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.     

供水管网生物膜有机物的二氯乙腈与二氯乙酰胺生成特性

在饮用水输配系统中,来源于管壁生物膜的有机物可能耗氯并生成消毒副产物(DBPs),包括二氯乙腈(DCAN)与二氯乙酰胺(DCAcAm)等高毒性含氮DBPs(N-DBPs).研究考察管网常见的细菌与其胞外聚合物(EPS)以及模拟管壁生物膜氯化与氯胺化后DCAN与DCAcAm的生成,并与天然有机物(NOM)和水源水有机物进行比较.结果显示,铜绿假单胞菌、恶臭假单胞菌与藤黄微球菌与氯反应生成的DCAN、DCAcAm浓度分别为1.48～2.02、0.21～0.38μg·mg~(-1)(mg~(-1)以TOC计),高于同反应条件下NOM的生成量;相比于氯化反应,3株细菌细胞氯胺化生成的DCAN与DCAcAm浓度明显更低.3株菌的EPS也是氯与氯胺化反应生成DCAN与DCAcAm的前体物,且其氯胺化反应生成的DCAcAm浓度高于氯化反应生成的.与NOM、水源水相比,模拟管壁生物膜氯化后生成的N-DBPs与三氯甲烷(TCM)浓度比更高,表明生物膜有机物比NOM与水源水有机物更倾向生成DCAN与DCAcAm类N-DBPs,且模拟管壁生物膜氯胺化的DCAcAm生成量高于氯化反应的,说明管壁生物膜有机物是供水管网系统中DCAN与DCAcAm类N-DBPs的重要前体物.     

基于风险矩阵和五元减法集对势的湖泊水生态健康动态诊断评估

为判断湖泊水生态健康子系统发展趋势、诊断病态因子,引进了五元减法集对势,建立生态子系统与物理化学子系统的合成矩阵得到湖泊水生态健康状态,从而提出了基于风险矩阵和五元减法集对势的湖泊水生态健康动态诊断评估方法,并应用于安徽省瓦埠湖。结果表明:瓦埠湖水生态健康状态1980—2015年呈变差趋势,2012年为微病态,2015年略有好转。五元减法集对势识别出瓦埠湖水生态健康的病态因子主要有底栖动物、浮游动物、叶绿素、COD、TN、TP和透明度,为改善瓦埠湖水生态健康的重要指标。上述风险矩阵和五元减法集对势耦合的动态诊断评估方法可为湖泊水生态健康评估提供新的思路。     

Black cherry growth response to ambient ozone and EDU

Field-grown black cherry (Prunus serotina Ehrh.) seedlings were treated with the antioxidant ethylenediurea (EDU) to evaluate height, diameter, and above-ground dry-weight biomass growth response to ambient ozone over four years. Nine blocks with 44 trees/block were used in a randomized complete block design with three foliar spray treatments: (1) 1000 ppm EDU mixed with a surfactant and water; (2) surfactant mixed with water; and (3) water only. In each growing season treatments were applied seven times at approximately 10-day intervals. Repeated measures analysis of variance indicated significant (P< or =0.05) treatment and year effects for log-transformed height and diameter growth over the four-year period. After four years, EDU-treated trees were approximately 17% taller and stem diameters were 21% greater than non-EDU-treated trees. Total above-ground dry-weight biomass at the end of four years was 47% greater for EDU-treated trees compared to non-EDU-treated trees.     

Current strategies in nitrite detection and their application to field analysis

The various analytical protocols that have been developed to aid the measurement of nitrite within environmental samples have been critically appraised and their applicability to field measurement assessed. The present communication presents a perspective on current techniques and technologies encompassing spectroscopic, electrochemical and chromatographic methodologies and highlights those that are liable to emerge in the near future. Commercial devices have been included and where appropriate the advantages and limitations posed by their operation within field contexts have been described.     

两类藻毒素聚酮合成酶遗传相似性及其二级结构预测分析

研究微囊藻毒素聚酮合成酶、节球藻毒素聚酮合成酶之间的遗传关联性,并对其二级结构进行预测分析.应用聚合酶链反应得到2株蓝绿藻的毒素聚酮合成酶(PKS)基因,并进行基因序列分析.从GenBank中提取产微囊藻毒素、产节球藻毒素藻株的相应基因序列,利用DNAStar和phylip软件分析目的基因一致性及2类藻毒素PKS的进化情况.采用Garnier-Robson法、Karplus-Schulz法预测项圈藻株202A1/35、节球藻株NSOR10PKS蛋白片段的二级结构,Kyte-doolittle法分析蛋白的亲水性,Emini法预测蛋白质的表面可能性.结果表明,2类藻毒素PKS目的基因的相似性非常高;项圈藻属、念珠藻属的微囊藻毒素PKS与节球藻毒素PKS的进化关系较近;2种藻毒素PKS分析片段二级结构具有较大的相似性,其亲水性与表面可能性区域等特征也极为相似.     

环境经济损益分析在矿区环评中的应用

开展环境经济损益分析,将环境影响货币化是环评工作难点之一.结合矿区环评实例,探讨了指数计算法在矿区环境经济损益分析中的应用.结果表明该方法客观全面,简单实用,可较好地应用于矿区环评的环境经济损益分析并对相关建设项目的环境经济损益分析具有借鉴意义.     

磺酰脲类除草剂在硅胶G表面的光解

应用高效薄层析方法研究了苄嘧磺隆，甲磺隆，氯磺隆，氯嘧磺隆4种磺酰脲类除草剂在氙灯与太阳光下的光解动力学，以及8种有机色素对苄嘧磺隆光降解的影响。结果表明4种除草剂在硅胶G表面的降解呈一级动力学反应；有机色素对除草剂的降解均表现显著的猝灭效应。其中以姜黄素的猝灭作用最强，色素剂量与光解中的猝灭效应存在着显著的相关性。色素剂量加大，猝灭效应加强。     

Factor structure of the transformational leadership model in human service teams

The purpose of this study was to examine the factor structure of the transformational leadership model in human service teams. As the nature of this work environment mandates certain management‐by‐exception practices, patterns of correlations between perceptions of active and passive management‐by‐exception behaviors and transformational, transactional, and laissez‐faire leadership were of interest. 236 leaders and 620 subordinates from 54 mental health teams completed the Multifactor Leadership Questionnaire, form 8Y. Results suggest that active and passive management‐by‐exception factors are independent constructs. Copyright © 2003 John Wiley & Sons, Ltd.