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.     

Prenatal diagnosis of congenital cystic adenomatoid malformation of the lung by fetal lung biopsy

A case of type III congenital cystic adenomatoid malformation of the lung was successfully diagnosed prenatally by fetal lung biopsy. We performed this procedure at 22 weeks of gestation, using a biopsy gun system under ultrasound guidance. The pregnancy was undisturbed by the procedure but as the condition was incompatible with life, an abortion was performed. The diagnosis was confirmed at post-mortem examination. Fetal lung biopsy appears to be a useful method for prenatal diagnosis of fetal lung disorders.     

内质网应激在氟暴露致小鼠睾丸损伤中的作用

探讨了内质网应激在亚慢性氟暴露致小鼠睾丸损伤中的作用及分子机制.选用健康初断乳ICR雄性小鼠30只,随机分为对照组（C）、低氟组（LF）和高氟组（HF）,分别饮用自来水、5、30 mg·L^-1氟化钠水溶液90 d.亚慢性氟暴露结束后,以睾丸脏器系数、睾丸组织氧化/抗氧化酶和形态结构、精子质量、睾丸细胞凋亡、葡萄糖调节蛋白78（GRP78）、CCAAT/增强子结合蛋白同源蛋白（CHOP）、半胱氨酸天冬氨酸蛋白酶12（CASPASE-12）、半胱氨酸天冬氨酸蛋白酶3（CASPASE-3）为观测点.结果表明,与对照组比,LF组和HF组LDH、SOD、T-AOC活性下降,MDA含量上升,HF组GSH-PX活性下降,差异有统计学意义（p<0.05或p<0.01）;LF组可见细胞层次减少、间隙变大,成熟精子数量减少,HF组细胞溶解、层次紊乱,空泡化严重,少见成熟精子;LF组和HF组小鼠的精子活力降低,HF组小鼠精子数量下降,畸形率上升,差异有统计学意义（p<0.05或p<0.01）;LF组和HF组睾丸细胞凋亡指数上升,差异有统计学意义（p<0.01）;LF组和HF组Grp78、Caspase-12、Caspase-3基因表达水平上升,差异有统计学意义（p<0.05或p<0.01）.结果提示,除氧化应激以外,Caspase-12和Caspase-3基因表达异常可能是氟暴露致小鼠睾丸细胞凋亡异常的分子机制之一.     

渤海江豚组织中钠,钙,锶,镁,磷,钾的研究

１９９０年，作者于辽东湾采集了１０头江豚标本，分别测定了其骨骼、皮肤、肌肉、肝脏、肺、肾、心、胃、肠、胰、脾、肾上腺及生殖腺等１３种组织中Ｃａ、Ｓｒ、Ｍｇ、Ｐ、Ｋ、Ｎａ６种元素的含量，详细分析了骨骼及其他各组织中的Ｃａ／Ｍｇ值、Ｃａ／Ｋ值、Ｃａ／Ｐ值、Ｃａ／Ｎａ值和Ｃａ／Ｓｒ×１００值。结果表明，Ｃａ、Ｓｒ、Ｍｇ、Ｐ，Ｋ在骨骼中累积率最高，钾在肌肉中具有高累积，Ｓｒ、Ｃａ在肌肉中累积率最低；Ｍｇ累积率最低的组织是生殖腺，Ｐ累积率最低的组织是肠，而Ｋ在骨骼中，Ｎａ在肌肉中的累积率均高于其他组织。分析结果还显示，Ｃａ／Ｍｇ值最高的是骨骼，最低为肌肉，Ｃａ／Ｐ值最高的是骨骼，最低的是肌肉和胰脏，Ｃａ／Ｋ值最高为骨骼，最低为脾Ｃａ／Ｓｒ×１００值最高为肺、最低为肠，而Ｋ／Ｎａ值最高为肌肉，最低为骨骼，在骨中Ｃａ／Ｐ值大约为１，类同于猫和人类。     

污水处理智能控制与优化控制方法及应用

论述目前污水处理中的智能控制与优化控制方法的研究与应用现状,对模糊控制技术、神经网络软测量与控制、优化控制等方法进行了分析,指出在污水生物处理中引入智能控制是一种提高处理效率、降低运行成本的有效方法.污水处理最优控制能使系统运行稳定可靠,出水水质达到预定标准,而且使出水水质满足要求不增加处理成本.     

广州港软基处理工程对珠江口水质的影响及其预防措施

主要介绍了广州港南沙护岸围堰及试挖工程陆域场地软基处理工程及其施工工艺对珠江口水质的影响，以及在施工过程中采取的一些预防措施。     

新疆八一钢铁公司高炉喷吹烟煤安全措施

介绍了新疆八一钢铁公司高炉烟煤的特点，指出了喷煤系统存在的缺陷，总结了高炉喷吹烟煤所采取的安全措施。     

视屏作业人员慢性肌肉骨骼损伤的调查研究

２３２名微机操作人员的慢性肌肉骨骼损伤表现为肩、颈、下背的酸痛和肩疲劳，与对照组比差异显著。手、腕及上肢的慢性损伤虽较对照组高，但无统计学意义。这与他们的击键次数相对较少（每日１００００次左右），但需长期间保持低头及向前弯腰的坐位姿势及工作台面太高等因素有关     

论冲压设备机械伤害事故的成因与预防

任何事故的发生都离不开人的不安全行为和物的不安全状态，作为危险性较大的冲压设备机械的伤害事故的产生也不例外。为此，从冲压设备机械伤害事故的两起案例入手，具体分析形成事故的因素并提出预防事故发生的有效措施。     

昆明-楚雄-大理-丽江地区地震软风险区划实例

应用云南省昆明市、楚雄州、大理州、丽江市1900—2000年这100年内M≥5．0的地震记录资料，对该地区的地震灾害软风险区划进行了实例分析。结果表明，软风险区划图是以带有“层”结构的地图形式表述风险评估结果的，而“层”是根据可能性水平来划分的。因此，软风险区划图对分析结果的表述，不仅能对风险分析提供更多的信息，而且能提供风险值可信度的信息，从而使风险图“服务信息”丰富化。