Falls among older adults--risk factors and prevention strategies

The Journal of Safety Research has partnered with the Injury Center at the Centers for Disease Control and Prevention (CDC) in Atlanta, Georgia, USA, to briefly report on some of the latest findings in the research community. This report is the third in a series of CDC articles. Look for other such articles in future issue of the Journal of Safety Research.     

Nonfatal bathroom injuries among persons aged ≥15 years--United States, 2008

Problem

Information about where nonfatal unintentional injuries occur is limited, but bathrooms commonly are believed to be a hazardous location.

Methods

Data from a nationally representative sample of hospital emergency departments (ED) was used to quantify and characterize nonfatal unintentional bathroom injuries among people aged ≥ 15 years.

Results

In 2008, an estimated 234,094 nonfatal bathroom injuries were treated in EDs. Most injuries (81.1%) were caused by falls and 37.3% of injuries occurred when bathing, showering, or getting out of the tub or shower. Both injury and hospitalization rates increased with age.

Summary

These results suggest that bathrooms tend to be most hazardous for persons in the oldest age groups.

Impact on Industry

Bathroom injuries among all household members might be reduced by increasing awareness about potentially hazardous activities in the bathroom combined with simple environmental changes such as adding grab bars inside and outside the tub or shower.     

Soil-geomorphic heterogeneity governs patchy vegetation dynamics at an arid ecotone

Soil properties are well known to affect vegetation, but the role of soil heterogeneity in the patterning of vegetation dynamics is poorly documented. We asked whether the location of an ecotone separating grass-dominated and sparsely vegetated areas reflected only historical variation in degradation or was related to variation in inherent soil properties. We then asked whether changes in the cover and spatial organization of vegetated and bare patches assessed using repeat aerial photography reflected self-organizing dynamics unrelated to soil variation or the stable patterning of soil variation. We found that the present-day ecotone was related to a shift from more weakly to more strongly developed soils. Parts of the ecotone were stable over a 60-year period, but shifts between bare and vegetated states, as well as persistently vegetated and bare states, occurred largely in small (<40 m2) patches throughout the study area. The probability that patches were presently vegetated or bare, as well as the probability that vegetation persisted and/or established over the 60-year period, was negatively related to surface calcium carbonate and positively related to subsurface clay content. Thus, only a fraction of the landscape was susceptible to vegetation change, and the sparsely vegetated area probably featured a higher frequency of susceptible soil patches. Patch dynamics and self-organizing processes can be constrained by subtle (and often unrecognized) soil heterogeneity.     

Redesigning harvest strategies for sustainable fishery management in the face of extreme environmental variability

Short-lived, fast-growing species that contribute greatly to global capture fisheries are sensitive to fluctuations in the environment. Uncertainties in exact stock–environment relationships have meant that environmental variability and extremes have been difficult to integrate directly into fisheries management. We applied a management strategy evaluation approach for one of Australia's large prawn stocks to test the robustness of harvest control rules to environmental variability. The model ensemble included coupled environmental-population models and an alternative catchability scenario fitted to historical catch per unit effort data. We compared the efficacy of alternative management actions to conserve marine resources under a variable environment while accounting for fisher livelihoods. Model fits to catch per unit effort were reasonably good and similar across operating models (OMs). For models that were coupled to the environment, environmental parameters for El Niño years were estimated with good associated precision, and OM3 had a lower AIC score (77.61)  than the base model (OM1, 80.39), whereas OM2 (AIC 82.41) had a similar AIC score, suggesting the OMs were all plausible model alternatives. Our model testing resulted in a plausible subset of management options, and stakeholders selected a permanent closure of the first fishing season based on overall performance of this option; ability to reduce the risk of fishery closure and stock collapse; robustness to uncertainties; and ease of implementation. Our simulation approach enabled the selection of an optimal yet pragmatic solution for addressing economic and conservation objectives under a variable environment with extreme events.