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.     

Mechanical Property Characterization of Plasticized Sugar Beet Pulp and Poly(Lactic Acid) Green Composites Using Acoustic Emission and Confocal Microscopy

Sorbitol and glycerol were used to plasticize sugar beet pulp-poly(lactic acid) green composites. The plasticizer was incorporated into sugar beet pulp (SBP) at 0%, 10%, 20%, 30% and 40% w/w at low temperature and shear and then compounded with poly(lactic acid) (PLA) using twin-screw extrusion and injection molding. The SBP:PLA ratio was maintained at 30:70. As expected, tensile strength decreased by 25% and the elongation increased. Acoustic emission (AE) showed correlated debonding and fracture mechanisms for up to 20% w/w plasticizer and uncorrelated debonding and fracture for 30–40% sorbitol and 30% glycerol content in SBP–PLA composites. All samples had a well dispersed SBP phase with some aggregation in the PLA matrix. However, at 40% glycerol plasticized SBP–PLA composites exhibited unique AE behavior and confocal microscopy revealed the plasticized SBP and PLA formed a co-continuous two phase system.

Relationships between anaerobic consortia and removal efficiencies in an UASB reactor degrading 2,4 dichlorophenol (DCP)

To gain more insight into the interactions between anaerobic bacteria and reactor performances (chemical oxygen demand-COD, 2,4 dichlorophenol-2,4 DCP removals, volatile fatty acid-VFA, and methane gas productions) and how they depended on operational conditions the microbial variations in the anaerobic granular sludge from an upflow anaerobic sludge blanket (UASB) reactor treating 2,4 DCP was studied. The study was composed of two parts. In the first part, the numbers of methanogens and acedogens in the anaerobic granular sludge were counted at different COD removal efficiencies. The relationships between the numbers of methanogens, the methane gas production and VFA production were investigated. The COD removal efficiencies increased to 74% from 30% while the number of total acedogens decreased to 10 from 30 cfu ml(-1). The number of total methanogens and acedogens varied between 11 x 10(3) and 10 x 10(9)MPN g(-1) and 10 and 30 cfu ml(-1) as the 2,4 DCP removal efficiencies were obtained between 60% and 99%, respectively. It was seen that, as the number of total acedogens decreased, the COD removal efficiencies increased. However, the number of total methanogens increased as the COD removal efficiencies increased. Correlations between the bacterial number and with the removal efficiencies obtained in different operational conditions were investigated. From the results presented in this paper a high correlation between the number of bacteria, COD removals, methane gas percentage, 2,4 DCP removals and VFA was observed. In the second part, methanogen bacteria in the anaerobic granular sludge were identified. Microbial observations and biochemical tests were applied to identify the anaerobic microorganisms from the anaerobic granular sludge. In the reactor treating 2,4 DCP, Methanobacterium bryantii, Methanobacterium formicicum, Methanobrevibacter smithii, Methanococcus voltae, Methanosarcina mazei, Methanosarcina acetivorans, Methanogenium bourgense and Methanospirillum hungatei were identified.     

不同物质对垃圾渗滤液中腐殖酸的吸附研究

垃圾渗滤液是一种有毒有害的高浓度有机废水,其中含大量腐殖酸。腐殖酸具有离子交换能力、吸附能力和脱除杂质能力,因此在很多方面有实用价值。活性碳、土壤、堆肥对废水中的有机物有一定的吸附能力。本文采用正交设计的方法,研究了活性碳、土壤、堆肥在不同温度,液／固,腐殖酸初始浓度的条件下对垃圾渗滤液中腐殖酸的吸附效果。实验结果表明：四种实验因素对吸附剂的吸附能力的影响程度为：吸附剂类型〉腐殖酸的初始浓度〉吸附反应温度〉液固比。在温度为25℃,液固比为50／0．5（mL/g）,腐殖酸初始浓度为41．99（mg／L）,吸附剂类型为活性碳时,腐殖酸吸附量最大,为40．86mg。同时分析了响应指标随因素的变化趋势。     

Biodegradability of Poly (lactic acid), Preparation and Characterization of PLA/Gum Arabic Blends

In this study, the biodegradation of PLA films using microorganisms from Lake Bogoria (Kenya) were investigated. The biodegradation tests done using certain strains of thermophilic bacteria showed faster biodegradation rates and demonstrated temperature dependency. The biodegradation of the PLA films was studied using Gel Permeation Chromatography (GPC) and light microscopy. The biodegradation of PLA was demonstrated by decrease in molecular weight. The preparation and characterization of PLA/Gum Arabic blends were also investigated using DSC, TGA, TMA and NMR. In summary, the results obtained in this research show that PLA films undergo fast biodegradation using thermophiles isolated from Lake Bogoria. The PLA/GA blends studies show it is possible to prepare films of varying hydrophobic–hydrophilic properties for various applications.     

Scenario-visualization for the assessment of perceived green space qualities at the urban-rural fringe

The provision of green space is increasingly being perceived as an important factor for quality of life. However, green spaces often face high developmental pressure. The main objective of this study is to investigate a prospective approach to green space planning by combining three-dimensional (3D) visualization of green space scenarios and survey techniques to facilitate improved participation of the public. Aside from the ‘Status quo’, scenarios ‘Agriculture’, ‘Recreation’, ‘Nature conservation’ and ‘Wind turbines’ are visualized in three dimensions. In order to test responses, a survey was conducted both in print format and on the Internet. Overall, 49 different visualizations that belong to one of the scenarios were available in the survey and were rated according to the perceived esthetic, recreational and ecological values.The highest rated scenes include vegetation elements such as meadows with orchards, single trees, shrubs or forest. The least attractive scenes are those where buildings are highly dominant or where there are no vegetation elements.Based on the ratings for the individual images and on the corresponding scenarios, our study shows that there is high potential for improving the existing landscape. All suggested changes are either rated about equal to or considerably higher than the status quo, with the scenario ‘Nature conservation’ receiving the highest scores.     

耐热乳杆菌的分离及在食物垃圾乳酸发酵中的应用

食物垃圾在我国城市生活垃圾中占有较大比重.发酵食物垃圾生产乳酸是实现其资源化的有效方法.从厌氧发酵的食物垃圾中分离到一株耐热乳酸菌TY50,根据形态、生理生化特征和16S rDNA序列,确定该菌株属于乳杆菌属的干酪乳杆菌组群(Lactobacillus casei group),其最高生长温度为52℃.TY50发酵食物垃圾生产乳酸的最佳同液比为1:12,最适温度为45 ℃.在pH 5.5～6.0条件下,发酵食物垃圾产生36.29 g/L的乳酸,乳酸体积产牢和转化率(乳峻/垃圾干重)分别达到1.01 g/(L·h)和0.44.     

山梨酸废水在ABR中的基质降解行为

稳态条件下,采用厌氧折流板反应器(anaerobic baffled reactor,ABR)处理山梨酸废水并进行基质降解动力学研究.实验表明,在污泥负荷为0.54～1.63 kg COD/(kg VSS·d)的范围内,COD去除率随着负荷的增加从85%降到55%.各隔室出水COD沿程递减,前3个隔室承担了去除COD的重要作用,但随着污泥负荷的增加,后部承担的COD去除率比例增大.基于各串联隔室完全混合的假定,推导ABR中山梨酸废水的基质降解动力学方程,并通过实验确定相关动力学参数及相应的动力学方程.实测值与预测值基本吻合.     

改性粉煤灰在酸雾治理方面的研究

为去除化工生产等过程中产生的酸雾废气,首先用水作用法、微波法和传统湿法对粉煤灰进行改性试验,结果显示:传统湿法中的碱法效果最佳,改性后粉煤灰的BET比表面积是改性前的8.23倍.再用改性后的粉煤灰与廉价易得的天然矿物沸石和熟石灰作为活性组分,制得一种新型的复合吸附剂.常温常压下,动态吸附盐酸雾,实验结果表明:由改性粉煤灰制作的吸附剂G对盐酸雾的吸附性能比未经改性的吸附剂W有所提高,在文中所述条件下,饱和吸附量由改性前的331.4 mg/g提高到改性后的445.2 mg/g.     

低分子有机酸对土壤氟吸附的影响

用等温平衡吸附法研究了柠檬酸、草酸对砂姜黑土和潮土氟吸附的影响 ,提出了有机酸影响氟吸附的可能机理。实验结果表明 ,有机酸对土壤氟吸附有较大的影响 :(1)当有机酸处于低浓度时 ,土壤氟吸附量随浓度升高而增加 ;高浓度时 ,土壤氟吸附量随有机酸浓度升高而降低 ;(2 )在有机酸存在条件下 ,土壤氟的吸附量与平衡氟浓度间呈极显著的直线正相关或负相关