Using data linkage to assess the impact of motorized recreational vehicle-related injuries in Ohio

Problem

Motorized recreational vehicle (MRV)-related injuries can result in severe medical and financial consequences. The objective of this study was to describe the epidemiology, and clinical and financial impact of MRV-related injuries in Ohio.

Method

Probabilistically linked statewide Emergency Medical Services (EMS) and hospital (inpatient and emergency department) data for 2003 and 2004 were examined. Record pairs with a MRV-related E-code (E821-E823, E825) were included in this study.

Results

There were 2,893 patients with MRV-related injuries, who had linked EMS and hospital records, resulting in more than $15 million in hospital charges and 1,921 inpatient days of hospitalization. The male-to-female ratio was nearly 4:1, and 19% were younger than 16. Almost 82% of cases were not wearing a helmet; there was a trend of decreasing helmet use with increasing age. Mean (SE) inpatient hospital charges and length of stay (LOS) were $22,218 ($1,290) and 3.8 (0.2) days, respectively. The mean (SE) Injury Severity Score (ISS) for inpatients was 9.2 (0.4). Individuals injured on a street/highway were 3.20 times more likely to sustain an ISS ≥ 16 (95% CI: 1.03, 9.88; p = 0.044) and 3.05 times more likely to sustain a traumatic brain injury (TBI) (95% CI: 1.17, 7.94; p = 0.024) than those who were injured at a place designated for sport or recreation. Children aged 12 to 15 and young adults aged 16 to 25 were 2.47 and 2.14 times more likely, respectively, to sustain a TBI than adults aged 36 or older (aged 12 to 15: 95% CI: 1.13, 5.38; p = 0.024; aged 16 to 25: 95% CI: 1.26, 3.64; p = 0.005). Higher ISS was associated with both higher total charges (p < 0.001) and longer LOS (p < 0.001).

Discussion

This study demonstrates that MRV-related injuries are an important public health problem in Ohio, with a substantial clinical and financial impact.

Impact on Industry

Enactment and enforcement of statewide MRV safety legislation and training of MRV users offer valuable opportunities to prevent these costly injuries.     

精细化工固定源废气采样时机的选择探讨

以某医药企业某产品生产过程为实例,综合各工段生产步骤、时间、废气产生情况及估算的污染物浓度等因素,绘制各污染因子排放规律图,从而确定各污染因子排放浓度(排放量)最大的1 h为最佳采样时机。     

锅炉煤炭燃烧过程NOx释放规律及累积转化率影响因素

选用某电厂的实际用煤及焦炭,模拟燃煤电厂的煤炭燃烧过程,在不同温度、助燃气体流量、煤粉粒径和氧含量等多种条件下分别进行实验,得出不同燃烧条件下NOx的释放规律。实验表明,相同条件下,挥发分越大,氮的转化率也相对越大;煤的粒径越小,氮的转化效率越低;随着助燃气体流量的增加,燃料N转化为NOx的总转化效率增加;氧含量增加缩短了反应时间,但燃料N总效率变化不大。     

EFFECTS OF PLACER MINING DISCHARGE ON HEALTH AND FOOD OF ARCTIC GRAYLING1

ABSTRACT: During the summers of 1982, 1983, and 1985, we assessed the effects of placer mining sedimentation on Arctic grayling, Thymallus arcticus, in the headwaters of Birch Creek, northeast of Fairbanks, Alaska. We compared differences between two streams (one that was undisturbed and one with mining activity upstream) near the confluence. Studies of caged fish demonstrated that, if grayling could not escape from streams carrying mining sediments, they would either die at high rates (sac fry) or suffer gill damage, starvation, and slowed maturation (age-O fingerlings and age-2 juveniles). Indirect effects of sedimentation, through loss of summer habitat for feeding and reproduction, may more severely affect grayling populations than the direct effects of sedimentation on the health and survival of individual fish.     

IDENTIFICATION OF DISSOLVED-CONSTITUENT SOURCES IN MINE-SITE GROUND WATER USING BATCH MIXING1

ABSTRACT: Batch-mixing experiments were used to help identify lithologic and mineralogic sources of increased concentrations of dissolved solids in water affected by surface coal mining in northwestern Colorado. Ten overburden core samples were analyzed for mineral composition and mixed with distilled water for 90 days until mineral-water equilibrium was reached. Between one day and 90 days after initial contact, specific conductance in the sample mixtures had a median increase of 306 percent. Dissolved-solids concentrations ranged from 200 to 8,700 mg/L in water samples extracted from the mixtures after 90 days. Mass. balance simulations were conducted using the geochemical models BALANCE and WATEQF to quantify mineral-water interactions occurring in five selected sample mixtures and in water collected from a spring at a reclaimed mine site. The spring water is affected by mineral-water interactions occurring in all of the lithologic units comprising the overburden. Results of the simulations indicate that oxidation of pyrite, dissolution of dolomite, gypsum, and epsomite, and cation-exchange reactions are the primary mineral-water interactions occurring in the overburden. Three lithologic units in the overburden (a coal, a sandstone, and a shale) probably contribute most of the dissolved solids to the spring water. Water sample extracts from mixtures using core from these three units accounted for 85 percent of the total dissolved solids in the 10 sample extracts. Other lithologic units in the overburden probably contribute smaller quantities of dissolved solids to the spring water.     

USE OF GEOSTATISTICS TO EVALUATE WATER QUALITY CHANGES DUE TO COAL MINING1

ABSTRACT: Large variability of water quality data often makes it difficult to judge whether or not the conditions in an aquifier or a stream are deteriorating or not the conditions in an aquifer or a stream are deteriorating or improving. A technique for separation of variograms into positive and negative difference components is proposed. This technique was applied to water quality data from a requality improved with time on the stripmined and undisturbed areas, declined in a seep and an adjoining stream and remained about the same in the deep mined zone.     

Estimation of the shadow prices of pollutants with production/environment inefficiency taken into account: a nonparametric directional distance function approach

This paper deals with the estimation of the shadow prices of pollutants with a nonparametric directional distance function approach, where the inefficiency involved in the production process is taken into account unlike the previous studies. The directional vector, which is critical to the estimation and subject to the criterion for an appropriate efficiency rule proposed here, is calculated by using the annual plans of power plants in terms of production and environment. In the empirical study for Korea's electric power industry during the period of 1990-1995, we find that the average shadow prices of sulfur oxides (SOx), nitrogen oxides (NOx), and total suspended particulates (TSP) are approximately 10% lower than those calculated under the assumption of full efficiency. The methodology we propose and the findings obtained in the empirical study allow us to undertake better decision-making over a broad range of environmental policy issues.     

Chemical Changes in Sediment Pore-Waters of an Acidic Mining Lake After Addition of Organic Substrate and Lime for Stimulating Lake Remediation

In the past five years, enclosures have beeninstalled in an acidic mining lake in Lusatia to investigate insitu remediation processes. They were treated with straw, withstraw and Carbokalk, or with Carbokalk alone, where Carbokalkis a by-product of the sugar industry (solid precipitate ofnon-sugars after lime clarification of extracted sugar beetjuice). Sediment samples were taken as cores to get informationabout the behaviour of organic and inorganic components insediment pore-water with depth. Vertical distributions of pH,soluble reactive phosphate, nitrate, ammonium, silica,aluminium, iron, manganese, calcium, magnesium, sodium,potassium, sulphate, and DOC were measured. The resultingprofiles, each consisting of 15 data points at differentdepths, were compared by cluster analysis. The similarities ofsediment cores from different treated enclosures relating toprofiles of chemical components were discussed. Increasedconcentrations of potassium and sulphate were found in pore-water after substrate treatment. The data imply dissolution ofpotassium iron sulphate hydroxide minerals (jarosite) after anincrease of pH caused by dissolution of lime and by sulphatereducing processes which were stimulated by organic substrateaddition.     

SEASONAL OCCURRENCE OF ANNUAL FLOODS ON SMALL PENNSYLVANIA WATERSHEDS1

A study is presented of the months in which the instantaneous annual maximum discharges from 66 watersheds occurred. The 2,052 flood values were measured on areas ranging from 2.4 through 214 square miles. The longest record was 60 years; the three shortest were 20. Pictorial results show both the number of floods for each month and individual discharges relative to the mean flood. A parameter which is weighted in this manner accounts for both the incidence and the magnitude of floods. Peculiarities of flood-timing charts, based on this parameter, are discussed with respect to watershed size, soils, geology, and land use. After anomolous watersheds had been assigned to special categories, flood-timing charts from most records exhibit a regional dichotomy dividing eastern from western Pennsylvania.     

煤层底板采动导水破坏深度计算的神经网络方法

在综合分析影响煤层底板采动导水破坏深度因素的基础上 ,应用人工神经网络方法 ,建立了底板破坏深度的计算模型。该模型利用现场观测资料作为学习训练样本和测试样本 ,对模型的测算结果、理论计算值和实测值进行了对比分析。结果表明 :用神经网络方法计算底板破坏深度考虑的因素更加全面 ,结果更接近于实际。笔者研究的计算模型和测算方法 ,为承压水上安全采煤决策提供了科学依据。