What is the potential of trauma registry data to be used for road traffic injury surveillance and informing road safety policy?

Introduction

Information from hospital trauma registries is increasingly being used to support injury surveillance efforts. This research examines the potential of using trauma registry data for road traffic injury surveillance for different types of road users in terms of both the information collected and how representative trauma data are compared to two population-based road traffic injury data collections.

Methods

The three data collections were assessed against recommended variables to be collected for injury surveillance purposes and the representativeness of the distribution of road traffic-related injury data from the trauma registry was compared to hospital admission and road traffic authority data collections.

Results

Data from the trauma registry was largely not representative of the distribution of age groups or activities compared to the two population-based collections, but was representative for gender for some road user groups to at least one population-based data collection.

Conclusions

Trauma data could be used to supplement information from population-based data collections to inform road safety efforts.

Impact on Industry

Road safety policy makers should be aware of the potential and the limitations of using trauma registry data for road traffic injury surveillance.     

Florida seagrass habitat evaluation: a comparative survey for chemical quality

Contaminant concentrations were determined for media associated with 13 Florida seagrass beds. Concentrations of 10 trace metals were more commonly detected in surface water, sediment and two seagrass species than PAHs, pesticides and PCBs. Concentrations of copper and arsenic in surface water exceeded Florida aquatic life criteria more frequently than other trace elements. Total organic carbon, mercury, chromium, zinc, total chlordane, total PAHs, total PCBs, DDD and DDE were significantly greater in seagrass-rooted sediments than adjacent non-vegetated sediments. Total DDT, DDD, DDE, total chlordane, arsenic, copper and nickel exceeded proposed sediment quality guidelines at six of 13 grass beds. Pesticides, PAHs, and PCBs were below detection in seagrass tissues. Mercury, cadmium, nickel, lead and silver were detected in 50% or more of the tissues for Thalassia testudinum (turtle grass) and Halodule wrightii (shoal grass). Spatial, interspecific and tissue differences were usually an order of magnitude or less.     

Apolipoproteins in human fetal blood and amniotic fluid in mid-trimester pregnancy

To examine the potential for prenatal diagnosis of genetic lipoprotein metabolic defects (e.g. abetalipoproteinemia, Tangier disease) we determined the normal concentrations of apolipoproteins (apo) A-I, A-II, B, and E in mid-trimester amniotic fluid and fetal plasma. The concentrations of apo A-I and apo A-II in amniotic fluid were 1−2 per cent of the respective levels in the mother's plasma, whereas apo B and apo E were undetectable in amniotic fluid. In contrast to amniotic fluid, all four apolipoproteins were detectable in fetal plasma, and the levels of apo A-I, apo B and apo E were in the range observed in the mothers: 160·2 ± 103·1, 59·8 ± 35·7 and 5·7 ± 3·5 mg/dl respectively (mean ± SD, n=13). The fetal plasma level of apo A-II (28·3 ± 12·4 mg/dl) was two-thirds that observed in the mother's plasma. The normal levels of these apolipoproteins in fetal plasma are well above the sensitivity of the methods, and their quantification requires only 10−20 μl of fetal plasma. Determination of apolipoproteins in fetal blood obtained by fetoscopy thus may provide a method for the prenatal diagnosis of congenital apolipoprotein deficiences.     

A dual channel gas chromatograph for atmospheric analysis of volatile organic compounds including oxygenated and monoterpene compounds

A dual channel gas chromatograph with flame ionisation detectors has been used extensively for analysis of volatile organic compounds in the atmosphere and forms the basis of two monitoring instruments contributing VOC data to the World Meteorological Organisation - Global Atmosphere Watch network. Recent modifications to the methodology have broadened the scope of the instrument; to incorporate measurements of selected monoterpenes, and achieve improved accuracy in the measurement of oxygenated volatile organic compounds. Analysis of selected monoterpenes has been achieved without any significant loss of resolution of the non-methane hydrocarbons or oxygenated compounds. Quantification of 64 different VOCs of varying functionalities are reported with detection limits in the range 1-5 parts per trillion. Here we present a summary of the instrumental and calibration details for the methodology, which continues to be used on many field projects, along with a discussion of the associated measurement uncertainties.     

Using Geographically Isolated Loading Scenarios to Analyze Nitrogen and Phosphorus Exchanges and Explore Tailored Nutrient Control Strategies for Efficient Management

A set of geographically isolated differential nitrogen (N) and phosphorus (P) load model scenarios from major Chesapeake basins provides information on the relative impact of nutrient loads on primary production and dissolved oxygen in the Chesapeake Bay. Model results show the relationships of deep water dissolved oxygen with nutrient limitation-related algal blooms, organic carbon loads from the watershed, estuarine circulation, nutrient cycling, and nutrient diagenesis. The combined effect of changes in load from multiple basins is additive for changes in both chlorophyll-a and deep water dissolved oxygen concentrations. Management of both N and P are required in the Chesapeake watershed and tidal waters to achieve water quality standards, but overall efficiencies could be gained with strategies that place greater emphasis on P control in the upper Bay and greater emphasis on N control in the lower Bay. The areas of the Bay with the highest degree of dissolved oxygen degradation that generally drive management decisions are mostly P-limited and are significantly influenced by the load from the upper Bay’s basins. Reducing P from the upper Bay’s basins will intensify P limitation and would allow an increase in N of about six times the weight of P reduction. Combining the relative nutrient reduction effectiveness with the relative control cost information could improve management efficiency and provide benefits at a lower cost. This article describes initial steps that can be taken to examine the benefits from N-P exchanges.     

Endocrine disrupting chemicals in New Orleans surface waters and Mississippi Sound sediments

Endocrine disrupting compounds (EDCs), represented by steroid hormones, organochlorine pesticides (OCPs), polychlorinated biphenyls (PCBs), and bisphenol A have been determined in four sediment cores from the Gulf of Mexico, from New Orleans surface water (Lake Pontchartrain and Mississippi River), and from the influent and effluent of a New Orleans municipal sewage treatment plant. During the five-month monitoring of selected EDCs in the Mississippi River (MR) and Lake Pontchartrain (LP) in 2008, 21 of 29 OCPs in MR and 17 of 29 OCPs in LP were detected; bisphenol A was detected in all of the samples. Steroid hormones (estrone, 17β-estradiol and 17α-ethinylestradiol) were detected occasionally. Total EDC (OCPs + PCBs + steroid hormones + bisphenol A) concentrations in the two surface water samples were found to vary from 148 to 1112 ng L(-1). Strong correlation of the distribution of total OCPs, total PCBs and total EDCs between solid and water phases was found in LP, while moderate or no correlation existed in MR. OCPs, PCBs, steroid hormones, and bisphenol A were all detected in the ocean sediments, and total EDCs were measured in the range of 77 to 1796 ng g(-1) dry sediment weight. The EDCs were also found in untreated and treated municipal sewage samples with a removal efficiency of 83% for OCPs but no removal efficiency for 17α-ethinylestradiol.     

Inter-annual and spatial variability in hillslope runoff and mercury flux during spring snowmelt

Spring snowmelt is an important period of mercury (Hg) export from watersheds. Limited research has investigated the potential effects of climate variability on hydrologic and Hg fluxes during spring snowmelt. The purpose of this research was to assess the potential impacts of inter-annual climate variability on Hg mobility in forested uplands, as well as spatial variability in hillslope hydrology and Hg fluxes. We compared hydrological flows, Hg and solute mobility from three adjacent hillslopes in the S7 watershed of the Marcell Experimental Forest, Minnesota during two very different spring snowmelt periods: one following a winter (2009-2010) with severely diminished snow accumulation (snow water equivalent (SWE) = 48 mm) with an early melt, and a second (2010-2011) with significantly greater winter snow accumulation (SWE = 98 mm) with average to late melt timing. Observed inter-annual differences in total Hg (THg) and dissolved organic carbon (DOC) yields were predominantly flow-driven, as the proportion by which solute yields increased was the same as the increase in runoff. Accounting for inter-annual differences in flow, there was no significant difference in THg and DOC export between the two snowmelt periods. The spring 2010 snowmelt highlighted the important contribution of melting soil frost in the timing of a considerable portion of THg exported from the hillslope, accounting for nearly 30% of the THg mobilized. Differences in slope morphology and soil depths to the confining till layer were important in controlling the large observed spatial variability in hydrological flowpaths, transmissivity feedback responses, and Hg flux trends across the adjacent hillslopes.     

Environmental Impact Assessment Under the Mackenzie Valley Resource Management Act: Deliberative Democracy in Canada’s North?

We consider the extent to which the Mackenzie Valley Resource Management Act (MVRMA) provides an opportunity for deliberative democracy to emerge within the context of resource management in Canada's North. The focus is on the extent to which the tenets of deliberative democracy are exercised in the environmental assessment (EA) of the Snap Lake diamonds project. Data collection included semi-structured interviews with assessment participants, and a review of documentation surrounding the EA process, and the case study. Results combined four principles of deliberative democracy: generality, autonomy, power neutrality, and ideal role taking. The EA conducted under the MVRMA can serve as a deliberative process, as illustrated by opportunities for dialogue, access to different perspectives, and learning outcomes. However, many of these positive results occurred through nonmandated technical sessions. The absence of participant funding also limits the deliberative potential of the MVRMA.     

Sublethal toxicity of nano-titanium dioxide and carbon nanotubes in a sediment dwelling marine polychaete

The ecotoxicology of manufactured nanoparticles (MNPs) in estuarine environments is not well understood. Here we explore the hypothesis that nanoTiO₂ and single walled nanotubes (SWNT) cause sublethal impacts to the infaunal species Arenicola marina (lugworm) exposed through natural sediments. Using a 10 day OECD/ASTM 1990 acute toxicity test, no significant effects were seen for SWNT up to 0.03 g/kg and no uptake of SWNTs into tissues was observed. A significant decrease in casting rate (P = 0.018), increase in cellular damage (P = 0.04) and DNA damage in coelomocytes (P = 0.008) was measured for nanoTiO₂, with a preliminary LOEC of 1 g/kg. Coherent anti-stokes Raman scattering microscopy (CARS) located aggregates of TiO₂ of >200 nm within the lumen of the gut and adhered to the outer epithelium of the worms, although no visible uptake of particles into tissues was detected.