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.     

应急监测水中N-甲基哌嗪的气相色谱法

采用气相色谱直接进样法测定了水中N-甲基哌嗪,在3min内完成整个分析过程。直接进水样经毛细管柱分离水中的N-甲基哌嗪,用GC/FID测定,以保留时间定性,峰高定量。在浓度范围为8.44～80.32mg/L时,相对标准偏差为1.8%～2.9%,标准偏差为0.19～1.5mg/L。样品加标回收率为81%。标准曲线的相关系数为0.9992。检出限为0.08mg/L。      

邻苯二酚环境标准和分析标准研究

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Implementing wildlife-management strategies into road infrastructure in southern Ontario: a critical success factors approach

Wildlife-road conflict has profound negative impacts on both wildlife populations and society. Despite a long-held understanding of this problem, in most regions the wildlife-management strategies (WMS) available to mitigate this conflict are still relatively underutilized. This study examines the implementation of these strategies into road infrastructure, using Southern Ontario as a case study, in order to develop an understanding of what leads to successful WMS implementation. The project management concept of critical success factors was applied and interviews with project decision-makers and key stakeholders were conducted. Nine factors were identified and a comparison between a ‘smooth’ and ‘rough’ project is used to illustrate the cumulative effects that these factors, and their interrelationships, have on project implementation success. Practitioners can use these findings to evaluate WMS projects based on likelihood of success and allocate resources accordingly, ultimately leading to increased chances of implementation and overall benefit to conservation and society.     

中国工业园区生态化发展决策优化方法研究

工业是当前中国经济绿色转型升级的关键行业,而工业园区作为工业集聚化发展的主要载体,工业园区生态化发展是解决资源环境问题、实现经济可持续发展的有效途径。本文关注工业园区生态化发展的中长期发展战略和具体方案,致力于通过仿真模拟的方法提出工业园区生态化发展的方向和优化路径,实现研究方法的创新。研究以3E系统(经济—环境—能源)为基础,综合分析工业园区经济发展与能源环境之间的耦合关系,并结合动态投入产出模型和系统动力学模型构建生态化发展决策模型,通过最优化动态模拟方法开展趋势预测和路径研究。通过辛集工业园区的实证和案例研究,对其生态化发展路径进行深入研究,验证了研究方法的科学性和可靠性,能够为工业园区生态化发展提供实践指导。本文为工业园区生态化发展规划提供新的研究方法,为制定合理有效的工业园区综合战略和实施路径提供科学依据。     

城市重大事故应急救援预案研究

根据国家有关法律法规的规定，对城市重大事故进行了界定，阐述了建立城市重大事故应急救援预案的必要性、原则、依据、级别和内容。对应急救援指挥系统、信息系统和安全文化进行了初步探讨.     

焦化厂火灾应急预案的建立

从焦化生产的工艺以及产品的特性入手，分析了焦化厂潜在的火灾事故隐患以及发生事故的可能性，强调了焦化厂作为一个化工企业建立应急预案的必要性。阐述了建立应急预案的注意事项和内容。     

事故应急救援指挥中心组织架构和运行机制探讨

在分析比较国内外研究成果的基础上,以事故指挥系统为框架,结合国内的实际情况,设计了以指挥、运作、计划、后勤保障和财务五大部门为主体的事故应急救援指挥中心组织架构和职责功能,提出了事故应急救援指挥中心的运行机制,为完善我国事故应急救援理论研究提供参考.