Using data linkage to assess the impact of motorized recreational vehicle-related injuries in Ohio

Problem

Motorized recreational vehicle (MRV)-related injuries can result in severe medical and financial consequences. The objective of this study was to describe the epidemiology, and clinical and financial impact of MRV-related injuries in Ohio.

Method

Probabilistically linked statewide Emergency Medical Services (EMS) and hospital (inpatient and emergency department) data for 2003 and 2004 were examined. Record pairs with a MRV-related E-code (E821-E823, E825) were included in this study.

Results

There were 2,893 patients with MRV-related injuries, who had linked EMS and hospital records, resulting in more than $15 million in hospital charges and 1,921 inpatient days of hospitalization. The male-to-female ratio was nearly 4:1, and 19% were younger than 16. Almost 82% of cases were not wearing a helmet; there was a trend of decreasing helmet use with increasing age. Mean (SE) inpatient hospital charges and length of stay (LOS) were $22,218 ($1,290) and 3.8 (0.2) days, respectively. The mean (SE) Injury Severity Score (ISS) for inpatients was 9.2 (0.4). Individuals injured on a street/highway were 3.20 times more likely to sustain an ISS ≥ 16 (95% CI: 1.03, 9.88; p = 0.044) and 3.05 times more likely to sustain a traumatic brain injury (TBI) (95% CI: 1.17, 7.94; p = 0.024) than those who were injured at a place designated for sport or recreation. Children aged 12 to 15 and young adults aged 16 to 25 were 2.47 and 2.14 times more likely, respectively, to sustain a TBI than adults aged 36 or older (aged 12 to 15: 95% CI: 1.13, 5.38; p = 0.024; aged 16 to 25: 95% CI: 1.26, 3.64; p = 0.005). Higher ISS was associated with both higher total charges (p < 0.001) and longer LOS (p < 0.001).

Discussion

This study demonstrates that MRV-related injuries are an important public health problem in Ohio, with a substantial clinical and financial impact.

Impact on Industry

Enactment and enforcement of statewide MRV safety legislation and training of MRV users offer valuable opportunities to prevent these costly injuries.     

The Great Lake’s future at a cross road

Some argue that a collective vision for the future of the Laurentian Great Lakes is embodied in the␣Great Lakes Water Quality Agreement (GLWQA). The GLWQA is a binational agreement, first signed in 1972 by Prime Minister Pierre Trudeau and President Richard Nixon, wherein the two countries (the Parties) commit to “restore and maintain the chemical, physical and biological integrity of the waters of the Great Lakes Basin Ecosystem.” Article X of the Agreement states that the Parties shall conduct a comprehensive review of the operation and effectiveness of this Agreement following every third biennial report of the [International Joint] Commission (IJC). The IJC’s 12th Biennial Report, released in 2004, triggered this important science, program, and policy review which commenced May 2006. This essay makes the case for a rigorous review, that explores deliberately the future scope of the Agreement to protect the world’s largest surface freshwater resource, and calls for innovation in the governance regime of this binational ecosystem.     

案例城市环境基本公共服务与现状比较研究

日益严重的环境问题带来了越来越多的关注度,同时,以为公众提供良好的环境质量为目标的环境基本公共服务,也逐步进入人们的视野。环境基本公共服务是由政府或主要由政府提供的,保障公民最基本的环境权益的服务,包括环境基本公共硬服务和软服务两大方面,其内涵主要由公众、政府、相关企业三方之间的相互供求关系而决定。以环境基本公共服务的具体承载单元———城市为依托进行案例研究,选取纽约、新加坡、广州三所城市进行环境基本公共服务现状对比,结合中国环境基本公共服务外延性不足和无差别受益性两大特点,为中国加强环境基本公共服务水平提供建设性意见。     

A fungal perspective on conservation biology

Hitherto fungi have rarely been considered in conservation biology, but this is changing as the field moves from addressing single species issues to an integrative ecosystem‐based approach. The current emphasis on biodiversity as a provider of ecosystem services throws the spotlight on the vast diversity of fungi, their crucial roles in terrestrial ecosystems, and the benefits of considering fungi in concert with animals and plants. We reviewed the role of fungi in ecosystems and composed an overview of the current state of conservation of fungi. There are 5 areas in which fungi can be readily integrated into conservation: as providers of habitats and processes important for other organisms; as indicators of desired or undesired trends in ecosystem functioning; as indicators of habitats of conservation value; as providers of powerful links between human societies and the natural world because of their value as food, medicine, and biotechnological tools; and as sources of novel tools and approaches for conservation of megadiverse organism groups. We hope conservation professionals will value the potential of fungi, engage mycologists in their work, and appreciate the crucial role of fungi in nature. Una Perspectiva Micótica de la Biología de la Conservación     

Response to environmental flows in the lower Tarim River, Xinjiang, China: ground water

In China's west since the 1950s large-scale ecosystem degeneration has occurred through water diversions for agricultural purposes. Since 2000, 1038 x 10(6) m(3) of water have been released into the Tarim River with the result that water reached the terminal Taitema Lake for the first time in 30 years. This environmental flow raised water-table levels along 350 km of the river. To assess the response of the water-table, a comparison "pristine" site is compared with downstream monitored sites. The results show huge changes in water-table levels. The study verifies that the water-table is extremely responsive to environmental flows, that strong internal similarities exist along the length of the river, and that the effect on the water-table and hence likely riparian vegetation recovery can be tentatively predicted. The actual impacts of the restoration strategy are less than those originally expected politically, socially and within the scientific community. We make recommendations on more effective release strategies.     

Assessment of the Water Quality and Ecosystem Health of the Great Barrier Reef (Australia): Conceptual Models

Run-off containing increased concentrations of sediment, nutrients, and pesticides from land-based anthropogenic activities is a significant influence on water quality and the ecologic conditions of nearshore areas of the Great Barrier Reef World Heritage Area, Australia. The potential and actual impacts of increased pollutant concentrations range from bioaccumulation of contaminants and decreased photosynthetic capacity to major shifts in community structure and health of mangrove, coral reef, and seagrass ecosystems. A detailed conceptual model underpins and illustrates the links between the main anthropogenic pressures or threats (dry-land cattle grazing and intensive sugar cane cropping) and the production of key contaminants or stressors of Great Barrier Reef water quality. The conceptual model also includes longer-term threats to Great Barrier Reef water quality and ecosystem health, such as global climate change, that will potentially confound direct model interrelationships. The model recognises that system-specific attributes, such as monsoonal wind direction, rainfall intensity, and flood plume residence times, will act as system filters to modify the effects of any water-quality system stressor. The model also summarises key ecosystem responses in ecosystem health that can be monitored through indicators at catchment, riverine, and marine scales. Selected indicators include riverine and marine water quality, inshore coral reef and seagrass status, and biota pollutant burdens. These indicators have been adopted as components of a long-term monitoring program to enable assessment of the effectiveness of change in catchment-management practices in improving Great Barrier Reef (and adjacent catchment) water quality under the Queensland and Australian Governments’ Reef Water Quality Protection Plan.     

A General Equilibrium Model of Ecosystem Services in a River Basin

This study builds a general equilibrium model of ecosystem services, with sectors of the economy competing for use of the environment. The model recognizes that production processes in the real world require a combination of natural and human inputs, and understanding the value of these inputs and their competing uses is necessary when considering policies of resource conservation. We demonstrate the model with a numerical example of the Mississippi‐Atchafalaya river basin, in which grain production in the upper basin causes hypoxia that causes damages to the downstream fishing industry. We show that the size of damages is dependent on both environmental and economic shocks. While the potential damages to fishing are large, most of the damage occurs from economic forces rather than a more intensive use of nitrogen fertilizers. We show that these damages are exacerbated by increases in rainfall, which will likely get worse with climate change. We discuss welfare effects from a tax on nitrogen fertilizers and investments in riparian buffers. A 3% nitrogen tax would reduce the size of the hypoxic zone by 11% at a cost of 2% of Iowa's corn output. In comparison, riparian buffers are likely to be less costly and more popular politically.     

长江三角洲生产性服务业的空间分布特征分析

在国家层面,生产性服务业向大都市地区聚集的趋势十分明显;在地区层面,生产性服务业在都市核心区集群化发展日益凸显。长三角地区生产性服务业发展不平衡,总体上初步形成了以上海生产性服务业与其他城市现代制造业相互促进的发展局面,产业之间的联系更加紧密,横向联系日益加强,推动着长三角地区产业竞争力和区域竞争力的提升。     

Motivations for Conserving Urban Biodiversity

Abstract: In a time of increasing urbanization, the fundamental value of conserving urban biodiversity remains controversial. How much of a fixed budget should be spent on conservation in urban versus nonurban landscapes? The answer should depend on the goals that drive our conservation actions, yet proponents of urban conservation often fail to specify the motivation for protecting urban biodiversity. This is an important shortcoming on several fronts, including a missed opportunity to make a stronger appeal to those who believe conservation biology should focus exclusively on more natural, wilder landscapes. We argue that urban areas do offer an important venue for conservation biology, but that we must become better at choosing and articulating our goals. We explored seven possible motivations for urban biodiversity conservation: preserving local biodiversity, creating stepping stones to nonurban habitat, understanding and facilitating responses to environmental change, conducting environmental education, providing ecosystem services, fulfilling ethical responsibilities, and improving human well‐being. To attain all these goals, challenges must be faced that are common to the urban environment, such as localized pollution, disruption of ecosystem structure, and limited availability of land. There are, however, also challenges specific only to particular goals, meaning that different goals will require different approaches and actions. This highlights the importance of specifying the motivations behind urban biodiversity conservation. If the goals are unknown, progress cannot be assessed.     

Is climate-smart conservation feasible in Europe? Spatial relations of protected areas,soil carbon,and land values

The expectations on protected areas to deliver not only biodiversity conservation but also to provide an array of different ecosystem services rise. Sequestration and storage of carbon are promising services that protected areas may provide. This study integrates spatially explicit data on terrestrial Natura 2000 sites, soil organic carbon, and agricultural land values to estimate the potential for climate-smart conservation planning in the European Union. The objectives of this study are to analyse spatial relations between protected areas soil carbon content, and land values on the European Union's land area as well as to locate and quantify the proportion of land with high carbon and low economic value within and outside protected areas. We apply a unique interdisciplinary framework with methods ranging from analyses based on geographical information systems, agricultural economics to statistics. Findings indicate that there is a significant overlap between Natura 2000 sites and regions with high carbon content across Europe. Statistical analyses show that carbon-rich regions have significantly lower land values than other areas. Our results suggest that biodiversity protection and mitigation of climate change through conservation of soil carbon could be simultaneously achieved in Europe's protected areas and beyond. We conclude that there is a notable potential for climate-smart conservation in Europe that needs further investigation.