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.     

Does globalization and energy usage influence carbon emissions in South Asia? An empirical revisit of the debate

Environmental Science and Pollution Research - The 2030 United Nations Sustainable Development Goal (SDG) 13 agenda hinges on attaining a sustainable environment with the need to “take urgent...     

Isolation and characterisation of antibiotic producing microorganisms in composted Nigerian soil

Compost samples obtained from different locations within the premises of the university of Lagos were analysed to determine the presence and types of antibiotic-producing bacteria, fungi and actinomycetes using nutrient agar, potato Dextrose agar and starch casein nitrate agar respectively as culture media. A variety of bacteria were isolated and these included Staphylococcus aureus, B. subtilis, B. pumilis, B. lactesporus, B. megaterium, B. pulvifaciens, B. licheniformis, Streptococus spp., Corynebacterium spp. and E. coli. The fungal isolates encountered were Aspergillus niger, A. flarus, T. viridae, P. chrysogenum, P. pinofylum and Absida spp., while the following actinomycetes were identified: Norcadia spp., Micromonospora spp., Streptomyces scabies, S. reticuli and S. hygroscopicus. When these organisms were screened for antibiosis, the following species were found to be antibiotic producers: B. licheniformis, B. subtilis, Penicillium chrysogenum, Streptomyces reticuli, S. hygroscopicus and Micromonospora spp. The fungus Penicillium chrysogenum had the highest rate of antibiotic production with an inhibitory zone width of 17mm while Trichoderma viridae produced toxins lytic to other fungal hyphae.     

Effect of some herbicides used in Nigeria on Rhizobium phaseoli, Azotobacter vinelandii and Bacillus subtilis

The effect of three herbicides namely Agroxone, Atranex 50SC and 2,4-Damine on Azotobacter vinelandii, Rhizobium phaseoli and Bacillus subtilis were studied. These bacteria were isolated from a bean-garden in Lagos. The results revealed that 2, 4-Damine was the most toxic of the three herbicides studied and Azotobacter vinelandii was found to be most sensitive to the herbicides. There was a reduction in LC50 of herbicides with increased number of days. The percentage survival decreased with increased concentration of herbicides and days for Rhizobium phaseoli and Azotobacter vinelandii while an initial reduction in population was followed by increased percentage survival of organisms for Bacillus subtilis.     

An investigation into the anthropogenic nexus among consumption of energy,tourism, and economic growth: do economic policy uncertainties matter?

Environmental Science and Pollution Research - Global warming has been a pressing issue for the past decade as various economic activities have been flagged and are expected to reduce emissions....     

Physicochemical and microbiological assessment of Oko-oba--a Nigerian abattoir

The physicochemical and microbiological assessments of Oko-oba abattoir were carried out during dry and wet season to determine whether the waste discharges are within tolerable limits. All the physicochemical parameters studied showed seasonal variations. Higher temperature and lower pH values were recorded during the dry season than wet season. Similarly, the BOD of wastewater from the slab decreases from 10000 mg/ml during the dry season to 6000 mg/ml in the wet season. Conversely, the BOD of the final waste discharge was 4000 mg/ml during the dry season and 3,500 mg/ml during the wet season. The COD showed similar trend, with values ranging from 12,200 to 18,500 mg/ml depending on the season. The suspended solid values ranged from 1200 to 1950 mg/ml. The phosphate and nitrate ions were in the range of 41-75 mg/l and 22.5- 960 mg/ml respectively. Heavy metals detected were Chromium at 104 -114 mg/ml, Copper 16 -75 mg/ml and Iron 55- 114 mg/ml. The following bacteria species were also encountered: B. cereus, E. coli, P. aeruginosa, S. aureus, S. faecalis, S. lactis, Micrococcus sp, A. aerogenes, P. vulgaris, and S. typhi. The results showed significantly high level of pollutants in the waste discharged.     

Exploring the nature of EKC hypothesis in Asia’s top emitters: role of human capital,renewable and non-renewable energy consumption

Environmental Science and Pollution Research - The present study uses both carbon dioxide emission and ecological footprints as proxies for environmental degradation to examine the environmental...