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.     

盐酸溶液改性蛭石对气态单质汞的吸附性能

采用盐酸溶液对蛭石进行浸渍处理,考察了盐酸溶液改性蛭石对气态单质汞的吸附能力。研究结果表明：盐酸溶液改性蛭石对气态单质汞的吸附效果好于未改性蛭石,盐酸浓度为4．0mol／L时,盐酸溶液改性蛭石对气态单质汞的吸附效果较佳;进气中气态单质汞的质量浓度越高,盐酸溶液改性蛭石对气态单质汞的去除率越低;适当提高吸附温度对盐酸溶液改性蛭石吸附气态单质汞较有利;降低蛭石粒径,盐酸溶液改性蛭石对气态单质汞的去除率提高。     

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.

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.     

紫外分光光度法测定水中对苯二甲酸

紫外分光光度法测定水中对苯二甲酸,具有简便、快速、灵敏、稳定、所用试剂少、选择性好、抗干扰能力强等优点,适合地面水或废水样品的分析,回收率为９４～１１０％     

利用原生质体诱变技术筛选脱落酸高产菌株

以葡萄孢属TB-3菌株为出发菌株制备其原生质体．在纤维素酶浓度为20g／L,蜗牛酶浓度为3g／L的酶解系统中,25℃酶解3h,其原生质体制备数可达67×105mL-1,在KYM上的再生率为46．1％,在KPDA上的再生率为33．6％,经过3轮原生质体紫外线诱变后回复再生,及对大量再生突变株进行发酵筛选,获得高产稳定株TB－3H8,其发酵液中ABA的质量浓度可达1．4g／L     

pH、温度和水土比对酸性土壤溶液中铝离子形态分布的影响

溶液中Al3 、Al-F和有机络合态铝（Al-OM的浓度随pH降低而增加,Al3 在总单核铝中所占比例随pH的降低而增加,而Al-F络合物呈相反的变化趋势.土壤中铝的溶解度与土壤中铝氧化物的结晶形态有关,处于较高纬度地区的土壤,由于铝氧化物的结晶形态较差,在相同pH下,其铝的溶解度较大.土壤溶液中有机络合态铝的浓度随温度升高而增加,在pH不变的情况下,土壤中无机铝的溶解量随温度降低而增加.随水土比增加,土壤溶液中Al3 、Al-F络合物和Al-OM浓度减小,但按每kg土计算的铝溶解量随水土比的增加而增加.     

南方土壤酸沉降敏感性研究Ⅷ.盐基离子淋溶的多因素分析

在模拟酸雨条件下土壤盐基离子淋溶特性研究的基础上,采用生成分分析及多元回归分析方法研究了土壤盐基淋溶的影响因子．结果表明,通过主成分分析方法可将选取的15个原始变量综合成为2个主成分,为进一步分析盐基释放量与土壤理化性质之间的关系提供了方便．影响盐基释放量的主要因子有土壤原始pH值、可交换性盐基含量、蒙脱石含量、活性氧化物、1.4nm矿物等,它们表现出效应,而高岭石和可交换性铝含量表现出负效应．利用主成分分析的结果进行多元回归分析,可得到土壤累积盐基释放量与2个主成分之间的回归方程．     

The role of periodic boundary forcing in plankton pattern formation

We consider one and two-dimensional minimal models in plankton dynamics. The influence of oscillating boundary forcing functions as agents for triggering pattern formation is discussed. In particular it is found that in these conditions population waves arise for one dimensional models, while for two dimensional models, different amplitudes and frequencies in the boundary forcing generate definite patterns, mimicking the boundary term. This happens even though the model we investigate is very simple. The emergence of these features is an interesting metaphor for the fundamental biological problem of how pattern formation processes may be inevitable in natural heterogeneous ecosystems.