Crash costs by body part injured, fracture involvement, and threat-to-life severity. United States, 2000

This paper presents costs per US motor vehicle crash victim differentiated into many more diagnostic categories than prior estimates. These unit costs, which include the first keyed to the 1990 edition of Abbreviated Injury Scale (AIS) threat-to-life severity scores, are reported by body part, whether a fracture/dislocation was involved, and the maximum AIS score among the victim's injuries. This level of detail allows for a more accurate estimation of the social costs of motor vehicle crashes. It also allows for reliable analyses of interventions targeting narrow ranges of injuries. The paper updates the medical care data underlying the US crash costs from 1979 to 1986 to the mid 1990s and improves on prior productivity cost estimates. In addition to presenting the latest generation of crash victim costs, this paper analyzes the effects of applying injury costs classified by AIS code from the 1985 edition to injury incidence data coded with the 1990 edition of AIS. This long-standing practice results in inaccurate cost-benefit analyses that typically overestimate benefits. This problem is more acute when old published costs adjusted for inflation are used rather than the recent costs.     

Asymmetric membrane fiber-based carbon dioxide removal devices for ion chromatography

The application of hollow and filament-filled single asymmetric membrane fibers, consisting of a thin silicone layer on a tubular microporous support, for removing CO(2) in suppressed ion chromatography effluents is described. With appropriate choice of the removal device and operating conditions, the CO(2) can be essentially quantitatively (99+%) removed. For carbonate-based eluents, the use of such devices greatly reduces or eliminates the water dip, permitting better quantitation of poorly retained anions that elute close to the dip, allows practical gradient chromatography, and improves noise levels and attainable detection limits. In hydroxide eluent chromatography, the device largely removes the response from CO(2) present in the samples; this greatly aids atmospheric trace gas analysis by IC. Device dimensions are such that the dispersion introduced by the device is small.     

Security in the wild: user strategies for managing security as an everyday,practical problem

Ubiquitous and mobile technologies create new challenges for system security. Effective security solutions depend not only on the mathematical and technical properties of those solutions, but also on people’s ability to understand them and use them as part of their work. As a step towards solving this problem, we have been examining how people experience security as a facet of their daily life, and how they routinely answer the question, “is this system secure enough for what I want to do?” We present a number of findings concerning the scope of security, attitudes towards security, and the social and organizational contexts within which security concerns arise, and point towards emerging technical solutions.     

Similarity between shock and safe areas during acquisition, transfer, and extinction of escape behavior in rats.

Demonstrated, in 3 experiments with a total of 128 female hooded rats, that performance in escape training was impaired when shock- and safe-box stimuli were similar rather than dissimilar to each other. Prior training with similar shock and safe boxes impaired responding during subsequent training or extinction under the dissimilar shock and safe condition. Prior training under the dissimilar condition did not reliably influence subsequent training or extinction under the similar shock-safe condition. Resistance to extinction under the dissimilar condition was reliably better following training with random presentations to both similar and dissimilar conditions than following training with the dissimilar condition alone. Exp III showed that impairment of escape behavior during training was attributable to response-contingent similarity between shock and safe boxes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

An emulsion method for the sensory evaluation of edible oils

The flavor intensity of soybean oils was evaluated in emulsions stabilized with gum acacia. A 10-point scale was used with a blank to establish the bland end of the scale and a standard diacetyl solution to establish a point near midscale. Tasting oils in emulsion gave significantly different scores than tasting oil directly. Evaluation in emulsion decreased panel error for poor quality oils but not for very bland oils. At least six samples could be tasted in emulsion without casusing panel fatigue or reducing accuracy. The concentration of oil in the emulsion could be adjusted to increase sensitivity to weak flavors or improve the evaluation of intensely flavored oils. Soybean oils containing various amounts of linolenic acid were evaluated by the emulsion method, and those with lesser amounts of linolenic acid were shown to be more stable. A gas Chromatographic total volatile method was shown to correlate fairly well with sensory evaluation of oils tasted in emulsions under conditions where both flavors scores and total volatiles changed significantly with time. Journal Paper no. J-10442 of the Iowa Agriculture and Home Economics Experiment Station, Ames. Project no. 2143.     

Assessing the psychometric properties of psychodiagnostic systems: How do the Research Diagnostic Criteria measure up?

The Research Diagnostic Criteria (RDC) were developed to meet the researcher's need for a standardized diagnostic system possessing desirable psychometric qualities. Although the RDC constitute an important step in the right direction, a review of the literature indicates that additional research on their validity is needed. Modifications of the existing classifications may be required before the RDC can be considered a finished product. (71 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Risk-based approach to evaluate the public health benefit of additional wastewater treatment

The City of Stockton, CA operates a wastewater treatment facility that discharges tertiary treated effluent during the summer and secondary treated effluent during the winter to the San Joaquin River. Investigations were carried out between 1996 and 2002 to provide insight regarding the potential public health benefit that may be provided by year-round tertiary treatment. A hydraulic model of the San Joaquin River and a dynamic disease transmission model integrated a wide array of disparate data to estimate the level of viral gastroenteritis in the population under the two treatment scenarios. The results of the investigation suggest that risk of viral gastroenteritis attributable to the treatment facility under the existing treatment scheme is several orders of magnitude below the 8-14 illnesses per 1000 recreation events considered tolerable by U.S. EPA, and winter tertiary treatment would further reduce the existing risk by approximately 15-50%. The methodologies employed herein are applicable to other watersheds where additional water treatment is being considered to address public health concerns from recreation in receiving waters.     

User customisation of medical devices: the reality and the possibilities

While studies of office environments have treated the customisation of technology by users as a positive response to the situated nature of work, customisation of devices in the medical domain, and other safety-critical domains, when acknowledged, has been treated understandably as a violation and a threat to safety. This paper looks at the customisation of medical devices by nursing staff, based on an observational study carried out in three Scottish intensive care units. Drawing on the insights of ethnomethodology, this paper proposes an alternative approach to the study of user customisation and its organisation. An attempt has been made to go beyond the simple categorisation of types of customisation to explicate the detail of how customisation is carried out. Drawing on concerns in human-computer interaction and arguments in medicine surrounding the use of protocols, the potential for supporting customisation in the medical domain is discussed.     

Car insurance and the risk of car crash injury

Despite speculation about the role of vehicle insurance in road traffic accidents, there is little research estimating the direction or extent of the risk relationship. Data from the Auckland Car Crash Injury Study (1998–1999) were used to examine the association between driving an uninsured motor vehicle and car crash injury. Cases were all cars involved in crashes in which at least one occupant was hospitalized or killed anywhere in the Auckland region. Controls were 588 drivers of randomly selected cars on Auckland roads. Participants completed a structured interview. Uninsured drivers had significantly greater odds of car crash injury compared to insured drivers after adjustment for age, sex, level of education, and driving exposure (odds ratio 4.77, 95% confidence interval 2.94–7.75). The causal mechanism for insurance and car crash injury is not easily determined. Although we examined the effects of multiple potential confounders in our analysis including socioeconomic status and risk-taking behaviours, both of which have been previously observed to be associated with both insurance status and car crash injury, residual confounding may partly explain this association. The estimated proportion of drivers who are uninsured is between 5 and 15% in developed countries, representing a significant public health problem worthy of further investigation.