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51.

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.  相似文献   
52.
简述了污染源自动监测数据异常诊断系统的概念以及异常数据的来源,以及系统的工作原理和基本功能结构。提出了系统模拟专家分析过程的信息处理工作方式,以期实现污染源自动监测数据质量自动诊断与故障识别。  相似文献   
53.
Ammonia is an important water quality variable, which in excess, can be detrimental to waterways and their ecosystems. In the Ecosystem Health Monitoring Program in South-east Queensland ammonia is monitored monthly, however, often more than 50% of the ammonia observations in Moreton Bay are below detection limit, making it difficult to draw useful inferences. In this paper a clipped Gaussian random field is used to spatially model and map the probability of detectable concentration of ammonia. The methodology is applied to the Moreton Bay samples collected in February 2005. The results suggest that for this month the oceanic impacted areas have higher probability of detectable ammonia concentration than the areas closer to the main sources of anthropogenic inputs.  相似文献   
54.
In this article a concept is described in order to predict and map the occurrence of benthic communities within and near the German Exclusive Economic Zone (EEZ) of the North Sea. The approach consists of two work steps: (1) geostatistical analysis of abiotic measurement data and (2) calculation of benthic provinces by means of Classification and Regression Trees (CART) and GIS-techniques. From bottom water measurements on salinity, temperature, silicate and nutrients as well as from punctual data on grain size ranges (0–20, 20–63, 63–2,000 μ) raster maps were calculated by use of geostatistical methods. At first the autocorrelation structure was examined and modelled with help of variogram analysis. The resulting variogram models were then used to calculate raster maps by applying ordinary kriging procedures. After intersecting these raster maps with punctual data on eight benthic communities a decision tree was derived to predict the occurrence of these communities within the study area. Since such a CART tree corresponds to a hierarchically ordered set of decision rules it was applied to the geostatistically estimated raster data to predict benthic habitats within and near the EEZ.  相似文献   
55.
道路交通噪声自动监测应用探讨   总被引:3,自引:0,他引:3  
结合城市道路路网状况及实际噪声监测数据和历史实验数据,对道路交通噪声自动监测数据的有效性、监测点位布设进行了研究,对道路交通噪声监测点位优化提出建议。  相似文献   
56.
新形势下对环境统计工作的思考   总被引:1,自引:0,他引:1  
分析了环境统计工作的定位和内容,以及第二次全国污染源普查、排污许可证与排污税制度、环境质量考核制度给环境统计工作带来的改革契机。针对固定源、城镇生活源与农业面源、移动源,提出了统计调查工作的设想。建议改变环境统计调查焦点,实现污染源统计空间格局"一张图";开拓环境统计分析品牌,推动环境统计方法研究;以政策管理需求为导向,完成环境统计工作体系的重构。  相似文献   
57.
Land managers need better techniques to assess exoticplant invasions. We used the cross-correlationstatistic, I YZ, to test for the presence ofspatial cross-correlation between pair-wisecombinations of soil characteristics, topographicvariables, plant species richness, and cover ofvascular plants in a 754 ha study site in RockyMountain National Park, Colorado, U.S.A. Using 25 largeplots (1000 m2) in five vegetation types, 8 of 12variables showed significant spatial cross-correlationwith at least one other variable, while 6 of 12variables showed significant spatial auto-correlation. Elevation and slope showed significant spatialcross-correlation with all variables except percentcover of native and exotic species. Percent cover ofnative species had significant spatialcross-correlations with soil variables, but not withexotic species. This was probably because of thepatchy distributions of vegetation types in the studyarea. At a finer resolution, using data from ten1 m2 subplots within each of the 1000 m2 plots, allvariables showed significant spatial auto- andcross-correlation. Large-plot sampling was moreaffected by topographic factors than speciesdistribution patterns, while with finer resolutionsampling, the opposite was true. However, thestatistically and biologically significant spatialcorrelation of native and exotic species could only bedetected with finer resolution sampling. We foundexotic plant species invading areas with high nativeplant richness and cover, and in fertile soils high innitrogen, silt, and clay. Spatial auto- andcross-correlation statistics, along with theintegration of remotely sensed data and geographicinformation systems, are powerful new tools forevaluating the patterns and distribution of native andexotic plant species in relation to landscape structure.  相似文献   
58.
A major bottleneck for data-based policy making is that data sources are collected, managed, and distributed by different institutions, residing in different locations, resulting in conceptual and practical problems. The use of dispersed data for agricultural systems research requires the integration of data sources, which means to ensure consistency in data interpretations, units, spatial and temporal scales, to respect legal regulations of privacy, ownership and copyright, and to enable easy dissemination of data. This paper describes the SEAMLESS integrated database on European agricultural systems. It contains data on cropping patterns, production, farm structural data, soil and climate conditions, current agricultural management and policy information. To arrive at one integrated database, a shared ontology was developed according to a collaborative process, which facilitates interdisciplinary research. The paper details this process, which can be re-used in other research projects for integrating data sources.  相似文献   
59.
Oxygen (O2), nitrate (NO3), dissolved inorganic carbon (DIC) or pCO2, and pH or total alkalinity (TA), are useful indices of marine chemical, physical and biological processes operating on varying time-scales. Although these properties are increasingly being monitored at high frequency, they have not been extensively used for studying ecosystem dynamics. We test whether we can estimate time-evolving biogeochemical rates (e.g. primary production, respiration, calcification and carbonate dissolution, and nitrification) from synthetic high frequency time-series of O2, NO3, DIC, pCO2, TA or pH. More specifically, a Kalman filter has been implemented in a very simplified biogeochemical model describing the dynamics of O2, NO3, DIC and TA and linking the concentration data to biogeochemical fluxes. Different sets of concentration data are assimilated and biogeochemical rates are estimated. The frequency of assimilation required to get acceptable results is investigated and is compared with the frequency of sampling in the field or in controlled experimental settings.Smoothing of the data to remove data noise before assimilation improves the estimation of the biogeochemical rates. The best estimated rates are obtained when assimilating O2, NO3 and TA although the assimilation of DIC instead of TA also gives satisfactory results. In case pH or pCO2 is assimilated rather than DIC or TA, the linearization of the (now nonlinear) observation equation introduces perturbations and the Kalman filter behaves suboptimal. We conclude that, given the resolution of data required, the tool has potential to estimate biogeochemical rates of the carbonate system under controlled settings.  相似文献   
60.
ABSTRACT: Steamboat Creek basin is an important source of timber and provides crucial spawning and rearing habitat for anadromous steelhead trout (Oncorhynchus mykiss). Because stream temperatures are near the upper limit of tolerance for the survival of juvenile steelhead, the possible long-term effect of clear-cut logging on stream temperatures was assessed. Twenty-year (1969–1989) records of summer stream temperature and flow from four tributaries and two reaches of Steamboat Creek and Boulder Creek (a nearby unlogged watershed) were analyzed. Logging records for the Steamboat Creek basin and air temperature records also were used in the analysis. A time-series model of the components of stream temperature (seasonal cycle of solar radiation, air temperature, streamflow, an autoregressive term of order 1, and a linear trend variable) was fitted to the water-temperature data. The linear trend variable was significant in all the fitted models except Bend Creek (a tributary fed by cool ground-water discharge) and Boulder Creek. Because no trends in either climate (i.e., air temperature) or streamflow were found in the data, the trend variable was associated with the pre-1969 loss and subsequent regrowth of riparian vegetation and shading canopies.  相似文献   
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