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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   

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用大型底栖动物和ODP系统评价珠江的有机污染   总被引:1,自引:2,他引:1  
采用大型底栖动物需氧有机体百分率ODP(oxygen demander percentage)法对广州珠江前航道、西航道和流溪河的下游段进行河流有机污染评价.结果显示:底栖动物需氧类群密度在三河段间分布确有显著性差异,并根据其ODP可以判断流溪河水质相对较好,水质级别为中国地表水环境质量标准(EQSSW)Ⅳ级,西航道和前航道水质级别都为Ⅴ级.通过测试,这一方法能成功地应用在珠江及流溪河,且该法可以较好地匹配于EQSSW五级评价系统,初步认为ODP系统可以成为一个较好的河流水质生物监测方法.图3表4参13  相似文献   
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Toxicity, uptake, and transformation of atrazine [2-chloro-4-(ethylamino)-6-(isopropylamino)-s-triazine] by three species of poplar tree were assessed. Poplar cuttings were grown in sealed flasks with hydrophonic solutions and exposed to various concentrations of atrazine for a period of two weeks. Toxicity effects were evaluated by monitoring transpiration and measuring poplar cutting mass. Exposure to higher atrazine concentrations resulted in decrease of biomass and transpiration accompanied by leaf chlorosis and abscission. However, poplar cuttings exposed to lower concentrations of atrazine grew well and transpired at a constant rate during experiment periods. Poplar cuttings could take up, hydrolyze, and dealkylate atrazine to less toxic metabolites. Metabolism of atrazine occurred in roots, stems, and leaves and became more complete with increased residence time in tissue. These results suggest that phytoremediation is a viable approach to removing atrazine from contaminated water and should be considered for other contaminants.  相似文献   
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