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Methods: Hospital records for road traffic injuries (RTIs) were collected from the Cu Chi Trauma Centre and motorcycle-related death records were obtained from mortality registries in commune health offices. Head injury severity was categorized using the Abbreviated Injury Score (AIS). Rate ratios (RRs) were used to compare rates pre- and post-law (2005/2006–2009/2010). Cu Chi's population, stratified by year, age, and sex, was used as the denominator.
Results: Of records identifying the transportation mode at the time of injury, motorcyclists accounted for most injuries (3,035, 87%) and deaths (238, 90%). Head injuries accounted for 70% of motorcycle-related hospitalizations. Helmet use was not recorded in any death records and not in 97% of medical records. Males accounted for most injuries (73%) and deaths (88%). The median age was 28 years and 32 years for injuries and deaths, respectively. Compared to the pre-law period, rates of motorcycle injuries (RR = 0.53; 95% confidence interval [CI], 0.49–0.58), head injuries (RR = 0.35; 95% CI, 0.31–0.39), severe head injuries (RR = 0.47; 95% CI, 0.34–0.63), and deaths (RR = 0.69; 95% CI, 0.53–0.89) significantly decreased in the post-law period.
Conclusions: Rates of head injuries and deaths among motorcycle riders decreased significantly after implementation of the mandatory helmet law in Vietnam. To further examine the impact of the motorcycle helmet law, including compliance and helmet quality, further emphasis should be placed on gathering helmet use data from injured motorcyclists. 相似文献
Can Gio district is located in the coastal area of Ho Chi Minh City, southern Vietnam. Discharge of wastewater from Ho Chi Minh City and neighboring provinces to the rivers of Can Gio has led to concerns about the accumulation of trace metals (As, Cu, Cr, Ni, Pb, and Zn) in the coastal sediments. The main objective of this study was to assess the distribution of As, Cu, Cr, Ni, Pb, and Zn in surface and core sediments and to evaluate the contamination status in relation to local background values, as well as the potential release of these selected trace metals from sediments to the water environment. Sediment characteristization, including determination of fine fraction, pH, organic matter, and major elements (Al, Fe, Ca, K, Mg, and S), was carried out to investigate which parameters affect the trace metal enrichment. Fine fraction and Al contents were found to be the controlling proxies affecting the distribution of trace metals while other sediment characteristics did not show any clear influence on trace metals’ distribution. Although As concentrations in the sediments were much higher compared to its reference value in other areas, the enrichment factor based on local background values suggests minor contamination of this element as well as for Cr, Cu, and Pb. Risk assessment suggested a medium to very high risk of Mn, Zn, and Ni under acidification. Of importance is also that trace metals in sediments were not easily mobilized by organic complexation based on their low extractabilities by ammonium-EDTA extraction.
相似文献In this study, different pretreatment strategies of sugarcane bagasse prior to citric acid modification were investigated in terms of Pb2+ adsorption capacity. Pretreatment strategies included the use of NaOH, HCl, and C2H5OH in various concentrations. In order to fundamentally understand how these pretreatment methods affect the modification of sugarcane bagasse by citric acid as well as the Pb2+ adsorption capacity of sugarcane bagasse, three main components of sugarcane bagasse namely cellulose, hemicellulose, and lignin were isolated and esterified by citric acid under the same conditions. ATR-FTIR, XPS, SEM, and an analysis of the number of carboxylic acid groups were used to investigate the physicochemical and chemical properties of the materials. These three components were proved to participate in adsorption and induce the esterification with citric acid. Hence, pretreatment with ethanol and 0.01 M NaOH which could retain cellulose, hemicellulose, and lignin in sugarcane bagasse achieved a high Pb2+ adsorption capacity, i.e., 122.4 and 97 mg/g after the esterification with citric acid. In contrast, pretreatment with 0.5 M NaOH and 0.1 M HCl removed lignin and hemicellulose, leading to the lowest value of approximately 45 mg/g for citric acid esterified-pretreated sugarcane bagasse. XPS analysis and number of carboxylic group measurement confirmed the esterification between bagasse and citric acid. To understand the adsorption mechanism of adsorbent, two kinetic models including pseudo-first-order model and pseudo-second-order model were applied. The experimental data were well described by the pseudo-second-order model. The adsorption isotherm data were fitted Langmuir and Freundlich.
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