Background: Although numerous observational studies have demonstrated a protective effect of motorcycle helmets against head injury, the degree of protection against specific head injury types remains unclear. Experimental biomechanics studies involving cadavers, animals, and computer models have established that head injuries have varying etiologies. This retrospective cross-sectional study compared helmet protection against skull fracture, cerebral contusion, intracranial hemorrhage, and cerebral concussion in a consecutive series of motorcycle operators involved in recent traffic crashes in Kentucky.
Methods: Police collision reports linked to hospital inpatient and emergency department (ED) claims were analyzed for the period 2008 to 2012. Motorcycle operators with known helmet use who were not killed at the crash scene were included in the study. Helmet use was ascertained from the police report. Skull fracture, cerebral contusion, intracranial hemorrhage, and cerebral concussion were identified from International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes on the claims records. The relative risks of each type of head injury for helmeted versus unprotected operators were estimated using generalized estimating equations.
Results: Helmets offer substantial protection against skull fracture (relative risk [RR] = 0.31, 95% confidence interval [CI], 0.23, 0.34), cerebral contusion (RR = 0.29, 95% CI, 0.16, 0.53), and intracranial hemorrhage (RR = 0.47, 95% CI, 0.35, 0.63). The findings pertaining to uncomplicated concussion (RR = 0.80, 95% CI, 0.64, 1.01) were inconclusive. A modest protective effect (20% risk reduction) was suggested by the relative risk estimate, but the 95% confidence interval included the null value.
Conclusions: Motorcycle helmets were associated with a 69% reduction in skull fractures, 71% reduction in cerebral contusion, and 53% reduction in intracranial hemorrhage. This study finds that current motorcycle helmets do not protect equally against all types of head injury. Efforts to improve rotational acceleration management in motorcycle helmets should be considered. 相似文献
The extinction of a species can be inferred from a record of its sightings. Existing methods for doing so assume that all sightings in the record are valid. Often, however, there are sightings of uncertain validity. To date, uncertain sightings have been treated in an ad hoc way, either excluding them from the record or including them as if they were certain. We developed a Bayesian method that formally accounts for such uncertain sightings. The method assumes that valid and invalid sightings follow independent Poisson processes and use noninformative prior distributions for the rate of valid sightings and for a measure of the quality of uncertain sightings. We applied the method to a recently published record of sightings of the Ivory-billed Woodpecker (Campephilus principalis). This record covers the period 1897-2010 and contains 39 sightings classified as certain and 29 classified as uncertain. The Bayes factor in favor of extinction was 4.03, which constitutes substantial support for extinction. The posterior distribution of the time of extinction has 3 main modes in 1944, 1952, and 1988. The method can be applied to sighting records of other purportedly extinct species. 相似文献
Sediment cores taken from Taihu Lake, East China were analyzed for polycyclic aromatic hydrocarbons (PAHs), organochlorine pesticides (OCPs) and polybrominated biphenyl ethers (PBDEs). The results showed a general sharp increase of HCH, DDT, PAH and PBDE concentrations in the surface layers, corresponding to a sedimentation time of 1980 and 1990 onward in the Meiliang Bay and Xukou Bay, respectively. The source of PAHs has largely transferred from petrogenic to pyrogenic origin, and good relationships were observed between sediment PAH concentrations and the regional gross domestic product. The sharp increase of DDTs in recent years may be related to the mobilization and migration of these chemicals from surface soil to lake sediment, as a result of enhanced soil run-off due to large scale land transform, as well as the contribution of current usage of dicofol and DDT-containing anti-fouling paints. 相似文献