lower MFI than PHB-V, but the blends showed higher index as the content of LDPE increased. The addition of LDPE reduced the tensile strength and Young’s modulus of the mixtures compared with PHB-V. SEM indicated poor interfacial adhesion between PHB-V and LDPE. PHB-V degraded slow and gradually, while both LDPE showed virtually no degradation under the conditions studied. The biodegradability of the blends depended on their composition and of the type of LDPE. LDPE improved the biodegradability of the mixtures.     

Agricultural Chemicals in the Alluvial Aquifer of a Typical County of the Arkansas Delta

Statistical methods and a Geographic Information System (GIS) were used to investigate potential indicators of ground water vulnerability to agricultural chemical contamination in a representative area of the Mississippi River alluvial aquifer. A total of 47 wells were sampled for analysis of nitrate, phosphorus, potassium, and 13 pesticides commonly-used in the area. Ten soil and hydrogeologic variables and five ground water vulnerability indices were examined to explain the variations of chemical concentrations. The results showed that no individual soil or hydrogeologic variables or their linear combinations could explain more than 25% of the variation of the chemical concentrations. A quadratic response surface model with the values of confining unit thickness, slope, soil permeability, depth to ground water, and recharge rate accounted for 62% of the variation of nitrate, 43% of P, and 83% of K, suggesting that the interactions among soil and hydrogeologic variables were significant. Observed trends of decreasing nitrate and P concentrations with increasing well depth and/or depth to ground water seemed to correlate with carbonate equilibrium in the aquifer and more reduced environment with depth. In view of uncertainties involved, it was recognized that the limitations associated with input data resolution used in GIS and the formulation of leaching indices limited their use for predicting ground water vulnerability. Misuse of pesticides could be another factor that would complicate the relationships between pesticide concentrations and the vulnerability indices.     

Molecular response of the sponge Suberites domuncula to bacterial infection

The aim of this study was the documentation of the molecular immune response of Suberites domuncula upon bacterial infection. Additionally, the bacteria that are naturally present in the sponge after prolonged aquarium maintenance were characterized. After 6 months of maintenance of S. domuncula in seawater aquaria, only one bacterial 16S rDNA sequence could be recovered, which belongs to the genus Pseudomonas. Concomitantly, morphologically uniform bacteria were found encapsulated in bacteriocytes. These findings indicate that certain bacteria, possibly of the genus Pseudomonas, are able to persist for long periods in host bacteriocytes. Subsequent to performing a previously established infection assay with S. domuncula, a potentially pathogenic Vibrio sp. was isolated from the tissues. Furthermore, the host tissue disintegrated and asexual propagation bodies (gemmules) were formed. In order to gain insights into the molecular events occurring after bacterial infection, the stress-response kinases, p38 protein kinase and JNK protein kinase, were analyzed. It is demonstrated that these two kinases are activated (phosphorylated) upon incubation of the tissue with the bacterial endotoxin lipopolysaccharide (LPS). Moreover, LPS strongly inhibits protein synthesis. It is concluded that there are many functionally different interactions between S. domuncula and bacteria and that the animal possesses mechanisms to differentiate between bacteria and to respond accordingly.     

The ichthyofaunal composition of the Elbe Estuary: an analysis in space and time

A stow net (90 m² opening) was used, at regular intervals between July 1989 and June 1993, to collect fish over ca. 4 h on both the flood and ebb tides at five sites distributed at regularly spaced distances throughout the Elbe Estuary. Overall, 53.4% of the species were marine, and some of these were abundant, e.g.Clupea harengus, Pleuronectes flesus, Pomatoschistus minutus, Merlangius merlangus and Sprattus sprattus. However, in terms of number of individuals, such species contributed only 9.1%, compared with 90.0% by anadromous species, which was predominantly due to exceptionally high catches of Osmerus eperlanus. The ichthyofaunal compositions on the flood and ebb tides were similar, even downstream where salinities change markedly during each tidal cycle. Although this is probably due in part to groups of fish being swept first upstream on the flood tide and then back downstream on the ebb tide, several species clearly tended to occupy particular regions of the estuary. Each year the species composition changed sequentially from the most downstream site (max. salinity=ca. 31.4‰) to the most upstream site (max. salinity=ca. 1.5‰), mainly as a result of a sequential decline in the number and abundance of marine species and a progressive increase in the contributions of both anadromous and freshwater species. However, the marine species diagnostic of differences in the compositions among regions varied between years. Thus, for example, the diagnostic species for the downstream sites were C. harengus and M. merlangus in 1990/1991 and S. sprattus in 1992/1993, reflecting differences in the recruitment strengths of these marine species in the two years. The ichthyofaunal composition exhibited pronounced annual cyclical changes in each region and thus occurred irrespective of whether or not the salinity in a region underwent pronounced changes during the year. This cyclicity was attributable to intra-annual variations in the times of recruitment of certain marine species, particularly in the downstream region, and to seasonal migrations of diadromous species into each region, as well as to the movements of freshwater species into the upstream region in winter and early spring. Received: 18 November 1999 / Accepted: 25 October 2000     

Complex host marking in the cabbage root fly

Summary. The cabbage root fly marks an oviposition site with two different chemical messages. Plants that were exposed to ovipositing flies are less acceptable than control plants, while sand particles that were closely associated with an actual oviposition site stimulate oviposition. By combining the information from these opposing messages, the cabbage root fly may be able to optimise the size of its egg clusters in relation to the food available for the larvae. The findings might account for the aggregated oviposition observed in this species.