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Kristen A. Conner Author Vitae Author Vitae Jonathan I. Groner Author Vitae Author Vitae 《Journal of Safety Research》2008,39(5):469-475
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. 相似文献113.
突发环境事件应急监测演习脚本的编写 总被引:1,自引:0,他引:1
张慧 《环境监测管理与技术》2009,21(1):65-66
简述了突发环境事件应急监测演习脚本编写的重要性及相关原则,介绍了按事故情景演变和应急监测工作响应程序两种应急监测演习脚本的编写方法。 相似文献
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通过研究各仪器性能指标以及测定实际水质样品,对3种便携式分光光度计快速测定水中砷的方法进行了优化和比对研究。结果表明,ZZW-Ⅱ测试仪快速测定水中砷的方法检出限(0.2 mg/L)高于JH 916检测仪和PORS-15 V光谱仪的方法检出限(0.008和0.009 mg/L),在突发性环境污染事故应急监测中,JH 916检测仪和PORS-15 V光谱仪具有相对较高的灵敏度。ZZW-Ⅱ测试仪和JH 916检测仪快速测定水中砷的方法精密度相近,其测定结果相对标准偏差均未超过5.7%(n=6),PORS-15 V光谱仪快速测定水中砷的方法精密度稍差,其相对标准偏差最大值为17%。测定实际样品时,加标回收率分别为110%~126%(ZZW-Ⅱ测试仪),63%~108%(PORS-15 V光谱仪),78%~101%(JH 916检测仪)。3种便携式分光光度计与实验室分析方法相比,测定结果精密度均存在显著性差异,测定结果相对偏差亦较大,相对偏差最大值分别为-19.0%(ZZW-Ⅱ测试仪),17.0%(PORS-15 V光谱仪),-15.0%(JH 916检测仪)。 相似文献
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Peter J. Pizor Sandra M. Holler 《Journal of the American Water Resources Association》1987,23(5):889-896
ABSTRACT: The growing concern for public participation in water resource decision-making has invited researchers to improve and develop reliable, quick, and inexpensive techniques for measuring public preferences. It is increasingly clear that traditional participation mechanisms, though useful, are no longer sufficient in providing the level of participation desired by many. A combination of microcomputer technology with Nominal Group Process (a step-by-step process ending in ranked recommendations) offers numerous possibilities for active participatory planning. Efforts at participation occurring through a well developed and defined process cannot be successful without a sensitivity to the conceptual, methodological, and pragmatic problems involved. This paper prefaces presentation of an alternative active process technique with discussion of the theoretical basis of participatory democracy and the frustration with practical implementation procedures. 相似文献
120.
Daniel Little 《Journal of Agricultural and Environmental Ethics》1988,1(1):41-58
This article considers the dispute between moral economy and rational peasant theories of agrarian societies in application to problems of collective action. The moral-economy theory holds that traditional peasant society is organized cooperatively through shared moral values and communal institutions; while the rational-peasant theory maintains that peasant society shows the mark of rational individual calculation, leading to free-rider problems that undermine successful collective action. This article offers an abstract model of a traditional village and assesses the applicability of recent qualifications of the collective action argument to this model. It will emerge that the social characteristics of the traditional village embody features that facilitate collective action by rational peasants. 相似文献