Evaluating Child Passenger Restraint Use Education.

BACKGROUND: Despite recommendations and laws for child restraint use in motor vehicles, evidence of low restraint use remains, and there is a lack of evidence addressing the effectiveness of restraint use education. OBJECTIVE: This project aims to measure the impact of an education initiative on child passenger restraint use. METHODS: This pre- and postintervention study was conducted in six elementary schools in a Southwestern U.S. metropolitan area over 5 months from October 2022 to March 2023. Motor vehicle restraint use was collected from occupants arriving at elementary schools during the morning drop-off times. Participants were provided one-on-one education regarding child passenger safety guidelines and state laws. Comparison data were collected 1-3 weeks later at the same schools to evaluate the education provided. RESULTS: A total of 1,671 occupants in 612 vehicles were observed across six schools, with 343 adults and 553 children preintervention and 306 adults and 469 children postintervention. Overall restraint adherence in children improved postintervention from 42.3% to 56.1%, a 32.6% increase (p = < .001). In the primary age group of 4-8 years, restraint adherence improved postintervention from 34.8% to 54.2%, a 55.8% increase (p = <.001). CONCLUSIONS: The study results demonstrate that one-on-one education increases child passenger restraint use.

Possible osteosarcoma reported from a new world elapid snake and review of reptilian bony tumors.

Cancer chiefly occurs in vertebrates. Rare in amphibians, and perhaps common in reptiles, various neoplasms and malignant cancers have been reported with erratic frequency by museums, paleontologists, veterinarians, and pet hobbyists. Unsurprisingly, most herpetofaunal diversity has never been systematically surveyed for the presence of neoplasms owing to the extreme rarity or obscurity of many species. Museum collections can fill these gaps in knowledge, especially when researchers use non-destructive techniques. In this study, we used X-ray computed tomography (CT) to discover and characterize a possible osteosarcoma of the spine in a rare South American coralsnake, Micrurus ancoralis. Two spinal vertebrae were completely fused and adjacent vertebrae showed evidence of corruption. The fused vertebrae contained a hollow inner network thought to be vascular tissue. We also review previous reports of neoplasms in the Elapidae and all bony neoplasms in non-avian reptiles. The rarely reported technique of X-ray CT for tumor discovery could greatly improve our understanding of the species diversity and perhaps underlying causes of neoplasia.