Evaluation of give kids a boost: A school-based program to increase booster seat use among urban children in economically disadvantaged areas

Objective: This study evaluated the effectiveness of a series of 1-year multifaceted school-based programs aimed at increasing booster seat use among urban children 4–7 years of age in economically disadvantaged areas.

Methods: During 4 consecutive school years, 2011–2015, the Give Kids a Boost (GKB) program was implemented in a total of 8 schools with similar demographics in Dallas County. Observational surveys were conducted at project schools before project implementation (P₀), 1–4 weeks after the completion of project implementation (P₁), and 4–5 months later (P₂). Changes in booster seat use for the 3 time periods were compared for the 8 project and 14 comparison schools that received no intervention using a nonrandomized trial process.

The intervention included (1) train-the-trainer sessions with teachers and parents; (2) presentations about booster seat safety; (3) tailored communication to parents; (4) distribution of fact sheets/resources; (5) walk-around education; and (6) booster seat inspections.

The association between the GKB intervention and proper booster seat use was determined initially using univariate analysis. The association was also estimated using a generalized linear mixed model predicting a binomial outcome (booster seat use) for those aged 4 to 7 years, adjusted for child-level variables (age, sex, race/ethnicity) and car-level variables (vehicle type). The model incorporated the effects of clustering by site and by collection date to account for the possibility of repeated sampling.

Results: In the 8 project schools, booster seat use for children 4–7 years of age increased an average of 20.9 percentage points between P₀ and P₁ (P₀ = 4.8%, P₁ = 25.7%; odds ratio [OR] = 6.9; 95% confidence interval [CI], 5.5, 8.7; P < .001) and remained at that level in the P₂ time period (P₂ = 25.7%; P < .001, for P₀ vs. P₂) in the univariate analysis. The 14 comparison schools had minimal change in booster seat use. The multivariable model showed that children at the project schools were significantly more likely to be properly restrained in a booster seat after the intervention (OR = 2.7; 95% CI, 2.2, 3.3) compared to the P₀ time period and compared to the comparison schools.

Conclusion: Despite study limitations, the GKB program was positively associated with an increase in proper booster seat use for children 4–7 years of age in school settings among diverse populations in economically disadvantaged areas. These increases persisted into the following school year in a majority of the project schools. The GKB model may be a replicable strategy to increase booster seat use among school-age children in similar urban settings.     

氧化还原体系低温引发丙烯酸酯乳液聚合安全风险研究

以甲基丙烯酸甲酯、丙烯酸酯乙酯、丙烯酸酯丁酯为反应单体,十二烷基苯磺酸钠为乳化剂,过硫酸铵为氧化剂,亚硫酸氢钠为还原剂,在低温下进行乳液聚合。主要研究了反应单体的热稳定性及反应过程中的相关热力学参数,最后按照规定对该聚合体系进行了安全风险研究。研究结果表明,丙烯酸酯混合单体无热分解放热风险,丙烯酸酯乳液体系的绝热温升(△Tad)为49.6℃,失控体系能达到的最高温度(MTSR)为91.9℃,该体系的最终反应工艺危险度评估为1级,聚合工艺热风险低。     

The relationship of occupational injury and use of mental health care

Introduction: Symptoms of depression and anxiety are a common consequence of occupational injury regardless of its cause and type. Nevertheless, mental health care is rarely covered by workers’ compensation systems. The aim of this study was to assess the use of mental health care post-injury. Methods: We used a subsample of patient-care workers from the Boston Hospital Workers Health Study (BHWHS). We matched one injured worker with three uninjured workers during the period of 2012–2014 based on age and job title (nurse or patient-care associate) and looked at their mental health care use pre- and post-injury using medical claims data from the employer sponsored health plan. We used logistic regression analysis to assess the likelihood of mental health care use three and six months post-injury controlling for any pre-injury visits. Analyses were repeated separately by job title. Results: There were 556 injured workers between 2012 and 2014 that were matched with three uninjured workers at the time of injury (n = 1,649). Injured workers had a higher likelihood of seeking mental health care services than their uninjured counterparts during the six months after injury (OR = 1.646, 95% CI: 1.23–2.20), but not three months post-injury (OR = 0.825, 95% CI: 0.57–1.19). Patient-care associates had a higher likelihood to seek mental health care post-injury, than nurses (OR: 2.133 vs OR: 1.556) during the six months period. Conclusions: Injured workers have a higher likelihood to experience symptoms of depression and anxiety based on their use of mental health care post-injury and use is more predominant among patient-care associates; however, our sample has a small number of patient-care associates. Practical Applications: Treating depression and anxiety as part of the workers’ compensation system has the potential of preventing further physical ailment and improving the return to work process regardless of nature of injury.     

辽宁省典型城市空气中挥发性有机物健康风险评价

美国综合风险评估系统（IRIS）提供了污染物的参考剂量（RFD）和污染物参考浓度（RfC）的相关数据,但某些化合物的RFD和RfC数据不全,造成了风险评价的困难,基于RFD的风险评价很难确定污染物由呼吸系统的准确摄入量。应用SPSS软件剖析了RFD和RfC的相关性,提出了以RfC为基础的风险评价体系,与RFD评价结果对比表明：基于RfC的风险评价更能准确反映VOCs污染的风险。尝试应用RFD和RfC值对沈阳、鞍山、抚顺、葫芦岛四个城市空气中VOCs进行非致癌健康风险评价。     

大连小窑湾海域表层沉积物重金属潜在生态风险评价

基于2009年在大连小窑湾海域表层沉积物中的重金属监测数据,采用Hakanson生态风险指数法对湾内沉积物中的重金属的潜在生态风险进行了分析和评价,并对结果进行了地理空间表达,结果表明:调查研究海域的潜在生态风险较低,该海域的沉积物重金属潜在的生态风险因子为Cd和Hg。     

喷涂车间卫生防护距离计算方法探讨

无组织废气排放对环境危害较大,目前,无组织废气排放的卫生防护距离的计算主要以国家标准方法(GB/T 13201-91)为主,但该方法存在一定的缺陷。以机械加工企业中常见的涂装车间无组织废气排放为研究对象,分别研究国家标准计算模式、线源扩散模式、面源扩散模式等三种不同的卫生防护距离计算方法,讨论不同卫生防护距离计算公式的差异,为企业选址和总图布置提供科学依据。     

浅析石化行业环境风险高发原因及对策建议

从"十一五"末至今,中国石化行业安全事故及环境风险事件频发,影响区域生态环境安全和人民群众健康。从产业布局来看,中国石化企业及与之相关的化工园区分布相对集中,主要布置在沿海沿江地区。中国石化行业目前存在的布局分散、单体规模小等突出问题,如不加控制,行业发展将面临更大的环境风险和环境污染问题。应开展全面梳理排查隐患,提高区域环境风险联防联控水平;大力支持集群化发展、淘汰落后产能,缓解结构性环境风险;统筹规划,优化布局,强化管理,广泛征求社会公众意见,以减缓石化行业的环境风险。     

关于环境保护法律法规修订的新观点

为了保护人类健康不受恶劣环境的侵害,就必须对依法保护环境进行相关研究。提出了环境与健康是人类健康生存头等大事的观点,总结中国主要环境保护法律法规的不足,提出新的修订措施。提出6条保护环境的新法规建议供环境保护法修订时参考应用,主要包括:1)环境与健康及保护法规的宣传教育立法;2)医疗卫生机构设立环境医学防治学科立法;3)国家普及设立环境污染监测和预报系统立法;4)人民政府环境保护行政主管部门应扩展和延伸立法;5)国家在任何单位均应设立环境污染保护行政主管科室立法;6)国家设立外国在华企业环境保护行政主管部门立法。     

基于支持向量机的湖泊生态系统健康评价研究

利用支持向量机在处理分类问题、小样本问题和泛化推广方面的优势,构建了基于支持向量机的湖泊生态系统健康评价模型.同时,对广州市最大的人工湖——白云湖的水质及生物群落情况进行了监测,最后运用该模型对白云湖生态系统健康状况进行了评价.评价结果表明,白云湖生态系统处于病态状态,不能达到其净化水质的设计作用.建议从提高进水水质、实施湖区截污和丰富生物量3方面改善白云湖生态系统健康水平.与传统熵权综合健康指数法和熵权模糊综合评价法相比,所建模型更加客观、科学地评价了湖泊生态系统健康状况,能够为湖泊生态系统健康管理提供一定依据,具有广阔的应用前景.     

象山港养殖区缢蛏和泥蚶的Cu、Cd、Pb含量及其健康风险评价

根据2010年全年4个季节象山港5个养殖区(大佳何、郭巨、咸祥、桐照、西店)两种贝类(缢蛏、泥蚶)体中的3种重金属(Cu、Cd、Pb)的检测结果,分析和比较了象山港内贝类体中的重金属含量,并应用两种评价模型进行了健康风险评价.结果为:所测得Cu、Pb、Cd在5个不同的养殖区的缢蛏和泥蚶体中的含量分别在2.89～4.99、0.24～0.39、0.12～0.22mg.kg-1和0.79～1.05、0.10～0.38、2.17～4.60mg.kg-1范围,其中大佳何的缢蛏体内的Cu、Pb含量要高于其他4个养殖区,郭巨的泥蚶体内的Cd含量高于其他4个区;其次,同一种重金属Cu、Pb、Cd在两种贝类中的含量分别为1.52～10.48和0.66～1.20mg.kg-1,0.08～0.68和0.02～1.01mg.kg-1,及0.04～0.50和0.74～4.43mg.kg-1范围,Cu在缢蛏体中的含量远远大于泥蚶,而Cd在泥蚶中的含量远远大于缢蛏;所得结论为:不同养殖区内,同一种重金属在同种贝类体内的含量存在明显的差异;同一种重金属在不同种类贝类中的含量也存在明显的差异;贝类的不同养殖规格及不同年龄间Cu、Pb、Cd的含量基本相同,无明显差异;采用USEPA和PMTDI两种健康风险评价模型得出相同的结果:除泥蚶体中Cd可能存在致癌健康风险外,其他对人体均不存在健康风险.