Older Adults at Increased Risk as Pedestrians in Victoria,Australia: An Examination of Crash Characteristics and Injury Outcomes

Objectives: Engaging in active transport modes (especially walking) is a healthy and environmentally friendly alternative to driving and may be particularly beneficial for older adults. However, older adults are a vulnerable group: they are at higher risk of injury compared with younger adults, mainly due to frailty and may be at increased risk of collision due to the effects of age on sensory, cognitive, and motor abilities. Moreover, our population is aging, and there is a trend for the current cohort of older adults to maintain mobility later in life compared with previous cohorts. Though these trends have serious implications for transport policy and safety, little is known about the contributing factors and injury outcomes of pedestrian collision. Further, previous research generally considers the older population as a homogeneous group and rarely considers the increased risks associated with continued ageing.

Method: Collision characteristics and injury outcomes for 2 subgroups of older pedestrians (65–74 years and 75+ years) were examined by extracting data from the state police–reported crash dataset and hospital admission/emergency department presentation data over the 10-year period between 2003 and 2012. Variables identified for analysis included pedestrian characteristics (age, gender, activity, etc.), crash location and type, injury characteristics and severity, and duration of hospital stay. A spatial analysis of crash locations was also undertaken to identify collision clusters and the contribution of environmental features on collision and injury risk.

Results: Adults over 65 years were involved in 21% of all pedestrian collisions. A high fatality rate was found among older adults, particularly for those aged 75 years and older: this group had 3.2 deaths per 100,000 population, compared to a rate of 1.3 for 65- to 74-year-olds and 0.7 for adults below 65 years of age. Older pedestrian injuries were most likely to occur while crossing the carriageway; they were also more likely to be injured in parking lots, at driveway intersections, and on sidewalks compared to younger cohorts. Spatial analyses revealed older pedestrian crash clusters on arterial roads in urban shopping precincts. Significantly higher rates of hospital admissions were found for pedestrians over the age of 75 years and for abdominal, head, and neck injuries; conversely, older adults were underrepresented in emergency department presentations (mainly lower and upper extremity injuries), suggesting an increased severity associated with older pedestrian injuries. Average length of hospital stay also increased with increasing age.

Conclusion: This analysis revealed age differences in collision risk and injury outcomes among older adults and that aggregate analysis of older pedestrians can distort the significance of risk factors associated with older pedestrian injuries. These findings have implications that extend to the development of engineering, behavioral, and enforcement countermeasures to address the problems faced by the oldest pedestrians and reduce collision risk and improve injury outcomes.     

Modeling Streamflow and Water Quality Sensitivity to Climate Change and Urban Development in 20 U.S. Watersheds

Watershed modeling in 20 large, United States (U.S.) watersheds addresses gaps in our knowledge of streamflow, nutrient (nitrogen and phosphorus), and sediment loading sensitivity to mid‐21st Century climate change and urban/residential development scenarios. Use of a consistent methodology facilitates regional scale comparisons across the study watersheds. Simulations use the Soil and Water Assessment Tool. Climate change scenarios are from the North American Regional Climate Change Assessment Program dynamically downscaled climate model output. Urban and residential development scenarios are from U.S. Environmental Protection Agency's Integrated Climate and Land Use Scenarios project. Simulations provide a plausible set of streamflow and water quality responses to mid‐21st Century climate change across the U.S. Simulated changes show a general pattern of decreasing streamflow volume in the central Rockies and Southwest, and increases on the East Coast and Northern Plains. Changes in pollutant loads follow a similar pattern but with increased variability. Ensemble mean results suggest that by the mid‐21st Century, statistically significant changes in streamflow and total suspended solids loads (relative to baseline conditions) are possible in roughly 30‐40% of study watersheds. These proportions increase to around 60% for total phosphorus and total nitrogen loads. Projected urban/residential development, and watershed responses to development, are small at the large spatial scale of modeling in this study.     

Feasibility Assessment of Basin Solar Stills

The present study assesses the feasibility of exploiting single- and double-basin solar stills in our daily lives. An investigation is carried out to determine the thermal performance and economic viability of making use of solar stills in water desalination. The climatic conditions of Tehran (35°44?N, 51°30?E) are considered to assess the feasibility of the basins. Transient energy and mass balance equations are utilized for modeling the thermal performance. The equations are solved by using fourth-order Runge–Kutta method in FORTRAN. The daily productivities of single- and double-basin solar stills are found to be 5.22 kg/m² and 7.73 kg/m², respectively, while the effect of different water masses (20–100 kg) on the productivity of each system was found to be optimum at 20 kg/m². The results are compared with experimental work performed under different climatic conditions to examine the validity of the feasibility of basins in general. A life cycle cost analysis performed for Tehran, yields that single- and double-basin solar stills have savings-to-investment ratios of 4.2 and 4.8, respectively, indicating that they are economically feasible.     

Cytogenotoxicity and histopathological assessment of Lekki Lagoon and Ogun River in Synodontis clarias (Linnaeus, 1758)

The cytogenotoxicity and histopathological alterations induced by xenobiotics in Lekki Lagoon and Ogun River on Synodontis clarias were investigated. Fish from these water bodies and a fish farm (control) were examined for micronucleated, binucleated, and immature erythrocytes in both gill and peripheral blood. Also gill, liver, kidney, and ovary were processed for histopathology using hematoxylin-eosin staining. Concentrations of cadmium, zinc, lead and copper in the water were determined. There was significant (p < 0.05) increase in micronucleated, binucleated, and immature erythrocytes in both gill and peripheral blood of S. clarias from the lagoon and river compared to the reference site. Loss and disorganization of the primary and secondary lamellae, multifocal degeneration, hemorrhages, cellular infiltration, congestions, vacuolations, atresia, and necrosis were common lesions in the examined tissues of fish from the lagoon and river. Cd, Zn, Pb, and Cu in water samples from the lagoon and river were higher than the reference site. Xenobiotics in Lekki Lagoon and Ogun River, mostly metals, induced deoxyribonucleic acid (DNA) and pathological damage in S. clarias.     

Remediation of heavy metal-contaminated forest soil using recycled organic matter and native woody plants

The main aim of this study was to determine how the application of a mulch cover (a mixture of household biocompost and woodchips) onto heavy metal-polluted forest soil affects (i) long-term survival and growth of planted dwarf shrubs and tree seedlings and (ii) natural revegetation. Native woody plants (Pinus sylvestris, Betula pubescens, Empetrum nigrum, and Arctostaphylos uva-ursi) were planted in mulch pockets on mulch-covered and uncovered plots in summer 1996 in a highly polluted Scots pine stand in southwest Finland. Spreading a mulch layer on the soil surface was essential for the recolonization of natural vegetation and increased dwarf shrub survival, partly through protection against drought. Despite initial mortality, transplant establishment was relatively successful during the following 10 yr. Tree species had higher survival rates, but the dwarf shrubs covered a larger area of the soil surface during the experiment. Especially E. nigrum and P. sylvestris proved to be suitable for revegetating heavy metal-polluted and degraded forests. Natural recolonization of pioneer species (e.g., Epilobium angustifolium, Taraxacum coll., and grasses) and tree seedlings (P. sylvestris, Betula sp., and Salix sp.) was strongly enhanced on the mulched plots, whereas there was no natural vegetation on the untreated plots. These results indicate that a heavy metal-polluted site can be ecologically remediated without having to remove the soil. Household compost and woodchips are low-cost mulching materials that are suitable for restoring heavy metal-polluted soil.