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.     

The environmental photolysis of perfluorooctanesulfonate,perfluorooctanoate, and related fluorochemicals

A field study on the photolysis of perfluoroalkyl substances (PFASs) was conducted at high altitudes in Mt. Mauna Kea (Hawaii, USA; 4200 m) and Mt. Tateyama (Toyama, Japan; 2500 m). Results of photolysis of PFASs in the field were further confirmed in laboratory studies. Perfluorooctanesulfonate (PFOS), which is perceived as a non-degradable chemical in the environment, can undergo photolysis. Long chain PFASs can be successively dealkylated to short chain compounds such as perfluorobutyric acid (PFBA) and perfluorobutane sulfonate (PFBS), but the short chain compounds were relatively more resistant to photodegradation. These results suggest that environmental levels of short chain PFASs would increase both due to their formation from photolysis of long chain PFASs and from direct releases. Earlier studies on photolysis of PFASs were focused on the formation of perfluorocarboxylic acids (PFCAs) and perfluorosulfonic acids (PFSAs) from precursor compounds (such as fluorotelomer alcohols) under laboratory conditions. Our study suggests that PFSAs and PFCAs themselves can undergo photodegradation in the environment.     

State of mixture of atmospheric submicrometer black carbon particles and its effect on particulate light absorption

The state of mixture of light-absorbing carbonaceous particles was investigated in relation to light absorption properties using electron microscopic examinations, black carbon (BC) analyses of quartz filter by thermal/optical reflectance (TOR) method, measurements with two continuous light-absorbing photometers at a suburban site of Tsukuba, about 60 km northeast of Tokyo. The volume fraction of water-soluble material (?) in individual particles is important for assessing particulate light-absorbing and/or scattering of atmospheric aerosols. The values of ? in BC particles were evaluated by electron micrographs before and after dialysis (extraction) of water-soluble material. The mass absorption coefficient (MAC in units of m² g^?1) tended to increase with increasing the average ? in BC particles with the radius range of 0.05–0.5 μm. Thus, our results indicate that coatings of water-soluble material around BC particles can enhance the absorption of solar radiation. Moreover, the single scattering albedo (SSA) will increase because a large amount of coating material will scatter more light.     

Electrolytic aminated carbon materials for the electrocatalytic redox reactions of inorganic and organic compounds

Some kinds of amine groups can be introduced to the glassy carbon surface by the electrode oxidation of the carbon electrode surface in ammonium carbamate solution, and this amine groups modified electrode is named as an aminated glassy carbon electrode. The existences of not only primary amine but also secondary and tertially amines were confirmed by X ray photoelectron spectroscopy. The applications of the aminated carbon material for the electrocatalytic reductions of oxygen, hydrogen peroxide, and organic compounds such as quinones were carried out, and the effects of amination on the formation of electrocatalytic sites for many species were revealed. The electrocatalyzed cyclic voltammograms of metal ions and metal chelate compounds obtained by aminated glassy carbon electrodes are also discussed. Moreover, we intend to describe that the aminated carbon electrode can exhibit the large reduction waves of inorganic oxoacids such as N0₂? or bromide ion. The introduced functional groups containing nitrogen atom can change the distribution of the electron densities of the graphite carbon surface, and this specific electron distribution environment may generate the various electrocatalytic activities.     

Evaluation of material recycling for plastics: environmental aspects

“Zero emissions” is a concept envisaging the creation of a sustainable society with minimal disposal of resources. In order to realize zero emissions for plastics, it is important to establish a method for quantitatively evaluating candidate recycling processes. In this study, the principle of the substitution factor (SF) is introduced. A quantitative evaluation of the recycling process for plastics was then carried out. The production process for monofilament plastics was examined. The recycling of plastics discarded during the production process could be substituted in small amounts for virgin materials, giving reduced CO₂ emissions. Furthermore, production using recycled material mixed with virgin material was more effective in reducing CO₂ emissions than when recycled materials only were used. Received: November 19, 1999 / Accepted: November 28, 2000     

Voltammetric response of ferroceneboronic acid to diol and phenolic compounds as possible pollutants

A voltammetric determination of possible organic pollutants such as diol and phenolic compounds in water was studied using ferroceneboronic acid (FBA) as a redox-active marker. A cyclic voltammogram of FBA exhibited a pair of oxidation and reduction peaks at 230 and 170 mV at pH 7.0, respectively, while another pair of redox peaks was observed in the presence of diol or phenolic compounds tested. The results were rationalized based on the formation of boronate esters of FBA with the added compounds. The changes in the redox peak currents were dependent on the concentration of the additives, suggesting a usefulness of FBA in the electrochemical determination of these compounds in water.     

Under-Reporting of Accidents Involving Biological Material by Nursing Professionals at a Brazilian Emergency Hospital

Background. Pathogens can be transmitted to health professionals after contact with biological material. The exact number of infections deriving from these events is still unknown, due to the lack of systematic surveillance data and under-reporting. Methods. A cross-sectional study was carried out, involving 451 nursing professionals from a Brazilian tertiary emergency hospital between April and July 2009. Through an active search, cases of under-reporting of occupational accidents with biological material by the nursing team were identified by means of individual interviews. The Institutional Review Board approved the research project. Results. Over half of the professionals (237) had been victims of one or more accidents (425 in total) involving biological material, and 23.76% of the accidents had not been officially reported using an occupational accident report. Among the under-reported accidents, 53.47% were percutaneous and 67.33% were bloodborne. The main reason for nonreporting was that the accident had been considered low risk. Conclusions. The under-reporting rate (23.76%) was low in comparison with other studies, but most cases of exposure were high risk.