Emergency department visits by pediatric patients sustained as a passenger on a motorcycle

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.     

Fluoride removal and its impact on oral health in Sri Lanka's dry zone: Discussion and recommendation

Fifty percent of the dry zone areas in Sri Lanka have fluoride levels above 1 ppm. This paper discusses the ground conditions and recommends an appropriate range of fluoride in drinking water which can support preventive practices for improving the oral health of children 8-years old and younger. In efforts to address the Chronic Kidney Disease of Unknown etiology (CKDU), water treatment to reduce contaminant level in potable water has been implemented. Such treatment would also remove fluoride and has resulted in potable water with various fluoride levels, depending on concentrations in the raw water. While it is important to reduce fluoride levels, it is important to have appropriate residual levels for prevention of dental caries. It needs, however, to be noted fluoride in excess can cause dental fluorosis. In Sri Lanka's dry zone areas increasing prevalence of dental fluorosis with decreasing prevalence of dental caries has been noted. Consumption of tea and powdered milk could increase total intake of fluoride. Fluoridated toothpaste, when used properly, may, however, result in negligible intake of fluoride. Sri Lanka's hot tropical climate which results in substantial intake of fluids reinforces the need to consider reduction in water fluoride. Consideration of local studies and international standards indicate fluoride levels should be in the range of 0.225–0.500 ppm. In the range of 0.225–0.500 ppm, the prevalence of dental fluorosis and caries was only 14% and 8%, respectively, in an endemic district. When fluoride levels are above 0.500 ppm, the issue of dental fluorosis shall need to be addressed. When levels are below 0.225 ppm, oral health care services shall need to be directed at preventing dental caries.     

密相塔半干法烟气脱硫塔内加湿降温及其对脱硫效率的影响

为了实现密相塔半干法脱硫工艺的精确加湿进一步提高系统脱硫效率,利用推导出的传热传质计算方法,得到烟气温度降低和加水量的关系.结合3组密相塔半干法工程实际数据,发现理论计算值和实测值误差区间仅为2.9％ ～5.4％.通过选取河北某钢厂210 m2烧结烟气密相塔半干法脱硫项目实际在线检测数据,发现循环脱硫灰含湿量为3％的系统脱硫效率整体高于含湿量为5％和4％的样品,最大值达93.56％.通过粒度分析、扫描电镜、X射线衍射及差热-热重对2种不同含湿量的循环脱硫灰进行表征,结果表明,含湿量为3％的循环脱硫灰较含湿量为5％的样品粒径小、比表面积大,无团聚现象,物相分析还证实相对于含湿量为5％样品,其Ca(OH)2和结晶水含量少,几乎都是CaSO4和CaS03干态物质,因此脱硫反应进行彻底,脱硫效率较高.     

提高转炉OG效率的对策

对武钢第一炼钢厂100t转炉OG系统设备存在的问题进行了分析、研究，结合生产实际进行了一系列的技术改进和工艺参数调整，提高了OG系统效率。     

治污投资的政府最优政策博弈

外部性的存在及制造商治污投资动机不足要求政府对制造商的行为进行相应的规制，政府在制造商的治污投资行为中主要的作用是通过各种措施使得制造裔有动机地去自觉地进行有效的治污投资;政府的主要控制手段包括直接管制及借助市场激励，政府制定环境管理策略的关键因素是“惩罚的力度与激励的强度”。基于社会福利最大化的角度；从制造商的治污投资行为出发研究政府制定环境管理规制的策略，通过一个三阶段的博弈模型分析福利增进量、洽污成本与治污效果等三个因素对“惩罚力度与激励强度”的影响。     

区域水战略方案选优的动态组合评价模型研究

水安全危机是人类进入新世纪以来在生存及发展方面所面临的最严重挑战之一。研究科学合理的水安全战略成为区域可持续发展的重大课题。针对区域水战略问题涉及众多因素且各因素之间动态关联的特点，提出了基于水战略方案优选的兼容度极大化动态组合评价模型（CMM—DCEM），并将其成功地应用于我国广东省北江下游及其三角洲地区水安全战略方案优选评价。评价结果及模型基于不确定性的敏感性分析结果证明：CMM—DCEM实现了主、客观赋权方法以及单一评价模型的融合，使用实码加速遗传算法求解目标函数，克服了传统的组合评价方法计算繁琐的不足，评价过程更加科学合理。     

生态足迹研究现状及基于净初级生产力的计算方法初探

生态足迹是一种有效的再生资源更新能力的定量测度方法，其主要用于评估给定年，给定技术条件下生物圈的再生能力能否满足人类消费需求。本研究对国内外生态足迹模型的理论假设、生态足迹、生物承载力、生态盈余、生态赤字进行了简要介绍；在对国际组织发布的生态足迹报告以及生态足迹文献发表情况进行统计的基础上，回顾了国内外的生态足迹计算方法——基于净初级生产力的计算方法，并与现有的基于全球农业生态区的计算方法进行了比较，探讨了两种方法的优缺点；最后对生态足迹今后的研究重点提出了一些看法和展望。