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31.
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   

32.
This report gives a summary of the historic use, former management and current release of polychlorinated biphenyls (PCBs) in Germany and assesses the impact of the life cycle of PCBs on the contamination of the environment and of food products of animal origin. In Germany 60,000 t of PCBs were used in transformers, capacitors or as hydraulic oils. The use of PCB oils in these “closed applications”, has been banned in Germany in 2000. Thirty to 50% of these PCBs were not appropriately managed. In West Germany, 24,000 t of PCBs were used in open applications, mainly as additive (plasticiser, flame retardant) in sealants and paints in buildings and other construction. The continued use in open applications has not been banned, and in 2013, an estimated more than 12,000 t of PCBs were still present in buildings and other constructions. These open PCB applications continuously emit PCBs into the environment with an estimated release of 7–12 t per year. This amount is in agreement with deposition measurements (estimated to 18 t) and emission estimates for Switzerland. The atmospheric PCB releases still have an relevant impact on vegetation and livestock feed. In addition, PCBs in open applications on farms are still a sources of contamination for farmed animals. Furthermore, the historic production, use, recycling and disposal of PCBs have contaminated soils along the lifecycle. This legacy of contaminated soils and contaminated feed, individually or collectively, can lead to exceedance of maximum levels in food products from animals. In beef and chicken, soil levels of 5 ng PCB-TEQ/kg and for chicken with high soil exposure even 2 ng PCB-TEQ/kg can lead to exceedance of EU limits in meat and eggs. Areas at and around industries having produced or used or managed PCBs, or facilities and areas where PCBs were disposed need to be assessed in respect to potential contamination of food-producing animals. For a large share of impacted land, management measures applicable on farm level might be sufficient to continue with food production. Open PCB applications need to be inventoried and better managed. Other persistent and toxic chemicals used as alternatives to PCBs, e.g. short chain chlorinated paraffins (SCCPs), should be assessed in the life cycle for exposure of food-producing animals and humans.  相似文献   
33.
Hydroxylated polychlorobiphenyls (OH-PCBs) are major metabolites of PCBs that are widely distributed in the environment. While the effects of penta- to hepta-chlorinated OH-PCBs on neuronal differentiation have been widely reported, those of lower chlorinated OH-PCBs have not been extensively studied. To investigate the effects of lower chlorinated OH-PCBs on neuronal development, we studied the effects of mono- to hexa-chlorinated OH-PCBs on PC12 cells. Morphological changes were examined using an automatic system IN Cell Analyzer. Seventeen of the 20 OH-PCBs investigated promoted neuronal elongation in an OH-PCB concentration-dependent manner, while three OH-PCB congeners suppressed neuronal elongation based on Dunnett’s analysis. In particular, the top five OH-PCBs (4OH-PCB2, 4′OH-PCB3, 4′OH-PCB25, 4′OH-PCB68, and 4′OH-PCB159), which have hydroxyl groups at the para-position and chlorine substitutions at the 2, 4, or 3′ positions, significantly promoted neuronal elongation. Moreover, these neuronal elongations were suppressed by U0126, and phosphorylation of extracellular signal-regulated kinase (ERK) 1/2 was observed in PC12 cells treated with 4OH-PCB2, 4′OH-PCB25, and 4′OH-PCB159. Taken together, our results indicate that the effect of OH-PCB on neuronal development is not dependent on the number of chlorine groups but on the chemical structure, and the mitogen-activated kinase kinase (MEK)-ERK1/2 signaling pathway is involved in this process.  相似文献   
34.
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   
35.
Environmental Science and Pollution Research - Aedes aegypti and Culex quinquefasciatus are vectors of diseases that constitute public health problems. The discovery of products capable of...  相似文献   
36.
Chemical coagulation and adsorption, despite many drawbacks, are actually the main techniques used for the removal of pollutants from aqueous solution; however, these techniques are becoming ineffective due to the exponential increase in the amount and complexity of discharged pollutants; thus, the sludge treatment process became a more complex challenge. The present study focuses on the way to reduce the quantity of sludge formed during the removal of Ridomil Gold, a widely used pesticide-fungicide in agriculture. Results revealed that pre-treatment of initial waste solution by the gliding arc (Glidarc), a source of non-thermal plasma, leads to a significant reduction of the sludge formed during the coagulation treatment. For a 20-min pre-treated effluent Glidarc followed by chemical coagulation, there was a reduction in the volume of sludge formed in the order of 90 and 80% for alum and ferric sulfate coagulants respectively without reducing the performance of pesticide removal. Therefore, there is a positive synergism between treatment by chemical coagulation and plasma treatment. These results suggest that the Glidarc can be an effective solution for the reduction of sludge obtained during treatment by coagulation.  相似文献   
37.
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   
38.
The purpose of this paper is to study the impacts of the vagueness about the transfer of the harvest right on the use of a natural resource. We develop one-period non-cooperative game frameworks to examine whether the choice of the resource owner to be hazy about the transmission of the harvest contract is optimal. In the perfect information situation, we show that it is optimal for the resource owner to forbid the transfer of the harvest right instead of being hazy about it when the transfer fees are lesser than the collected net punishment fines of the monitoring costs even though the resource would be inefficiently used. In particular, we find in this case that the government’s announcement to forbid the transfer of the right should be public. We further show that there are subgame Nash equilibria in the perfect information context and a unique Nash equilibrium in the imperfect information setting. Specifically, we show that, when the transfer fees are greater or equal to the (net) punishment fines, there is a Nash equilibrium both in perfect and imperfect information situations, precisely when the owner chooses to allow the transfer of harvest title and the resource harvester transfers it.  相似文献   
39.
Poly(butylene succinate) (PBS) was melt blended with glycerol based polyesters (PGS) synthesized from pure and technical glycerol aiming to improve the impact strength of PBS. It was found that after addition of 30 wt% PGS to PBS its impact strength was significantly increased by 344% (from 31.9 to 110 J/m) and its elongation at break was maintained at 220%. Infrared spectra of the blends showed the presence of hydroxyl groups from the PGS phase suggesting that hydrogen bonding between the phases could be responsible for a good stress transfer and an efficient toughening in the PBS/PGS blends. Scanning electron microscopy imaging showed a good dispersion of PGS phase into PBS with a PGS particle size of 10 μm and less and no agglomeration. Addition of PGS to PBS was shown to be an effective strategy for improvement of PBS impact resistance without serious detrimental effects on its thermal and rheological properties.  相似文献   
40.
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