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.     

Coverage of motor vehicle crashes with injuries in U.S. newspapers, 1999-2002

Problem

The aims of the study were to evaluate information on motor-vehicle crashes with injuries provided in newspaper reports and to assess the frequency of thematic and episodic reporting of motor-vehicle crashes.

Method

The study used Fatal Analysis Reporting System (FARS) derived variables to code a nationally representative sample of U.S. newspaper reports of motor-vehicle crashes from 1999-2002. A total of 473 newspaper reports of motor-vehicle crashes with injuries were included. Information on the crash event, people involved, and vehicles was extracted. The reports were coded for episodic and thematic news framing.

Results

A majority of newspaper reports used episodic framing. The majority of reports included information on the type of crash, but characteristics about people and vehicles were rarely reported.

Discussion

Lack of information in newspapers makes them an incomplete source from which to influence public perceptions and attitudes.

Impact on industry

This provides an opportunity for news print media to improve public health content.

Impact on industry

Newspapers represent an important source of public information; they are, however, an incomplete source [Voight, B., Lapidus, G., Zavoski, R., & Banco, L. (1998). Injury reporting in Connecticut newspapers. Injury Prevention, 4, 292-294.; Baullinger, J., Quan, L., Bennett, E., Cummings, P., & Williams, K. (2001). Use of Washington state newspaper for submersion injury surveillance. Injury Prevention, 7, 339-342]. To increase the accuracy of information provided to the public through media sources, there is a need for increased communication between public health professionals and reporters.The results of this study raise concerns about the contents of motor-vehicle crash information provided in newspapers and suggest that newspapers do not provide information to allow public perception to be in accord with the importance of motor-vehicle crash injuries and health promoting actions to reduce risk of injury. More balanced and detailed information in newspapers would provide an opportunity for news print media to improve public health programs and public perception about the impact of motor-vehicle crashes on safety for all.     

基于加速度干扰和AHP的车辆行驶安全性评价模型

关于行驶中的车辆在交通系统各因素作用下的行驶安全性评价,在现有交通系统四大要素的基础上加入车辆行驶状态,构成"人-车-环境-路-车辆行驶状态"5要素。并对各要素评价指标的选定做了细致的筛选,建立了车辆行驶安全性评价指标体系。其中"人-车-环境-路"因素采用打分的形式确定其参数的分值,并利用层次分析法(AHP)计算各参数权重来构建模型的;"车辆行驶状态"因素则是引入加速度干扰的定义,建立基于道路结构的加速度干扰模型。最后,运用层级分析法建立了总的车辆行驶安全评价模型。     

街道峡谷内车辆流动对反应性污染物传播特性影响的模拟研究

采用CFD（计算流体力学）数值模拟的研究方法,使用动网格技术,分析简单光化学反应下车辆流动及不同来流风速对双车道三维街道峡谷内污染物传播特性的影响.结果表明,车辆移动改变了峡谷内气流结构,以及背风侧与迎风侧活性污染物浓度分布的相对大小,有利于污染物在峡谷中的传播扩散;来流风使机动车尾气向建筑背风侧汇聚,并随着风速增加而加强,对近迎风侧车道车辆尾气淹没射流的影响比近背风侧车道大.在车辆移动与来流风的综合作用下,污染物的扩散能力得到显著增强.     

The accounting method and application of CO2 emissions responsibility by the electricity sector at the provincial level in China

When accounting the CO₂ emissions responsibility of the electricity sector at the provincial level in China,it is of great significance to consider the scope of both producers’ and the consumers’ responsibility,since this will promote fairness in defining emission responsibility and enhance cooperation in emission reduction among provinces.This paper proposes a new method for calculating carbon emissions from the power sector at the provincial level based on the shared responsibility principle and taking into account interregional power exchange.This method can not only be used to account the emission responsibility shared by both the electricity production side and the consumption side,but it is also applicable for calculating the corresponding emission responsibility undertaken by those provinces with net electricity outflow and inflow.This method has been used to account for the carbon emissions responsibilities of the power sector at the provincial level in China since 2011.The empirical results indicate that compared with the production-based accounting method,the carbon emissions of major power-generation provinces in China calculated by the shared responsibility accounting method are reduced by at least 10%,but those of other power-consumption provinces are increased by 20% or more.Secondly,based on the principle of shared responsibility accounting,Inner Mongolia has the highest carbon emissions from the power sector while Hainan has the lowest.Thirdly,four provinces,including Inner Mongolia,Shanxi,Hubei and Anhui,have the highest carbon emissions from net electricity outflow- 14 million t in 2011,accounting for 74.42% of total carbon emissions from net electricity outflow in China.Six provinces,including Hebei,Beijing,Guangdong,Liaoning,Shandong,and Jiangsu,have the highest carbon emissions from net electricity inflow- 11 million t in 2011,accounting for 71.44% of total carbon emissions from net electricity inflow in China.Lastly,this paper has estimated the emission factors of electricity consumption at the provincial level,which can avoid repeated calculations when accounting the emission responsibility of power consumption terminals（e.g.construction,automobile manufacturing and other industries）.In addition,these emission factors can also be used to account the emission responsibilities of provincial power grids.     

重庆市内环货车错时限行对空气质量的影响

在分析货车实施错时限行后内环车流量时段分布变化基础上,通过对PM_(2.5)、NO_2等指标的ADMS模型模拟和实际监测数据对比分析,探讨了内环货车错时限行对环境空气质量的影响。结果表明,货车错时限行后主城区环境空气中PM_(2.5)、NO_2小时平均质量浓度分别降低了9.4%和6.0%,峰值浓度明显降低,晚上出现峰值时间往后推移了2~3 h。经ADMS模型模拟计算,内环高峰时段机动车排放对主城区NO_2、PM、VOCs的浓度贡献分别降低了54.1%、56.3%、17.5%,CO浓度贡献不大。内环货车错时限行措施对重庆市主城区空气质量的改善有一定的积极作用。     

大气污染排放窗口机制研究

以2种典型的污染排放源(点污染源和线污染源)为基础,提出排污窗口的概念,通过参数转换分解源强对污染扩散进行研究。首先在高斯污染扩散模型的基础上,对非持续性污染源强建模,然后以某烟囱的周期性排污分析,检验排污窗口设置的合理性。对于单双号限行的窗口性质的污染排放研究中,首先对交通流建立线污染扩散模型,然后融合元胞自动机(9元胞互影响)模拟区域多角度污染的扩散平衡,最后对"单双号限行"下北京市不同区域空气质量指标进行分析与仿真。分析结果表明,合理的排污窗口能够减轻污染程度及对人们日常生活的影响。     

冶炼烟气中砷的监测方法改进

金属冶炼烟气中的砷大都以颗粒物的形式存在,对环境造成污染.2010年,国家颁布了《铜、镍、钴工业污染物排放标准》( GB 25467-2010),对于废气中砷的监测,该标准中规定使用《空气和废气砷的测定 二乙基二硫代氨基甲酸银分光光度法(暂行)》( HJ 540-2009).然而该方法中对于烟气中砷的监测方法存在一定问题,高氯酸在高温消解过程中易爆炸,比较危险,另外采用在锥形瓶内加热至产生白烟的排酸方式不能有效地排净硝酸,会导致反应无法进行.为此,就该方法中有组织排放废气中砷的前处理部分提出了改进意见.     

基于尾涡强度的无人机与民机纵向安全间隔评估研究

为了解决无人机频频入侵机场净空,与民航客机发生危险接近的问题,以碰撞风险为量化指标,对无人机与民机需要保持的纵向安全间隔进行评估研究。分析民机尾涡流场对无人机运行的影响,利用Crow近场涡强度消散理论,得到实际尾迹影响区改进Reich碰撞模板,据此建立CNS/GPS性能环境下的纵向间隔评估模型,通过Matlab进行间隔值求解。研究结果表明:模型可以较为准确地反映民机起飞初始爬升阶段无人机尾随运行时导航性能和尾涡迹对所需最小间隔值的影响,并得到给定安全目标水平的计算结果。     

Features of fatal injuries in older cyclists in vehicle–bicycle accidents in Japan

Objective: The purpose of this study was to identify and better understand the features of fatal injuries in cyclists aged 75 years and over involved in collisions with either hood- or van-type vehicles.

Methods: This study investigated the fatal injuries of cyclists aged 75 years old and over by analyzing accident data. We focused on the body regions to which the fatal injury occurred using vehicle–bicycle accident data from the Institute for Traffic Accident Research and Data Analysis (ITARDA) in Japan. Using data from 2009 to 2013, we examined the frequency of fatally injured body region by gender, age, and actual vehicle travel speed. We investigated any significant differences in distributions of fatal injuries by body region for cyclists aged 75 years and over using chi-square tests to compare with cyclists in other age groups. We also investigated the cause of fatal head injuries, such as impact with a road surface or vehicle.

Results: The results indicated that head injuries were the most common cause of fatalities among the study group. At low vehicle travel speeds for both hood- and van-type vehicles, fatalities were most likely to be the result of head impacts against the road surface.

The percentage of fatalities following hip injuries was significantly higher for cyclists aged 75 years and over than for those aged 65–74 or 13–59 in impacts with hood-type vehicles. It was also higher for women than men in the over-75 age group in impacts with these vehicles.

Conclusions: For cyclists aged 75 years and over, wearing a helmet may be helpful to prevent head injuries in vehicle-to-cyclist accidents. It may also be helpful to introduce some safety measures to prevent hip injuries, given the higher level of fatalities following hip injury among all cyclists aged 75 and over, particularly women.