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51.
52.
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53.
Wayne Turnberg Author Vitae William Daniell Author Vitae 《Journal of Safety Research》2008,39(6):563-568
Problem
Psychometrically validated measurement tools are needed to evaluate an organization's safety climate. In 2000, Gershon and colleagues published a new healthcare safety climate measurement tool to determine its relationship to safe work behavior (Gershon, R., Karkashian, C., Grosch, J., Murphy, L., Escamilla-Cejudo, A., Flanagan, P., et al. (2000). Hospital safety climate and its relationship with safe work practices and workplace exposure incidents. American Journal of Infection Control, 28, 211-21). The present study evaluated the psychometric properties of the Gershon tool when modified to address respiratory rather than bloodborne pathogen exposures.Method
Medical practitioners, nurses, and nurse aides (n = 460) were surveyed using the modified Gershon tool. Data were analyzed by factor analysis and psychometric properties of the tool evaluated.Results
Eight safety climate dimensions were extracted from 25 items (Cronbach's alpha range: 0.62 - 0.88). Factor extractions and psychometric properties were reasonably consistent with those of the Gershon tool.Impact on Industry
The Gershon safety climate tool appears to have sufficient reliability and validity for use by healthcare decision makers as an indicator of employee perceptions of safety in their institution. 相似文献54.
A critical component of community-based disaster preparedness (CBDP) is a local resource database of suppliers providing physical, information and human resources for use in disaster response. Maintenance of such a database can become a collaborative responsibility among community-based non-governmental organisations (NGOs) and public and private community organisations. In addition to mobilising resources, this process raises awareness within the community and aids in assessing local knowledge and resources. This paper presents the results of a pilot study on implementing a community-based resource database through collaboration with local American Red Cross chapters and public and private community organisations. The design of the resource database is described. The resource database is accessible via the internet and offline using laptops and handheld Personal Digital Assistants. The study concludes that CBDP is strengthened through a combination of appropriate information technology and collaborative relationships between NGOs and community-based organisations. 相似文献
55.
建设项目竣工环境保护验收监测应注意的问题 总被引:1,自引:0,他引:1
针对建设项目竣工环境保护验收监测中存在的问题,阐述了工况控制、总量监测、环境相容性等环节的技术要求和注意事项,并就与之相关的公众参与、监测人员的素质等问题展开了讨论。 相似文献
56.
基于现代信息技术的城市灾害应急管理系统 总被引:6,自引:0,他引:6
城市灾害应急管理系统是一项复杂的大系统工程。本文着重从应急管理过程中的应急资源调配、应急预案制定等方面阐述了现代信息技术在城市灾害应急管理中的应用与优势。认为应急管理信息系统的建立目的不是为了预测和估算,而应是当灾害发生时,对已造成的灾情局面做出快速的辅助决策支持。基于此,利用SuperMapObject5.0,Visual Basic6.0,SQL Server2000等现代信息技术软件,以辅助决策、资源快速查询以及生命线管网易损处调查为目的,本文建立了一个局部地区灾害应急管理信息系统。系统的数据库建立更突出了为应急管理服务所需的基础信息、空间数据、应急预案和应急资源等信息划分方式;结合已有的震害预测理论和方法,开发了供水系统和交通系统的震害预测模块,事先为灾害应急决策提供可能的震害信息。系统的开发过程进一步证明了GIS在城市灾害应急管理中有着直观显示、容易操作、辅助准确决策等优势。 相似文献
57.
近十年生态工程在中国的进展 总被引:21,自引:0,他引:21
我国生态工程近 1 0多年有进一步发展 ,研究和应用对象扩展为社会 -经济 -自然复合生态系统 ,目标明确为可持续发展 ,从追求一维的经济增长或环境与自然保护 ,走向富裕、健康、文明三维一体的复合生态繁荣。在充实“整体、协调、循环、自生”的生态工程原理和生态控制论的基础上 ,总结出生态工程设计的 8项原则。方法论发展为从物理过程的量化走向生态过程的序化 ,从工程结构的优化走向生态格局的进化 ,从机器的人工智能走向人的生态智能。技术路线发展了硬件、软件、心件耦合 ;多学科、多技术的系统组合 ;调控复合生态系统全生态过程 ;寓环境保护于生产和消费中 ,寓废弃物处理于利用中 ;结构和功能纵横耦合成食物链网式、生命周期式、生态系统式等网络结构 相似文献
58.
Xiaoli Wang 《中国人口.资源与环境(英文版)》2017,15(1):80-86
As the main contribution of China’s carbon emissions, low-carbon production in industrial firms becomes an inevitable choice, and industrial firm employees’ attitudes on low-carbon new technology directly influence the results of low-carbon production. Based on the Unified Theory of Acceptance and Use of Technology model, structural equation modeling was used to analyze the main factors influencing firm staff to accept low-carbon new technology. The study reveals that the employee’s social impact, performance expectation, effort expectations and convenient conditions, and employee characteristics are all main factors affecting their acceptance attitudes on low-carbon new technology. And social influence has the largest effect on employees’ acceptance attitudes toward low-carbon new technology. Accordingly, relevant policy recommendations are put forward for the future research direction. 相似文献
59.
The techno-economic and environmental performance of hybrid solar hydrogen energy systems was investigated to provide combined cooling, heating and power (CCHP) demands of a standalone greenhouse in Iran to achieve sustainable agriculture based on an optimization procedure. From the environmental point of view, by deploying hybrid energy systems, 83%, to 100% of emissions can be avoided. Also a sensitivity analysis was performed on the hybrid energy systems in order to study the effect of major parameter variation on the systems justification. It was concluded that hybrid solar systems are economically competitive with conventional systems, for high solar intensity locations with high diesel fuel prices and decreased prices for PV and hydrogen storage technology. 相似文献
60.
技术创新是煤炭城市协调发展的重要支撑和根本保证,现有的煤炭城市技术创新存在着历史遗留及因其特性产生的固有障碍因素。知识管理是通过对知识资源的有效管理和利用,创造新价值和增强竞争优势的持续管理创新活动,它是破解煤炭城市技术创新路径闭锁的有力工具。 相似文献