Learning from accidents – What more do we need to know?

A model of experience feedback (the CHAIN model) that emphasizes the whole chain from initial reporting to preventive measures is used to identify important research needs in the field of learning from accidents. Based on the model, six quality criteria for experience feedback after an accident or incident are presented. Research on experience feedback from accidents is reviewed. The overall conclusion is that the discipline of experience feedback has not been sufficiently self-reflective. The process of experience feedback can and should be applied to experience feedback itself, but that is rarely done. Evaluation studies are needed that provide hard (evidence-based) information about the effects of various methodologies and organizational structures. Four types of studies are particularly important for the development of evidence-based accident investigation practices: (1) studies of the effects and the efficiency of different accident investigation methods, (2) studies of the dissemination of conclusions from accident investigation, (3) follow-up studies of the extent to which accident investigation reports give rise to actual preventive measures, and (4) studies of the integration of experience feedback systems into overall systems of risk management.     

Climate Change in the Baltic Sea Region: A Cross-Country Analysis of Institutional Stakeholder Perceptions

Before climate change is considered in long-term coastal management, it is necessary to investigate how institutional stakeholders in coastal management conceptualize climate change, as their awareness will ultimately affect their actions. Using questionnaires in eight Baltic Sea riparian countries, this study examines environmental managers' awareness of climate change. Our results indicate that problems related to global warming are deemed secondary to short-term social and economic issues. Respondents agree that problems caused by global warming will become increasingly important, but pay little attention to adaptation and mitigation strategies. Current environmental problems are expected to continue to be urgent in the future. We conclude that an apparent gap exists between decision making, public concerns, and scientific consensus, resulting in a situation in which the latest evidence rarely influences commonly held opinions.     

Sex or Food? Appetetive Learning of Sex Odors in a Male Moth

Moths learn to associate a flower odor with a food reward after a few learning trials. Can a hungry, male moth learn to associate a sex attractant with food instead of with sex? We provided a hungry male with odors of single female sex pheromone components, of the full sex pheromone blend or of a flower odor component as cues in an appetitive learning assay. The male learned the single pheromone components just as well as the flower odor. Learning was, however, severely impaired when the full sex pheromone blend was used as conditioning stimulus. The "hard-wiring" between pheromone odor and sex thus seems to be restricted to those circumstances when the male moth experiences the full blend.     

Guidance note: risk management of workers with medical electronic devices and metallic implants in electromagnetic fields.

Medical electronic devices and metallic implants are found in an increasing number of workers. Industrial applications requiring intense electromagnetic fields (EMF) are growing and the potential risk of injurious interactions arising from EMF affecting devices or implants needs to be managed. Potential interactions include electromagnetic interference, displacement, and electrostimulation or heating of adjacent tissue, depending on the device or implant and the frequency of the fields. A guidance note, which uses a risk management framework, has been developed to give generic advice in (a) risk identification--implementing procedures to identify workers with implants and to characterise EMF exposure within a workplace; (b) risk assessment--integrating the characteristics of devices, the anatomical localisation of implants, occupational hygiene data, and application of basic physics principles; and (c) risk control--advising the worker and employer regarding safety and any necessary changes to work practices, while observing privacy.     

Influence of Na2S on the degradation kinetics of CCl4 in the presence of very pure iron

This paper presents the results of kinetic studies to investigate the effect of FeS film formation on the degradation rate of CCl(4) by 99.99% pure metallic iron. The film was formed by submersing metallic iron grains in an oxygen free HCO(3)(-)/CO(3)(2-) electrolyte solution. When the grains had reached a quasi steady-state value of the corrosion potential, Na(2)S((aq)) was injected. Upon injection, a microm thick poorly crystalline FeS film formed immediately on the iron surface. Over time, the iron became strongly corroded and both the FeS film and the metallic iron grains began to crack leading to exposure of bare metallic iron to the solution. The effect of the surface film on the degradation rate of CCl(4) was investigated following four periods of aging, 1, 10, 30, and 60 days. Relative to the controls, the 1-day sulfide-aged iron showed a substantial decrease in rate of degradation of CCl(4.) However, over time, the rate of degradation increased and surpassed the degradation rate obtained in the controls. It has been proposed that CCl(4) is reduced to HCCl(3) by metallic iron by electron transfer. The FeS film is substantially less conducting than the bulk iron metal or non-stoichiometric magnetite and from the results of this study, greatly decreases the rate of CCl(4) degradation relative to iron that has not been exposed to Na(2)S. However, continued aging of the FeS film results in breakdown and stress-induced cracking of the film, followed by dissolution and cracking of the iron itself. The cracking of the bulk iron is believed to be a consequence of hydrogen embrittlement, which is promoted by sulfide. The increase in CCl(4) degradation rate, as the FeS films age, suggests that the process of hydrogen cracking increases the surface area available for charge transfer.     

Diel vertical migration and feeding patterns of Mysis mixta (Crustacea,Mysidacea) in the Baltic Sea

The extent of the nocturnal vertical migration of Mysis mixta Lilljeborg varied between early July and late October (of 1985 and 1986) in a coastal area of the Baltic Sea. Migration was more restricted in early July and late October. Seasonal changes in surface light levels and transparency were sufficient to explain the observed differences. Mysids avoided light levels above 10^-4 lux throughout the study period. Smaller juveniles migrated higher up than larger juveniles and adults. A two-layered distribution with part of the population close to the bottom was observed at night. Zooplankton were more abundant in water layers above the main concentration of mysids. M. mixta fed on phytoplankton, detritus, copepods, cladocerans, rotifers and tintinnids. Diel changes in gut fluorescence indicated a higher intake of phytoplankton at night, but levels were low compared to primarily herbivorous zooplankton. Comparisons of stomach contents of mysids caught at the bottom in the evening and in the water column at night showed a higher ingestion of zooplankton at night and of detritus during the day. Mysids caught at the bottom at night had an intermediate diet. Copepods and cladocerans constituted between 90 and 100% of ingested material by weight in all mysid groups.     

Economic assessment of the negative impacts of ozone on crop yields and forest production. A case study of the estate Ostads Säteri in southwestern Sweden

Ground level ozone concentrations, in combination with the prevailing climate, at the estate Ostads S?teri in southwestern Sweden were estimated to reduce the yield of wheat and potato ranging between 5% and 10%. Occasionally, in years with the highest ozone concentrations and/or climatic conditions favoring high rates of ozone uptake to the leaves, yield loss levels above 10% may occur. Based on simple extrapolation, these ozone-induced reductions of crop yields at Ostads S?teri represent a potential total annual yield loss in Sweden in the range of 24.5 million Euro for wheat and 7.3 million Euro for potato, respectively. A simulation of forest growth at Ostad S?teri predicted that prevailing mean ozone exposure during 1993-2003 had the potential to reduce forest growth by 2.2% and the economic return of forest production by 2.6%. Using this value for extrapolation to the national level, the potential annual economic loss for Sweden due to negative impacts of ozone on forest production would be in the range of 56 million Euro (2004 prices).