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11.
Objective: Road traffic accidents (RTAs) are the first cause of abdominopelvic injuries (APIs). The objective of this study was to describe the characteristics and severity of APIs due to traffic accidents in a large French trauma registry and to identify risk factors for API.

Methods: All victims from the French Rhône registry of victims of RTAs were analyzed from 1996 to 2013. This registry contained data that were issued over a 20-year period from 245 medical departments, from prehospital care until re-adaptation, and forensic medicine departments. All APIs, defined as an injury between the diaphragm and the pelvic bone, were extracted and studied.

Results: Among 162,695 victims, 10,165 had an API (6.7%). Accidents frequently involved young men and 2 cars. Mean Injury Severity Score (ISS) was 8.7. Mortality rate was 5.6%. Soft tissue injuries largely predominated (n = 6,388; 54.4% of patients). Overall, 2,322 victims had a pelvic bone injury. Internal abdominal organs were involved in 2,425 patients; the most frequent were the spleen, liver, and kidney. Wearing of the seat belt appeared to be a significant protective factor in API, including serious injuries. A partial analysis over the past 2 years among the most severe patients hospitalized in the intensive care unit indicated that nonoperative management was carried out in two thirds of the wounded. In uni- or multivariate analysis, sex, age, type of user, antagonist, time of occurrence, associated severe lesions, or wearing of the seat belt were statistically associated with the occurrence of API, highlighting a more dangerous user profile.

Conclusions: Abdominopelvic injuries concern a minority of road traffic injuries, but they are responsible for significant mortality. Large solid organs are the most frequently affected. Women drivers wearing a seat belt and driving in town during the day appear to be more protected against API.  相似文献   

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Satellite Synthetic Aperture Radar (SAR) was evaluated as a method to operationally monitor the occurrence and distribution of storm‐ and tidal‐related flooding of spatially extensive coastal marshes within the north‐central Gulf of Mexico. Maps representing the occurrence of marsh surface inundation were created from available Advanced Land Observation Satellite (ALOS) Phased Array type L‐Band SAR (PALSAR) (L‐band) (21 scenes with HH polarizations in Wide Beam [100 m]) data and Environmental Satellite (ENVISAT) Advanced SAR (ASAR) (C‐band) data (24 scenes with VV and HH polarizations in Wide Swath [150 m]) during 2006‐2009 covering 500 km of the Louisiana coastal zone. Mapping was primarily based on a decrease in backscatter between reference and target scenes, and as an extension of previous studies, the flood inundation mapping performance was assessed by the degree of correspondence between inundation mapping and inland water levels. Both PALSAR‐ and ASAR‐based mapping at times were based on suboptimal reference scenes; however, ASAR performance seemed more sensitive to reference‐scene quality and other types of scene variability. Related to water depth, PALSAR and ASAR mapping accuracies tended to be lower when water depths were shallow and increased as water levels decreased below or increased above the ground surface, but this pattern was more pronounced with ASAR. Overall, PALSAR‐based inundation accuracies averaged 84% (= 160), while ASAR‐based mapping accuracies averaged 62% (= 245).  相似文献   
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Connectivity is a fundamental but highly dynamic property of watersheds. Variability in the types and degrees of aquatic ecosystem connectivity presents challenges for researchers and managers seeking to accurately quantify its effects on critical hydrologic, biogeochemical, and biological processes. However, protecting natural gradients of connectivity is key to protecting the range of ecosystem services that aquatic ecosystems provide. In this featured collection, we review the available evidence on connections and functions by which streams and wetlands affect the integrity of downstream waters such as large rivers, lakes, reservoirs, and estuaries. The reviews in this collection focus on the types of waters whose protections under the U.S. Clean Water Act have been called into question by U.S. Supreme Court cases. We synthesize 40+ years of research on longitudinal, lateral, and vertical fluxes of energy, material, and biota between aquatic ecosystems included within the Act's frame of reference. Many questions about the roles of streams and wetlands in sustaining downstream water integrity can be answered from currently available literature, and emerging research is rapidly closing data gaps with exciting new insights into aquatic connectivity and function at local, watershed, and regional scales. Synthesis of foundational and emerging research is needed to support science‐based efforts to provide safe, reliable sources of fresh water for present and future generations.  相似文献   
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This study was conducted in river Panjkora (Khall, upstream; Timergara, downstream) and its tributary (Konhaye stream, reference site) at district Lower Dir. The study was aimed to assess heavy metal load in gills, liver, kidneys, and muscles of three fish species, namely Schizothorax esocinus, Racoma labiata, and Crossocheilus diplocheilus. The heavy metals, including nickel, cadmium, lead, copper, zinc, chromium, iron, and manganese were determined using an atomic absorption spect-rophotometer. Nickel and cadmium were not detected in any of the collected specimens at all sampling sites. Concentration of the detected metals varied significantly depending upon fish species and tissue type. Crossocheilus diplocheilus showed higher accumulated concentration of heavy metals while R. labiata contained the least. Schizothorax esocinus and R. labiata displayed significant differences in their concentrations of metals. The order of accumulation of heavy metals in different tissues was liver>kidneys>muscles>gills. Data demonstrated that heavy metal levels in the studied species were within permissible limits and thus, apparently suitable for human consumption. Currently, the river contains a sewage burden, and continued heavy pollution may ultimately lead to serious problems in the future.  相似文献   
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Environmental Science and Pollution Research - Risks of heavy metal exposure from contaminated indoor dust constitute a major threat to human health. In this paper, heavy metals in deposited indoor...  相似文献   
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Environmental Science and Pollution Research - The present research was devoted to water decontamination through the valorization of cellulosic fibers for the preparation of performing biosorbent,...  相似文献   
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In 1988, the Iowa Department of Natural Resources, along withthe University of Iowa conducted the Statewide Rural WellWater Survey, commonly known as SWRL. A total of 686private rural drinking water wells was selected by use of aprobability sample and tested for pesticides and nitrates. Sixty-eight of these wells, the 10% repeat wells, were additionallysampled in October, 1990 and June, 1991. Starting inNovember, 1991, the University of Iowa, with sponsorshipfrom the United States Environmental Protection Agency,revisited these wells to begin a study of the temporalvariability of atrazine and nitrates in wells. Other wells, whichhad originally tested positive for atrazine in SWRL but werenot in the 10% repeat population, were added to the studypopulation. Temporal sampling for a year-long period beganin February of 1992 and concluded in January of 1993. Allwells were sampled monthly, one subset was sampled weekly,and a second subset was sampled for 14-day consecutiveperiods. Two unique aspects of this study were the use of animmunoassay technique to screen for triazines before gaschromatography/mass spectrometry (GC/MS) analysis andquantification of atrazine, and the use of well owners to samplethe wells. A total of 1771 samples from 83 wells are in thefinal data base for this study. This paper reviews the studydesign, the analytical methodologies, and development of thedata base. A companion paper (Pinsky et al., 1997) discussesthe analysis of the data from this survey.  相似文献   
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Environmental Science and Pollution Research - This paper suggests a new alternative for the acceleration of dye removal by adopting alternating current instead of direct current in the treatment...  相似文献   
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