Injury prevention programs against distracted driving: Are they effective?

Introduction: Distracted driving (talking and/or texting) is a growing public safety problem, with increasing incidence among adult drivers. The aim of this study was to identify the incidence of distracted driving (DD) among health care providers and to create awareness against DD. We hypothesized that distracted driving is prevalent among health care providers and a preventive campaign against distracted driving would effectively decrease distracted driving among health care providers.

Methods: We performed a 4-phase prospective interventional study of all health care providers at our level 1 trauma center. Phase 1: one week of pre-intervention observation; phase 2: one week of intervention; phase 3: one week of postintervention observation; and phase 4: one week of 6 months of postintervention observation. Observations were performed outside employee parking garage at the following time intervals: 6:30–8:30 a.m., 4:40–5:30 p.m., and 6:30–7:30 p.m. Intervention included an e-mail survey, pamphlets and banners in the hospital cafeteria, and a postintervention survey. Hospital employees were identified with badges and scrubs, employees exiting through employee gate, and parking pass on the car. Outcome measure was incidence of DD pre, post, and 6 months postintervention.

Results: A total of 15,416 observations (pre: 6,639, post: 4,220, 6 months post: 4,557) and 520 survey responses were collected. The incident of DD was 11.8% among health care providers. There was a significant reduction in DD in each time interval of observation between pre- and postintervention. On subanalysis, there was a significant decrease in talking (P = .0001) and texting (P = .01) while driving postintervention compared to pre-intervention. In the survey, 35.5% of respondents admitted to DD and 4.5% respondents were involved in an accident due to DD. We found that 77% respondents felt more informed after the survey and 91% respondents supported a state legislation against DD. The reduction in the incidence of DD postintervention was sustained even at 6-month follow-up.

Conclusion: There was a 32% reduction in the incidence of distracted driving postintervention, which remained low even at 6-month follow-up. Implementation of an effective injury prevention campaign could reduce the incidence of distracted driving nationally.     

The effect of solvents on metal ion adsorption by the alga Chlorella vulgaris

The dead dried alga, Chlorella vulgaris, was used for metal ion sequestering. The uptake of each of Cu(II), Cd(II), Fe(III), and Sn(IV) from their aqueous solutions decreased upon reuse of the biomass. Introducing mixed ethanol/water (50% v/v) metal ion solutions in batch systems enhanced the metal uptake of the exhausted biomass by 90% for iron, 40% for tin and only 14% for cadmium. In the column system, 20% v/v ethanol/water proved to be superior to acetone/water and isopropanol/water metal solutions in enhancing metal uptake. This increase in uptake offers a new method for regeneration of the algal capacity to remove metal ions from their solutions. Mossbauer results of iron and tin loaded algae from aqueous and mixed ethanol water solutions exhibited the characteristic doublet for (FeCl4-) at 0.350-0.565 mms(-1) respectively and the major doublet for inorganic Sn(IV) moieties at -0.217 to -0.365 mms(-1) respectively, excluding the possibility of microprecipitation of iron and tin, which is expected at such high concentrations of metals in the alga.     

Characterization of cytotoxicity of airborne particulates from urban areas of Lahore

A number of species (organic and inorganic) in airborne particulates cause the toxicity to living being. The potential of in vitro test methods were explored for toxicity assessment of trace toxic elements (inorganic species) present in ambient air on human being (lungs). A year long sampling of airborne particles (PM_2.5) was carried (April 2008 to March 2009) in Lahore, Pakistan. A total of thirty nine samples were collected on 47 mm Zefluor Teflon filter membranes and each was analysed to characterize for the elements: Sb, As, Be, Cd, Cr, Co, Pb, Mn, Hg using ICP-MS in water extract and total acid digestate. The samples cytotoxicity was also established using lung derived cells and MTS colorimetric assays. This generated dose response curves and IC₅₀ values for the elemental mixtures identified on the Teflon filter membrane. The results indicated that even at low concentrations airborne elemental mixtures displayed an additive toxic effect.     

Phytoextraction of heavy metals from contaminated soil,water and atmosphere using ornamental plants: mechanisms and efficiency improvement strategies

Environmental Science and Pollution Research - Accumulation of heavy metals (HMs) in soil, water and air is one of the major environmental concerns worldwide, which mainly occurs due to...     

A charge model for household waste management services: a case study of Tehran municipality

In practice, it is difficult to implement Pay-As-You-Throw charge systems based on accurate estimates of waste generation. In many cities, this is made impossible, due to lack of technical and administrative infrastructure and cultural considerations, especially in developing countries. This paper presents an alternative two-component charge model that is the combination of cost-accounting technique of Waste Management Services (WMSs) and econometric functions of waste generation. Practical and computation steps considered by the model are presented as a proposal to reform the current system of waste charge in Tehran municipality. The presented model is simple to implement and resolves some of the disadvantages of the traditional methods of waste charge systems, including insufficient revenue to cover the cost of waste management and unfairness related to social inequality.     

Serum concentrations of selected organochlorine pesticides in a Lebanese population and their associations to sociodemographic,anthropometric and dietary factors: ENASB study

Organochlorine pesticides (OCPs) were banned by the Stockholm Convention many years ago; however, they are still detected in the environment due to their high persistence, their current illegal use, and their import from countries where they have not been banned. We evaluated the serum concentrations of selected OCPs (hexachlorobenzene (HCB), β-hexachlorocyclohexanes (β-HCH), p,p′-dichlorodiphenyltrichloroethane (DDT) and its metabolite p,p′-dichlorodiphenyldichloroethylene (DDE) in a sample of Lebanese adults using gas chromatography coupled to an ion trap mass spectrometer detector. The mean concentrations of HCB, β-HCH, DDT, and DDE were 7.1, 8.6, 2.1, and 18.9 ng/g of lipids, respectively, and the major contributor among the four OCPs was DDE. The OCP levels in the present study were in general lower than the values observed in several countries worldwide and their concentrations at the 95th percentile were lower than the biomonitoring equivalents (BEs) excluding any appreciable health risk. We observed an inverse association between HCB concentrations and body mass index (BMI) as well as HCB, β-HCH, and DDE levels, and smoking habits. Milk consumption however was positively associated with an increased serum level of β-HCH. This study, which was the first to investigate OCP serum levels in a Lebanese population, provides a baseline to which future measurements can be compared.     

Air quality in Yanbu,Saudi Arabia

Yanbu, on the Red Sea, is an affluent Saudi Arabian industrial city of modest size. Substantial effort has been spent to balance environmental quality, especially air pollution, and industrial development. We have analyzed six years of observations of criteria pollutants O₃, SO₂, particles (PM_2.5 and PM₁₀) and the known ozone precursors—volatile organic compounds (VOCs) and nitrogen oxides (NO_x). The results suggest frequent VOC-limited conditions in which ozone concentrations increase with decreasing NO_x and with increasing VOCs when NO_x is plentiful. For the remaining circumstances ozone has a complex non-linear relationship with the VOCs. The interactions between these factors at Yanbu cause measurable impacts on air pollution including the weekend effect in which ozone concentrations stay the same or even increase despite significantly lower emissions of the precursors on the weekends. Air pollution was lower during the Eids (al-Fitr and al-Adha), Ramadan and the Hajj periods. During Ramadan, there were substantial night time emissions as the cycle everyday living is almost reversed between night and day. The exceedances of air pollution standards were evaluated using criteria from the U.S. Environmental Protection Agency (EPA), World Health Organization (WHO), the Saudi Presidency of Meteorology and Environment (PME) and the Royal Commission Environmental Regulations (RCER). The latter are stricter standards set just for Yanbu and Jubail. For the fine particles (PM_2.5), an analysis of the winds showed a major impact from desert dust. This effect had to be taken into account but still left many occasions when standards were exceeded. Fewer exceedances were found for SO₂, and fewer still for ozone. The paper presents a comprehensive view of air quality at this isolated desert urban environment.

Implications: Frequent VOC-limited conditions are found at Yanbu in Saudi Arabia that increase ozone pollution if NO_x is are reduced. In this desert environment, increased nightlife produces the highest levels of VOCs and NO_x at night rather than the day. The effects increase during Ramadan. Fine particles peak twice a day—the morning peak is caused by traffic and increases with decreasing wind, potentially representing health concerns, but the larger afternoon peak is caused by the wind, and it increases with increasing wind speeds. These features suggest that exposure to pollutants must be redefined for such an environment.