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.     

警用头盔的人机工程学分析

警用头盔是武警部队使用最为频繁的单兵防护用具，本文基于人机工程学的理论，用人机工程学的观点对武警部队现装备的警用头盔进行分析和探讨，提出解决途径的设想，展望警用头盔的发展前景。     

碰撞造山过程中热-构造状态演化与陆壳岩石熔融的关系

碰撞造山作用过程中陆壳岩石馆融形成花岗岩浆主要出现在加热期和伸展抬升期，是碰任后岩石田热状态调整引起陆壳物质化学分界的结果。陆壳碰撞前的构造历史、大陆岩石国的热参数和地幔过程、造山带的几何学特征和运动学性质等制约了造山带花岗岩类的发育，尤其是与各种造成地慢高热流叠加于下部地壳的岩石圈调整过程关系密切。大别造山带中生代花岗岩类的形成可能就是华北、扬子陆块碰撞后，底侵和垂向分离过程作用于造山带伸展抬升期，引起下部地壳岩石相继发生两次馆融的结果。     

政策干预对提高煤矿职工素质影响探讨

煤矿井下作业人员素质低,是煤矿事故多发的重要原因之一.建议从大幅度提高煤矿井下人员工资待遇,吸引高素质人才从事煤矿工作;全方位开展煤矿职业培训工作,坚持先培训后就业,实行煤矿从业准入制;对现在岗的煤矿从业人员分期分批进行培训,实现煤矿从业人员持证上岗;政府出台政策,强制煤矿企业开展职工岗位技术培训和安全培训等4个方面着手,切实提高煤矿从业人员的整体素质,减少煤矿事故的发生.     

航空器场内失事应急演练评估指标体系与评估方法研究

针对目前我国民用运输机场航空器场内失事应急救援综合演练缺乏有效评估体系的现状，通过对演练过程进行系统分析，构建航空器场内失事应急救援演练评估指标体系，涵盖消防、医疗、公安、媒体应对、运行指挥中心、地服、飞行区7个组织部门的2级指标。结合航空器场内失事救援的业务特点以及指标体系内在逻辑，设计相应的评估方法，对开展的航空器场内失事应急演练进行评估；最后，以国内2个机场的相关应急演练过程为典型示例，进行应用分析。研究结果表明:构建的演练评估指标体系及评估方法能较好地应用于实际应急演练过程，进而在演练评估结果和建议的基础上，实现应急演练的持续改进。     

Trauma demography and clinical epidemiology of motorcycle crash–related head injury in a neurosurgery practice in an African developing country

Objective: Though motor vehicle crashes (MVCs) were the main cause of head trauma from road traffic injuries (RTIs), motorcycle crashes (MCCs) are now a major cause of RTI-related head injury (HI) in many developing countries.

Methods: Using a prospective database of HIs from a neurosurgical practice in a sub-Saharan African developing country, a cross-sectional survey was conducted for the trauma demography and clinical epidemiology of this MCC-related HI.

Results: Motorcycle crashes accounted for 57% (473/833) of all RTI-related HIs in this registry. The victims, with a mean age of 33.1 years (SD = 18.3), consisted mainly of males (83.1%), those of low socioeconomic status (>90%), and those aged between 20 and 40 years old (56%). MCCs involved only riders in 114 cases (114/473, 32.1%), of which 69% were motorcycle–motorcycle crashes. The HI was moderate–severe in 50.8%; clinical symptomatology of significant HI included loss of consciousness (92%), anisocoria (35%), Abbreviated Injury Scale head (AIS–head) score > 3 (28%), and CT-Rotterdam score > 3 (30%). Extracranial systemic injury involved the limbs most frequently, with an Injury Severity Score (ISS) >25 in 49%. The fatality rate was 24%.

MCC-related HI among pedestrian victims involved more vulnerable age groups (the young and elderly) but have lower mean ISS compared to motorcycle passengers (mean ISS = 23.5 [11.6] vs. 27.4 [13.0]; 95% confidence interval [CI], 1.27–6.49; P = .004). In addition, compared to a contemporary cohort of MVC-related HIs in our registry, MCC victims were older (mean age 34.8 years [18.0] vs. 30.8 [18.4]; P = .002); had higher proportions of certain extracranial trauma like long bone fractures (71 vs. 29%; P = .02); and suffered fewer surgical brain lesions (25.5 vs. 17.2%; P = .004).

Conclusions: Motorcycle crashes are now a significant threat to the heads, limbs, and lives of vulnerable road users in developing countries.     

核电站温排水卫星遥感监测应用研究

选取我国 HJ－1 B卫星红外相机为遥感数据源，在介绍了温排水卫星遥感监测的技术流程和基本原理之后，重点论述了海表温度反演的算法和基准温度提取的基本原则。以2013年1月17日大亚湾核电站和2013年5月22日田湾核电站2景 HJ－1 B红外相机数据为应用实例，说明了卫星遥感监测可作为开展核电站温排水影响监测与热污染评价的首选技术方向和主要监测手段，阐述了其在核电站温排水影响后评估中的作用和意义。     

Investigating the key indicators for evaluating post‐disaster shelter

This study sought to identify the primary indicators for evaluating shelter assistance following natural disasters and then to develop a shelter evaluation instrument based on these indicators. Electronic databases and the ‘grey’ literature were scoured for publications with a relation to post‐disaster shelter assistance. Indicators for evaluating such assistance were extracted from these publications. In total, 1,525 indicators were extracted from 181 publications. A preliminary evaluation instrument was designed from these 1,525 indicators. Shelter experts checked the instrument for face and content validity, and it was revised subsequently based on their input. The revised instrument comprises a version for use by shelter agencies (48 questions that assess 23 indicators) and a version for use by beneficiaries (52 questions that assess 22 indicators). The instrument can serve as a standardised tool to enable groups to gauge whether or not the shelter assistance that they supply meets the needs of disaster‐affected populations.     

Seat Belt Use in States and Territories with Primary and Secondary Laws -- United States, 2006

Problem

Motor-vehicle crashes are a leading cause of death in the United States. In the event of a crash, seat belts are highly effective in preventing serious injury and death.

Methods

Data from the 2006 Behavioral Risk Factor Surveillance System were used to calculate prevalence of seat belt use by state and territory and by type of state seat belt law (primary vs. secondary enforcement).

Results

In 2006, seat belt use among adults ranged from 58.3% to 91.9% in the states and territories. Seat belt use was 86.0% in states and territories with primary enforcement laws and 75.9% in states with secondary enforcement laws.

Discussion

Seat belt use continues to increase in the United States. Primary enforcement laws remain a more effective strategy than secondary enforcement laws in getting motor-vehicle occupants to wear their seat belts.     

建设项目环境影响后评价的主要内容及存在的问题研究

根据《中华人民共和国环境影响评价法》的有关条款,探讨了建设项目环境影响后评价的定义、适用对象、工作内容、工作程序。同时,结合多年的环境管理经验,分析了典型行业环境影响后评价的重点,并指出了目前中国建设项目环境影响后评价存在的问题,提出了改进和完善的建议。实践表明,开展环境影响后评价有助于提高环境管理决策水平。