Risk factors affecting injury severity determined by the MAIS score

Objective: Traffic crashes result in a loss of life but also impact the quality of life and productivity of crash survivors. Given the importance of traffic crash outcomes, the issue has received attention from researchers and practitioners as well as government institutions, such as the European Commission (EC). Thus, to obtain detailed information on the injury type and severity of crash victims, hospital data have been proposed for use alongside police crash records. A new injury severity classification based on hospital data, called the maximum abbreviated injury scale (MAIS), was developed and recently adopted by the EC. This study provides an in-depth analysis of the factors that affect injury severity as classified by the MAIS score.

Method: In this study, the MAIS score was derived from the International Classification of Diseases. The European Union adopted an MAIS score equal to or greater than 3 as the definition for a serious traffic crash injury. Gains are expected from using both police and hospital data because the injury severities of the victims are detailed by medical staff and the characteristics of the crash and the site of its occurrence are also provided. The data were obtained by linking police and hospital data sets from the Porto metropolitan area of Portugal over a 6-year period (2006–2011). A mixed logit model was used to understand the factors that contribute to the injury severity of traffic victims and to explore the impact of these factors on injury severity. A random parameter approach offers methodological flexibility to capture individual-specific heterogeneity. Additionally, to understand the importance of using a reliable injury severity scale, we compared MAIS with length of hospital stay (LHS), a classification used by several countries, including Portugal, to officially report injury severity. To do so, the same statistical technique was applied using the same variables to analyze their impact on the injury severity classified according to LHS.

Results: This study showed the impact of variables, such as the presence of blood alcohol, the use of protection devices, the type of crash, and the site characteristics, on the injury severity classified according to the MAIS score. Additionally, the sex and age of the victims were analyzed as risk factors, showing that elderly and male road users are highly associated with MAIS 3+ injuries. The comparison between the marginal effects of the variables estimated by the MAIS and LHS models showed significant differences. In addition to the differences in the magnitude of impact of each variable, we found that the impact of the road environment variable was dependent on the injury severity classification.

Conclusions: The differences in the effects of risk factors between the classifications highlight the importance of using a reliable classification of injury severity. Additionally, the relationship between LHS and MAIS levels is quite different among countries, supporting the previous conclusion that bias is expected in the assessment of risk factors if an injury severity classification other than MAIS is used.     

Ecological Status of a Margaritifera margaritifera (Linnaeus, 1758) Population at the Southern Edge of its Distribution (River Paiva, Portugal)

An important population of the critically endangered pearl mussel Margaritifera margaritifera (Linnaeus, 1758) was surveyed at the edge of its southern distribution (River Paiva, Portugal). Although an earlier study suggested that this population had a very low number of individuals (<500), a narrow distribution, and was mainly comprised by old specimens our data contradict these findings. Our assessment estimated a population with probably more than 5,000 individuals distributed across 80 km of the river length. From the 32 sites surveyed, 19 contained M. margaritifera with higher abundances verified in the middle and upper parts of the river (a maximum of 78 ind. per 100 m of river stretch was recorded). The pearl mussels showed a clear preference for areas near the banks, in shallow water, sandier and gravel sediments, and a high degree of riparian vegetation cover. The population structure was skewed with a very high percentage of large (and old) animals but 3.7 % of the individuals collected were juveniles (<60 mm in length); therefore, this population can be considered functional. Environmental characterization indicated that this river is still in excellent or good condition although some areas showed deterioration due to discharge of domestic effluents. The main conservation requirements of M. margaritifera in the River Paiva include maintaining the water quality (and if possible stopping the discharge of domestic effluents), increasing riparian vegetation cover, removing several weirs to increase connectivity, and increasing trout density.     

Biological treatment of a contaminated gaseous emission from a leather industry in a suspended-growth bioreactor

A suspended-growth bioreactor (SGB) was operated for the treatment of a gaseous stream mimicking emissions generated at a leather industrial company. The main volatile organic compounds (VOCs) present in the gaseous stream consisted of 1-methoxy-2-propanol, 2,6-dimethyl-4-heptanone, 2-butoxyethanol, toluene and butylacetate. A microbial consortium able to degrade these VOCs was successfully enriched. A laboratory-scale SGB was established and operated for 210-d with an 8h cycle period and with shutdowns at weekends. Along this period, the SGB was exposed to organic loads (OL) between 6.5 and 2.3 x 10(2) g h(-1) m(-3). Most of the compounds were not detected at the outlet of the SGB. The highest total VOC removal efficiency (RE) (ca 99%) was observed when an OL of 1.6 x 10(2) g h(-1) m(-3) was fed to the SGB. The maximum total VOC elimination capacity (1.8 x 10(2) g h(-1) m(-3)) was achieved when the OL applied to the SGB was 2.3 x 10(2) g h(-1) m(-3). For all the operating conditions, the SGB showed high levels of degradation of toluene and butylacetate (RE approximately equal to 100%). This study also revealed that recirculation of the gaseous effluent improved the performance of the SGB. Overall, the SGB was shown to be robust, showing high performance after night and weekend shutdown periods.     

Enchytraeus crypticus as model species in soil ecotoxicology

Enchytraeids are ecologically relevant soil organisms, due to their activity in decomposition and bioturbation in many soil types worldwide. The enchytraeid reproduction test (ERT) guidelines ISO 16387 and OECD 220 are exclusive to the genus Enchytraeus and recommend using the species E. albidus with a 6-week test period. The suggested alternative, E. crypticus has a shorter generation time which may enable the ERT to be twice as fast. To confirm the suitability of a 3-week test period for E. crypticus, the toxicity of five chemicals, with distinct properties and modes of action, was assessed in LUFA 2.2 soil. In all controls the validity criteria were met, as survival of E. crypticus was above 92% and more than 772 juveniles were produced. The good performance supports its appropriateness as model species. Reproduction was more sensitive than survival, with only cadmium and 3,5-dichloroaniline causing significant lethal effects in the tested concentration ranges. The effect concentration causing 50% reduction in the number of juveniles (EC50) was 35 mg kg⁻¹ for cadmium, <1.0 mg kg⁻¹ for carbendazim, 145 mg kg⁻¹ for phenanthrene, 275 mg kg⁻¹ for pentachloroaniline and 102 mg kg⁻¹ for 3,5-dichloroaniline. To evaluate the sensitivity of E. crypticus, the present results were compared to literature data for E. albidus. In conclusion, E. crypticus is a suitable model species in soil ecotoxicology, with advantages such as good control performance and speed, leading to a reliable and faster ERT.     

Atrazine toxicity to Handroanthus heptaphyllus,a nontarget species from a Brazilian biome threatened by agriculture

The economic basis of the Brazilian midwest is agriculture, concentrating most of the grain production in the country. With the purpose of increasing yield, farmers have intensified land use and the use of atrazine among other pesticides, which can supposedly compromise human health and photosynthetic metabolism of plant species from Cerrado, such as Handroanthus heptaphyllus. The aim of this study was to determine experimentally the sensitivity level of H. heptaphyllus to atrazine, by measuring gas exchange, chlorophyll a fluorescence, chloroplastidic pigments, and membrane permeability. The experiment was conducted in a factorial scheme. Nine‐month‐old H. heptaphyllus plants were treated with six realistic doses of atrazine: 0, 25, 50, 100, 200, and 400 g a.i. ha^–1 (corresponding to 10, 20, 40, 80, and 100% of the commercial dose recommended for corn crops, respectively), with five replications. Evaluations were performed at 12, 36, 84, 180, and 276 h after treatment application. Photosynthesis, the effective quantum yield of photosystem II, and electron transport rate were gradually reduced by the action of atrazine. On the other hand, the nonphotochemical quenching increased gradually, which indicates that this mechanism was not sufficient to avoid oxidative stress and cellular damage in H. heptaphyllus treated plants. Based on these results, we concluded that the action of the herbicide in the photosynthetic reduction occurs by the electron transport rate limitation. Therefore, H. heptaphyllus trees are at risk in Cerrado areas next to agricultural lands.     

Patterns of shelter usage and social aggregation by the vocal Lusitanian toadfish

In some marine fishes, males migrate from deeper to littoral water to breed, where they defend nests and provide parental care. In this study, we describe seasonal patterns of shelter occupation in estuarine shallow waters and assess social aggregation in the Lusitanian toadfish (Batrachoididae), a vocal species with male parental care. Occupation of intertidal shelters was restricted to the breeding season but adult fish remained in subtidal regions during the non-reproductive season and they produced sounds throughout the year. Intertidal shelters were aggregated with up to five shelters found per 2-m segment of an 80-m transect. This aggregation probably resulted from social attraction since many segments were found unoccupied. Moreover, shelters contained on average two fish (maximum of nine). Based on size, shelters with multiple fish seemed to contain females, or possibly sneakers, but also more than one type I male inside, indicating a high social tolerance for conspecifics.     

Performance and stability of an anaerobic fixed bed reactor subjected to progressive increasing concentrations of influent organic matter and organic shock loads

Data on the performance of a horizontal-flow anaerobic immobilized biomass (HAIB) reactor subjected to step increases of organic loading rates (OLR) and to organic shock loads (OSL) are presented and discussed. The tubular reactor (100 cm long and 5 cm diameter) with a useful volume of 1995 mL was filled with polyurethane foam cubic matrices holding immobilized biomass and fed with synthetic wastewater. The reactor was operated at the controlled temperature of 30+/-1 degrees C and hydraulic retention time of 7 h. After about 15 days, the HAIB reactor attained operating stability. Thereafter, it was subjected to step increases of the applied OLR that ranged from 6.8 to 18.8 kg COD/m(3)d. After steady state had been achieved at each step, OSL corresponding to approximately three times the operating OLR were applied for 7 h. No disturbance was observed due to the step increase in OLR. An increase in effluent chemical oxygen demand (COD) and volatile fatty acids (VFA) concentrations and a decrease in the percentage of methane in the biogas were observed due to OSL applications. However, stability of the monitoring parameters was always restored approximately 17 h after the application of OSL for all conditions tested.