Head Injury risk and car seat use for children in collisions

Background: Motor vehicle collisions (MVCs) are the leading cause of death for people under the age of 17 years. Almost 80% of rear seat motor vehicle passengers are children. Previous studies have shown that a large fraction of injuries to children in MVCs involved the head and chest. In this study, the hypothesis that children under the age of eight using a forward-facing child restraint system (FFCRS) will have more severe head injuries than children using any other type of restraints in an MVC was tested. Methods: Several datasets obtained from Transport Canada and Level 1 Pediatric Trauma Centre emergency and admission reports containing collision, occupant, and injury information were combined and trends were analyzed. Results: Investigations for 42 cases were analyzed (6 fatal / 36 non-fatal injury). Fourteen children had severe head injuries and five of those were fatal. All of those with severe head injuries were using FFCRSs. However, more than half were incorrectly used or installed, or not used at all (8/14). Discussion & Conclusion: Restraint misuse for child passengers leads to more severe head injuries in MVCs. FFCRSs that are properly used decrease risk of injury and death. Interdisciplinary Reflection: The findings from this study help to determine why younger children are injured more severely in crashes and whether these injuries are related to the type of restraint system used. This information can be used to create new CRS designs to prevent further injury as well as create treatment plans for the most common youth head injuries

Outpatient management of biliary colic: A prospective observational study of prescribing habits and analgesia effectiveness

AbstractBackgroundUncomplicated biliary colic presents a significant health and financial burden to hospitals and primary care services alike. There is little guidance on the correct analgesia to use on an outpatient basis. This study aimed to evaluate the effectiveness of oral analgesics on biliary colic pain and to explore the prescribing habits of community doctors.MethodsConsecutive patients with ultrasound proven symptomatic gallstones completed a questionnaire recording demographics and symptomatology. Pain was assessed using a visual analogue scale (VAS) based on the Biliary Symptom Score (BSS) to evaluate the effectiveness of various analgesic agents. Local General Practitioners were also surveyed to establish prescribing practices.ResultsCo-Codamol had the highest mean effectiveness VAS score (6.5/10). Patients with increased BMI, short symptom duration and a BSS >70 were most likely to suffer from severe pain. Patients in a subgroup with severe pain were most likely to have their pain reduced by NSAID analgesia compared to no NSAID (OR 2.20, p = 0.027). This effect remained significant upon multivariable regression (OR 2.52, p = 0.018) in a model containing age and NSAIDs. There was wide variation in the prescribing practice of GPs and hospital doctors.ConclusionsThe range of drugs prescribed for biliary colic is extensive with little evidence base. In this study NSAIDs were the most effective analgesia for patients with severe pain. In the absence of contraindications to their use, physician education or guidance emphasizing the benefits of NSAIDs may potentially reduce symptomatic hospital presentation and admissions for biliary colic

Quantum Statistical Mechanics of Nonrelativistic Membranes: Crumpling Transition at Finite Temperature

The effect of quantum fluctuations on a nearly flat, nonrelativistic two-dimensional membrane with extrinsic curvature stiffness and tension is investigated. The renormalization group analysis is carried out in first-order perturbative theory. In contrast to thermal fluctuations, which soften the membrane at large scales and turn it into a crumpled surface, quantum fluctuations are found to {\em stiffen} the membrane, so that it exhibits a Hausdorff dimension equal to two. The large-scale behavior of the membrane is further studied at finite temperature, where a nontrivial fixed point is found, signaling a crumpling transition.Comment: RevTex, 9 pages, 1 figur

Derivation of the effective action of a dilute Fermi gas in the unitary limit of the BCS-BEC crossover

The effective action describing the gapless Nambu-Goldstone, or Anderson-Bogoliubov, mode of a zero-temperature dilute Fermi gas at unitarity is derived up to next-to-leading order in derivatives from the microscopic theory. Apart from a next-to-leading order term that is suppressed in the BCS limit, the effective action obtained in the strong-coupling unitary limit is proportional to that in the weak-coupling BCS limit.Comment: 13 pages, no figures; v2: discussion of one-dimensional system and references adde

Model-Based Filtering of Combinatorial Test Suites

International audienceTobias is a combinatorial test generation tool which can efficiently generate a large number of test cases by unfolding a test pattern and computing all combinations of parameters. In this paper, we first propose a model-based testing approach where Tobias test cases are first run on an executable UML/OCL specification. This animation of test cases on a model allows to filter out invalid test sequences produced by blind enumeration, typically the ones which violate the pre-conditions of operations, and to provide an oracle for the valid ones. We then introduce recent extensions of the Tobias tool which support an incremental unfolding and filtering process, and its associated toolset. This allows to address explosive test patterns featuring a large number of invalid test cases, and only a small number of valid ones. For instance, these new constructs could mandate test cases to satisfy a given predicate at some point or to follow a given behavior. The early detection of invalid test cases improves the calculation time of the whole generation and execution process, and helps fighting combinatorial explosion

Clusters in the inner spiral arms of M51: the cluster IMF and the formation history

We study the cluster population in a region of 3.2x3.2 kpc^2 in the inner spiral arms of the intergacting galaxy M51, at a distance of about 1 to 3 kpc from the nucleus, based on HST--WFPC2 images taken through five broadband and two narrowband filters. We found 877 cluster candidates and we derived their ages, initial masses and extinctions by comparing their energy distribution with the Starburst99 cluster models. We describe the 3 and 2-dimensional least-square energy fitting method that was used (3DEF, 2DEF). The lack of [OIII] emission in even the youngest clusters with strong H-alpha emission, indicates the absence of the most massive stars and suggests a mass upper limit of about 25 to 30 solar masses. The mass versus age distribution of the clusters shows a drastic decrease in the number of clusters with age, which indicates that cluster disruption is occurring on a timescale of about 10 Myr for low mass clusters. The cluster initial mass function for clusters younger than 10 Myr has an exponent of alpha = 2.0 (+- 0.05) We derived the cluster formation history from clusters with an initial mass larger than 10^4 solar masses. There is no evidence for a peak in the cluster formation rate within a factor two at about 200 to 400 Myr ago, i.e. at the time of the interaction with the companion galaxy NGC 5194.Comment: 15 pages, 15 figures. Accepted for publication by Astronomy and Astrophysic

A Review of Controlling Motivational Strategies from a Self-Determination Theory Perspective: Implications for Sports Coaches

The aim of this paper is to present a preliminary taxonomy of six controlling strategies, primarily based on the parental and educational literatures, which we believe are employed by coaches in sport contexts. Research in the sport and physical education literature has primarily focused on coaches’ autonomysupportive behaviours. Surprisingly, there has been very little research on the use of controlling strategies. A brief overview of the research which delineates each proposed strategy is presented, as are examples of the potential manifestation of the behaviours associated with each strategy in the context of sports coaching. In line with self-determination theory (Deci & Ryan, 1985; Ryan & Deci, 2002), we propose that coach behaviours employed to pressure or control athletes have the potential to thwart athletes’ feelings of autonomy, competence,and relatedness, which, in turn, undermine athletes’ self-determined motivation and contribute to the development of controlled motives. When athletes feel pressured to behave in a certain way, a variety of negative consequences are expected to ensue which are to the detriment of the athletes’ well-being. The purpose of this paper is to raise awareness and interest in the darker side of sport participation and to offer suggestions for future research in this area

Debris disk size distributions: steady state collisional evolution with P-R drag and other loss processes

We present a new scheme for determining the shape of the size distribution, and its evolution, for collisional cascades of planetesimals undergoing destructive collisions and loss processes like Poynting-Robertson drag. The scheme treats the steady state portion of the cascade by equating mass loss and gain in each size bin; the smallest particles are expected to reach steady state on their collision timescale, while larger particles retain their primordial distribution. For collision-dominated disks, steady state means that mass loss rates in logarithmic size bins are independent of size. This prescription reproduces the expected two phase size distribution, with ripples above the blow-out size, and above the transition to gravity-dominated planetesimal strength. The scheme also reproduces the expected evolution of disk mass, and of dust mass, but is computationally much faster than evolving distributions forward in time. For low-mass disks, P-R drag causes a turnover at small sizes to a size distribution that is set by the redistribution function (the mass distribution of fragments produced in collisions). Thus information about the redistribution function may be recovered by measuring the size distribution of particles undergoing loss by P-R drag, such as that traced by particles accreted onto Earth. Although cross-sectional area drops with 1/age^2 in the PR-dominated regime, dust mass falls as 1/age^2.8, underlining the importance of understanding which particle sizes contribute to an observation when considering how disk detectability evolves. Other loss processes are readily incorporated; we also discuss generalised power law loss rates, dynamical depletion, realistic radiation forces and stellar wind drag.Comment: Accepted for publication by Celestial Mechanics and Dynamical Astronomy (special issue on EXOPLANETS

Anthropogenic Space Weather

Anthropogenic effects on the space environment started in the late 19th century and reached their peak in the 1960s when high-altitude nuclear explosions were carried out by the USA and the Soviet Union. These explosions created artificial radiation belts near Earth that resulted in major damages to several satellites. Another, unexpected impact of the high-altitude nuclear tests was the electromagnetic pulse (EMP) that can have devastating effects over a large geographic area (as large as the continental United States). Other anthropogenic impacts on the space environment include chemical release ex- periments, high-frequency wave heating of the ionosphere and the interaction of VLF waves with the radiation belts. This paper reviews the fundamental physical process behind these phenomena and discusses the observations of their impacts.Comment: 71 pages, 35 figure

UV-B absorbing pigments in spores: biochemical responses to shade in a high-latitude birch forest and implications for sporopollenin-based proxies of past environmental change

Current attempts to develop a proxy for Earth’s surface ultraviolet-B (UV-B) flux focus on the organic chemistry of pollen and spores because their constituent biopolymer, sporopollenin, contains UV-B absorbing pigments whose relative abundance may respond to the ambient UV-B flux. Fourier transform infrared (FTIR) microspectroscopy provides a useful tool for rapidly determining the pigment content of spores. In this paper, we use FTIR to detect a chemical response of spore wall UV-B absorbing pigments that correspond with levels of shade beneath the canopy of a high-latitude Swedish birch forest. A 27% reduction in UV-B flux beneath the canopy leads to a significant (p<0.05) 7.3% reduction in concentration of UV-B absorbing compounds in sporopollenin. The field data from this natural flux gradient in UV-B further support our earlier work on sporopollenin-based proxies derived from sedimentary records and herbaria collections