Functional outcomes of motor vehicle crash thoracic injuries in pediatric and adult occupants

Objective: Characterization of the severity of injury should account for both mortality and disability. The objective of this study was to develop a disability metric for thoracic injuries in motor vehicle crashes (MVCs) and compare the functional outcomes between the pediatric and adult populations.

Methods: Disability risk (DR) was quantified using Functional Independence Measure (FIM) scores within the National Trauma Data Bank for the most frequently occurring Abbreviated Injury Scale (AIS) 2–5 thoracic injuries. Occupants with thoracic injury were classified as disabled or not disabled based on the FIM scale, and comparisons were made between the following age groups: pediatric, adult, middle-aged, and older occupants (ages 7–18, 19–45, 46–65, and 66+, respectively). For each age group, DR was calculated by dividing the number of patients who were disabled and sustained a given injury by the number of patients who sustained a given injury. To account for the effect of higher severity co-injuries, a maximum AIS adjusted DR (DR_MAIS) was also calculated for each injury. DR and DR_MAIS could range from 0 to 100% disability risk.

Results: The mean DR_MAIS for MVC thoracic injuries was 20% for pediatric occupants, 22% for adults, 29% for middle-aged adults, and 43% for older adults. Older adults possessed higher DR_MAIS values for diaphragm laceration/rupture, heart laceration, hemo/pneumothorax, lung contusion/laceration, and rib and sternum fracture compared to the other age groups. The pediatric population possessed a higher DR_MAIS value for flail chest compared to the other age groups.

Conclusion: Older adults had significantly greater overall disability than each of the other age groups for thoracic injuries. The developed disability metrics are important in quantifying the significant burden of injuries and loss of quality life years. Such metrics can be used to better characterize severity of injury and further the understanding of age-related differences in injury outcomes, which can influence future age-specific modifications to AIS.     

Evaluating Kriging as a Tool to Improve Moderate Resolution Maps of Forest Biomass

The USDA Forest Service, Forest Inventory and Analysis program (FIA) recently produced a nationwide map of forest biomass by modeling biomass collected on forest inventory plots as nonparametric functions of moderate resolution satellite data and other environmental variables using Cubist software. Efforts are underway to develop methods to enhance this initial map. We explored the possibility of modeling spatial structure to make such improvements. Spatial structure in the field biomass data as well as in residuals from the map was investigated across 18 ecological zones in the Interior Western U.S. Exploratory tools included directional graphs of summary statistics, three dimensional maps, Moran’s I correlograms, and variograms. Where spatial pattern was present, field and residual biomass were kriged, and predictions made for an independent test set were evaluated for improvement over predictions in the initial biomass map. While kriging has some potential benefit when analyzing the field data and exploring spatial structure, kriging residuals resulted in little or no improvement in the initial biomass map developed using Cubist software. Stationarity assumptions, variogram behavior, and appropriate model fitting strategies are discussed.     

A protocol for eliciting nonmaterial values through a cultural ecosystem services frame

Stakeholders’ nonmaterial desires, needs, and values often critically influence the success of conservation projects. These considerations are challenging to articulate and characterize, resulting in their limited uptake in management and policy. We devised an interview protocol designed to enhance understanding of cultural ecosystem services (CES). The protocol begins with discussion of ecosystem‐related activities (e.g., recreation, hunting) and management and then addresses CES, prompting for values encompassing concepts identified in the Millennium Ecosystem Assessment (2005) and explored in other CES research. We piloted the protocol in Hawaii and British Columbia. In each location, we interviewed 30 individuals from diverse backgrounds. We analyzed results from the 2 locations to determine the effectiveness of the interview protocol in elucidating nonmaterial values. The qualitative and spatial components of the protocol helped characterize cultural, social, and ethical values associated with ecosystems in multiple ways. Maps and situational, or vignette‐like, questions helped respondents articulate difficult‐to‐discuss values. Open‐ended prompts allowed respondents to express a diversity of ecosystem‐related values and proved sufficiently flexible for interviewees to communicate values for which the protocol did not explicitly probe. Finally, the results suggest that certain values, those mentioned frequently throughout the interview, are particularly salient for particular populations. The protocol can provide efficient, contextual, and place‐based data on the importance of particular ecosystem attributes for human well‐being. Qualitative data are complementary to quantitative and spatial assessments in the comprehensive representation of people's values pertaining to ecosystems, and this protocol may assist in incorporating values frequently overlooked in decision making processes.     

Status and future of the forest health indicators program of the USA

For two decades, the US Department of Agriculture, Forest Service, has been charged with implementing a nationwide field-based forest health monitoring effort. Given its extensive nature, the monitoring program has been gradually implemented across forest health indicators and inventoried states. Currently, the Forest Service??s Forest Inventory and Analysis program has initiated forest health inventories in all states, and most forest health indicators are being documented in terms of sampling protocols, data management structures, and estimation procedures. Field data from most sample years and indicators are available on-line with numerous analytical examples published both internally and externally. This investment in national forest health monitoring has begun to yield dividends by allowing evaluation of state/regional forest health issues (e.g., pollution and invasive pests) and contributing substantially to national/international reporting efforts (e.g., National Report on Sustainability and US EPA Annual Greenhouse Gas Estimates). With the emerging threat of climate change, full national implementation and remeasurement of a forest health inventory should allow for more robust assessment of forest communities that are undergoing unprecedented changes, aiding future land management and policy decisions.     

Crafting scholarly life: Strategies for creating meaning in academic careers

Job crafting, which occurs when individuals proactively make changes to their jobs, can be a useful tool for academics seeking more meaningful careers. We suggest changes to the cognitive, task, and relational aspects of academic jobs that can infuse scholarly work with more personal meaning. Copyright © 2010 John Wiley & Sons, Ltd.     

Detecting Insect Pollinator Declines on Regional and Global Scales

Recently there has been considerable concern about declines in bee communities in agricultural and natural habitats. The value of pollination to agriculture, provided primarily by bees, is >$200 billion/year worldwide, and in natural ecosystems it is thought to be even greater. However, no monitoring program exists to accurately detect declines in abundance of insect pollinators; thus, it is difficult to quantify the status of bee communities or estimate the extent of declines. We used data from 11 multiyear studies of bee communities to devise a program to monitor pollinators at regional, national, or international scales. In these studies, 7 different methods for sampling bees were used and bees were sampled on 3 different continents. We estimated that a monitoring program with 200–250 sampling locations each sampled twice over 5 years would provide sufficient power to detect small (2–5%) annual declines in the number of species and in total abundance and would cost U.S.$2,000,000. To detect declines as small as 1% annually over the same period would require >300 sampling locations. Given the role of pollinators in food security and ecosystem function, we recommend establishment of integrated regional and international monitoring programs to detect changes in pollinator communities. Detección de Declinaciones de Insectos Polinizadores a Escalas Regional y Global     

Ecological Success in Stream Restoration: Case Studies from the Midwestern United States

Despite rapid growth in river restoration, few projects receive the necessary evaluation and reporting to determine their success or failure and to learn from experience. As part of the National River Restoration Science Synthesis, we interviewed 39 project contacts from a database of 1,345 restoration projects in Michigan, Wisconsin, and Ohio to (1) verify project information; (2) gather data on project design, implementation, and coordination; (3) assess the extent of monitoring; and (4) evaluate success and the factors that may influence it. Projects were selected randomly within the four most common project goals from a national database: in-stream habitat improvement, channel reconfiguration, riparian management, and water-quality improvement. Roughly half of the projects were implemented as part of a watershed management plan and had some advisory group. Monitoring occurred in 79% of projects but often was minimal and seldom documented biological improvements. Baseline data for evaluation often relied on previous data obtained under regional monitoring programs using state protocols. Although 89% of project contacts reported success, only 11% of the projects were considered successful because of the response of a specific ecological indicator, and monitoring data were underused in project assessment. Estimates of ecological success, using three criteria from Palmer and others (2005), indicated that half or fewer of the projects were ecologically successful, markedly below the success level that project contacts self-reported, and sent a strong signal of the need for well-designed evaluation programs that can document ecological success.     

Changes in water quality after addition of sea salts to fresh water: implications during toxicity testing

Sea salts (seven brands from six commercially-available sources) were dissolved in water to develop 30 g/l solutions, and selected water quality characteristics were then monitored for 96 h. One or more water quality characteristics changed significantly during the 96 h period in six of the reconstituted sea salts. Measured characteristics of sea water diluted to 30 g/l demonstrated no changes during the observation period. The sea salts from different sources also demonstrated differences in absolute concentrations of some characteristics measured. Application of the Biotic Ligand Model to predict copper toxicity to the bivalve Mytilus edulis in solutions of the salts tested yielded 96-h median-lethal concentrations that ranged from 2 to 13 μg/l. Since water quality affects toxicity of many environmental pollutants, the source of the sea salt and equilibration time should be considered when planning toxicity tests.     

Occurrence and persistence of perfluorooctanesulfonate and other perfluorinated surfactants in groundwater at a fire-training area at Wurtsmith Air Force Base,Michigan, USA

Various formulations of fire-extinguishing materials, including aqueous film-forming foams (AFFFs), were used as part of fire-training exercises conducted at Wurtsmith Air Force Base (WAFB) in northeastern Michigan from the 1950s until the base was decommissioned in 1993. As a result of past fire-training exercises, AFFF-laden wastewater containing fuels, solvents, and other materials directly entered groundwater without prior treatment. Perfluorinated surfactants are key components in some AFFF formulations. In this study, groundwater was analyzed for perfluoroalkanesulfonates and perfluorocarboxylates. Perfluoroalkanesulfonates were directly detected using negative-ion electrospray ionization mass spectrometry. Derivatized perfluorocarboxylates were detected using electron impact gas chromatography-mass spectrometry. Groundwater from wells around fire-training area FTA-02 at WAFB contained four perfluorinated surfactants ranging in concentration from 3 to 120 microg L(-1): perfluorooctanesulfonate (PFOS); perfluorohexanesulfonate; perfluorooctanoate; and perfluorohexanoate. This is the first report demonstrating that PFOS, recently shown to be toxic to organisms ranging from zooplankton to primates, is still present in groundwater in measurable quantities five or more years after its last known use.