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.     

区域红壤资源信息系统的建立

将GIS技术与数学模型相结合,探讨区域红壤资源信息系统的建立与应用.在明确红壤资源信息系统研制的目的、任务与基本原则的基础上,进行系统的总体设计.划分系统的模块和确定系统的各个组成部分,并确定系统的软硬件配置、设计系统界面.建立空间数据库及多种分析与应用模型.     

Integrity of Tailings Infrastructure and Information Management: A GIS-Based Conceptual Model

Managing the integrity of tailings infrastructure is an important aspect of handling mine tailings. Unfortunately, little research is directed towards its efficient modeling. This paper presents salient aspects of tailings management. It proposes an integrated geographic information systems (GIS)-based conceptual model for efficient handling of these aspects. The paper also discusses the various integrated modules and comments on the systematic implementation of the model to achieve desired results. The modules include: structural integrity management (SIM), release impact assessment (RIA), and hazardous risk assessment and control (HRAC).     

Monitoring urban growth and detecting land-cover changes on the Istanbul metropolitan area

Istanbul is the most populated city of Turkey with a population of around 10.58 M (2000) living on around 5,750 km². In 1980, the population was only 4.7 M and then it has been more than doubled in only two decades. The population has been increasing as a result of mass immigration. An urbanization process continues and it causes serious increases in urban areas while decreasing the amount of green areas. This rapid, uncontrolled, and illegal urbanization accompanied by insufficient infrastructure has caused degradation of forest and barren lands in the metropolitan area, especially through the last two decades. The watershed basins inside the metropolitan area and the transportation network have accelerated the land-cover changes, which have negative impacts on water quality of the basins. Monitoring urban growth and land cover change will enable better management of this complex urban area by the Greater Istanbul Metropolitan Municipality (GIMM). A temporal assessment of land-cover changes of Istanbul has been documented in this study. The study mainly focuses on the acquisition and analysis of Landsat TM and Landsat GeoCover LC satellite images reflecting the significant land-cover changes between the years of 1990 and 2005. Raster data were converted to vector data and used in Geographic Information Systems (GIS). A database was created for Istanbul metropolitan area to plan, manage, and utilize statistical attribute data covering population, water, forest, industry, and topographic position. Consequently an overlay analysis was carried out and land use/cover changes through years have been detected for the case study area. The capability of Landsat images in determining the alterations in the macro form of the city are also discussed.     

Stock market responses to chemical accidents in Japan: An event study

Despite recent major chemical process accidents in Japan, the top management teams of firms still avoid taking costly risk reduction measures because of their low perceived impact on firm performance. The disclosure of information on accident risks might motivate managers to enhance workplace safety because of the subsequent evaluation of firms by investors in stock markets. If the disclosed risk information is newly available for investors, firms with a high risk of accidents would receive a poor evaluation by stock markets and thus managers would take risk reduction measures to prevent stock prices from declining. In this study, we conduct an event study analysis to examine whether accident risk information is already reflected in stock prices, using data on the Japanese chemical industry. The results of our event study show that the estimated cumulative average abnormal returns of firms' stocks are significantly negative after severe accidents actually occurred. This finding implies that risk information is not already reflected in the stock prices of Japanese chemical firms and that the disclosure of accident risk information has the potential to motivate the top management teams of firms to reduce their firms’ accident risk.     

Statistical evaluation of an agricultural land suitability model

The land evaluation and site assessment (LESA) method has been used extensively in the United States to assess agricultural land suitability for different localities. Despite widespread use, LESA models rarely have been evaluated in a systematic, comprehensive manner. This article discusses development of a LESA system for Hawaii, the first statewide application of the LESA methodology. The empirical model was implemented with a computerized geographic information system (GIS). The system's efficiency, ability to discriminate among land parcels, and robustness to subjective model parameter values are evaluated with statistical analyses and map overlays of GIS data. Results show great potential to simplify the original model specification, primarily through deletion of marginal site assessment factors. System output was generally insensitive to the numeric values selected for model parameters, with exception of the ratio used to combine the land evaluation (LE) and site assessment (SA) component scores. Relative supplies of the differing land attributes measured by the two components must be considered in determining an appropriate LE:SA ratio for a given area.     

试用“三论”探索我国安全生产宏观管理模式

本文试用系统论、控制论和信息论的观点探索我国安全生产宏管理模式。文中主要分析了生产安全系统的内涵;行业生产安全系统的内涵;以及生产安全系统的宏观控制的内涵。并指出了行业生产安全系统是生产安全系统的主体控制系统,劳动安全监察系统是生产安全系统的强化控制系统。     

Environmental democracy in action: The Toxics Release Inventory

The Toxics Release Inventory (TRI) created by the 1986 Emergency Planning and Community Right-to-Know Act initially received limited attention. During the early years of its implementation, the TRI has become the basis for a national experiment in voluntaristic problem solving among citizens and industry, but that process of environmental democracy hinges on citizens' ability to actually acquire, understand, and apply the new data on industrial toxic emissions. A national study of TRI-using organizations in the public and private sectors reveals that effective citizen access depends in part on the efforts of intermediary public interest groups to bridge individual needs and right-to-know data. Although the TRI has had early success as a supplement to conventional command and control regulation, questions exist about the extent to which state and federal government should or must provide special efforts to make environmental information access work for citizens.     

Improving lake riparian source area management using surface and subsurface runoff indices

Sensitivity indices, which rank factors pertinent to surface and subsurface runoff pathways, were used to identify phosphorus source areas in riparian zones of 15 northern Minnesota lakes. Watershed models were first developed using a geographic information system (GIS). Empirical models were then developed correlating water quality with land use, lake morphometry, and riparian sensitivity. Base models of forested, cultivated, pasture/open, wetland and residential land use within 100, 200, 400, and 2000 m of the study lakes were regressed on total phosphorus and chlorophyll-a. Area-weighted groundwater and surface runoff sensitivity indices were then incorporated into each model and tested for significance. Within the 200-m buffer, the total phosphorus base model was improved by including the groundwater index alone. The chlorophyll-a base model at 200 m was improved by including: (1) the groundwater index alone, and (2) both the groundwater and surface runoff sensitivity indices. Results suggest that surface and subsurface runoff analysis of potential source areas can improve decision making for lake riparian management.     

试论沙漠化灾害危险度评价因子体系

本文通过对国内外沙漠化灾害危险度评价因子体系研究现状的分析，从我国实际出发，根据沙漠化灾害危险度的基本内容，首次提出了沙漠化灾害危险度评价因子体系，并给出了相应因子的分级标准。