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321.
Background: There is a need for routine estimates of injury recovery costs from pedestrian collisions using hospital separation records for economic evaluations.

Objective: To estimate the cost of injury recovery following pedestrian–vehicle collisions using the personal injury recover cost (PIRC) equation using key demographic and injury characteristics.

Method: An estimation of the costs of on-road pedestrian–vehicle collisions involving individuals who were injured and hospitalized in New South Wales (NSW), Australia, from 2002 to 2011 using the PIRC equation. The PIRC estimates individual injury recovery costs and does not include costs associated with property damage, vehicle repair, or rescue services. Individual recovery costs associated with severe traumatic brain injury (TBI) were estimated. The injured individual's mean, median, and total injury recovery costs are described for key demographic, injury, and crash characteristics.

Results: There were 9,781 pedestrians who were injured, costing an estimated total of $2.4 billion in personal injury recovery costs, an annual cost of $243 million. Males had a total injury recovery cost 1.7 times higher than females. The median injury recovery cost decreased with increasing age. TBI ($248,491) and spinal cord and vertebral column injuries ($264,103) had the highest median injury recovery costs for the body region of the most severe injury. TBI accounted for 22.6% of the total injury recovery costs for the most severe injury sustained. Just over one third of pedestrians sustained 4 or more injuries, with a median cost of $243,992, which was 1.6 times higher than the cost for a pedestrian who sustained a single injury ($153,682).

Conclusions: Personal injury recovery costs following pedestrian–vehicle collisions where a pedestrian is injured are substantial in NSW. The PIRC equation enables the economic cost burden of road traffic injury to be calculated using hospital separation data. The PIRC enables comprehensive personal injury recovery costs to be estimated and would aid in economic evaluations of preventive strategies in road safety.  相似文献   

322.
The physical and chemical qualities of the process effluent and the tailings dam wastewater of AngloGold-Ashanti Limited, a gold mining company in Ghana, were studied from June to September, 2010. The process effluent from the gold extraction plant contains high amounts of suspended solids and is therefore highly turbid. Arsenic, copper and cyanide were identified as the major pollutants in the process effluent with average concentrations of 10.0, 3.1 and 21.6 mg?L?1, respectively. Arsenic, copper, iron and free cyanide (CN?) concentrations in the process effluent exceeded the Ghana EPA discharge limits; therefore, it is necessary to treat the process effluent before it can be discharged into the environment. Principal component analysis of the data indicated that the process effluent characteristics were influenced by the gold extraction process as well as the nature of the gold-bearing ore processed. No significant correlation was observed between the wastewater characteristics themselves, except for the dissolved oxygen and the biochemical oxygen demand. The process effluent is fed to the Sansu tailings dam, which removes 99.9 % of the total suspended solids and 99.7 % of the turbidity; but copper, arsenic and cyanide concentrations were still high. The effluent produced can be classified as inorganic with a high load of non-biodegradable compounds. It was noted that, though the Sansu tailings dam stores the polluted effluent from the gold extraction plant, there will still be serious environmental problems in the event of failure of the dam.  相似文献   
323.
Abstract

Artificially contaminated (spiked) natural soils were solidified/stabilized using various combinations of commonly used additives, such as lime, cement, fly ash, activated carbon, and silica fume. The effectiveness of the solidification/stabilization (S/S) processes was evaluated based on experimental findings from compaction testing, unconfined compressive shear strength, and X-ray diffraction (XRD). Correlations of limited reliability between unconfined compressive strength and penetrometer and torvane measurements were derived. Results from XRD experiments indicated that certain organic contaminants (i.e., naphthalene and pyrene) might impact the S/S processes for a given combination of additives. The type and amount of organic contaminants also affected the pozzolanic reactions. Specifically, the absence or small peak intensity of pozzolanic product XRD patterns for a given combination of additives was a good indication that the type and the amount of organic contaminant present inhibited pozzolanic reactions. This phenomenon was tested and confirmed for actual field-contaminated samples.  相似文献   
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326.
A survey of the intertidal biota of a sandy beach on the west coast of South Africa has shown standing stocks of macrofauna, meiofauna and bacteria of 241.23, 200.17 and 663.07 g dry wt m-1 of shoreline respectively, an approximate biomass ratio of 1:1:3. The distribution of the macrofauna was the reverse of the usual pattern, with highest biomass occurring at the level of the current driftline. This appears to be related directly to the ready availability of food in the form of drift algae. Peak meiofaunal numbers were also found below the driftline and it is proposed that meiofaunal distribution is governed by dissolved organic matter (DOM) levels in the interstitial environment. Bacteria were abundant up to 1.2 m below the sediment surface, with the highest concentrations occurring at low tidal levels. The significance of the various biotic components in the energetics of the sandy intertidal is discussed. Turnover estimates suggest that bacteria may account for about 87% of annual production, with meiofauna and macrofauna making up 10 and 3% respectively. Despite this overwhelming importance of bacteria, the macro-and meiofauna probably play a vital role in making small organic particles available to bacteria for mineralization and in optimising conditions for microbial growth.  相似文献   
327.
Polychlorinated dibenzo-p-dioxins and furans (PCDD/Fs) have been monitored in air and deposition at four UK urban sites (London, Cardiff, Manchester and Stevenage) since the beginning of 1991; data from the first 2 years are presented here. Median Σ2,3,7,8-substituted PCDD/F concentrations in air were 3.2, 4.0, 3.5 and 2.6 pg/m3 respectively for London, Cardiff, Manchester and Stevenage. Median Σ2,3,7,8-substituted PCDD/F deposition fluxes were 1.5 ng/m2/day in London, 1.4 ng/m2/day in Cardiff and Manchester and 0.79 ng/m2/day in Stevenage. Seasonal variations in the PCDD/F concentrations were observed at all sites for both air and deposition, with concentrations/fluxes generally elevated during the winter.  相似文献   
328.
We assessed the effects on fish of lead (Pb) released to streamsby smelters located in Trail, BC (Canada), E. Helena, MT, Herculaneum, MO, and Glover, MO. Fish were collected by electrofishing from sites located downstream of smelters and from reference sites. Blood from each fish was analyzed for -aminolevulinic acid dehydratase (ALAD) activity and hemoglobin (Hb), and samples of blood, liver, or carcass were analyzed for Pb, zinc (Zn), or both. Fish collected downstreamof all four smelters sites had elevated Pb concentrations, decreased ALAD activity, or both relative to their respectivereference sites. At E. Helena, fish from the downstream site also had lower Hb concentrations than fish from upstream. Differences among taxa were also apparent. Consistent with previous studies, ALAD activity in catostomids (Pisces: Catostomidae-northern hog sucker, Hypentelium nigricans;river carpsucker, Carpiodes carpio; largescale sucker, Catostomus macrocheilus; and mountain sucker, C. platyrhynchus) seemed more sensitive to Pb-induced ALAD inhibition than the salmonids (Pisces: Salmonidae-rainbow trout,Oncorhynchus mykiss; brook trout, Salvelinus fontinalis) or common carp (Cyprinus carpio). Some of these differences may have resulted from differential accumulation of Zn, which was not measured at all sites. We detected no ALAD activity in channel catfish (Ictaluruspunctatus) from either site on the Mississippi River at Herculaneum, MO. Our findings confirmed that Pb is releasedto aquatic ecosystems by smelters and accumulated by fish, andwe documented potentially adverse effects of Pb in fish. We recommend that Zn be measured along with Pb when ALAD activityis used as a biomarker and the collection of at least 10 fish ofa species at each site to facilitate statistical analysis.  相似文献   
329.
Epidemiological studies have demonstrated the relationship between exposure to ambient particulate matter (PM) and health effects in those with cardiopulmonary diseases. The free radical generating activity of particles has been suggested as a unifying factor in the biological activity of PM in toxicological studies but so far has not been applied as a method for environmental monitoring of PM. The purpose of this study was to characterize hydroxyl radical (OH*) production by different size fractions of PM, to use as an alternative method for monitoring of PM composition and activity. We have developed a method, using electron paramagnetic resonance (EPR), to measure OH* radical formation in suspensions of particles in the presence of hydrogen peroxide and 5,5-dimethyl-1-pyrroline-N-oxide (DMPO) as a specific spin-trap. Samples of ambient particulate matter (PM) of different size fractions were collected from various sites on various filters. PM deposited on filters as well as suspensions in water retain its ability to generate OH* and this generation is determined by concentration of hydrogen peroxide and soluble metals. However, large variations in OH* radical formation and kinetics were found with different soluble metals and within metals (Fe, V) with different valencies. The method was applied to environmental monitoring in Hettstedt-Zerbst, situated in South-Eastern Germany, where it showed a relation to Cu-content of PM. The method was also applied in Duisburg, where the PMI fraction showed the highest DMPO-OH* generation but was not linked to particle counts. The method integrates metal bioavailability and reactivity and can provide a better understanding of the effect of small variations in mass concentrations on health.  相似文献   
330.
Evidence-based policy (EBP) is currently one of the "big ideas" in policy circles. From its origins in the medical community, EBP is now being applied to other policy domains including environment. But will it really ensure that the public policy grease gets to the environmental squeak? And what are the implications for scientists themselves?  相似文献   
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