Objective: The objective of this study was to discuss the challenges in estimating bicycle helmet effectiveness from case–control studies of injured cyclists and to estimate helmet effectiveness from cases and available exposure data.
Methods: Data were extracted from studies of cyclists in Seattle; Victoria and New South Wales, Australia; and The Netherlands. Estimates of helmet use were used as exposure to compute relative risks for Seattle and Victorian data. Cycling distance data are routinely collected in The Netherlands; however, these data cannot be disaggregated by helmet use, which makes it unsuitable for estimating helmet effectiveness. Alternative controls were identified from larger cohorts for the Seattle and New South Wales cases.
Results: Estimates of helmet effectiveness were similar from odds ratios (ORs) using hospital controls or from relative risks (RRs) using helmet use estimates (Seattle: OR = 0.339, RR = 0.444; Victoria: OR = 0.500, RR = 0.353). Additionally, the odds ratios using hospital controls were similar when controls were taken from a larger cohort for head injury of any severity (Seattle: OR = 0.250, alt OR = 0.257; NSW: OR = 0.446, alt OR = 0.411) and for serious head injury (Seattle: OR = 0.135, alt OR = 0.139; NSW: OR = 0.335, alt OR = 0.308). Although relevant exposure data were unavailable for The Netherlands, the odds ratio for helmet effectiveness of those using racing, mountain, or hybrid bikes was similar to other estimates (OR = 0.371).
Conclusions: Despite potential weaknesses with case–control study designs, the best available evidence suggests that helmet use is an effective measure of reducing cycling head injury. 相似文献
The current study improves streamflow forecast lead‐time by coupling climate information in a data‐driven modeling framework. The spatial–temporal correlation between streamflow and oceanic–atmospheric variability represented by sea surface temperature (SST), 500‐mbar geopotential height (Z500), 500‐mbar specific humidity (SH500), and 500‐mbar east–west wind (U500) of the Pacific and the Atlantic Ocean is obtained through singular value decomposition (SVD). SVD significant regions are weighted using a nonparametric method and utilized as input in a support vector machine (SVM) framework. The Upper Rio Grande River Basin (URGRB) is selected to test the applicability of the proposed model for the period of 1965–2014. The April–August streamflow volume is forecasted using previous year climate variability, creating a lagged relationship of 1–13 months. SVD results showed the streamflow variability was better explained by SST and U500 as compared to Z500 and SH500. The SVM model showed satisfactory forecasting ability with best results achieved using a one‐month lead to forecast the following four‐month period. Overall, the SVM results showed excellent predictive ability with average correlation coefficient of 0.89 and Nash–Sutcliffe efficiency of 0.79. This study contributes toward identifying new SVD significant regions and improving streamflow forecast lead‐time of the URGRB. 相似文献
Dissolved oxygen (DO) concentration is regarded as one of the crucial factors to influence partial nitrification process. However, achieving and keeping stable partial nitrification under different DO concentrations were widely reported. The mechanism of DO concentration influencing partial nitrification is still unclear. Therefore, in this study two same sequencing batch reactors (SBRs) cultivated same seeding sludge were built up with real-time control strategy. Different DO concentrations were controlled in SBRs to explore the effect of DO concentration on the long-term stability of partial nitrification process at room temperature. It was discovered that ammonium oxidation rate (AOR) was inhibited when DO concentration decreased from 2.5 to 0.5 mg/L. The abundance of Nitrospira increased from 1011.5 to 1013.7 copies/g DNA, and its relative percentage increased from 0.056% to 3.2% during 190 operational cycles, causing partial nitrification gradually turning into complete nitrification process. However, when DO was 2.5 mg/L the abundance of Nitrospira was stable and AOB was always kept at 1010.7 copies/g DNA. High AOR was maintained, and stable partial nitrification process was kept. Ammonia oxidizing bacteria (AOB) activity was significantly higher than nitrite oxidizing bacteria (NOB) activity at DO of 2.5 mg/L, which was crucial to maintain excellent nitrite accumulation performance. 相似文献