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.     

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.     

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。     

外墙渗水防治措施探讨

针对建筑物外墙渗水的原因,结合施工实践对防治措施的可行性进行探讨。     

住宅楼温度裂缝产生的原因与防治措施

本文对建筑物温度裂缝产生的原因进行了分析和探讨 ,并从设计、施工方面对防治裂缝提出了措施。     

超低渗广谱油层保护技术在板深51区块的应用

板深51区块存在压力敏感地层，在非目的层井段存在大段高渗低压砂岩，而目的层又属于高压低渗地层，属于难采油气田。室内进行的砂床滤失量、砂床封堵带承压能力、岩心封堵带的承压能力及油气层保护效果实验表明，在超低渗钻井液中增加固相含量，能够提高超低渗透膜结构强度，提高地层承压能力，降低砂床侵入深度，增强保护油气层效果，而且有选择性地增加有用固相效果更佳。基于这一理论，研究成功了超低渗广谱屏蔽暂堵油层保护技术，并在板深51区块长22—15井和长23—17K井进行了试验应用。该技术的关键是依据地层特性确定复配暂堵剂。长22-15井和长23-17K井射孔后未经过压裂、酸化、排液处理，获自喷高产，尤其是长22-15井形成自喷油流，创油田单井试采产量最高记录。应用结果表明，超低渗广谱保护油气层钻井液技术封堵隔层的承压能力强，很大程度地提高了漏失层的承压能力和破裂压力，较好地解决了含多套压力层系长裸眼段钻井过程中发生的漏失、井喷、卡钻、油气层保护等技术难题。