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.     

Reduced Soil Macropores and Forest Cover Reduce Warm‐Season Baseflow below Ecological Thresholds in the Upper Delaware River Basin

We examined the impacts of changes in land cover and soil conditions on the flow regime of the upper Delaware River Basin using the Water Availability Tool for Environmental Resources. We simulated flows for two periods, c. 1600 and 1940, at three sites using the same temperature and precipitation conditions: the East Branch, West Branch, and mainstem Delaware River at Callicoon, New York. The 1600 period represented pristine forest and soils. The 1940 period included reduced forest cover, increased agriculture, and degraded soils with reduced soil macropore fractions. A model‐sensitivity test examined the impact of soil macropore and land cover change separately. We assessed changes in flow regimes between the 1600 and 1940 periods using a variety of flow statistics, including established ecological limits of hydrologic alteration (ELOHA) thresholds. Reduced forest soil macropore fraction significantly reduced summer and fall baseflows. The 1940 period had significantly lower Q50 flows (50% exceedance) than the 1600 period, as well as summer and fall Q90 and Q75–Q90 flows below the ELOHA thresholds. The one‐ to seven‐day minimum flows were also lower for the 1940 period, by 17% on the mainstem. 1940 flows were 6% more likely than the 1600 period to fall below the low‐flow threshold for federally endangered dwarf wedgemussel (Alasmidonta heterodon) habitat. In contrast, the 1940 period had higher flows than the 1600 period from late fall to early winter.     

Reproductive cycle of the sea urchin Holopneustes purpurascens (Temnopleuridae: Echinodermata)

This study documents the annual reproductive cycle of the Temnopleurid echinoid Holopneustes purpurascens near Sydney. H. purpurascens reached sexual maturity between 11 and 26 mm diameter and was gonochoristic. The sequence of oogenesis was similar to previously described echinoids. However, the proportion of eggs at each stage showed no temporal pattern in abundance, suggesting that vitellogenesis is continuous throughout the year. Spermatogenesis was also similar to other echinoids and showed a significant increase in the proportion of partially spawned testes in spring, followed by a similar increase in the proportion of partially spawned testes in late spring and summer. Gonad indices showed a peak in weight from late winter to mid-spring (9.10ǃ.47 for females; 6.28ǂ.43 for males; mean-SE), then a decline for both sexes. Although spawning was variable over time, there was a peak in the proportion of spawning from late winter to early summer that correlated with the observed peaks in gonad indices and gametogenic cycles. The demographic implications of this reproductive pattern are that new recruits can enter the population through synchronous spawning during the breeding period, and smaller haphazard spawning events at other times of the year.     

Community attitudes to cystic fibrosis carrier testing in England: A pilot study

Inexpensive and accurate carrier testing for cystic fibrosis (CF) will be possible in the near future. There are no existing studies on the attitudes of English persons in the community to carrier testing for CF or any other recessive disorder. We have conducted a trial study of 166 persons at two schools, two doctors' surgeries, and a family planning clinic. Only a minority had clear pre-existing knowledge of cystic fibrosis and its genetic nature. However, over 80 per cent of those questioned expressed interest in knowing their carrier status. Although it is well known that uptake can only be assessed when a service is in place, and while further studies are required to confirm that testing will be of interest to couples of reproductive age with no previous knowledge of CF, the data strongly suggest that there will be interest in communitywide testing for CF carrier status when such a test becomes available in the United Kingdom.     

Prenatal diagnosis of klippel—trénaunay—weber syndrome by ultrasound

Ultrasound examination due to an elevated maternal serum alpha-fetoprotein level showed lower extremity asymmetry. The findings were felt to be consistent with Klippel—Trénaunay—Weber syndrome. The pregnancy was terminated based on these findings. The ultrasound findings, confirming post-mortem examination, and counselling issues are discussed.