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Objective: The objective of this study was to conduct a comprehensive analysis of demographics, injury characteristics and hospital resource utilization of significant pediatric electric bicycle (e-bike) injuries leading to hospitalization following an emergency department visit in comparison to pediatric injuries caused by other traffic related mechanisms.Methods: A retrospective review of all pediatric traffic injury hospitalizations following an emergency department visit to a level I trauma center between October 2014 and September 2016 was conducted. Data regarding age, sex, number of computed tomography (CT) scans obtained, number of major procedures, length of hospital stay (LOS), Injury Severity Score (ISS), and number of injuries per patient were collected and compared between e-bike injuries and other traffic injuries.Results: Three hundred thirty-seven admissions were analyzed: 46 (14%) were due to e-bike injuries (29% of patients >12 years). Age, proportion of brain injuries, and use of CT were significantly increased compared to mechanical bicycle injuries (13.1?±?3.4 vs. 10.6?±?3.6, 13% vs. 3%, 1 [0–3] vs. 1 [0–1], P < .01, P = .03, P = .05). Age, LOS, and use of CT were significantly increased compared to injuries caused to automobile passengers (13.1?±?3.4 vs. 7.4?±?5.3, 1 [1–3] vs. 1 [1–2], 1 [0–3] vs. 0 [0–1], P < .01, P = .03, P = .01), as well as ISS and number of injuries per patient (P = .04, P < .01). Injuries caused by e-bikes were similar to injuries caused to pedestrians, except for age (13.1?±?3.4 vs. 8.5?±?3.7, P < .01). Multivariable analysis revealed a significant association between mechanism of injury and ISS, with increased ISS among e-bike injuries compared to mecahnical bike injuries (OR 2.56, CI 1.1–5.88, P = 0.03) and automobile injuries (OR 4.16, CI 1.49–12.5, (P < .01).Conclusion: E-bikes are a significant cause of severe injury in children compared to most other traffic injuries, particularly in older children. 相似文献
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Humans visiting natural areas often disturb wildlife, possibly displacing animals from desirable habitat. To hold ecotourism at acceptable levels refuge managers need to know which species are likely to be affected and which response occurs at different levels of disturbance. Displacement of waterbirds at J. N. "Ding" Darling National Wildlife Refuge, Florida (U.S.A.), by specific human activities was demonstrated experimentally by Klein in 1993. We assessed the extent of this effect of ecotourism on the distribution of 38 species of waterbirds by surveying birds in plots of known distance from a dike along which wildlife tours occurred. Most resident species were less sensitive to disturbance than were migrants. Migrant ducks were most sensitive when they first arrived, mid-October to mid-December, usually remaining more than 80 m from the drive, even at low levels of human visitation. Herons, egrets. Brown Pelicans ( Pelecanus occidentalis ), and Anhingas ( Anhinga anhinga ) were most likely to remain close to areas of high human activity. Shorebirds were displaced at intermediate distance and visitation levels. Mottled Ducks ( Anas fulvigula ) and several of the ardeids seemed to include two groups differing in behavior, one habituated to humans and one sensitive to disturbance. Public education and changes in management practices are needed to reduce disturbance. Guided tours and low-disturbance zones where people stay in their cars could reduce the negative effects of tourists, especially in the fall when migrants arrive. The number of human visitors may have to be reduced or the wildlife drive closed on certain days during the tourist season. 相似文献
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Adenosine triphosphate (ATP) content and carbon dioxide (CO2) production in soil vary considerably, depending on soil type, water content, light, stirring of soil, storage conditions, date of sampling, and chemicals added. In most soils, the biomass calculated on the basis of ATP-content was in line with that calculated on the basis of CO2-production. 相似文献
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