Trauma demography and clinical epidemiology of motorcycle crash–related head injury in a neurosurgery practice in an African developing country

Objective: Though motor vehicle crashes (MVCs) were the main cause of head trauma from road traffic injuries (RTIs), motorcycle crashes (MCCs) are now a major cause of RTI-related head injury (HI) in many developing countries.

Methods: Using a prospective database of HIs from a neurosurgical practice in a sub-Saharan African developing country, a cross-sectional survey was conducted for the trauma demography and clinical epidemiology of this MCC-related HI.

Results: Motorcycle crashes accounted for 57% (473/833) of all RTI-related HIs in this registry. The victims, with a mean age of 33.1 years (SD = 18.3), consisted mainly of males (83.1%), those of low socioeconomic status (>90%), and those aged between 20 and 40 years old (56%). MCCs involved only riders in 114 cases (114/473, 32.1%), of which 69% were motorcycle–motorcycle crashes. The HI was moderate–severe in 50.8%; clinical symptomatology of significant HI included loss of consciousness (92%), anisocoria (35%), Abbreviated Injury Scale head (AIS–head) score > 3 (28%), and CT-Rotterdam score > 3 (30%). Extracranial systemic injury involved the limbs most frequently, with an Injury Severity Score (ISS) >25 in 49%. The fatality rate was 24%.

MCC-related HI among pedestrian victims involved more vulnerable age groups (the young and elderly) but have lower mean ISS compared to motorcycle passengers (mean ISS = 23.5 [11.6] vs. 27.4 [13.0]; 95% confidence interval [CI], 1.27–6.49; P = .004). In addition, compared to a contemporary cohort of MVC-related HIs in our registry, MCC victims were older (mean age 34.8 years [18.0] vs. 30.8 [18.4]; P = .002); had higher proportions of certain extracranial trauma like long bone fractures (71 vs. 29%; P = .02); and suffered fewer surgical brain lesions (25.5 vs. 17.2%; P = .004).

Conclusions: Motorcycle crashes are now a significant threat to the heads, limbs, and lives of vulnerable road users in developing countries.     

Job stress among resident physicians in Tanta University Hospitals,Egypt

Environmental Science and Pollution Research - Resident physicians are the first-line health service providers, subjected to prolonged working hours, sleep deprivation and high job demands. Work...     

Comparison between UVA- and zero-valent iron-activated persulfate processes for degrading propylparaben

Conventional wastewater treatments are not efficient in removing parabens, which may thus end up in surface waters, posing a threat to aquatic biota and hu     

Computing sustainable manufacturing index with fuzzy analytic hierarchy process

The growing industrial interest in adopting sustainability programmes has ushered in studies regarding sustainability indicators which have continually flourished in current literature. However, limited attention is given to the development of priority ranking, which is an important input for any adopting firm. This paper presents a hybrid multi-criteria approach in determining priority areas in sustainable manufacturing (SM). Using fuzzy analytic hierarchy process to address uncertainty in hierarchical decision-making, this paper determines SM priority strategies and eventually identifies even lower level strategies. The computed sustainable manufacturing index is presented at both the organizational and operational levels for a real case study of an industrial plastic manufacturing firm. This work provides a detailed and transparent hierarchical decision-making approach based on SM framework, the use of which could be valuable to practicing managers across industries in their pursuit of greater sustainability.     

Impacts of climate change on the hydrology of two Natura 2000 sites in Northern Greece

Greece is included among the most vulnerable regions of Europe by climate change on account of higher temperature and reduced rainfall in areas already facing water scarcity. With respect to wetland systems, many ephemeral ones are expected to disappear and several permanent to shrink due to climate change. As regards two specific wetlands of Greece, the change in hydroperiod of Cheimaditida and Kerkini lakes due to climate change was studied. Lakes’ water balance was simulated using historical climate data and the emission scenarios Α1Β for the period 2020–2050 and Α1Β and Α2 for the period 2070–2100. Future climate scenarios, based on emission scenarios A1B and A2, were provided in the context of the study of Climate Change Impacts Study Committee. The surface area of Lake Cheimaditida will undergo a substantial decrease, initially by 20 % during the period 2020–2050 and later until 37 % during the period 2070–2100. In Lake Kerkini, the surface area will decrease, initially by 5 % during the period 2020–2050 and later until 14 % during the period 2070–2100. Climate change is anticipated to impact the hydroperiod of the two wetlands, and the sustainable water management is essential to prevent the wetland’s biodiversity loss.     

Potential Negative Ecological Effects of Corridors

Despite many studies showing that landscape corridors increase dispersal and species richness for disparate taxa, concerns persist that corridors can have unintended negative effects. In particular, some of the same mechanisms that underlie positive effects of corridors on species of conservation interest may also increase the spread and impact of antagonistic species (e.g., predators and pathogens), foster negative effects of edges, increase invasion by exotic species, increase the spread of unwanted disturbances such as fire, or increase population synchrony and thus reduce persistence. We conducted a literature review and meta‐analysis to evaluate the prevalence of each of these negative effects. We found no evidence that corridors increase unwanted disturbance or non‐native species invasion; however, these have not been well‐studied concerns (1 and 6 studies, respectively). Other effects of corridors were more often studied and yielded inconsistent results; mean effect sizes were indistinguishable from zero. The effect of edges on abundances of target species was as likely to be positive as negative. Corridors were as likely to have no effect on antagonists or population synchrony as they were to increase those negative effects. We found 3 deficiencies in the literature. First, despite studies on how corridors affect predators, there are few studies of related consequences for prey population size and persistence. Second, properly designed studies of negative corridor effects are needed in natural corridors at scales larger than those achievable in experimental systems. Third, studies are needed to test more targeted hypotheses about when corridor‐mediated effects on invasive species or disturbance may be negative for species of management concern. Overall, we found no overarching support for concerns that construction and maintenance of habitat corridors may result in unintended negative consequences. Negative edge effects may be mitigated by widening corridors or softening edges between corridors and the matrix. Other negative effects are relatively small and manageable compared with the large positive effects of facilitating dispersal and increasing diversity of native species. Efectos Negativos Potenciales de los Corredores     

Investigating the effect of compression on solute transport through degrading municipal solid waste

The effect of applied compression on the nature of liquid flow and hence the movement of contaminants within municipal solid waste was examined by means of thirteen tracer tests conducted on five separate waste samples. The conservative nature of bromide, lithium and deuterium tracers was evaluated and linked to the presence of degradation in the sample. Lithium and deuterium tracers were non-conservative in the presence of degradation, whereas the bromide remained effectively conservative under all conditions. Solute diffusion times into and out of less mobile blocks of waste were compared for each test under the assumption of dominantly dual-porosity flow. Despite the fact that hydraulic conductivity changed strongly with applied stress, the block diffusion times were found to be much less sensitive to compression. A simple conceptual model, whereby flow is dominated by sub-parallel low permeability obstructions which define predominantly horizontally aligned less mobile zones, is able to explain this result. Compression tends to narrow the gap between the obstructions, but not significantly alter the horizontal length scale. Irrespective of knowledge of the true flow pattern, these results show that simple models of solute flushing from landfill which do not include depth dependent changes in solute transport parameters are justified.     

Monsanto’s Biotechnology Politics: Discourses of Legitimation

Since the first product became commercially available in 1995, biotechnology has become the fastest growing crop technology, dominating large shares of the global agricultural market. The development of biotechnology, however, has given rise to questions regarding human and ecological safety, culminating in local and global political battles. While researchers interested in biotech politics have focused on areas such as media framing, social movements, and campaign work, less attention has been paid to how the industry has historically promoted and legitimized this swift proliferation. In this study, we conduct a discourse analysis of documents available on live and archived websites to discern the legitimation strategies employed by one important corporate actor, Monsanto. Findings show that for nearly two decades, Monsanto consistently employed discursive resources that concealed details about actors and action, reflected trends among experts in global sustainability discourse, and reshaped narratives to promote itself, products, and biotechnology in general.