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121.
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.  相似文献   

122.
The objective of this research was to study and identify ergonomic deficiencies in computer workstation design in typical offices. Physical measurements and a questionnaire were used to study 40 workstations. Major ergonomic deficiencies were found in physical design and layout of the workstations, employee postures, work practices, and training. The consequences in terms of user health and other problems were significant. Forty-five percent of the employees used nonadjustable chairs, 48% of computers faced windows, 90% of the employees used computers more than 4 hrs/day, 45% of the employees adopted bent and unsupported back postures, and 20% used office tables for computers. Major problems reported were eyestrain (58%), shoulder pain (45%), back pain (43%), arm pain (35%), wrist pain (30%), and neck pain (30%). These results indicated serious ergonomic deficiencies in office computer workstation design, layout, and usage. Strategies to reduce or eliminate ergonomic deficiencies in computer workstation design were suggested.  相似文献   
123.
Optimal retrofit of water conservation networks   总被引:1,自引:0,他引:1  
This paper presents a new general mathematical programming model for the optimal retrofit of material conservation networks considering recycle, reuse and regeneration schemes (notice that most of the previously reported methods only have considered the synthesis case, and nowadays it is very important to have strategies for the retrofit of water networks because several existing water network are functioned under suboptimal conditions because these were synthesized using inefficient approaches or because the process and environmental constraints have changed). The model considers the reconfiguration of existing networks to satisfy stricter process and environmental constraints considering the repiping for the network, the reuse of the existing treatment units, the modification for the capacity and performance of the existing units and the installation of new treatment units to reduce the overall operating cost through the reduction of the use of fresh sources. The objective function accounts for the minimization of the total annual cost associated to the retrofit process. This retrofit process involves simultaneously economic (because the reduction of the fresh sources costs) and environmental (because the reduction of the waste streams discharged to the environment and with a better quality) improvements. The applicability of the proposed model is proved through a set of example problems addressed, where no numerical complications were observed. In addition, the proposed approach is general and it can be applied to any specific case with the information required.  相似文献   
124.
Reduction of membrane fouling in reverse osmosis systems and elimination of scaling of heat transfer surfaces in thermal plants are a major challenge in the desalination of seawater. Precipitation softening has the potential of eliminating the major fouling and scaling species in seawater desalination plants, thus allowing thermal plants to operate at higher top brine temperatures and membrane plants to operate at a reduced risk of fouling, leading to lower desalinated water costs. This work evaluated the use of precipitation softening as a pretreatment step for seawater desalination. The effectiveness of the process in removing several scale-inducing materials such as calcium, magnesium, silica, and boron was investigated under variable conditions of temperature and pH. The treatment process was also applied to seawater spiked with other known fouling species such as iron and bacteria to determine the efficiency of removal. The results of this work show that precipitation softening at a pH of 11 leads to complete elimination of calcium, silica, and bacteria; to very high removal efficiencies of magnesium and iron (99.6 and 99.2 %, respectively); and to a reasonably good removal efficiency of boron (61 %).  相似文献   
125.
The greater the use of energy in the transportation sectors, the higher the emission of carbon monoxide (CO), and hence inevitable harm to environment and human health. In this concern, measuring and predicting of CO emission from transportation sector—especially large cities—is important as it constitute 90 % of all CO emission. Many urban cities in developing world have not properly experienced such measurements or predictions. In this paper, for the first time, field measurements of traffic characteristics data and corresponding CO concentration have been performed for developing a model for predicting CO emissions from transportation sector for New Borg El Arab (NBC), Egypt. The performance of Swiss-German Handbook Emission Factors for Road Transport (HBEFA v3.1) model has been assessed for predicting the CO concentration at roadside in the study area. Results indicated that HBEFA v3.1 underestimate emission figures. The developed CO dynamic emission model involves the traffic flow characteristics with roadside CO concentrations. Acceptable representation of measured CO concentration has been shown by the developed dynamic CO emission model which introduces R 2?=?0.77, mean biases and frictional biases of ?0.27 mg m?3 and 0.09, respectively. A comparison between predicted CO concentrations using HBEFA v3.1 and the promoted dynamic model indicate that HBEFA v3.1 estimates CO emission concentrations in the study area with a mean error and frictional biases 159.26 and 233.33 %, respectively, higher than those of the developed model.  相似文献   
126.
There is no certainty that adaptation to climate change is sustainable, and new approaches to assess current climate change adaptation trajectories are sorely needed. In this paper, we review the farmer-focused approaches (typical of vulnerability approaches) and agro-ecosystem-focused approaches (typical of resilience approaches). We propose that a combination of the two may be a better way to conceptualize sustainable adaptation to future climate change within an agro-ecological system. To test our hypothesis, we use the case study of Iran, a land that has shown both tremendous resilience and vulnerability in its agro-ecological system. We explore the changes that have occurred in the Iranian farming system and their implications for farmers’ resilience to climate change through an integrated lens combining vulnerability approaches and resilience approaches. During the previous five decades, we describe how Iranian peasants have become small farmers, the land tenure system has changed from a traditional landlord-sharecropping system to family farms, and the quantity and quality of the agro-ecological resources have changed considerably. Our integrative approach provides important insights for both research and policy. We show that combining the two approaches can have far-reaching implications for farmers’ adaptation to future climate change knowledge, policy, and practice since one approach aims to decrease farmers vulnerability and the other approach aims to build resilient agro-ecosystems.  相似文献   
127.
ABSTRACT

Pollution prevention is a major economic and environmental issue in the chemical processing industries. This paper addresses the design of cost-effective recovery systems for vaporous emissions, systems that allow environmentally sound recycling of the recovered components for re-use within the process as a means of pollution prevention. A methodology is proposed to design optimal hybrid systems that involve gas permeation membranes and vapor condensation systems. The design methodology is presented as a mixed-integer, nonlinear program. Based on a fixed structure of the system, a short-cut formulation is derived. Additionally, the incorporation of the system into the emerging mass integration methodology is presented. It is demonstrated, through an industrial case study, that hybrid membrane/condensation systems possess advantages over either separation technique alone.  相似文献   
128.
Attempts were made in this study to examine the effectiveness of sequencing batch reactor (SBR) for the treatment of beverage industrial wastewater. The SBR was operated at three different organic loading rates (OLRs): 2, 1.7 and 1.1 kg COD/m3 d. Results of continuous long-term operation showed that by decreasing OLR from 2 to 1.7 kg COD/m3 day, the removal efficiency was increased from 95.5 to 99.3% for COD, from 95.3 to 98.1% for BOD and from 87 to 97.7% for TSS. While further decreasing of the OLR to 1.1 kg COD/m3 day, there is no significant adverse effect on organics removal. Also, residual total nitrogen (TN) concentration decreased by decreasing the OLR. However, increasing the OLRs exerted a slightly negative effect on the removal of total phosphorous. On the other hand, the experimental data indicated that the substrate utilization kinetic followed Monod's kinetics model approximately. The maximum specific substrate utilization rate (micro(max), half velocity coefficient (Ks), growth yield coefficient (Y) and decay coefficient (Kd) were 2.94 d(-1), 15.22 mg/L, 0.2384 g VSS/g COD and 0.2019 h(-1), respectively.  相似文献   
129.
During the egg-laying process, oviductal fluid was collected using a non-invasive procedure from the cloacal vent of the green turtles. Forty-two independent isolates of antibiotic-resistant bacteria from 11 genera were obtained from 20 turtles during nesting. The dominant isolate was Citrobacter (52.4%), followed by Pseudomonas, Proteus, Enterobacter, Salmonella, Escherichia coli, Shigella, Edwardsiella, Morganella, Providencia and Arcomobacter. Most of the isolates were resistant to ampicillin. Ampicillin-resistant isolates showed variations in their resistance for the following classes of β-lactamases: extended-spectrum β-lactamases (EBSLs), AmpC type β-lactamases C (AmpC), and screen-positive β-lactamase. None of the isolates produced metallo β-lactamase. Some ampicillin-resistant genes were detected by multiplex polymerase chain reaction (PCR) only. Inhibitor based test (IBT) categorized some isolates as AmpC β-lactamase producers. β-Lactamase genes were detected from a few strains. The sequencing of those genes revealed the presence of cephamycinase (CMY) and AmpC β-lactamases. The oviductal fluid was used in this study as a source of bacterial antibiotic-resistant determinants for biomonitoring marine turtles exposed to contaminated effluents. This data can be of value in understanding the decline of this endangered species as a result of exposure to marine pollution which is threatening their survival.  相似文献   
130.
Sewage sludge is rich in essential plant nutrients, but its use is restricted for crop production due to the pollutants it contains, such as metalloids and heavy metals. Sludge is also very sticky and compact. Therefore, the objectives of this work were to evaluate (1) the impact of various amounts of sludge on bioenergy crop productivity and quality and (2) the use of peat as an adjuvant to reduce the stickiness, density and nutrient richness of the sludge. Three different applications of sludge were examined, high, low (50% of high) and low mixed with an equal volume of peat. The sludge-peat mix increased significantly leaf area and biomass accumulation of maize and hemp. High sludge and sludge-peat mix applications increased significantly the leaf area and biomass accumulation as well as the net photosynthesis of oilseed rape. High sludge application resulted in the highest heavy metal and metalloid accumulation in maize and hemp. Sludge-peat mix resulted in the highest heavy metal and metalloid accumulation in oilseed rape. However, the sludge-peat mix application provided the best feedstock quality in all three crops, since chloride, silicon and sulfur concentrations and ash content in plant material were the lowest of the three sludge treatments.  相似文献   
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