Objective: There have been substantial reductions in motor vehicle crash–related child fatalities due to advances in legislation, public safety campaigns, and engineering. Less is known about non-traffic injuries and fatalities to children in and around motor vehicles. The objective of this study was to describe the frequency of various non-traffic incidents, injuries, and fatalities to children using a unique surveillance system and database.
Methods: Instances of non-traffic injuries and fatalities in the United States to children 0–14 years were tracked from January 1990 to December 2014 using a compilation of sources including media reports, individual accounts from families of affected children, medical examiner reports, police reports, child death review teams, coroner reports, medical professionals, legal professionals, and other various modes of publication.
Results: Over the 25-year period, there were at least 11,759 events resulting in 3,396 deaths. The median age of the affected child was 3.7 years. The incident types included 3,115 children unattended in hot vehicles resulting in 729 deaths, 2,251 backovers resulting in 1,232 deaths, 1,439 frontovers resulting in 692 deaths, 777 vehicles knocked into motion resulting in 227 deaths, 415 underage drivers resulting in 203 deaths, 172 power window incidents resulting in 61 deaths, 134 falls resulting in 54 deaths, 79 fires resulting in 41 deaths, and 3,377 other incidents resulting in 157 deaths.
Conclusions: Non-traffic injuries and fatalities present an important threat to the safety and lives of very young children. Future efforts should consider complementary surveillance mechanisms to systematically and comprehensively capture all non-traffic incidents. Continued education, engineering modifications, advocacy, and legislation can help continue to prevent these incidents and must be incorporated in overall child vehicle safety initiatives. 相似文献
Background: Alcohol use is pervasive among motorists on the road in Ghana; however, we do not know the extent to which this behavior is implicated in road accidents in this country.
Objectives: The main objective of this research was to establish the prevalence of alcohol in the blood of nonfatally injured casualties in the emergency departments (EDs) in northern Ghana.
Method: Participants were injured road traffic crash victims, namely, pedestrians, cyclists, motorcyclists, and drivers seeking treatment at an ED. The study sites were 2 level III trauma centers located in Wa and Bolgatanga. Participants were screened for alcohol followed by breath tests for positive participants using breathalyzers.
Results: Two hundred and sixty-two accident victims visited EDs, 58% of whom were in Wa. Among the victims, 41% were hospitalized and 57% experienced slight injuries. The vast majority (76%) of the casualties were motorcyclists, 13% were pedestrians, 8% were cyclists, and 2% were drivers. Casualties who had detectable alcohol in their blood were predominantly vulnerable road users. In all, 34% of participants had detectable blood alcohol concentrations (BACs) and the mean BAC for all casualties who tested positive and could give definitive BACs was 0.2265 (226 mg/dl). The prevalence of alcohol use was 53% among cyclists, 34% among motorcyclists, 21% among pedestrians, and 17% among drivers. Male casualties were more likely to test positive for alcohol than females. In addition, the prevalence of alcohol was significantly higher among injured casualties in Bolgatanga compared to Wa.
Conclusion: There was a high prevalence of alcohol use among nonfatally injured casualties in northern Ghana and injury severity increased with BAC. AUDIT screening in the hospital, alcohol consumption guideline, road safety education with an emphasis on minimizing or eliminating alcohol consumption, and enhanced enforcement of the BAC limit among motorists are recommended. 相似文献
Objective: A novel anthropomorphic test device (ATD) representative of the 50th percentile male soldier is being developed to predict injuries to a vehicle occupant during an underbody blast (UBB). The main objective of this study was to develop and validate a finite element (FE) model of the ATD lower limb outfitted with a military combat boot and to insert the validated lower limb into a model of the full ATD and simulate vertical loading experiments.
Methods: A Belleville desert combat boot model was assigned contacts and material properties based on previous experiments. The boot model was fit to a previously developed model of the barefoot ATD. Validation was performed through 6 matched pair component tests conducted on the Vertically Accelerated Loads Transfer System (VALTS). The load transfer capabilities of the FE model were assessed along with the force-mitigating properties of the boot. The booted lower limb subassembly was then incorporated into a whole-body model of the ATD. Two whole-body VALTS experiments were simulated to evaluate lower limb performance in the whole body.
Results: The lower limb model accurately predicted axial loads measured at heel, tibia, and knee load cells during matched pair component tests. Forces in booted simulations were compared to unbooted simulations and an amount of mitigation similar to that of experiments was observed. In a whole-body loading environment, the model kinematics match those recorded in experiments. The shape and magnitude of experimental force–time curves were accurately predicted by the model. Correlation between the experiments and simulations was backed up by high objective rating scores for all experiments.
Conclusion: The booted lower limb model is accurate in its ability to articulate and transfer loads similar to the physical dummy in simulated underbody loading experiments. The performance of the model leads to the recommendation to use it appropriately as an alternative to costly ATD experiments. 相似文献
This paper responds to recent calls for alternative approaches to the analysis of environmental communication that uncover overlooked voices in the discussion of environmental issues. Borrowing core principles from critical rhetoric, it suggests a way to categorize media messages according to how human–nature relationships are constructed in media discourse. The paper illustrates how, in presenting contrasting and often oppositional constructions of human–nature relationships, the media messages examined articulate three recurrent (but not equal) discourses on global warming. These discourses include (1) nature-as-out-of-reach discourse, (2) nature-as-antagonist discourse, and (3) nature-as-co-present discourse. By juxtaposing these discourses, the paper shows how environmental communication scholars can engage in critical realism and political advocacy to illuminate latent public discourse that holds the potential to champion marginalized voices of nature and accentuate the interconnectedness of humans and the environment. 相似文献
Metal pollution in aquatic systems is considered a serious environmental issue globally due to their ability to accumulate in aquatic environments. Wetlands are vulnerable to this pollution as they are known to trap toxins, removing them from the water. Artificial mussel technology, originally developed for marine environments, was applied to this freshwater system and spot water samples were collected. The Nyl River floodplain (Ramsar classified) is one of the largest and most ecologically significant wetlands in South Africa. The aims of this study were to determine metal contamination along the Nyl River system by means of artificial mussels (AM) and water ICP-MS analysis and to determine whether the use of AMs in conjunction with spot water testing could give more insight into the pollution in freshwater wetlands. The concentrations of Al, Cd, Cr, Co, Cu, Fe, Mn, Ni, Pb and Zn were determined at seven sites. It was determined that the levels accumulated by the AMs differed in spatial and temporal trends when compared to spot water samples. It was determined that there were high levels of some metals found in the spot water tests that were not corroborated by the AMs results, which could indicate isolated pollution events. The use of AMs in conjunction with spot water testing was determined to be beneficial in gaining deeper insight into water metal conditions in dynamic freshwater systems. 相似文献
Plant and soil have been identified as major sink of pollutants in the environment. We evaluated the reliability of biomonitoring of heavy metals in Tshwane area with the use of leaves of Jacaranda mimosifolia. The concentrations of heavy metals such as Ca, Mg, Fe, Pb, Zn, Cu, Sb were measured in leaves of J. mimosifolia and soils collected from 10 sites in the city of Tshwane during two sampling periods. The metals were analyzed with the use of ICP-MS. The result shows significant differences in the concentration of trace metals in all the sites (p < 0.01). The differences between the two sampling periods were statistically significant (p < 0.01). Concentration of metals from high traffic and industrial sites were significantly higher than in the residential areas (p < 0.01). Concentration factor suggests that translocation of metals from roots to leaves could be relevant only for some metals such as Ca, Mg and Sb. The study reveals an anthropogenic source for the trace metals. Leaves of J. mimosifolia were found to be a useful biomonitor of the determined trace metals. 相似文献
Photosynthetic acclimation under elevated carbon dioxide (CO2) and/or ozone (O3) has been the topic of discussion in many papers recently. We examined whether or not aspen plants grown under elevated CO2 and/or O3 will acclimate after 11 years of exposure at the Aspen Face site in Rhinelander, WI, USA. We studied diurnal patterns of instantaneous photosynthetic measurements as well as A/Ci measurements monthly during the 2004-2008 growing seasons. Our results suggest that the responses of two aspen clones differing in O3 sensitivity showed no evidence of photosynthetic and stomatal acclimation under either elevated CO2, O3 or CO2 + O3. Both clones 42E and 271 did not show photosynthetic nor stomatal acclimation under elevated CO2 and O3 after a decade of exposure. We found that the degree of increase or decrease in the photosynthesis and stomatal conductance varied significantly from day to day and from one season to another. 相似文献
As zinc (Zn) is both an essential trace element and potential toxicant, the effects of Zn fixation in soil are of practical significance. Soil samples from four field sites amended with ZnSO4 were used to investigate ageing of soluble Zn under field conditions over a 2-year period. Lability of Zn measured using 65Zn radioisotope dilution showed a significant decrease over time and hence evidence of Zn fixation in three of the four soils. However, 0.01 M CaCl2 extractions and toxicity measurements using a genetically modified lux-marked bacterial biosensor did not indicate a decrease in soluble/bioavailable Zn over time. This was attributed to the strong regulatory effect of abiotic properties such as pH on these latter measurements. These results also showed that Zn ageing occurred immediately after Zn spiking, emphasising the need to incubate freshly spiked soils before ecotoxicity assessments. 相似文献
Arora, Kapil, Steven K. Mickelson, Matthew J. Helmers, and James L. Baker, 2010. Review of Pesticide Retention Processes Occurring in Buffer Strips Receiving Agricultural Runoff. Journal of the American Water Resources Association (JAWRA) 46(3):618-647. DOI: 10.1111/j.1752-1688.2010.00438.x Abstract: Review of the published results shows that the retention of the two pesticide carrier phases (runoff volume and sediment mass) influences pesticide mass transport through buffer strips. Data averaged across different studies showed that the buffer strips retained 45% of runoff volume (ranging between 0 and 100%) and 76% of sediment mass (ranging between 2 and 100%). Sorption (soil sorption coefficient, Koc) is one key pesticide property affecting its transport with the two carrier phases through buffer strips. Data from different studies for pesticide mass retention for weakly (Koc < 100), moderately (100 < Koc < 1,000), and strongly sorbed pesticides (Koc > 1,000) averaged (with ranges) 61 (0-100), 63 (0-100), and 76 (53-100) %, respectively. Because there are more data for runoff volume and sediment mass retention, the average retentions of both carrier phases were used to calculate that the buffer strips would retain 45% of weakly to moderately sorbed and 70% of strongly sorbed pesticides on an average basis. As pesticide mass retention presented is only an average across several studies with different experimental setups, the application of these results to actual field conditions should be carefully examined. 相似文献