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71.
Objective: Currently only 5 out of the 50 states in the United States have laws restricting the age of passengers permitted to ride on a motorcycle. This study sought to characterize the visits by patients under the age of 16 to U.S. emergency departments (EDs) for injuries sustained as a passenger on a motorcycle.

Methods: In this retrospective cohort study, data were obtained from the Nationwide Emergency Department Sample (NEDS) for the years 2006 to 2011. Pediatric patients who were passengers on a motorcycle that was involved in a crash were identified using International Classification of Diseases, Ninth Revision (ICD-9) External Cause of Injury codes. We also examined gender, age, disposition, regional differences, common injuries, and charges.

Results: Between 2006 and 2011 there were an estimated 9,689 visits to U.S. EDs by patients under the age of 16 who were passengers on a motorcycle involved in a crash. The overall average patient age was 9.4 years, and they were predominately male (54.5%). The majority (85%) of these patients were treated and released. The average charges for discharged patients were $2,116.50 and amounted to roughly $17,500,000 during the 6 years. The average cost for admission was $51,446 per patient and totaled over $54 million. The most common primary injuries included superficial contusions; sprains and strains; upper limb fractures; open wounds of head, neck, and trunk; and intracranial injuries.

Conclusion: Although there were only about 9,700 visits to U.S. EDs for motorcycle crashes involving passengers less than 16 years old for 2006 to 2011, the total cost of visits that resulted in either ED discharge or hospital admission amounted to over $71 million.  相似文献   

72.
Achieving coexistence between large carnivores and humans in human-dominated landscapes (HDLs) is a key challenge for societies globally. This challenge cannot be adequately met with the current sectoral approaches to HDL governance and an academic community largely dominated by disciplinary sectors. Academia (universities and other research institutions and organizations) should take a more active role in embracing societal challenges around conservation of large carnivores in HDLs by facilitating cross-sectoral cooperation to mainstream coexistence of humans and large carnivores. Drawing on lessons from populated regions of Europe, Asia, and South America with substantial densities of large carnivores, we suggest academia should better embrace the principles and methods of sustainability sciences and create institutional spaces for the implementation of transdisciplinary curricula and projects; reflect on research approaches (i.e., disciplinary, interdisciplinary, or transdisciplinary) they apply and how their outcomes could aid leveraging institutional transformations for mainstreaming; and engage with various institutions and stakeholder groups to create novel institutional structures that can respond to multiple challenges of HDL management and human–large carnivore coexistence. Success in mainstreaming this coexistence in HDL will rest on the ability to think and act cooperatively. Such a conservation achievement, if realized, stands to have far-reaching benefits for people and biodiversity.  相似文献   
73.
珠江口表层水中多环芳烃的分布特征及健康风险评估   总被引:1,自引:0,他引:1  
分别于2015年2、5、8、11月在珠江八大入海口采集表层水体样品,应用固相萃取富集法对该区域表层水体中16种USEPA优控多环芳烃(PAHs)的时空分布特征进行分析,并利用终生致癌风险增量模型(ILCR)对该区域的饮水健康风险进行评价。结果表明:珠江口4个季度所采集的水样中,∑15PAHs的浓度范围为18.0~50.3 ng/L,含量处于中等水平。其中7种强致癌性∑7PAHs的浓度范围为1.53~3.73 ng/L,占∑15PAHs的5.89%~11.1%,∑15PAHs和∑7PAHs在枯水期(2、11月)样品中明显高于丰水期(5、8月)。就组成特征而言,各采样点PAHs以3、4环为主。珠江口表层水中非致癌类PAHs的危害商数值为0.99×10~(-5)~2.73×10~(-5),远低于USEPA规定的阈值(1);致癌类PAHs产生的健康风险为6.50×10~(-8)~2.37×10~(-7),其中Ba P导致的饮水途径健康风险最高,所有点位致癌类PAHs的健康风险均低于USEPA推荐的对致癌物质最大可接受风险水平(10~(-6)),表明珠江口表层水中PAHs尚不具备严重的致癌风险,但是仍然存在潜在的健康风险,需要重点控制和管理。  相似文献   
74.
Emissions of nitrogen oxides (NOx) by vehicles in real driving environments are only partially understood. This has been brought to the attention of the world with recent revelations of the cheating of the type of approval tests exposed in the dieselgate scandal. Remote-sensing devices offer investigators an opportunity to directly measure in situ real driving emissions of tens of thousands of vehicles. Remote-sensing NO2 measurements are not as widely available as would be desirable. The aim of this study is to improve the ability of investigators to estimate the NO2 emissions and to improve the confidence of the total NOx results calculated from standard remote-sensing device (RSD) measurements. The accuracy of the RSD speed and acceleration module was also validated using state-of-the-art onboard global positioning system (GPS) tracking. Two RSDs used in roadside vehicle emissions surveys were tested side by side under off-carriageway conditions away from transient pollution sources to ascertain the consistency of their measurements. The speed correlation was consistent across the range of measurements at 95% confidence and the acceleration correlation was consistent at 95% confidence intervals for all but the most extreme acceleration cases. VSP was consistent at 95% confidence across all measurements except for those at VSP ≥ 15 kW t?1, which show a small underestimate. The controlled distribution gas nitric oxide measurements follow a normal distribution with 2σ equal to 18.9% of the mean, compared to 15% observed during factory calibration indicative of additional error introduced into the system. Systematic errors of +84 ppm were observed but within the tolerance of the control gas. Interinstrument correlation was performed, with the relationship between the FEAT and the RSD4600 being linear with a gradient of 0.93 and an R2 of 0.85, indicating good correlation. A new method to calculate NOx emissions using fractional NO2 combined with NO measurements made by the RSD4600 was constructed, validated, and shown to be more accurate than previous methods.

Implications: Synchronized remote-sensing measurements of NO were taken using two different remote-sensing devices in an off-road study. It was found that the measurements taken by both instruments were well correlated. Fractional NO2 measurements from a prior study, measurable on only one device, were used to create new NOx emission factors for the device that could not be measured by the second device. These estimates were validated against direct measurement of total NOx emission factors and shown to be an improvement on previous methodologies. Validation of vehicle-specific power was performed with good correlation observed.  相似文献   
75.
Considerable empirical evidence supports recovery of reef fish populations with fishery closures. In countries where full exclusion of people from fishing may be perceived as inequitable, fishing‐gear restrictions on nonselective and destructive gears may offer socially relevant management alternatives to build recovery of fish biomass. Even so, few researchers have statistically compared the responses of tropical reef fisheries to alternative management strategies. We tested for the effects of fishery closures and fishing gear restrictions on tropical reef fish biomass at the community and family level. We conducted 1,396 underwater surveys at 617 unique sites across a spatial hierarchy within 22 global marine ecoregions that represented 5 realms. We compared total biomass across local fish assemblages and among 20 families of reef fishes inside marine protected areas (MPAs) with different fishing restrictions: no‐take, hook‐and‐line fishing only, several fishing gears allowed, and sites open to all fishing gears. We included a further category representing remote sites, where fishing pressure is low. As expected, full fishery closures, (i.e., no‐take zones) most benefited community‐ and family‐level fish biomass in comparison with restrictions on fishing gears and openly fished sites. Although biomass responses to fishery closures were highly variable across families, some fishery targets (e.g., Carcharhinidae and Lutjanidae) responded positively to multiple restrictions on fishing gears (i.e., where gears other than hook and line were not permitted). Remoteness also positively affected the response of community‐level fish biomass and many fish families. Our findings provide strong support for the role of fishing restrictions in building recovery of fish biomass and indicate important interactions among fishing‐gear types that affect biomass of a diverse set of reef fish families.  相似文献   
76.
分析了SHERPA综合评价模型的基本原理和主要建模理念,重点介绍了其在环境空气质量减排情景模拟评估方面的作用,以及在排放源与受体关系(SRR)方面的处理方法,比较了其与欧盟常用的其他情景模拟模型的优缺点。SHERPA模型的特点是空间灵活性较好,对于任何给定地点,可以快速评估不同地区对该研究地点空气质量的影响。SHERPA模型的3个主要功能为污染物来源分析、决策支持和情景模拟。基于SHERPA模型对法国环境空气中PM_(2.5)、PM_(10)和NO_2年均浓度进行污染来源分析、决策支持分析和减排情景模拟评估,展示了模型在环境治理措施优先级筛选和政府间联合治理措施协调建议方面的功能和作用,以期为中国环境空气质量预测预报、环境质量管理措施的制定和成效评估等环境服务与管理工作提供借鉴。  相似文献   
77.
This study examined the influencing factors of the self-reported behavioral intentions toward genetically modified (GM) crops using a multi-stakeholder approach in the Khuzestan Province in Southwest Iran. The study focused on three different groups, including: “agricultural students,” “agricultural private firms’ managers” and “rich-resource farmers.” Data were collected using a researcher-made questionnaire and was analyzed by SPSS (V20) and AMOS (V20). Results indicated that the respondents perceive more benefits than risks for GM crops and that the perception of benefits and risks, respectively, had positive and negative impacts on the self-reported behavioral intention of the respondents. The knowledge of the respondents regarding these crops had positive impacts on perception of benefits. The results showed that both managers and students worried about the food safety and impact of GM crops on human health while farmers worried about the environmental risks of GM crops. The results also revealed that those who are the most conscious about GM crops are more trusted. The findings also showed that the majority of the respondents hold a positive view of the potential of GM crops.  相似文献   
78.
Regional Environmental Change - The rapid environmental changes currently underway in many dry regions of the world, and the deep uncertainty about their consequences, underscore a critical...  相似文献   
79.
Sustainable groundwater quality is a key global concern and has become a major issue of disquiets in most parts of the world including Bangladesh. Hence, the assessment of groundwater quality is an important study to ensure its sustainability for various uses. In this study, a combination of multivariate statistics, geographical information system (GIS) and geochemical approaches was employed to evaluate the groundwater quality and its sustainability in Joypurhat district of Bangladesh. The results showed that the groundwater samples are mainly Ca–Mg–HCO3 type. Principal component analysis (PCA) results revealed that geogenic sources (rock weathering and cation exchange) followed by anthropogenic activities (domestic sewage and agro-chemicals) were the major factors governing the groundwater quality of the study area. Furthermore, the results of PCA are validated using the cluster analysis and correlation matrix analysis. Based on the groundwater quality index (GWQI), it is found that all the groundwater samples belong to excellent to good water quality domains for human consumption, although iron, fluoride and iodide contaminated to the groundwater, which do not pose any significant health hazard according to World Health Organization’s and Bangladesh’s guideline values. The results of irrigation water quality index including sodium adsorption ratio (SAR), permeability index and sodium percentage (Na %) suggested that most of the groundwater samples are good quality water for agricultural uses. The spatial distribution of the measured values of GWQI, SAR, Fe (iron), EC (electrical conductivity) and TH (total hardness) were spatially mapped using the GIS tool in the study area.  相似文献   
80.
利用折流式超重力床将氨废水处理的精馏和吸收过程集成在一台设备中,开发出一种设备小型化、流程紧凑的氨废水资源化利用集成技术。与传统技术相比,该技术在大幅节省占地面积和空间的同时,还可大幅节约设备建设所用钢材。工业规模试验结果表明,不同浓度的氨废水经该技术处理后可转化为氨质量分数大于22%的氨水资源,处理出水中氨氮质量浓度低于8.2 mg/L,尾气中未检测到氨,处理结果优于GB 31573—2015《无机化学工业污染物排放标准》。  相似文献   
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