Objective: Despite advances in vehicle safety systems, motor vehicle crashes continue to cause ankle fractures. This study attempts to provide insight into the mechanisms of injury and to identify the at-risk population groups.
Methods: A study was made of ankle fractures patients treated at an urban level 1 trauma center following motor vehicle crashes, with a concurrent analysis of a nationally representative crash data set. The national data set focused on ankle fractures in drivers involved in frontal crashes. Statistical analysis was applied to the national data set to identify factors associated with fracture risk.
Results: Malleolar fractures occurred most frequently in the driver's right foot due to pedal interaction. The majority of complex/open fractures occurred in the left foot due to interaction with the vehicle floor. These fractures occurred in association with a femoral fracture, but their broad injury pattern suggests a range of fracture causation mechanisms. The statistical analysis indicated that the risk of fracture increased with increasing driver body mass index (BMI) and age.
Conclusions: Efforts to reduce the risk of driver ankle injury should focus on right foot and pedal interaction. The range of injury patterns identified here suggest that efforts to minimize driver ankle fracture risk will likely need to consider injury tolerances for flexion, pronation/supination, and axial loading in order to capture the full range of injury mechanisms. In the clinical environment, physicians examining drivers after a frontal crash should consider those who are older or obese or who have severe femoral injury without concurrent head injury as highly suspicious for an ankle injury. 相似文献
This paper reflects on how sustainability is being interpreted both theoretically and in practice for the primary extraction industries. Two contrasting perspectives can be adopted: one states that continued extraction of non-renewable resources is a necessary part of sustainable development, whilst the other states that extraction of these resources must be greatly reduced or even eliminated. It is shown that these different approaches can be traced back to underlying, often unarticulated, assumptions about the acceptability of trade-offs between different societal goals; attitudes towards uncertainties in scientific analysis and the reliability of management systems; and the perceived appropriateness of system boundaries at different conceptual scales. These assumptions are founded in the self-perception of organisations and individuals about their roles in society, and the cultural context within which these organisations and individuals define their raison d'être. 相似文献
ABSTRACT: Erosion and sedimentation data from research watersheds in the Silver Creek Study Area in central Idaho were used to test the prediction of logging road erosion using the R1-R4 sediment yield model, and sediment delivery using the “BOISED” sediment yield prediction model. Three small watersheds were instrumented and monitored such that erosion from newly constructed roads and sediment delivery to the mouths of the watersheds could be measured for four years following road construction. The errors for annual surface erosion predictions for the two standard road tests ranged from +31.2 t/ha/yr (+15 percent) to -30.3 t/ha/yr (-63 percent) with an average of zero t/ha/yr and a standard deviation of the differences of 18.7 t/ha/yr. The annual prediction errors for the three watershed scale tests had a greater range from -40.8 t/ha/yr (-70 percent) to +65.3 t/ha/yr (+38 percent) with a mean of -1.9 t/ha/yr and a standard deviation of the differences of 25.2 t/ha/yr. Sediment yields predicted by BOISED (watershed scale tests) were consistently greater (average of 2.5 times) than measured sediment yields. Hillslope sediment delivery coefficients in BOISED appear to be overly conservative to account for average site conditions and road locations, and thus over-predict sediment delivery. Mass erosion predictions from BOISED appear to predict volume well (465 tonnes actual versus 710 tonnes predicted, or a 35 percent difference) over 15 to 20 years, however mass wasting is more episodic than the model predicts. 相似文献
We studied the effect of relative parental investment on potential reproductive rates (PRRs) to explain sex differences in
selectivity and competition in the dart-poison frog Dendrobates pumilio. We recorded the reproductive behavior of this species in a Costa Rican lowland rainforest for almost 6 months. Females spent
more time on parental care than males, and `time out' estimates suggest that PRRs of males are much higher than than those
of females, rendering females the limiting sex in the mating process. Males defended territories that provide suitable calling
sites, space for courtship and oviposition, and prevent interference by competitors. Male mating success was highly variable,
from 0 to 12 matings, and was significantly correlated with calling activity and average perch height, but was independent
of body size and weight. Estimates of opportunity for sexual selection and variation in male mating success are given. The
mating system is polygamous: males and females mated several times with different mates. Females were more selective than
males and may sample males between matings. The discrepancy in PRRs between the sexes due to differences in parental investment
and the prolonged breeding season is sufficient to explain the observed mating pattern i.e., selective females, high variance
in male mating success, and the considerable opportunity for sexual selection.
Received: 9 June 1998 / Received in revised form: 27 March 1999 / Accepted: 3 April 1999 相似文献
To assess historical loads of nitrogen (N), phosphorus (P), and suspended sediment (SS) from the nontidal Chesapeake Bay watershed (NTCBW), we analyzed decadal seasonal trends of flow‐normalized loads at the fall‐line of nine major rivers that account for >90% of NTCBW flow. Evaluations of loads by season revealed N, P, and SS load magnitudes have been highest in January‐March and lowest in July‐September, but the temporal trends have followed similar decadal‐scale patterns in all seasons, with notable exceptions. Generally, total N (TN) load has dropped since the late 1980s, but particulate nutrients and SS have risen since the mid‐1990s. The majority of these rises were from Susquehanna River and relate to diminished net trapping at the Conowingo Reservoir. Substantial rises in SS were also observed, however, in other rivers. Moreover, the summed rise in particulate P load from other rivers is of similar magnitude as from Susquehanna. Dissolved nutrient loads have dropped in the upland (Piedmont and above) rivers, but risen in two small rivers in the Coastal Plain affected by lagged groundwater input. In addition, analysis of fractional contributions revealed consistent N trends across the upland watersheds. Finally, total N:total P ratios have declined in most rivers, suggesting the potential for changes in nutrient limitation. Overall, this integrated study of historical data highlights the value of maintaining long‐term monitoring at multiple watershed locations. 相似文献
Environment Systems and Decisions - Natural resources are a type of good whose individual utility maximization is not desirable, as it could lead to their depletion. This problem, raised several... 相似文献
The aim of this study was to analyse the transfer of steam through different types of textile layers as a function of sample parameters such as thickness and permeability. In order to simulate the human body, a cylinder releasing defined amounts of moisture was also used. The influence of sweating on heat and mass transfer was assessed.The results show that in general impermeable materials offer better protection against hot steam than semi-permeable ones. The transfer of steam depended on the water vapour permeability of the samples, but also on their thermal insulation and their thickness. Increasing the thickness of the samples with a spacer gave a larger increase in protection with the impermeable samples compared to semi-permeable materials. Measurements with pre-wetted samples showed a reduction in steam protection in any case. On the other hand, the measurements with a sweating cylinder showed a beneficial effect of sweating. 相似文献
Heat and mechanical protection properties of 6 fabric combinations commonly used in firefighters’ protective clothing were assessed before and after different heat treatment. It was shown that after heat exposure, the values obtained were generally lower than in the original state. The mechanical properties of the materials were more affected by heat than by heat protective properties. In 2 cases, degradation started before a visible change in the material could be observed, which might be potentially dangerous for the end user who will not realize the alteration of the material. 相似文献