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1.
The main cause of death and serious disability in bicycle accidents is traumatic brain injury (TBI). The aim of this population-based study was to assess the incidence and costs of bicycle-related TBI across various age groups, and in comparison to all bicycle-related injuries, to identify main risk groups for the development of preventive strategies.Data from the National Injury Surveillance System and National Medical Registration were used for all patients with bicycle-related injuries and TBI who visited a Dutch emergency department (ED) between 1998 and 2012. Demographics and national, weighted estimates of injury mechanism, injury severity and costs were analysed per age group. Direct healthcare costs and indirect costs were determined using the incidence-based Dutch Burden of Injury Model.Between 1998 and 2012, the incidence of ED treatments due to bicycle-related TBI strongly increased with 54%, to 43 per 100,000 persons in 2012. However, the incidence of all bicycle-related injuries remained stable, from 444 in 1998 to 456/100,000 in 2012. Incidence of hospital admission increased in both TBI (92%) and all injuries from cycling (71%). Highest increase in incidence of both ED treatments and hospital admissions was seen in adults aged 55+. The injury rate of TBI per kilometre travelled increased (44%) except in children, but decreased (−4%) for all injuries, showing a strong decrease in children (−36%) but an increase in men aged 25+, and women aged 15+. Total costs of bicycle-related TBI were €74.5 million annually. Although bicycle-related TBI accounted for 9% of the incidence of all ED treatments due to cycling, it accounted for 18% of the total costs due to all bicycle-related injuries (€410.7 million). Children and adolescents (aged 0–24) had highest incidence of ED treatments due to bicycle-related injuries. Men in the working population (aged 15–64) had highest indirect costs following injuries from cycling, including TBI. Older cyclists (aged 55+) were identified as main risk group for TBI, as they had highest ED attendance, injury rate, injury severity, admission to hospital or intensive care unit, and costs.Incidence of ED treatments due to cycling are high and often involve TBI, imposing a high burden on individuals and society. Older cyclists aged 55+ were identified as main risk group for TBI to be targeted in preventive strategies, due to their high risk for (serious) injuries and ever-increasing share of ED visits and hospital admissions. 相似文献
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防治水泥稳定碎石基层沥青路面裂缝的措施浅析 总被引:3,自引:0,他引:3
水泥稳定碎石基层沥青路面裂缝产生的原因复杂 ,但非荷载型裂缝更为主要。防治水泥稳定碎石基层沥青路面的裂缝应该从设计和施工两方面考虑 ,其中由结构、材料组成设计 ,以及施工工艺出发控制水泥稳定碎石基层本身的收缩也是一项重要措施。 相似文献
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结合某校教学楼基坑工程实践,对防止滑坡采取措施的有效性进行了总结,同时对滑坡出现的原因进行分析,提出了预防基坑滑坡应注意事项。 相似文献
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Shannon’s entropy plays an important role in the context of information theory. Since this entropy is not applicable to a system which has survived for some units of time, the concept of residual entropy has been developed in the literature. Here we generalize the residual entropy by choosing a convex function ? with ?(1) = 0. In this paper, some orderings and aging properties have been defined in terms of the generalized residual entropy function and their properties have been studied. Quite a few results available in the literature have been generalized and some distributions (viz. uniform, exponential, Pareto, power series, finite range) have been characterized through the generalized residual entropy. 相似文献
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目前大型原油储罐逐步应用自动机械清洗系统进行清罐作业,而对于容量小、沉积物较少的油罐国内仍采用人工清洗方式进行。分析了油罐人工清洗作业过程时容易引发火灾的原因,并提出相应的预防火灾措施。 相似文献
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土壤中的多环芳烃(PAHs)类有机污染物的生物有效性低,不易降解。本文综述了影响污染土壤中多环芳烃降解的环境因素和促进降解措施的研究进展。影响土壤中多环芳烃降解的因素,包括水分、养分、土壤物理条件等;促进土壤中多环芳烃降解的措施有:向污染土壤添加有机溶剂、利用冯顿反应、添加堆肥和有机物料等。从目前研究来看,应当通过促进多环芳烃从土壤上解吸和培育具有较高多环芳烃降解能力的微生物来促进多环芳烃污染土壤的修复。 相似文献
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