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.     

Adsorption of arsenic(V) onto fly ash: a speciation-based approach

Arsenic (As) poses a significant water quality problem and challenge for the environmental engineers and scientists in the world. The large volume of coal fly ash produced around the world is a potentially significant anthropogenic source of arsenic. Currently the leaching behavior of arsenic from fly ash is not well understood. Batch methods were used in this study to investigate arsenic leaching using a raw ash, and arsenic adsorption using a clean, washed ash. Experimental results indicated that pH had a significant effect on arsenic leaching or adsorption. Between pH 3 and 7, less arsenic was in the dissolved phase. When pH was less than 3 or greater than 7, increasing amounts of arsenic were leached or desorbed from fly ash. The leaching and adsorption behavior of arsenic was interpreted with the speciation of surface sites and arsenic. In a new approach, a speciation-based model was developed to quantify the arsenic adsorption as a function of pH and surface acidity parameters. This work is important in offering insight into the leaching mechanism of arsenic from coal fly ash, and providing a robust model based upon specific, measurable parameters to quantify arsenic adsorption by other solid media in addition to fly ash.     

Microcosm investigations of stormwater pond sediment toxicity to embryonic and larval amphibians: variation in sensitivity among species

Stormwater ponds have become common features of modern development and often represent significant amounts of open space in urbanized areas. Although stormwater ponds may provide habitat for wildlife, factors responsible for producing variation in wildlife use of ponds have received limited attention. To investigate the role of variation in species tolerances of pollutants in structuring pond-breeding amphibian assemblages, we exposed species tolerant (Bufo americanus) and not tolerant (Rana sylvatica) of urbanization to pond sediments in laboratory microcosms. Pond microcosms had elevated sediment metal levels and chloride water concentrations. Among R. sylvatica embryos, exposure to pond sediments resulted in 100% mortality. In contrast, B. americanus embryos and larvae experienced only sublethal effects (i.e., reduced size at metamorphosis) due to pond sediment exposure. Our results suggest variation in pollutant tolerance among early developmental stages of amphibians may act in concert with terrestrial habitat availability to structure amphibian assemblages associated with stormwater ponds.     

Modelling Wetland Bird Response to Water Level Changes in the Lake Ontario – St. Lawrence River Hydrosystem

Lake Ontario and St. Lawrence River (LOSL) wetland bird abundance and diversity are greatly influenced by lake and river hydrology. Our study used an interdisciplinary ecosystem approach, blending avian and plant ecology, ecohydraulic, statistical ecology and modelling to evaluate potential impacts of water level fluctuations on indicator species representative of the wetland breeding bird assemblages in the entire LOSL freshwater system. Multi-year (2000–2003) bird surveys captured bird distribution and density in wetland habitats under varying degrees of water inandation, depth and fluctuation. Analyses revealed strong associations between estimated breeding pair densities and plant communities, water depth, and degree of water level fluctuation during the breeding season for a suite of wetland bird species using marsh, wet meadow, shrub swamp and treed swamp habitats. These quantitative associations were used to develop wetland bird performance indicators for use in a LOSL water regulation review study. Several bird species also nest at or near the water surface and are thus vulnerable to nest flooding or stranding. Changes to the seasonal hydrology of Lake Ontario and St. Lawrence River that result in an increased frequency or magnitude of these nest failure events may have a significant impact on regional population sustainability. Long term nest record databases were analyzed to create nesting flooding and stranding probability equations based on water level increases and decreases during the breeding season. These species-specific nesting relationships were incorporated into a reproduction index.Many breeding bird species were strongly associated with specific wetland plant communities. Predicted habitat suitability, as measured by estimated breeding pair density, can also change significantly within a specific wetland plant community based solely on changes in water depth during the breeding season. Three indicator species, Black Tern, Least Bittern and Virginia Rail were selected as key environmental performance indicators for alternate regulation plan comparisons.Water regulation criteria should be such that the long term diversity and abundance of wetland plant communities and frequency of spring flooding in marsh habitats during breeding are not reduced. Magnitude and frequency of water level change during the nesting season (May–July) can also adversely impact reproductive success of many wetland bird species. As such, regulation criteria that increase the seasonal magnitude and frequency of water level change may be detrimental to the long term viability of certain regional breeding bird populations.     

Modeling Wetland Plant Community Response to Assess Water-Level Regulation Scenarios in the Lake Ontario – St. Lawrence River Basin

The International Joint Commission has recently completed a five-year study (2000–2005) to review the operation of structures controlling the flows and levels of the Lake Ontario – St. Lawrence River system. In addition to addressing the multitude of stakeholder interests, the regulation plan review also considers environmental sustainability and integrity of wetlands and various ecosystem components. The present paper outlines the general approach, scientific methodology and applied management considerations of studies quantifying the relationships between hydrology and wetland plant assemblages (% occurrence, surface area) in Lake Ontario and the Upper and Lower St. Lawrence River. Although similar study designs were used across the study region, different methodologies were required that were specifically adapted to suit the important regional differences between the lake and river systems, range in water-level variations, and confounding factors (geomorphic types, exposure, sediment characteristics, downstream gradient of water quality, origin of water masses in the Lower River). Performance indicators (metrics), such as total area of wetland in meadow marsh vegetation type, that link wetland response to water levels will be used to assess the effects of different regulation plans under current and future (climate change) water-supply scenarios.The Canadian Crown reserves the right to retain a non-exclusive, royalty free licence in and to any copyright.     

Flow and transport in fractured tuff at Yucca Mountain: numerical experiments on fast preferential flow mechanisms

Recent discovery of bomb-related ³⁶Cl at depth in fractured tuff in the unsaturated zone at the Yucca Mountain candidate high-level waste (HLW) repository site has called into question the usual modeling assumptions based on the equivalent continuum model (ECM). A dual continuum model (DCM) for simulating transient flow and transport at Yucca Mountain is developed. In order to ensure properly converged flow solutions, which are used in the transport simulation, a new flow solution convergence criteria is derived. An extensive series of simulation studies is presented which indicates that rapid movement of solute through the fractures will not occur unless there are intense episodic infiltration events. Movement of solute in the environs of the repository is enhanced if the properties of the tuff layer at the repository horizon are modified from current best-estimate values. Due to a large advective–dispersive coupling between the matrix and fractures, the matrix acts as a major buffer which inhibits rapid transport along the fractures. Consequently, fast movement of solutes through the fractures to the repository depth can only be explained if the matrix–fracture coupling term is significantly reduced from a value that would be calculated on the basis of data currently available.     

ESTABLISHING POLLUTANT LOAD REDUCTION TARGETS FOR THE INIIAN RWER LAGOON,FLORIDA1

ABSTRACT. Establishment of seagrass‐based pollutant load reduction targets is a major aim of water quality management in the Indian River Lagoon (IRL) estuary. It is believed that light and water clarity are the limiting factors affecting seagrass abundance and distribution in the Lagoon. Thus, targeted reductions of nutrients, dissolved organic matter and for suspended sediments should achieve desired seagrass coverage goals. On an annual average, the Lagoon is receiving external loadings of 5,346, 771, and 54,408 metric tons per year of nitrogen (N), phosphorus (P), and total suspended solids (TSS), respectively. Most of the loadings are stormwater generated; thus, implementation of reduction targets will key in on major urban and agricultural stormwater systems. The process of developing targets requires the establishment of light requirements for seagrass. Two methods are being employed to develop such targets. One method is the application of a predictive, 3‐D model that accounts for the essential interactive processes of the Lagoon: hydrology, hydrodynamics, water quality, nutrient uptake/release, seagrass growth rates, and light attenuation. The other method is based simply on the comparison of loading rates between a developed sub‐basin with associated seagrass impacts and an undeveloped sub‐basin with adjacent healthy seagrass coverages. The latter method will provide the initial and preliminary targets that can be tested, confirmed, or modified by application of the 3‐D model.     

Environment,Quality of Life,and Urban Growth in the New Economy

Sooner or later, most environmental professionals will be affected by the national smart growth movement, which addresses suburban sprawl and urban revitalization. Environmental sustainability is at the heart of more sustainable economic growth—which means growth that does not sacrifice quality of life for economic prosperity. This article summarizes the findings of a recent report on the linkage between growth and quality of life in the new economy, with a special emphasis on the role of governors. © 2001 John Wiley & Sons, Inc.     

Indices of marine degradation: Their utility

Improved definition of pollutant effects in coastal marine environments is needed for two principal reasons. First, we need better understanding of how much pollutant degradation exists. Then we need more agreement on its social importance. Only then can society decide more consistently and equitably how much pollutant impact is tolerable and how much is too much. Scientists alone cannot define “unreasonable degradation” in a social sense, of course, but we can define quantitative scales of degradation and (together with nonscientists) specify ranges on these scales of “warning” and “alarm.” Rationales are presented for the urgency of these improvements. A strategy is described for indexing the socially relevant features of coastal environments at greatest risk from pollutants. The strategy differs from most existing environmental indices in several respects. Each of the 11 indices proposed is constrained by the following design criteria: (1) socially relevant, (2) simple and easily understood by laymen, (3) scientifically defensible, (4) quantitative and expressed probabilistically, and (5) acceptable in terms of cost. Evaluations of the draft indices are being completed by more than 50 collaborating scientists. One index is described to illustrate the utility of simple, socially relevant measures of marine degradation.