Trends in head injuries associated with mandatory bicycle helmet legislation targeting children and adolescents

Background

Bicycling related head injuries (HIs) can be severe. Helmet use reduces head injury risk; however, there are few controlled studies of the effect of helmet legislation. We conducted this study to investigate changes in HIs after bicycle helmet legislation targeting those <18 in Alberta, Canada in 2002.

Methods

Bicyclist and pedestrian (control) HI rates and HIs as a proportion of all injuries were compared for the three years (1999–2001) before and four years (2003–2006) after bicycle helmet legislation in three age groups (children: <13, adolescents: 13–17, and adults: 18+).

Results

There were 41,270 ED visits and 2782 hospitalizations for bicyclists and 9836 ED visits and 2029 hospitalizations for pedestrians (excluding the legislation year 2002). The rate of ED HIs declined for child bicyclists and child pedestrians, while the rate of non-HIs declined in adult bicyclists and child pedestrians. The rate of hospitalized HIs declined in child bicyclists and all ages of pedestrians while non-HI rates declined for child and adult pedestrians. Non-HI rates for adolescent and adult bicyclists increased. After adjusting for sex and location, the proportion of ED bicycle HIs declined by 9% (APR = 0.91; 95% CI: 0.86, 0.95) in children, was unchanged among adolescents and increased in adults (APR = 1.08; 95% CI: 1.01, 1.15). The proportion of bicycle HI related hospitalizations decreased by 30% (APR = 0.70; 95% CI: 0.55, 0.90) in children, 36% (APR = 0.64; 95% CI: 0.49, 0.84) in adolescents and 24% (APR = 0.76; 95% CI: 0.63, 0.91) in adults. There were no observed changes in the proportion of pedestrian HIs resulting in ED visits or hospitalizations.

Interpretation

Our data indicate significant declines in the proportion of child bicyclist ED HIs and child, adolescent and adult bicyclist HI hospitalizations. This is in contrast to no significant trends in the proportion of ED or hospitalized HIs among pedestrians and the unexpected increases in the proportion of ED HIs for adult bicyclists. Comparing bicyclist and pedestrian trends in the proportion of child and adolescent HIs suggests a bicycle helmet legislation effect.     

Fullerenes and Nanotubes from Coal

Abstract

Graphite has normally been used to synthesise fullerenes and nanotubes. However, coal is a cheaper and more suitable industrial material. Because coal is a molecular solid, unlike graphite, the mechanism by which fullerene and nanotubes are formed is different. Moreover, other products such as polyaromatic hydrocarbons (PAHs) and microfibres are also formed. In this review, the mechanism of formation of fullerene and nanotubes from coal is discussed. It is shown that the pathway involved is other than through the C₁ intermediate route. The influence of other elements in coal such as hydrogen, oxygen, sulfur and iron is also discussed. It appears that, hydrogen, oxygen, iron and sulfur affect the yield and type of fullerenes and nanotubes formed.     

Room Temperature Shear Band Development in Highly Twinned Wrought Magnesium AZ31B Sheet

Failure mechanisms were studied in wrought AZ31B magnesium alloy after forming under different strain paths. Optical micrographs were used to observe the shear band formation and regions of high twin density in samples strained under uniaxial, biaxial, and plane strain conditions. Interrupted testing at 4?pct effective strain increments, until failure, was used to observe the evolution of the microstructure. The results showed that shear bands, with a high percentage of twinned grains, appeared early in the samples strained under biaxial or plane strain tension. These bands are similar to those seen in uniaxial tension specimens just prior to failure where the uniaxial tensile ductility was much greater than that observed for plane strain or biaxial tension conditions. A forming limit diagram for AZ31B, which was developed from the strain data, showed that plane strain and biaxial tension had very similar limit strains; this contrasts with materials like steel or aluminum alloys, which typically have greater ductility in biaxial tension compared to plane strain tension.     

Microstructures and Mechanical Properties of Ti6Al4V Parts Fabricated by Selective Laser Melting and Electron Beam Melting

This work compares two metal additive manufacturing processes, selective laser melting (SLM) and electron beam melting (EBM), based on microstructural and mechanical property evaluation of Ti6Al4V parts produced by these two processes. Tensile and fatigue bars conforming to ASTM standards were fabricated using Ti6Al4V ELI grade material. Microstructural evolution was studied using optical and scanning electron microscopy. Tensile and fatigue tests were carried out to understand mechanical properties and to correlate them with the corresponding microstructure. The results show differences in microstructural evolution between SLM and EBM processed Ti6Al4V and their influence on mechanical properties. The microstructure of SLM processed parts were composed of an α′ martensitic phase, whereas the EBM processed parts contain primarily α and a small amount of β phase. Consequently, there are differences in tensile and fatigue properties between SLM- and EBM-produced Ti6Al4V parts. The differences are related to the cooling rates experienced as a consequence of the processing conditions associated with SLM and EBM processes.     

Epidemiology of bicycle injuries in 13 health divisions, Islamic Republic of Iran 2003

Bicyclists are vulnerable road users for severe injury all over the world. The nature and extent of such injuries are less well known in Iran. Using data from a comprehensive survey conducted by the Ministry of Health and Medical Education in 13 health divisions of Iran, in 2003, we examined circumstances around bicyclist injury and death. Trained health workers completed the survey instruments by interviewing patients who stayed more than 24h in hospitals and/or relatives, hospital personnel and by reviewing patient charts. Data were cross-matched with medico-legal documents to prevent missing deaths. The information that was collected from 64 cities/towns' emergency departments (EDs), over the study period, showed that 440 injured cyclists were hospitalized and/or died due to traffic collisions. Most injuries occurred in males (94.8%) and in the young (median age: 14 years with 75% 相似文献   

Water-Compatible Lewis Acid-Catalyzed Conversion of Carbohydrates to 5-Hydroxymethylfurfural in a Biphasic Solvent System

Water-compatible lanthanide-based Lewis acids for the efficient conversion of glucose and other carbohydrates to produce 5-hydroxymethylfurfural (HMF) were demonstrated in a biphasic reactor using sec-butyl phenol as the extracting solvent. The reaction of glucose dehydration to HMF was found to proceed under near-neutral conditions (pH?=?5.5) and a moderately high yield of 42?mol?% could be obtained. The combined catalytic system also showed effectiveness to convert other polysaccharides to HMF. Furthermore, the aqueous phase was recycled and used for multiple times without significant loss of catalytic performance.     

Phenotypic and genetic characterization of antimicrobial resistance in Salmonella serovars isolated from retail meats in Alberta, Canada

This study determined the prevalence of Salmonella serovars, antimicrobial resistance (AMR) and resistance genes in Salmonella isolated from retail meats purchased in Alberta, Canada. Samples were collected during one year period (May 2007–April 2008) on weekly basis from 19 census divisions in Alberta. A total of 564 samples including chicken (n = 206), turkey (n = 91), beef (n = 134) and pork (n = 133) were purchased. Salmonella were recovered from chicken (40%), turkey (27%) and pork (2%) samples and was not found in ground beef. A total of 21, 8, and 3 different serovars were recovered from chicken, turkey and pork meats, respectively. Salmonella Hadar was most common in chicken whereas S. Heidelberg was common in turkey meat. Overall 29% (32/110) of isolates were susceptible to tested antimicrobials and resistance to ciprofloxacin, amikacin and nalidixic acid was not found in any isolate. Multiresistance (≥2 antimicrobials) was found in 56% of isolates. Resistance to amoxicillin–clavulanic acid (AMC), ceftiofur (TIO), and ceftriaxone (CRO) was found in about 21% of chicken and 25% of turkey isolates. Resistance to either of tetracycline (TET), streptomycin (STR) or ampicillin (AMP) was unconditionally associated with S. Hadar but resistance to either of TET, AMP, AMC, TIO, CRO or cefoxitin was associated with S. Heidelberg. The strA/B (42% isolates), tet(A) (28% isolates), bla_CMY-2 (21% isolates) and bla_TEM (17% isolates) were the most common resistance genes found. The bla_CMY-2 and bla_TEM genes were unconditionally associated with S. Heidelberg; tet(A) and strA/B with S. Hadar and tet(B) gene with S. Kentucky. The strA/B genes were not associated with S. Heidelberg. Our data suggests that the prevalence of Salmonella serovars varied by the meat type and that AMR and resistance genes varied by the Salmonella serovars.     

Molecular characterization of dissolved organic matter in glacial ice: coupling natural abundance 1H NMR and fluorescence spectroscopy

Glaciers and ice sheets are the second largest freshwater reservoir in the global hydrologic cycle, and the onset of global climate warming has necessitated an assessment of their contributions to sea-level rise and the potential release of nutrients to nearby aquatic environments. In particular, the release of dissolved organic matter (DOM) from glacier melt could stimulate microbial activity in both glacial ecosystems and adjacent watersheds, but this would largely depend on the composition of the material released. Using fluorescence and (1)H NMR spectroscopy, we characterize DOM at its natural abundance in unaltered samples from a number of glaciers that differ in geographic location, thermal regime, and sample depth. Parallel factor analysis (PARAFAC) modeling of DOM fluorophores identifies components in the ice that are predominantly proteinaceous in character, while (1)H NMR spectroscopy reveals a mixture of small molecules that likely originate from native microbes. Spectrofluorescence also reveals a terrestrial contribution that was below the detection limits of NMR; however, (1)H nuclei from levoglucosan was identified in Arctic glacier ice samples. This study suggests that the bulk of the DOM from these glaciers is a mixture of biologically labile molecules derived from microbes.     

Colloid transport in dolomite rock fractures: effects of fracture characteristics, specific discharge, and ionic strength

The effects of fracture characteristics, specific discharge, and ionic strength on microsphere transport in variable-aperture dolomite rock fractures were studied in a laboratory-scale system. Fractures with different aperture distributions and mineral compositions were artificially created in two dolomite rock blocks. Transport tests were conducted with bromide and carboxylate-modified latex microspheres (20, 200, and 500 nm diameter). Under overall unfavorable attachment conditions, there was significant retention of the 20 nm microsphere and minimal retention of the 500 nm microsphere for all conditions examined. Aperture variability produced significant spatial variation in colloid transport. Flushing with low ionic strength solution (1 mM) following microsphere transport at 12 mM ionic strength solution produced a spike in effluent microsphere concentrations, consistent with retention of colloids in secondary energy minima. Surface roughness and charge heterogeneity effects may have also contributed to the effect of microsphere size on retention. Matrix diffusion influenced bromide transport but was not a dominant factor in transport for any microsphere size. Calibrated one-dimensional, two-site kinetic model parameters for colloid transport in fractured dolomite were sensitive to the physical and chemical properties of both the fractured dolomite and the colloids, indicating the need for mechanistic modeling for accurate prediction.