Objective: Our study measured the change in head injuries and deaths among motorcycle users in Cu Chi district, a suburban district of Ho Chi Minh City.
Methods: Hospital records for road traffic injuries (RTIs) were collected from the Cu Chi Trauma Centre and motorcycle-related death records were obtained from mortality registries in commune health offices. Head injury severity was categorized using the Abbreviated Injury Score (AIS). Rate ratios (RRs) were used to compare rates pre- and post-law (2005/2006–2009/2010). Cu Chi's population, stratified by year, age, and sex, was used as the denominator.
Results: Of records identifying the transportation mode at the time of injury, motorcyclists accounted for most injuries (3,035, 87%) and deaths (238, 90%). Head injuries accounted for 70% of motorcycle-related hospitalizations. Helmet use was not recorded in any death records and not in 97% of medical records. Males accounted for most injuries (73%) and deaths (88%). The median age was 28 years and 32 years for injuries and deaths, respectively. Compared to the pre-law period, rates of motorcycle injuries (RR = 0.53; 95% confidence interval [CI], 0.49–0.58), head injuries (RR = 0.35; 95% CI, 0.31–0.39), severe head injuries (RR = 0.47; 95% CI, 0.34–0.63), and deaths (RR = 0.69; 95% CI, 0.53–0.89) significantly decreased in the post-law period.
Conclusions: Rates of head injuries and deaths among motorcycle riders decreased significantly after implementation of the mandatory helmet law in Vietnam. To further examine the impact of the motorcycle helmet law, including compliance and helmet quality, further emphasis should be placed on gathering helmet use data from injured motorcyclists. 相似文献
We determined annual male reproductive success in black bears (Ursus americanus) using DNA and field data from two populations in New Mexico. We identified the likely father for 78 of 120 genotyped cubs
born during 1994–2000 and calculated reproductive success for 102 males known or presumed present within designated mating
regions. Age was a strong determinant of reproductive success. The observed peak in reproductive success occurred at roughly
the same intermediate age (10 years) as milder peaks in body size characteristics (11–12 years) and frequency of bear-inflicted
wounds (13 years), suggesting body size and fighting might be important for mating. Success was negatively associated with
the distance between home range centers of males and mothers. Success of young males (<7 years old) was also negatively associated
with mature male (≥7 years old) density, and increasing density shifted the peak age of reproduction higher. The dispersed
distribution of females likely limited the capacity of large mature males to dominate reproduction; therefore, success was
determined by a complex set of variables. 相似文献
Nine species of sea anemones (Anthopleura asiatica, Actinia equina, Actinodendron arboreum, Phymanthus loligo, Entacmaea actinostoloides, Stichodactyla gigantea, S. haddoni, S. mertensii and Metridium senile) contained arsenic in the range of 1.6-7.0microg As g(-1) (wet mass basis). Irrespective of the species, water-soluble arsenic compounds accounted for more than 80% of the total arsenic. Analysis of water-soluble arsenic compounds by LC/ESI-MS revealed that four arsenicals, arsenobetaine (AB), trimethylarsoniopropionate, arsenocholine (AC) and tetramethylarsonium ion (TEMA), are contained in most species but arsenate, methylarsonic acid, dimethylarsinic acid and trimethylarsine oxide are absent in all species. Interestingly, compositional patterns of the four arsenicals greatly differed from species to species. Only three species (S. gigantea, S. haddoni and M. senile) contained AB at the highest proportions, similar to the majority of marine animals. However, the remaining six species showed unusual compositional patterns of arsenic compounds; AC was most predominant in A. arboreum and P. loligo and TEMA in A. asiatica, A. equina, E. actinostoloides and S. mertensii. On the whole, high proportions (24.6-87.1% of the water-soluble arsenic) of TEMA appear to be a peculiar characteristic of many species of sea anemones. Thus, sea anemones are an important animal group in the arsenic cycling, especially in that they may be donors of TEMA to predators. 相似文献