Assessment of medical care costs of injuries due to alcohol-related motor vehicle crashes

The purpose of this study was to estimate the total medical care costs of individuals injured in motor vehicle crashes and in crashes where alcohol was involved. Crashes were studied that involved 2,728 vehicle occupants and 191 pedestrians with injuries as reported in 1979 by the National Accident Sampling System, a probability sample of all motor vehicle crashes occurring in the united States. Medical care costs were assigned by using Abbreviated Injury Scale codes in accordance with other published research. Determination of alcohol involvement was based on crash characteristics. Results indicate that 20.2 % of medical care costs for motor vehicle crash injuries may be due to crashes where alcohol was involved. It was estimated that alcohol-related motor vehicle crashes cost between $434 million and $483 million in medical care alone in the United States in 1979.     

The cost-effectiveness of residential radon remediation programmes: assumptions about benefits stream profiles over time

A recent cost-effectiveness analysis of a residential radon remediation programme considered and highlighted many areas of uncertainty in the parameters chosen for the analysis. One assumption not challenged in the study was the benefits stream profile adopted. There are several different ways of loading the benefits in terms of life years into the cost-effectiveness model and several of these are explored and the results are reported in this study. The benefits profile depends upon the lead-time to cancer manifestation post environmental carcinogen (radon) exposure. The literature reviewed suggests that there are many options for loading benefits to radon-induced lung cancer prevention programmes. In this study, the alternative benefits stream profiles are explored and their implications for the cost-effectiveness ratio are examined. Adopting different benefits stream profiles to the model results in a range of cost-effectiveness ratios from 14912.90 pounds per life year gained to 52416.27 pounds per life year gained. The preferred model is reported where the life years gained are assumed to be equally distributed over the last 15 years of the 40-year time horizon of the analysis (Y25-40) and the corresponding cost-effectiveness ratio is 37,943 pounds per life year gained.     

MODELING FECAL COLIFORM CONTAMINATION IN THE RIO GRANDE1

This study examines sources of fecal coliform in Segment 2302 of the Rio Grande, located south of the International Falcon Reservoir in southern Texas. The watershed is unique because the contributing drainage areas lie in Texas and Mexico. Additionally, the watershed is mostly rural, with populated communities known as “colonias.” The colonias lack sewered systems and discharge sanitary water directly to the ground surface, thus posing an increased health hazard from coliform bacteria. Monitoring data confirm that Segment 2302 is not safe for contact recreation due to elevated fecal coliform levels. The goal of the study was to simulate the observed exceedences in Segment 2302 and evaluate potential strategies for their elimination. Fecal coliform contributions from ranching and colonia discharges were modeled using the Hydrologic Simulation Program‐Fortran (HSPF). Model results indicated that the regulatory 30‐day geometric mean fecal coliform concentration of 200 colony forming units (cfu) per 100 milliliters is exceeded approximately three times per year for a total of 30 days. Ongoing initiatives to improve wastewater facilities will reduce this to approximately once per year for 14 days. Best management practices will be necessary to reduce cattle access to streams and eliminate all exceedences. The developed model was limited by the relatively sparse flow and fecal coliform data.     

Effects of Starch Moisture on Properties of Wheat Starch/Poly(Lactic Acid) Blend Containing Methylenediphenyl Diisocyanate

Methylenediphenyl diisocyanate was found to improve the interfacial interaction between poly(lactic acid)(PLA) and granular starch. The objective of this research was to study the effect of starch moisture content on the interfacial interaction of an equal-weight blend of wheat starch and PLA containing 0.5% methylenediphenyl diisocyanate by weight. Starch moisture (10% to 20%) had a negative effect on the interfacial binding between starch and PLA. The tensile strength and elongation of the blend both decreased as starch moisture content increased. At 20% moisture level, the starch granules embedded in the PLA matrix were observed to be swollen, resulting in poor strength properties and high water absorption by the blend.     

Degradation of Monophenylheptamethylcyclotetrasiloxane and 2,6-cis-Diphenylhexamethylcycloterasiloxane in Londo Soil

The natural degradation of monophenylheptamethylcyclotetrasiloxane and 2,6-cis-diphenylhexamethylcyclotetrasiloxane in soil was evaluated under laboratory conditions. Both monophenyl and 2,6-cis underwent rapid degradation in dry soil generating the same products in varying proportions. During the first 24 hr, approximately 99% of the two materials underwent significant chemical transformations forming silanols of various structures, dimethyl cyclic siloxanes of the structure (Me₂SiO)x, and rearrangement products (geometrical isomers) of diphenylhexamethylcyclotetrasiloxane. Among the silanols, the following were identified as trimethylsilyl derivatives: HOSiMe₂OH, HOSiMePhOH, HOSiMe₂OSiMe₂OH, HOSiMePhOSiMe₂OH, HOSiMePhOSiMePhOH, HOSiMe₂OSiMe₂OSiMe₂OH, HOSiMePhOSiMe₂OSiMe₂OH, HOSiMe₂OSiMePhOSiMe₂OH, HOSiMePhSiMe₂OSiMePhOH, HOSiMePhOSiMePhOSiMe₂OH, HOSiMePhOSiMe₂OSiMe₂OSiMe₂OH, HOSiMe₂OSiMePhOSiMe₂OSiMe₂OH, HOSiMePhOSiMe₂OSiMePhOSiMe₂OH, HOSiMePhOSiMePhOSiMe₂OSiMe₂OH, HOSiMePhOSiMe₂OSiMe₂OSiMePhOH, HOSiMe₂OSiMePh-OSiMePhOSiMe₂OH. Derivatization was carried out using bis(trimethylsilyl)trifluoroacetamide. Gas chromatography-mass spectrometry and liquid chromatography-mass spectrometry (atmospheric pressure chemical ionization) analyses were used to derive structures. Structures were confirmed by gas chromatography-mass spectrometry comparisons of synthetic standards. Degradation was slower in wet soil. Nevertheless, in 14 days, the chemical transformation was essentially found to be complete as soil was allowed to dry. Detection of phenol as one of the degradation products revealed the occurrence of carbon–silicon bond cleavage promoted by soil.     

The Characterisation of Settled Dust by Scanning Electron Microscopy and Energy Dispersive X-ray Analysis

Settled dust has been collected inside the main foyers ofthree University buildings in Wolverhampton City Centre,U.K. Two of the three buildings are located in a streetcanyon used almost exclusively by heavy duty dieselvehicles. The dust was collected on adhesive carbonspectro-tabs to be in a form suitable for analysis byscanning electron microscope and energy dispersive X-rayanalysis. Using these analytical techniques, individualparticle analysis was undertaken for morphology andchemistry. Seasonal variations and variations due tolocation were observed in both the morphologicalmeasurements and chemical analysis. Many of the differencesappear attributable to the influence of road traffic, inparticular, the heavy duty diesel vehicles, travellingalong the street canyon.     

Strategic Connectivity,Sustainable Development and the New English Regional Governance

This paper examines the institutional impacts of the new English regional sustainability framework and highlights the tension between the need for regional involvement and the central desire to control the debates and intentions of the regional actors. The paper argues that the regional sustainable development frameworks have been worth writing because they have had a strong demonstration effect: they have allowed regional chambers to become more proactive bodies independent of the regional development agencies (which chambers were created to scrutinize). They have also allowed pluralistic conceptions of sustainable regional development to develop in the English regions alongside the economistic perspectives of national policy makers.