Objective: There have been substantial reductions in motor vehicle crash–related child fatalities due to advances in legislation, public safety campaigns, and engineering. Less is known about non-traffic injuries and fatalities to children in and around motor vehicles. The objective of this study was to describe the frequency of various non-traffic incidents, injuries, and fatalities to children using a unique surveillance system and database.
Methods: Instances of non-traffic injuries and fatalities in the United States to children 0–14 years were tracked from January 1990 to December 2014 using a compilation of sources including media reports, individual accounts from families of affected children, medical examiner reports, police reports, child death review teams, coroner reports, medical professionals, legal professionals, and other various modes of publication.
Results: Over the 25-year period, there were at least 11,759 events resulting in 3,396 deaths. The median age of the affected child was 3.7 years. The incident types included 3,115 children unattended in hot vehicles resulting in 729 deaths, 2,251 backovers resulting in 1,232 deaths, 1,439 frontovers resulting in 692 deaths, 777 vehicles knocked into motion resulting in 227 deaths, 415 underage drivers resulting in 203 deaths, 172 power window incidents resulting in 61 deaths, 134 falls resulting in 54 deaths, 79 fires resulting in 41 deaths, and 3,377 other incidents resulting in 157 deaths.
Conclusions: Non-traffic injuries and fatalities present an important threat to the safety and lives of very young children. Future efforts should consider complementary surveillance mechanisms to systematically and comprehensively capture all non-traffic incidents. Continued education, engineering modifications, advocacy, and legislation can help continue to prevent these incidents and must be incorporated in overall child vehicle safety initiatives. 相似文献
Devils Lake is a terminal lake located in northeast North Dakota. Because of its glacial origin and accumulated salts from evaporation, the lake has a high concentration of sulfate compared to the surrounding water bodies. From 1993 to 2011, Devils Lake water levels rose by ~10 m, which flooded surrounding communities and increased the chance of an overspill to the Sheyenne River. To control the flooding, the State of North Dakota constructed two outlets to pump the lake water to the river. However, the pumped water has raised concerns about of water quality degradation and potential flooding risk of the Sheyenne River. To investigate these perceived impacts, a Soil and Water Assessment Tool (SWAT) model was developed for the Sheyenne River and it was linked to a coupled SWAT and CE‐QUAL‐W2 model that was developed for Devils Lake in a previous study. While the current outlet schedule has attempted to maintain the total river discharge within the confines of a two‐year flood (36 m3/s), our simulation from 2012 to 2018 revealed that the diversion increased the Sheyenne River sulfate concentration from an average of 125 to >750 mg/L. Furthermore, a conceptual optimization model was developed with a goal of better preserving the water quality of the Sheyenne River while effectively mitigating the flooding of Devils Lake. The optimal solution provides a “win–win” outlet management that maintains the efficiency of the outlets while reducing the Sheyenne River sulfate concentration to ≤600 mg/L. 相似文献
This study investigated the levels, sources and ecological risks of 16 polycyclic aromatic hydrocarbons (PAHs) in two sediment cores that were collected along the Huaxi Reservoir. The spatial distributions and residue levels of the 16 priority PAHs in the sediments from the Huaxi Reservoir were analyzed for their potential ecological risk, source apportionment and contribution to the total PAH residue. The concentration level of the total PAHs (TPAHs) was in the range 1805 ng·g?1 to 20023 ng·g?1 based on dry weight, and the content of PAHs in the Huaxi Reservoir exhibited a gradual upward trend. The PAH congener ratios fluoranthene/(fluoranthene + pyrene) and indeno[1, 2, 3-cd]pyrene/(indeno[1, 2, 3-cd]pyrene + benzo[g, h, i]perylene) were used to identify the source. The main source of the low molecular weight PAHs was wood and coal combustion, whereas the high molecular weight PAHs were primarily from petroleum combustion sources. The results of an ecological risk assessment demonstrated that ACE poses a potential ecological risk, while FLU, NAP, ANT, BaP, DBA, PHEN and PYR can have serious ecological risks. 相似文献
In this paper, the inventory-routing problem is studied for a closed-loop supply chain. This closed-loop supply chain considers suppliers, manufacturers, whole-sellers, and disposal centers. To formulate this problem, a mixed integer linear programming model is proposed. This mathematical model minimizes the total costs of the supply chain, including the fixed and variable costs of vehicles, and holding inventory costs of final products and scraps. The proposed model considers the road roughness degree, multi-path setting and the heterogeneous fleet of vehicles, which increases its flexibility and the quality of solutions. Then, two symmetry-breaking constraints are proposed to reduce the complexity of the mathematical model. In order to evaluate the integrity of the proposed model, 20 instances of different sizes are randomly generated and solved. Finally, a comprehensive sensitivity analysis is conducted with respect to five key features of the problem, such as the impact of the symmetry-breaking constraints on the CPU time, multi-path setting, fixed cost of vehicles, heterogeneous fleet of vehicles, and lost sales. The results indicate that the consideration of multi-path setting and the heterogeneous fleet of vehicles improves the quality of solutions significantly. 相似文献