Incidence and costs of bicycle-related traumatic brain injuries in the Netherlands

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.     

屋面防水浅议

简述了屋面产生渗漏的主要原因及注意事项；科学先进的防水设计、优质的防水材料和精心的施工是屋面防水质量的保证。     

Suspension force and mechanism of debris flows

The paper discusses the postulated suspension force, by which it is possible to explain some enigmatic phenomena observed in different types of mass movements. This force is generated in thick suspensions as a result of friction between sinking solid particles and static water. The suspension force is related to the seepage force but they have opposite directions. Both forces form flow networks. Having explained the suspension force, the paper describes how this influences the movement of material, particularly in debris flows. Enigmatic features and the mechanism of debris flows and lahars are explained by virtue of the suspension force. Electronic Publication     

防治水泥稳定碎石基层沥青路面裂缝的措施浅析

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。     

油罐清洗作业防火安全措施

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。     

会计信息失真原因及防范

虚假的会计信息,将严重扭曲股票的价值,扰乱资本市场秩序,侵害投资者的利益。笔者就会计信息失真的原因进行了分析,并就如何防范进行了探讨。     

Decision support for AIDS control programmes in Eastern Africa

The Acquired Immune Deficiency Syndrome (AIDS) constitutes the worst hazard to health care systems in Eastern Africa. Misallocation of scarce resources of AIDS Control Programmes will unavoidably lead to additional infections and casualties. The following paper discusses a system dynamics model which allows to assess the impact of different interventions on a pattern population in Eastern Africa. It becomes obvious that short- and long-term consequences of these programmes differ significantly. The optimal allocation of resources, therefore, is highly complex and calls for decision support systems to sustain AIDS control programmes.     

Trams-a risk factor for pedestrians

In Gothenburg tram injuries were identified to be an important cause of traffic injuries and fatalities (48%) among pedestrians. During the summer middle-aged men, often under the influence of alcohol, were often severely injured and the injury rate was also high during the autumn. A majority (60%) of those fatally injured were under the influence of alcohol. Most injury events happened at or near a tram stop. The most serious injuries arose when the victim landed under a tram. In 1992, a runaway tram caused a major disaster, killing 10 pedestrians and injuring 30. The injury reducing measures the tram company has now started to introduce include safety railings at tram stops, side barriers on the tramcars to prevent people from falling under the tram and lower speeds near tram stops.     

软土基坑工程中劈裂注浆防渗机理与应用

结合紧邻市政管线的软土基坑工程 ,分析劈裂注浆力学和防渗性能 ,确定技术方案 ,控制施工参数 ,在控制管线位移的前提下达到基坑防渗要求 ,为类似工程提供借鉴     

浅谈计算机局域网病毒及防范策略

简述了计算机局域网的病毒的类型,并提出了相应的防范策略。