Organizational policy and other factors associated with emergency medical technician seat belt use

INTRODUCTION: The purpose of this study was to determine factors associated with seat belt usage among Emergency Medical Technicians (EMTs). METHODS: As part of biennial re-registration paperwork, nationally registered EMTs completed a survey on the safety and health risks facing Emergency Medical Services (EMS) providers. Respondents were asked to describe their seat belt use while in the front seats of an ambulance. They were categorized as "high" in seat belt use if it had been more than a year since they had not worn their seat belt or "low" in seat belt use if they had not worn their seat belt at least once within the past 12 months. A logistic regression model was fit to estimate the association between seat belt use, organizational seat belt policy, type of EMS organization worked for, EMT certification level, and the size of community where EMS work is performed. RESULTS: Of the 41,823 EMTs that re-registered in 2003, surveys were received from 29,575 (70.7%). A significant interaction between organizational seat belt policy and type of EMS organization was found to exist. Participants reporting no organizational seat belt policy had lower odds of seat belt usage when compared to individuals that do have a seat belt policy. Odds Ratios ranged from 0.20 (95% CI 0.10-0.40) for military organizations to 0.59 (95% CI 0.38-0.93) for private EMS organizations. Paramedics and those working in rural areas also had lower odds of seat belt use. CONCLUSION: Several factors were found to be associated with seat belt usage among EMTs while in the front compartment of an ambulance. However, it appears that only one, organizational policy, is a modifiable characteristic.     

Driver education and graduated licensing in North America: past, present, and future

PROBLEM: A stated objective of driver education in North America is to produce safer drivers, typically defined as drivers less likely to crash. This paper examines the extent to which driver education has achieved this objective independently as well as the extent to which such programs can support the success of graduated licensing in reducing young driver crashes. In so doing, it discusses past experiences, recent developments, and the future direction of driver education and training in relation to graduated driver licensing. METHOD: Literature review and synthesis. RESULTS: Driver education programs have yet to demonstrate consistent attainment of their safety objectives. Moreover, they have not been found to enhance the safety effectiveness of graduated licensing programs--indeed, some practices, for example, "time discounts" for driver education have actually had a detrimental effect on teen safety. DISCUSSION: Despite its disappointing safety record to date, it is important not to abandon driver education. In particular, there are opportunities to improve driver education so that it achieves its safety objectives, and ensure that programs in the future complement graduated driver licensing and contribute to its overall safety benefits. Current and future efforts to improve driver education and better integrate it with graduated licensing programs, however, need to be rigorously evaluated to determine what does and does not work to reduce young driver crashes, and as importantly, to understand why this is the case. IMPACT ON INDUSTRY: Improved driver education integrated with graduated driver licensing has potential safety benefits.     

Application of winery and distillery waste composts to a Jumilla (SE Spain) vineyard: Effects on the characteristics of a calcareous sandy-loam soil

The effects on different physico-chemical, chemical and biological soil properties of the incorporation of different organic materials into a calcareous vineyard soil were studied in an experiment during three growing seasons. The organic materials used were sheep manure and four composts derived from the treatment of winery and distillery wastes. A multivariate technique, factor analysis (FA), was also used for interpreting the data obtained from the samplings carried out throughout the three vine growing seasons. The application of the organic materials induced an increase in the activity of the soil microorganisms and in the soil macro and micronutrient contents, as well as a slow release of inorganic N. Through FA of the soil properties studied, three factors that explained 74.7% of the variability were established and the effects of the treatments after the whole experimental period were assessed.     

Sustainability issues in sheet metal forming processes: an overview

Environmental sustainability in manufacturing is nowadays an urgent and remarkable issue and the main concerns are related to more efficient use of materials and energy.In sheet metal forming processes there is still a lack of knowledge in this field mainly due to the need of a proper modelling of sustainability issues and factors to be taken into account. The aim of this paper is mainly to underline the state of the art from a forming point of view about the sustainability contributions offered in any phase of a product life cycle. Actually, a lack in terms of comprehensive contributions is present in the technical literature, thus, the authors try to give a sort of holistic vision aimed to provide basic guidelines in order to help in identifying the possible solutions with regard to all the phases of a forming product life cycle. The main attention was paid to sheet metal forming technologies. The paper gives an overview of the main topics concerning sheet metal forming problems related to energy and resource efficiency with the aim to stress the principal contributions which may derive from such processes to environmental performances of manufacturing.     

Health implications of radon distribution in living rooms and bedrooms in U.K. dwellings--a case study in Northamptonshire

Environmental radon exposure of residents of domestic premises in the United Kingdom (UK) and elsewhere in Europe is estimated on the basis of the measured radon concentrations in, and the relative occupancies of, the principal living room and bedroom. While studies on radon concentration variability in the individual units in apartment blocks in various countries have been described, little data has been reported on variability in two-storey single-family dwellings, and the majority of extant studies consolidate living room and bedroom data early in the analysis. To investigate this further, detailed analysis was made of radon concentration data from a set of thirty-four homes situated in areas of Northamptonshire known to exhibit high radon levels. All homes were of typical UK construction of brick/block/stone walls under a pitched tile/slate roof. Approximately 50% of the sample were detached houses, the remainder being semi-detached (duplex) or terraced (row-house). Around 25% of the sample possessed cellars, while 12% were single-storey dwellings (bungalows), reflecting the typical incidence of this type of dwelling in England. In the two-storey homes, all monitored bedrooms were on the upper floor. Distribution of the ratios of bedroom/living room radon concentrations (BR/LR ratio) in individual properties was left-skewed (mean 0.67, median 0.73, range 0.05-1.05) with a tail extending to just above 1.0. The mean is consistent with the outcome of earlier extensive studies in England, while the variability depends principally on the characteristics of the property, and not on seasonal factors. In a small set of homes, the BR/LR ratio was anomalously low, (mean 0.3). BR/LR ratios in single-storey homes clustered around a value of 1.0, indicating that house design, rather than lifestyle, is the dominant factor in determining bedroom radon concentrations. Homes with higher mean annual radon concentrations showed lower BR/LR ratios, supporting our proposal that, in some homes, radon emanation from building materials may comprise a significant component of the overall radon level.     

Indoor radon monitoring in Northern Iran using passive and active measurements

In this work we present the results of a 2-year survey of indoor radon variations in four cities of Lahijan, Ardabil, Sar-Ein and Namin in North and Northwest Iran. We used both passive and active measurements by solid state nuclear track detectors (SSNTDs) with CR-39 polycarbonate and PRASSI Portable radon Gas Surveyor. A total of 1124 samplers in Lahijan, Ardabil, Sar-Ein and Namin were installed. Sampling frequency was seasonal and sampling locations were randomly chosen based on dwelling structures, floors, geological formations, elevation and temperature variation parameters. For quality assurance, 281 active measurements and double sampling were carried out. Based on our results and the results of previous surveys, Ardabil and Lahijan have the second and third highest radon concentration in Iran, respectively (Ramsar is first). The average radon concentration during the year in Lahijan, Ardabil, Sar-Ein and Namin were 163, 240, 160 and 144 Bq/m(3) with medians of 160, 168, 124 and 133 Bq/m(3), respectively. These concentrations give rise to annual effective doses of 3.43 mSv/y for Lahijan and 5.00 mSv/y for Ardabil. The maximum recorded concentration was 2386 Bq/m(3) during winter in Ardabil and the minimum concentration was 55 Bq/m(3) during spring in Lahijan. Relationships between radon concentration and building materials and room ventilation were also studied. The dosimetry calculations showed that these four cities could be categorized as average natural radiation zones. The correlation coefficients relating warm and cold season radon variation data were obtained.     

Radiocesium in caribou and reindeer in northern Canada, Alaska and Greenland from 1958 to 2000

This study summarizes the spatial and temporal trends of fallout (137)Cs concentrations in caribou and reindeer (Rangifer tarandus ssp.), reported in various programs in Canada, Alaska and Greenland, over a 40-y period. During the 1960s, the highest (137)Cs concentrations (2000-3000Bqkg(-1) wet weight in muscle) were found in the large caribou herds of central northern Canada, with levels about 50% lower in Alaska and Greenland. Concentrations varied by up to a factor of 6 between spring and fall. Concentrations in reindeer were comparable to those in caribou from the same regions. The highest (137)Cs concentrations (750Bqkg(-1)) in the late 1980s were found in the Caniapiscau herd of central Québec. The contribution from the Chernobyl accident in 1986 was estimated from (134)Cs measurements to be 10-40% of the total (137)Cs. Present concentrations have declined to 200-300Bqkg(-1). The effective half-life (T(eff)) of (137)Cs in Canadian caribou herds was estimated to be about 6 y. The potential impact on the health of northern residents is discussed.     

A review of research on the environmental impact of e-business and ICT

This paper attempts to provide a review of the current state of the art of how e-business/ICT affects the environment. The work reviewed is in various forms including journal papers and thesis which have been peer-reviewed, as well as other resources such as projects and project reports, conference and symposia, and websites. It is claimed that the research examined has captured the most important work to date, either for a general knowledge of this new area or for background study by experts carrying out future research. The review has found that the currently dominant approach is either a micro-level case study approach or a macro-level statistical approach. It is concluded that a more predictive and empirical model, which can be applied within a sector of society, should be more beneficial in the long term. This approach should help simulate potential impacts resulting from changes of indicators, so that positive effects can be promoted and negative ones alleviated proactively, rather than knowing and accepting outcomes passively.     

The transfer of 239/240Pu to cow milk

In summer 1993 we measured the transfer of (239/240)Pu to milk from herbage from a pasture located 5 km from the Chernobyl nuclear power plant. In one treatment cows were allowed to graze freely on the pasture. In a second treatment, cows were fed herbage collected from the pasture in stalls. The milk transfer coefficient; F(m) did not vary significantly between treatments and the mean value of 7.5x10(-6)d l(-1) was higher than previously reported values. Despite many values of F(m) for Pu in the literature we identified few relevant original data sets. Transfer coefficient values for Pu are only appropriate when used in conjunction with a specified time period or an appropriate model which allows for the biological half-life. We recommend for screening purposes an F(m) value of 1x10(-5)d l(-1) for Pu, with an order of magnitude lower value being appropriate for cows which are only exposed for one grazing season.     

The value of Seasonal Correction Factors in assessing the health risk from domestic radon: a case study in Northamptonshire, UK

Following an intensive survey of domestic radon levels in the United Kingdom (UK), the former National Radiological Protection Board (NRPB), now the Radiation Protection Division of the Health Protection Agency (HPA-RPD), established a measurement protocol and promulgated Seasonal Correction Factors applicable to the country as a whole. Radon levels in the domestic built environment are assumed to vary systematically and repeatably during the year, being generally higher in winter. The Seasonal Correction Factors therefore comprise a series of numerical multipliers, which convert a 1-month or 3-month radon concentration measurement, commencing in any month of the year, to an effective annual mean radon concentration. In a recent project undertaken to assess the utility of short-term exposures in quantifying domestic radon levels, a comparative assessment of a number of integrating detector types was undertaken, with radon levels in 34 houses on common geology monitored over a 12-month period using dose-integrating track-etch detectors exposed in pairs (one upstairs, one downstairs) at 1-month and 3-month resolution. Seasonal variability of radon concentrations departed significantly from that expected on the basis of the HPA-RPD Seasonal Correction Factor set, with year-end discontinuities at both 1-month and 3-month measurement resolutions. Following this study, monitoring with electrets was continued in four properties, with weekly radon concentration data now available for a total duration in excess of three and a half years. Analysis of this data has permitted the derivation of reliable local Seasonal Correction Factors. Overall, these are significantly lower than those recommended by HPA-RPD, but are comparable with other results from the UK and from abroad, particularly those that recognise geological diversity and are consequently prepared on a regional rather than a national basis. This finding calls into question the validity of using nationally aggregated Seasonal Correction Factors, especially for shorter exposures, and the universal applicability of these corrections is discussed in detail.