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.     

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.     

Plant and Soil System Responses to Ozone After 3 Years in a Lysimeter Study with Juvenile Beech (Fagus sylvatica L.)

A lysimeter study was performed to monitor effects of elevated ozone on juvenile trees of Fagus sylvatica L. as well as on the plant–soil system. During a fumigation period over almost three growing seasons, parameters related to plant growth, phenological development and physiology as well as soil functions were studied. The data analyses identified elevated ozone to delay leaf phenology at early and to accelerate it at late developmental stages, to reduce growth, some leaf nutrients (Ca, K) as well as some soluble phenolics (hydroxycinnamic acid derivatives, total flavonol glycosides). No or very weak ozone effects were found in mobile carbon pools of leaves (starch, sucrose), and other phenolic compounds (flavans). Altered gene expression related to stress and carbon cycling corresponded well with findings from leaf phenology and chemical composition analyses indicating earlier senescence and oxidative stress in leaves under elevated ozone. Conversely in the soil system, no effects of ozone were detected on soil enzyme activities, rates of litter degradation and lysimeter water balances. Despite the fact that the three reported years 2003–2005 were climatically very contrasting including a hot and dry as well as an extremely wet summer, and also mild as well as cold winters, the influence of ozone on a number of plant parameters is remarkably consistent, further underlining the phytotoxic potential of elevated tropospheric ozone levels.     

Metals in Feathers of Bonin Petrel, Christmas Shearwater, Wedge-Tailed Shearwater, and Red-Tailed Tropicbird in the Hawaian Islands, Northern Pacific

Levels of environmental pollutants are usually higher in mainland and coastal areas than in offshore or oceanic islands due to higher inputs from agricultural and industrial sources. Levels of heavy metals are usually higher in adult than in young birds, because they have had longer to accumulate metals in their tissues, and/or because they may eat larger, more contaminated, prey. We examined the levels of arsenic, cadmium, chromium, lead, manganese, mercury, and selenium in the adults and young of Bonin petrel (Pterodroma hypoleuca), Christmas shearwater (Puffinus nativitatis) and red-tailed tropicbird (Phaethon rubricauda) on Midway Atoll, and adult wedge-tailed shearwater (Puffinus pacificus) on Midway Atoll and on Manana Island (off Oahu) in the northern Pacific. All birds were analyzed individually except for Christmas Shearwater chicks where samples were pooled to obtain sufficient quantities for analysis. Significant (p<0.05) age-related differences were found for mercury, selenium, manganese and chromium in Bonin petrels, for selenium and mercury in Christmas shearwaters, and for chromium and mercury in Red-tailed Tropicbirds. Lead approached significance for all three species. Adults had higher levels than young except for chromium and manganese in the petrels and arsenic in all three species. There were significant interspecific differences in concentrations of all metals except arsenic for the adults nesting on Midway. Christmas shearwaters had the highest levels of all metals except mercury and chromium. Bonin petrels, the smallest species examined, had mercury levels that were over three times higher than any of the adults of the other three species. For wedge-tailed shearwaters, levels of chromium and lead were significantly higher, and manganese and selenium were lower on Midway than Manana. Knowledge of the foraging ranges and habits of these far-ranging seabirds is inadequately known, but does not currently explain the observed differences among species. We could not find a consistent pattern of differences between the burrow nesting species (Bonin petrel, Wedge-tailed shearwater) and the surface nesting tropicbirds. There was no consistent pairwise correlation between any metals across all species.     

The Impact of Urbanization and Protection of Water Resources in Owerri and Environs SE, Nigeria

Untreated sewage and agriculture are the most important sources of contamination. The study was carried out by conducting a short-term surface water and groundwater pollution survey of the Owerri Urban area and its environs, in order to establish the current levels of pollution. An attempt has been made to show the relationships between pollution levels, population density, industrial and agricultural activities. The spatial distribution of pollutants due to a poor land use system and to human activities was investigated. This emphasises integrated planned development as a preventive measure for arresting pollution levels in fast growing urban centres. The total groundwater stored in the area amounts to 7.87 × 10⁹ m³. Twenty five percent of this is released as base flow into the adjacent rivers (Otamiri and Nworie). The annual groundwater recharge is 3.4 × 10⁹ m³. The enormous volume of groundwater stored and the comparatively low cost of development makes groundwater an excellent alternative supply source for the area (Uma et al., 1984).     

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.     

Anuran Development, Density and Diversity in Relation to Agricultural Activity in the Holland River Watershed, Ontario, Canada (1990–1992)

Significantly lower anuran species diversity and density was recorded in a vegetable growing area relative to upstream and downstream sites in the Holland River watershed, Ontario, Canada. Egg hatching success and tadpole deformity rates of American toads (Bufo americanus americanus), green frogs (Rana clamitans melanota) and northern leopard frogs (Rana pipiens) eggs in water from field sites and control water were assessed. Compared to the control and the upstream site, the total abnormality rate (unhatched eggs plus deformed tadpoles) was higher for American toads in water from the agricultural and downstream sites. Total abnormality was higher in green frog eggs in water from the agricultural site and a downstream site. Trace concentrations of organophosphorus pesticides were detected most often in agricultural zone water and sediments than in upstream and downstream sites. Organochlorine pesticide residues, especially in agricultural zone samples, exceeded the no effect level guidelines for the protection of aquatic life. Ammonia, phosphorus, particulates, BOD and TKN were highest in the agricultural zone. Significant correlations between these parameters and anuran development suggest nutrient run-off as a causal or contributing factor in lower anuran diversity, density and reproductive success of American toads and green frogs in the site dominated by agriculture.