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131.
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   

132.
Jonathan M. H. Green  Gemma R. Cranston  William J. Sutherland  Hannah R. Tranter  Sarah J. Bell  Tim G. Benton  Eva Blixt  Colm Bowe  Sarah Broadley  Andrew Brown  Chris Brown  Neil Burns  David Butler  Hannah Collins  Helen Crowley  Justin DeKoszmovszky  Les G. Firbank  Brett Fulford  Toby A. Gardner  Rosemary S. Hails  Sharla Halvorson  Michael Jack  Ben Kerrison  Lenny S. C. Koh  Steven C. Lang  Emily J. McKenzie  Pablo Monsivais  Timothy O’Riordan  Jeremy Osborn  Stephen Oswald  Emma Price Thomas  David Raffaelli  Belinda Reyers  Jagjit S. Srai  Bernardo B. N. Strassburg  David Webster  Ruth Welters  Gail Whiteman  James Wilsdon  Bhaskar Vira 《Sustainability Science》2017,12(2):319-331
Delivering access to sufficient food, energy and water resources to ensure human wellbeing is a major concern for governments worldwide. However, it is crucial to account for the ‘nexus’ of interactions between these natural resources and the consequent implications for human wellbeing. The private sector has a critical role in driving positive change towards more sustainable nexus management and could reap considerable benefits from collaboration with researchers to devise solutions to some of the foremost sustainability challenges of today. Yet opportunities are missed because the private sector is rarely involved in the formulation of deliverable research priorities. We convened senior research scientists and influential business leaders to collaboratively identify the top forty questions that, if answered, would best help companies understand and manage their food-energy-water-environment nexus dependencies and impacts. Codification of the top order nexus themes highlighted research priorities around development of pragmatic yet credible tools that allow businesses to incorporate nexus interactions into their decision-making; demonstration of the business case for more sustainable nexus management; identification of the most effective levers for behaviour change; and understanding incentives or circumstances that allow individuals and businesses to take a leadership stance. Greater investment in the complex but productive relations between the private sector and research community will create deeper and more meaningful collaboration and cooperation.  相似文献   
133.
基于长江中下游地区1961~2100年区域气候模式COSMO-CLM(CCLM)模拟与1961~2005年气象站观测的逐日降水数据,通过统计计算年降水量、强降水量、暴雨日数和极端降水贡献率4个极端降水指数,研究全球升温1.5℃与2.0℃情景下,长江中下游地区极端降水的时空变化特征。结果表明:(1)全球升温1.5℃情景下,年降水量相对于1986~2005年减少5%,强降水量、暴雨日数和极端降水贡献率分别增加7%、33%和4%;概率密度曲线表明,年降水量均值下降,强降水量、暴雨日数和极端降水贡献率均值上升,极端降水方差增大;年降水量、强降水量和暴雨日数在空间上表现为南部增加北部减少,极端降水贡献率则相反。(2)全球升温2.0℃情景下,年降水量下降3%,强降水量、暴雨日数和极端降水贡献率分别上升15%、46%和15%;年降水量均值稍有减少且方差稍有上升,强降水量、暴雨日数和极端降水贡献率均值和方差明显增加;年降水量减少区域位于长江主干以北,强降水量、暴雨日数和极端降水贡献率表现为绝大部分地区增加的空间变化特征。(3)全球升温由1.5℃至2.0℃时,年降水量、强降水量、暴雨日数和极端降水贡献率分别增加3%、7%、10%和11%;随升温幅度的增加极端降水均值和方差上升;极端降水呈增加态势的范围扩大。因此,努力将升温控制在1.5℃对降低极端降水的影响具有重要意义。  相似文献   
134.
为讨论表面改性对活性炭吸附特性的影响,用氨改性活性炭对Pb(Ⅱ)的吸附性能进行了研究。通过高温氨气吹扫对活性炭进行表面改性处理,观察了改性后活性炭物化性质的变化,研究了氨改性活性炭对Pb(Ⅱ)的吸附等温关系与动力学,并对吸附前后氨改性活性炭的形貌进行了分析。结果表明,氨改性后活性炭比表面积和总孔孔容均略有增大,活性炭中N元素含量明显增高,含氧官能团数量减少,零电荷点增大。氨改性后活性炭对Pb(Ⅱ)的吸附效果明显提高,吸附过程数据可用等温吸附方程描述,改性后活性炭对Pb(Ⅱ)的吸附符合拟二级动力学。Pb(Ⅱ)在氨改性活性炭表面上的附着明显可见。通过红外光谱分析,活性炭表面含氮官能团与Pb(Ⅱ)发生缔合作用。  相似文献   
135.
锰铜铈氧化物催化剂氧化NO性能及动力学研究   总被引:1,自引:0,他引:1  
实验以TiO2为载体采用浸渍法制备CuOx/TiO2、CeOx/TiO2、CuCeOx/TiO2和MnCuCeOx/TiO2催化剂,考察这些催化剂氧化NO活性,探究Cu、Ce摩尔比和添加Mn元素对CuCeOx/TiO2催化剂氧化NO活性的影响,使用扫描电镜观察催化剂表面结构。研究发现,Cu、Ce元素配合后的CuCeOx/TiO2催化剂氧化活性明显好于单独含Cu、Ce的催化剂,当Cu、Ce摩尔比为Cu:Ce=1∶2时,CuCeOx/TiO2催化剂氧化活性最好,在NO浓度500×10-6,O210%,空速为24 000 h-1,350℃时,NO氧化度为0.62;添加Mn元素可以提高CuCeOx/TiO2催化剂低温氧化活性,250℃时,MnCuCe/Ti-3和MnCuCe/Ti-5催化剂氧化度为0.53和0.69,300℃时,MnCuCe/Ti-3和MnCuCe/Ti-5催化剂氧化度均为0.76;此外,实验还研究了NO在MnCuCe/Ti-3催化剂上反应的动力学方程。  相似文献   
136.
A chlorinated volatile organic compound (cVOC) source area approximately 25 by 100 ft in a heavily industrialized urban area was characterized with groundwater tetrachloroethene (PCE) concentrations up to 9,180 μg/L. This is approximately 6 percent of PCE's aqueous solubility, indicative of the presence of residual dense, nonaqueous phase liquid. The resulting dissolved‐phase plume migrated off‐site. Biotic and abiotic dechlorination using a combination of a food‐grade organic carbon‐based electron donor and zero‐valent iron suspended in a food‐grade emulsifying agent reduced the source area PCE concentrations by 98 percent within 27 weeks, with minimal downgradient migration of daughter products dichloroethene and vinyl chloride. Combining biological dechlorination with iron‐based chemical dechlorination is synergistic, enhancing treatment aggressiveness, balancing pH, and optimizing degradation of both DNAPL and dissolved‐phase cVOCs. © 2013 Wiley Periodicals, Inc.  相似文献   
137.
Drought is a significant natural hazard that slowly evolves over time. Because of its character, drought is difficult to monitor and impacts are often poorly documented. Agriculture is one of the most sensitive sectors that are prone to drought. The objective of this research is to assess the impacts of drought on soybean production and revenue in Kentucky. Soybeans are one of Kentucky’s most important commodities. In this study, impacts of 1930–1931, 1940–1942, 1952–1955, 1987–1988, 1999–2000, and 2007 droughts were considered. It was found that over the recent years, up to 56 % of the revenue from soybeans was lost due to drought. During the first half of the twentieth century, revenue loss reached up to 77 %. This research is valuable to the general public as well as planners and policy makers. Proper documentation of impacts of past droughts will help identify drought vulnerabilities and results in better risk management and mitigation.  相似文献   
138.
Effect of the addition of poly(ethylene glycol) terminated by benzoate (PEG-BA) on the crystallization behavior and dynamic mechanical properties of poly(l-lactic acid) PLLA is studied as compared with poly(ethylene glycol) (PEG-OH). It is found that PEG-BA is miscible with PLLA and shows good plasticizing effect. Because PEG-OH having the same degree of polymerization is immiscible with PLLA, the end group in PEG-BA, i.e., benzoate, plays an important role in the miscibility. Furthermore, PEG-BA does not induce the PLLA degradation at melt-processing, whereas PEG-OH leads to the hydrolysis degradation. Finally, the addition of PEG-BA pronounces the crystallization rate of PLLA at low crystallization temperatures and thus enhances the degree of crystallinity at conventional processing. Consequently, the temperature dependence of dynamic mechanical properties are similar to that for isotactic polypropylene.  相似文献   
139.
Thermal desorption is widely used for remediation of soil contaminated with volatiles, such as solvents and distillates. In this study, a soil contaminated with semivolatile polychlorinated biphenyls (PCBs) was sampled at an interim storage point for waste PCB transformers and heated to temperatures from 300 to 600 °C in a flow of nitrogen to investigate the effect of temperature and particle size on thermal desorption. Two size fractions were tested: coarse soil of 420–841 μm and fine soil with particles <250 μm. A PCB removal efficiency of 98.0 % was attained after 1 h of thermal treatment at 600 °C. The residual amount of PCBs in this soil decreased with rising thermal treatment temperature while the amount transferred to the gas phase increased up to 550 °C; at 600 °C, destruction of PCBs became more obvious. At low temperature, the thermally treated soil still had a similar PCB homologue distribution as raw soil, indicating thermal desorption as a main mechanism in removal. Dechlorination and decomposition increasingly occurred at high temperature, since shifts in average chlorination level were observed, from 3.34 in the raw soil to 2.75 in soil treated at 600 °C. Fine soil particles showed higher removal efficiency and destruction efficiency than coarse particles, suggesting that desorption from coarse particles is influenced by mass transfer.  相似文献   
140.
Some technical issues in managing PCBs   总被引:1,自引:0,他引:1  
Polychlorinated biphenyls (PCBs) were important industrial chemicals featuring high thermal and chemical stability and low flammability. They were widely used as dielectric and thermal fluid in closed electro-technical applications (transformers, capacitors…) and also in numerous dispersive uses, ranking from auto-copying paper to sealant or coatings. During the 1960s, severe environmental consequences started becoming apparent. The stability of PCBs contributed to their persistence in the environment, their lipophilic character to bio-magnification. Fish-eating species seemed threatened in their existence. In Japan and in Taiwan, thousands of people consumed PCB-contaminated oil. The production of PCBs stopped completely during the 1980s. Usage could continue in closed applications only. In this paper, particular attention is given to two issues: the cleaning of PCB electric transformers and the potential impact of PCB-containing building materials. Other contributions will cover the management and treatment of PCB-contaminated soil, sludge or fly ash. The complete survey is being prepared by request of the Knowledge Center for Engineers and Professionals.  相似文献   
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