Role of age and injury mechanism on cervical spine injury tolerance from head contact loading

Objective: The objective of this study was to determine the influence of age and injury mechanism on cervical spine tolerance to injury from head contact loading using survival analysis.

Methods: This study analyzed data from previously conducted experiments using post mortem human subjects (PMHS). Group A tests used the upright intact head–cervical column experimental model. The inferior end of the specimen was fixed, the head was balanced by a mechanical system, and natural lordosis was removed. Specimens were placed on a testing device via a load cell. The piston applied loading at the vertex region. Spinal injuries were identified using medical images. Group B tests used the inverted head–cervical column experimental model. In one study, head–T1 specimens were fixed distally, and C7–T1 joints were oriented anteriorly, preserving lordosis. Torso mass of 16 kg was added to the specimen. In another inverted head–cervical column study, occiput–T2 columns were obtained, an artificial head was attached, T1–T2 was fixed, C4–C5 disc was maintained horizontal in the lordosis posture, and C7–T1 was unconstrained. The specimens were attached to the drop test carriage carrying a torso mass of 15 kg. A load cell at the inferior end measured neck loads in both studies. Axial neck force and age were used as the primary response variable and covariate to derive injury probability curves using survival analysis.

Results: Group A tests showed that age is a significant (P < .05) and negative covariate; that is, increasing age resulted in decreasing force for the same risk. Injuries were mainly vertebral body fractures and concentrated at one level, mid-to-lower cervical spine, and were attributed to compression-related mechanisms. However, age was not a significant covariate for the combined data from group B tests. Both group B tests produced many soft tissue injuries, at all levels, from C1 to T1. The injury mechanism was attributed to mainly extension. Multiple and noncontiguous injuries occurred. Injury probability curves, ±95% confidence intervals, and normalized confidence interval sizes representing the quality of the mean curve are given for different data sets.

Conclusions: For compression-related injuries, specimen age should be used as a covariate or individual specimen data may be prescaled to derive risk curves. For distraction- or extension-related injuries, however, specimen age need not be used as a covariate in the statistical analysis. The findings from these tests and survival analysis indicate that the age factor modulates human cervical spine tolerance to impact injury.     

The dissemination of antibiotic resistance in various environmental objects (Russia)

Environmental objects (surface and groundwater, soil, bottom sediments, wastewater) are reservoirs in which large-scale multidirectional exchange of determinants of antibiotic resistance between clinical strains and natural bacteria takes place. The review discusses the results of studies on antibiotic-resistant bacteria (ARB) and antibiotic resistance genes (ARG) isolated from environmental objects (water, soil, sewage, permafrost) of the Russian Federation. Despite the relevance of the topic, the number of available publications examining the resistomes of Russian water bodies and soils is small. The most studied environmental objects are surface waters (rivers, lakes), permafrost deposits. Soil resistomes are less studied. Data on ARG and ARB in wastewater are the least covered in publications. In most of the studies, antibiotic resistance of isolated pure bacterial cultures was determined phenotypically. A significant number of publications are devoted to the resistance of natural isolates of Vibrio cholerae, since the lower reaches of the Volga and Don rivers are endemic to cholera. Molecular genetic methods were used in a small number of studies. Geographically, the south of the European part of Russia is the most studied. There are also publications on the distribution of ARG in water bodies of Siberia and the Russian Far East. There are practically no publications on such developed regions of Russia as the center and northwest of the European part of Russia. The territory of the country is very large, anthropogenic and natural factors in its various regions vary significantly; therefore, it seems interesting to combine all available data in one work.

     

Modelling tritium and phosphorus transport by preferential flow in structured soil

Subsurface solute transport through structured soil is studied by model interpretation of experimental breakthrough curves from tritium and phosphorus tracer tests in three intact soil monoliths. Similar geochemical conditions, with nearly neutral pH, were maintained in all the experiments. Observed transport differences for the same tracer are thus mainly due to differences in the physical transport process between the different monoliths. The modelling is based on a probabilistic Lagrangian approach that decouples physical and chemical mass transfer and transformation processes from pure and stochastic advection. Thereby, it enables explicit quantification of the physical transport process through preferential flow paths, honouring all independently available experimental information. Modelling of the tritium breakthrough curves yields a probability density function of non-reactive solute travel time that is coupled with a reaction model for linear, non-equilibrium sorption–desorption to describe the phosphorus transport. The tritium model results indicate that significant preferential flow occurs in all the experimental soil monoliths, ranging from 60–100% of the total water flow moving through only 25–40% of the total water content. In agreement with the fact that geochemical conditions were similar in all experiments, phosphorus model results yield consistent first-order kinetic parameter values for the sorption–desorption process in two of the three soil monoliths; phosphorus transport through the third monolith cannot be modelled because the apparent mean transport rate of phosphorus is anomalously rapid relative to the non-adsorptive tritium transport. The occurrence of preferential flow alters the whole shape of the phosphorus breakthrough curve, not least the peak mass flux and concentration values, and increases the transported phosphorus mass by 2–3 times relative to the estimated mass transport without preferential flow in the two modelled monoliths.     

Towards better water governance in river basins: some lessons learned from the Volga

This article focuses on the problems of water governance at a river basin level, and on the role of institutional coordination, participation and partnerships between multiple stakeholders towards sustainable water management. Its approach presupposes that institutional capacity building, strengthening coordination between government institutions (vertical and horizontal), on the one hand, and broadening participation and consolidating partnerships between public, private and civil society actors, on the other hand, is among effective tools in integrated water resource management in river basins. It explores environmental challenges, problems, emerging trends and recent institutional innovations in the Volga basin in Russia—the largest river basin in Europe. Transfer and adaptation of good practices in good water governance between the EU and Russia are discussed. This article presents some research findings and lessons learned from practice by the EC international project ‘CABRI—Cooperation along a big river: Institutional coordination among stakeholders for environmental risk management in the Volga basin’, which is assessed as one of the selected success stories of the European research.’     

Prenatal diagnosis of Crigler–Najjar syndrome type I by single-strand conformation polymorphism (SSCP)

Crigler–Najjar syndrome type I (CN-I) is a rare and severe inherited disorder of bilirubin metabolism, caused by the total deficiency of bilirubin-UDP-glucuronosyltransferase (UGT) activity. Enzymatic diagnosis cannot be performed in chorionic villi or amniocytes as UGT is not active in these tissues. The cloning of the UGT1 gene and the identification of disease-causing mutations have led to the possibility of performing DNA-based diagnosis. Here we report DNA-based prenatal diagnosis of CN-I in two Tunisian families in whom CN-I patients were diagnosed. As we had previously shown that CN-I was, in Tunisia, associated with homozygosity for the Q357R mutation within the UGT1 gene, we were able to detect this mutation in both families and to show that it was easily recognized by single-strand conformation polymorphism (SSCP) analysis. In both cases, SSCP analysis of fetal DNA showed that the fetus was heterozygous for the Q357R mutation. In one family, the pregnancy was carried to term and a healthy baby was born, whereas, in the other family, the pregnancy is still continuing. Thus the prenatal diagnosis of CN-I is possible, provided disease-causing mutations have been identified. SSCP analysis of DNA prepared either from amniocytes or from chorionic villi is a simple, reliable and fast method for prenatal diagnosis. Copyright © 2002 John Wiley & Sons, Ltd.     

Age dependence of potentially toxic elements (Sb,Cd, Pb,Ag) in human liver tissue from paediatric subjects

Toxic elements are present at low concentrations in the environment. This work was undertaken to investigate the age dependence of the liver content of selected elements in paediatric populations, as an index of internal exposure. Liver samples were collected at autopsy from 157 subjects, aged < 1 day to 6 years, as part of investigations on a possible role of Sb compounds in sudden infant death syndrome (SIDS). In addition to Sb, the concentrations of Ag, Cd and Pb were also determined by inductively coupled plasma mass spectrometry on the remaining digest. Comparison of 95% confidence intervals of the median concentrations of the four elements suggested that there were no differences between the two categories of cause of death, SIDS or those who had died of an identified disease. Cadmium, lead and antimony median concentrations were lower than corresponding values observed in adult populations. Silver concentrations were significantly higher at birth and decreased with age. Cadmium levels were almost negligible in neonates and infants, but increased in older children. The finding of non-negligible concentrations of both Ag and Pb in neonatal liver provides further direct evidence that these elements cross the human placental barrier. The reported data, by far the largest collection observed in subjects less than 1 year old, are the result of exposure, during pregnancy and in early childhood, to present levels of these elements in the environment. They can serve as a reference to compare post-mortem values from individuals or groups of subjects in this age range when an exposure risk is suspected and to highlight trends in human exposure.     

Interview with the mayor of Curitiba on habitat II

The objectives of Habitat II were (1) in the long term to arrest the deterioration of human settlements and create the conditions to achieve improvement in the environment on a sustainable basis, and (2) to adopt a general statement on principles and related Global Action Plan to guide national and international efforts in the next two decades. We have asked the Mayor of Curitiba, Brazil Rafael Greca de Macedo to comment on the conference results. Curitiba is one of the most known example of urban ecological planning.     

Intergrated approach for microbiological impact assessment of public wastewater treatment plants

Wastewaters are a source of pathogenic micro-organisms in the environment. The microbial load and residues found in the final effluents of wastewater-treatment plants (WWTPs) depend on the WWTPs' abatement capacity and the final disinfection treatment systems applied to wastewaters before discharge into water. A historical database with data on surface and marine-coastal water quality and on the characterization of WWTP effluents was made using data from 1997 to 2004 to assess the microbiologic impact along the coast of the Venice province (Italy, northern Adriatic sea). The monitoring of river and sea discharges along the coast is integrated with the application of the Synthetic Pluriennal Faecalization Index (ISPF). The experimental study was conducted in the period from November 2002 to April 2004 by the Veneto Regional Environmental Prevention and Protection Agency. The results of this investigation on faecal contamination together with previous data are presented with a preliminary performance characterization of the WWTPs' disinfection technologies (sodium hypochlorite, peracetic acid, UV rays, and ozone).