Die Grundlagen der Erregung und der Erregungsleitung in der lebendigen Substanz

The Science of Nature -     

Ankle fracture patterns in drivers are associated with femoral fracture,higher BMI,and advanced age

Objective: Despite advances in vehicle safety systems, motor vehicle crashes continue to cause ankle fractures. This study attempts to provide insight into the mechanisms of injury and to identify the at-risk population groups.

Methods: A study was made of ankle fractures patients treated at an urban level 1 trauma center following motor vehicle crashes, with a concurrent analysis of a nationally representative crash data set. The national data set focused on ankle fractures in drivers involved in frontal crashes. Statistical analysis was applied to the national data set to identify factors associated with fracture risk.

Results: Malleolar fractures occurred most frequently in the driver's right foot due to pedal interaction. The majority of complex/open fractures occurred in the left foot due to interaction with the vehicle floor. These fractures occurred in association with a femoral fracture, but their broad injury pattern suggests a range of fracture causation mechanisms. The statistical analysis indicated that the risk of fracture increased with increasing driver body mass index (BMI) and age.

Conclusions: Efforts to reduce the risk of driver ankle injury should focus on right foot and pedal interaction. The range of injury patterns identified here suggest that efforts to minimize driver ankle fracture risk will likely need to consider injury tolerances for flexion, pronation/supination, and axial loading in order to capture the full range of injury mechanisms. In the clinical environment, physicians examining drivers after a frontal crash should consider those who are older or obese or who have severe femoral injury without concurrent head injury as highly suspicious for an ankle injury.     

Sustainability and the primary extraction industries: theories and practice

This paper reflects on how sustainability is being interpreted both theoretically and in practice for the primary extraction industries. Two contrasting perspectives can be adopted: one states that continued extraction of non-renewable resources is a necessary part of sustainable development, whilst the other states that extraction of these resources must be greatly reduced or even eliminated. It is shown that these different approaches can be traced back to underlying, often unarticulated, assumptions about the acceptability of trade-offs between different societal goals; attitudes towards uncertainties in scientific analysis and the reliability of management systems; and the perceived appropriateness of system boundaries at different conceptual scales. These assumptions are founded in the self-perception of organisations and individuals about their roles in society, and the cultural context within which these organisations and individuals define their raison d'être.