Factors associated with prehospital death among traffic accident patients in Osaka City,Japan: A population-based study

Objective: Although it is important to assess the factors associated with traffic accident fatalities to decrease them as a matter of public health, such factors have not been fully identified.

Methods: Using a large-scale data set of ambulance records in Osaka City, Japan, we retrospectively analyzed all traffic accident patients transported to hospitals by emergency medical service personnel from 2013 to 2014. In this study, prehospital death was defined as that occurring at the scene or in the emergency department immediately after hospital arrival. We assessed prehospital factors associated with prehospital death due to traffic accidents by logistic regression models.

Results: This study enrolled 28,903 emergency patients involved in traffic accidents, of whom 68 died prehospital. In a multivariate model, elderly patients aged ≥75 years (adjusted odds ratio [AOR] = 4.34; 95% confidence interval [CI], 2.29–8.23), nighttime (AOR = 2.75; 95% CI, 1.65–4.70), and type of injured person compared to bicyclists such as pedestrians (AOR = 9.58; 95% CI, 5.07–17.99), motorcyclists (AOR = 2.75; 95% CI, 1.21–6.24), and car occupants (AOR = 2.98; 95% CI, 1.39–6.40) were significantly associated with prehospital death due to traffic accidents. In addition, the AOR for automobile versus nonautomobile as the collision opponent was 4.76 (95% CI, 2.30–9.88).

Conclusions: In this population, the factors associated with prehospital death due to traffic accidents were elderly people, nighttime, and pedestrian as the type of patient. The proportion of prehospital deaths due to traffic accidents was also high when the collision component was an automobile.     

Effects of introducing energy recovery processes to the municipal solid waste management system in Ulaanbaatar,Mongolia

Currently, most developing countries have not set up municipal solid waste management systems with a view of recovering energy from waste or reducing greenhouse gas emissions. In this article, we have studied the possible effects of introducing three energy recovery processes either as a single or combination approach, refuse derived fuel production,incineration and waste power generation, and methane gas recovery from landfill and power generation in Ulaanbaatar, Mongolia, as a case study. We concluded that incineration process is the most suitable as first introduction of energy recovery. To operate it efficiently,3Rs strategies need to be promoted. And then, RDF production which is made of waste papers and plastics in high level of sorting may be considered as the second step of energy recovery.However, safety control and marketability of RDF will be required at that moment.     

Effects of introducing energy recovery processes to the municipal solid waste management system in Ulaanbaatar,Mongolia

Currently, most developing countries have not set up municipal solid waste management systems with a view of recovering energy from waste or reducing greenhouse gas emissions. In this article, we have studied the possible effects of introducing three energy recovery processes either as a single or combination approach, refuse derived fuel production, incineration and waste power generation, and methane gas recovery from landfill and power generation in Ulaanbaatar, Mongolia, as a case study. We concluded that incineration process is the most suitable as first introduction of energy recovery. To operate it efficiently, 3Rs strategies need to be promoted. And then, RDF production which is made of waste papers and plastics in high level of sorting may be considered as the second step of energy recovery. However, safety control and marketability of RDF will be required at that moment.     

Removal of PCDDs/DFs and dl-PCBs in MWI fly ash by heating under vacuum

Temperature dependence of PCDD/DF and dioxin-like polychlorinated biphenyl (dl-PCB) concentrations in fly ash from a municipal waste incinerator (MWI) heated under vacuum has been investigated as a function of sample temperature ranging from T(s)=425 to 800 K to find out if PCDDs/DFs in fly ash evaporate and are trapped in a liquid nitrogen-cooled trap. The results show that more than 99.98% of PCDDs/DFs in TEQ is removed from fly ash by vacuum heat treatment at T(s)>650 K for 4 h. Almost no PCDDs/DFs were detected in the liquid nitrogen-cooled trap. Homologue distributions indicate that dechlorination/hydrogenation (DCH) reactions proceed in fly ash at T(s)>450 K. Arrhenius rate parameters for the DCH reactions have been determined for each homologue assuming that only DCH reactions occur. The fly ash heated under vacuum at 650 or 800 K was reheated at 573 K (300 degrees C) in a stream of dry or humid air to see how much PCDDs/DFs and dl-PCBs are regenerated. We have found that (1) PCDDs/DFs are regenerated in both 650 K and 800 K treated fly ash, whereas dl-PCBs are regenerated in 650 K treated fly ash, (2) formation of PCDFs predominates over that of PCDDs or dl-PCBs, and (3) less chlorinated homologues are abundant for PCDDs/DFs and dl-PCBs.     

A basic study with feasibility of applying clean development mechanism to the transport projects

In the transport sector, few projects applied Clean Development Mechanism (CDM) or Joint Implementation (JI) projects. This study will examine the feasibility of applying CDM to the transport sector from viewpoints of validation of processes and funding. A number of greenhouse gas emission reduction projects, as well as traffic management project within existing transport infrastructures, can be implemented as CDM projects. New transport infrastructure projects can be validated by transportdemand forecasting and traffic simulation methods, though application of Life Cycle Assessment (LCA) and Intelligent Transport Systems (ITS) technologies. This revised version was published online in August 2006 with corrections to the Cover Date.     

Reduction of natural resource consumption in cement production in Japan by waste utilization

According to Japanese government policy, the input of natural resources should be minimized and input resources should be utilized to the greatest extent possible so that, eventually, minimum waste is generated. The cement industry of Japan has worked hard to maximize waste utilization. Focusing on the cumulative amounts of the elements needed for clinker and gross calorific values, this study estimated the extent to which waste utilization has directly or indirectly reduced natural resource consumption and greenhouse gas emissions associated with cement production at 32 factories in Japan and clarified the effect of waste utilization in the cement industry on the resource productivity of Japan based on information for fiscal year 2008. Had no wastes been utilized, the cement industry consumption of limestone would have been 18% higher; of clay, 2,899% higher; and of energy, 22% higher. The utilization of wastes in the mixing and burning process of cement production directly reduced greenhouse gas emissions (12% emitted gas reduction) by a larger amount than the indirect reduction achieved by their utilization during the admixing process (10% reduction). Waste utilization for cement production contributed to an increase in resource productivity of about 8,000 Japanese Yen/ton.     

Pro-environmental behavior correlates with present and future subjective well-being

This paper reports structural associations between psychological states, pro-environmental behavior, and present and future subjective well-being. A mailed questionnaire surveyed residents in Stockholm County, Sweden, to gather data on pro-environmental behaviors in water and energy saving at home, universalism and intrinsic satisfaction as motivational factors, and present and future subjective well-being. Results of path analysis suggest that: (1) Psychological factors (i.e., universalism, frugality, and participation categories of intrinsic satisfaction) correlate with pro-environmental behavior; (2) pro-environmental behavior could enhance not only present subjective well-being but expectations of future subjective well-being; and (3) expectations of future subjective well-being are negatively associated with current pro-environmental behavior. An important implication of this study is that expectation of better future subjective well-being may not always facilitate pro-environmental behavior. These results suggest that psychological factors both as antecedents and consequences play a significant role in building a sustainable society and improving our quality of life.     

Coulometric determination of dissolved hydrogen with a multielectrolytic modified carbon felt electrode-based sensor

A multielectrolytic modified carbon electrode (MEMCE) was fabricated by the electrolytic-oxidation/reduction processes. First, the functional groups containing nitrogen atoms such as amino group were introduced by the electrode oxidation of carbon felt electrode in an ammonium carbamate aqueous solution, and next, this electrode was electroreduced in sulfuric acid. The redox waves between hydrogen ion and hydrogen molecule at highly positive potential range appeared in the cyclic voltammogram obtained by MEMCE. A coulometric cell using MEMCE with a catalytic activity of electrooxidation of hydrogen molecule was constructed and was used for the measurement of dissolved hydrogen. The typical current vs. time curve was obtained by the repetitive measurement of the dissolved hydrogen. These curves indicated that the measurement of dissolved hydrogen was finished completely in a very short time (ca. 10 sec). A linear relationship was obtained between the electrical charge needed for the electrooxidation process of hydrogen molecule and dissolved hydrogen concentration. This indicates that the developed coulometric method can be used for the determination of the dissolved hydrogen concentration.