Devils Lake is a terminal lake located in northeast North Dakota. Because of its glacial origin and accumulated salts from evaporation, the lake has a high concentration of sulfate compared to the surrounding water bodies. From 1993 to 2011, Devils Lake water levels rose by ~10 m, which flooded surrounding communities and increased the chance of an overspill to the Sheyenne River. To control the flooding, the State of North Dakota constructed two outlets to pump the lake water to the river. However, the pumped water has raised concerns about of water quality degradation and potential flooding risk of the Sheyenne River. To investigate these perceived impacts, a Soil and Water Assessment Tool (SWAT) model was developed for the Sheyenne River and it was linked to a coupled SWAT and CE‐QUAL‐W2 model that was developed for Devils Lake in a previous study. While the current outlet schedule has attempted to maintain the total river discharge within the confines of a two‐year flood (36 m3/s), our simulation from 2012 to 2018 revealed that the diversion increased the Sheyenne River sulfate concentration from an average of 125 to >750 mg/L. Furthermore, a conceptual optimization model was developed with a goal of better preserving the water quality of the Sheyenne River while effectively mitigating the flooding of Devils Lake. The optimal solution provides a “win–win” outlet management that maintains the efficiency of the outlets while reducing the Sheyenne River sulfate concentration to ≤600 mg/L. 相似文献
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
In this paper, the inventory-routing problem is studied for a closed-loop supply chain. This closed-loop supply chain considers suppliers, manufacturers, whole-sellers, and disposal centers. To formulate this problem, a mixed integer linear programming model is proposed. This mathematical model minimizes the total costs of the supply chain, including the fixed and variable costs of vehicles, and holding inventory costs of final products and scraps. The proposed model considers the road roughness degree, multi-path setting and the heterogeneous fleet of vehicles, which increases its flexibility and the quality of solutions. Then, two symmetry-breaking constraints are proposed to reduce the complexity of the mathematical model. In order to evaluate the integrity of the proposed model, 20 instances of different sizes are randomly generated and solved. Finally, a comprehensive sensitivity analysis is conducted with respect to five key features of the problem, such as the impact of the symmetry-breaking constraints on the CPU time, multi-path setting, fixed cost of vehicles, heterogeneous fleet of vehicles, and lost sales. The results indicate that the consideration of multi-path setting and the heterogeneous fleet of vehicles improves the quality of solutions significantly. 相似文献
Quantitative methods have been applied to the study of floristic structure and diversity in Samarskaya Luka. The results show that Samarskaya Luka is a floristically heterogeneous area in which six elementary floras can be distinguished. This area has been assessed as a floristically autonomous formation, and its floristic representativeness was estimated. 相似文献