Potentially preventable prehospital deaths from motor vehicle collisions

Background: In 2011, about 30,000 people died in motor vehicle collisions (MVCs) in the United States. We sought to evaluate the causes of prehospital deaths related to MVCs and to assess whether these deaths were potentially preventable.

Methods: Miami–Dade Medical Examiner records for 2011 were reviewed for all prehospital deaths of occupants of 4-wheeled motor vehicle collisions. Injuries were categorized by affected organ and anatomic location of the body. Cases were reviewed by a panel of 2 trauma surgeons to determine cause of death and whether the death was potentially preventable. Time to death and hospital arrival times were determined using the Fatality Analysis Reporting System (FARS) data from 2002 to 2012, which allowed comparison of our local data to national prevalence estimates.

Results: Local data revealed that 39% of the 98 deaths reviewed were potentially preventable (PPD). Significantly more patients with PPD had neurotrauma as a cause of death compared to those with a nonpreventable death (NPD) (44.7% vs. 25.0%, P =.049). NPDs were significantly more likely to have combined neurotrauma and hemorrhage as cause of death compared to PPDs (45.0% vs. 10.5%, P <.001). NPDs were significantly more likely to have injuries to the chest, pelvis, or spine. NPDs also had significantly more injuries to the following organ systems: lung, cardiac, and vascular chest (all P <.05). In the nationally representative FARS data from 2002 to 2012, 30% of deaths occurred on scene and another 32% occurred within 1 h of injury. When comparing the 2011 FARS data for Miami–Dade to the remainder of the United States in that year, percentage of deaths when reported on scene (25 vs. 23%, respectively) and within 1 h of injury (35 vs. 32%, respectively) were similar.

Conclusions: Nationally, FARS data demonstrated that two thirds of all MVC deaths occurred within 1 h of injury. Over a third of prehospital MVC deaths were potentially preventable in our local sample. By examining injury patterns in PPDs, targeted intervention may be initiated.     

Boldness is influenced by sublethal interactions with predators and is associated with successful harem infiltration in Madagascar hissing cockroaches

One of the contemporary challenges of the behavioral syndromes literature is to identify how individual variation in behavior is determined, and whether this variation impacts ecological success. Although variation in experience is an obvious potential driver of intraspecific behavioral variation, predicting the impact of experience on suites of correlated behavioral traits is less intuitive. Specifically, if experience impacts traits that shape individuals' success in multiple contexts (e.g., foraging and anti-predator behavior), then experience could generate cross-contextual performance trade-offs associated with behavioral spillover. In the present study, we explore how sublethal experience with predators impacts various aspects of male behavioral tendencies in the Madagascar hissing cockroach, Gromphadorhina portentosa. First, we found that males' activity level and boldness were correlated together in the form of a behavioral syndrome. Second, we found that repeated sublethal interactions with predators shifted male boldness but not activity level, thus suggesting that the syndrome's constituent traits can respond to experience at least semi-independently. Third, we discovered that although predator exposure only influenced boldness, we found that boldness was highly correlated with males' ability to obtain rewarding positions in the harems of rival males. Taken together, our data suggest (but do not yet confirm) that although sublethal exposure to predators influences only a narrow subset of male's behavioral tendencies, these effects could still have nonintuitive consequences for males' success in functionally dissimilar ecological contexts (i.e., social and sexual encounters).     

Impacts of super-typhoon Yolanda on Philippine reefs and communities

Regional Environmental Change - This report presents super-typhoon Yolanda’s impacts on coral reefs of Eastern Samar, Philippines, and evaluates its implications on resource management in the...     

Environmental assessment of laser assisted manufacturing: case studies on laser shock peening and laser assisted turning

Laser assisted manufacturing processes, when compared with traditional manufacturing processes, have the potential to reduce cost, increase surface resistance to wear and fatigue, extend part/tool life, and expand the range of manufacturable materials. These processes have found niche applications in automotive, aerospace, and defense industries. However, very limited research has been conducted to evaluate and compare the environmental performance of laser assisted processes with traditional methods. This paper conducts case studies on two representative laser based processes, i.e. laser shock peening of 7075-T7351 Aluminum and laser assisted turning of compacted graphite iron. Life cycle assessment is used to benchmark the environmental performance of these two processes to conventional processes, i.e. shot peening and turning, respectively. The life cycle inventory of both the laser based processes and conventional processes are developed using SimaPro 7.1 and the Ecoinvent 2.0 database and life cycle impact assessment is performed using US EPA TRACI. The results of this study show that the environmental performance of the two laser based processes is significantly better than conventional processes. For laser shock peening of aluminum, contribution analysis indicates that this is mainly due to the significant extension of fatigue life of the workpiece being treated. For laser assisted turning of compacted graphite iron, the improved performance is mainly due to the extended tool life since cutting tool manufacturing is an energy intensive process. Development of high-power laser with a lower wavelength (e.g. direct diode system) could eliminate the use of paint in laser assisted turning. This, along with improved wall plug efficiency, makes laser assisted turning even more environmentally benign compared to conventional process. A brief cost analysis suggests that both laser shock peening and laser assisted turning can be economically viable with payback period less than three years for niche applications.     

关于新时期师德建设的探索

本文笔者通过回顾历史上优秀的师德观,明确加强新时期师德建设的意义;分析现阶段师德面临的新问题,探讨应如何正视和解决这些问题,以加强新时期师德建设。     

Plutonium isotopes in surface air of Prague in 1986–2006

Monitoring of ^239,240Pu in surface air of Prague started in 1986 in connection with the Chernobyl accident. Measurable activities of 10–28 μBq m⁻³ were found from 29 April 1986 to 5 May 1986. In the most of the monitoring periods of 1987–1996, activities of ^239,240Pu in air were not measurable. Positive values for ^239,240Pu and ²³⁸Pu in air could be obtained after installation of an aerosol sampler with higher flow-rate in 1997. Activity concentrations of ^239,240Pu and ²³⁸Pu in Prague air in the most of quarters of 1997–2006 were in the range 0.53–5.06 and <0.16–1.10 nBq m⁻³, respectively. Seasonal fluctuations can be found in content of ^239,240Pu in air. Activity ratios of ²³⁸Pu/^239,240Pu in air are higher than those in top soil, so it can be supposed that ²³⁸Pu is coming to air of Prague also from other sources than resuspension of fallout from atmospheric nuclear tests.