An international comparison of governmental disclosure of hydrocarbon spills from offshore oil and gas installations.

The cumulative effect of accidental spills from oil and gas extraction in the marine environment can have significant impacts on marine wildlife. Oil and gas operators are typically required to report spill data as part of a regulatory process. We conducted a survey of the public disclosure of hydrocarbon spill data for four countries, Australia, Canada, United Kingdom and United States. There was significant variation in the spill data statistics that were publicly reported by the regulators. No country provided full disclosure of spill data or follow-up actions taken by the regulator on their website. The lack of disclosure of spill data is of concern because the scale of environmental effects is more difficult to assess, insufficient information is available to assess the accuracy of predictions made in the environmental assessment process, and without consistency of spill reporting there is no method to compare regional differences of spill rates.

The effect of medial collateral ligament repair tension on elbow joint kinematics and stability.

PURPOSE: Medial collateral ligament (MCL) repair is commonly performed for the management of acute or subacute instability after elbow dislocations and fracture-dislocations. The effectiveness of transosseous repair of the MCL, as is typically performed clinically, in restoring the normal kinematics and stability of the elbow is of interest as is the effect of MCL tensioning on the initial stability of the elbow. The purpose of this study was to determine whether suture repair of the MCL is able to restore the normal kinematics and stability of the elbow and to determine the optimal initial MCL repair tension. METHODS: Six cadaveric upper extremities were mounted in an upper limb joint simulator. Simulated active and passive elbow flexion was generated while the kinematics were measured with the arm in the dependent and the valgus gravity-loaded orientations. After testing the intact elbow, the MCL was released at its humeral attachment and repaired using a transosseous suture technique at three different repair tensions: 20, 40, and 60 N. RESULTS: Medial collateral ligament repair using a transosseous suture technique restored the kinematics and stability of the MCL-deficient elbow. Motion pathways were affected by the magnitude of initial MCL tension. For all arm orientations and forearm positions, the 20-N and 40-N repairs were not statistically different from each other or from the intact MCL. The 60-N repairs, however, were often statistically different than the other groups, suggesting an overtightening that tended to pull the ulna into a varus position-especially in the midrange of flexion. CONCLUSIONS: These data suggest that MCL repair using transosseous sutures provide adequate joint stability to permit early motion. There is a broad range of acceptable tensions for MCL repair, which is a favorable, clinically relevant finding. Clinical studies are needed to validate these in vitro results.