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31.
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   

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Dalal S  Gupta MN 《Chemosphere》2007,67(4):741-747
Horseradish peroxidase was immobilized by bioaffinity layering and used for the treatment of wastewater containing p-chlorophenol. For this purpose, lectin Concanavalin A was bound to Sephadex beads. The glycoenzyme peroxidase was layered upon this Con A layer. Subsequently, alternate layers of the enzyme and Con A were applied. The most efficient design consisted of three layers of Con A and peroxidase each. This immobilized enzyme preparation retained 80% of the activity of the free peroxidase used for immobilization. PEG at the concentration of 0.1 mg ml(-1) was found to prevent enzyme inactivation by the products, although it increased the process time. Thus 60 U ml(-1) of enzyme completely converted the p-chlorophenol (into products) in 4 min in the absence of PEG. On the other hand, only 0.05 U ml(-1) of enzyme was required for this purpose in the presence of PEG but the process required 60 min. Peroxidase converts phenol molecules into free radicals. These free radicals then polymerize and get precipitated. As a further means of minimizing exposure of the enzyme to free radicals and enhancing the reusability, it was decided to remove the enzyme from reaction medium after 10 min. With this strategy, the bioaffinity layered peroxidase preparation could be reused five times without any loss of activity.  相似文献   
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This study aimed to address the issues involved in the planning and design of a computer waste management system in an integrated manner. A decision-support tool is presented for selecting an optimum configuration of computer waste management facilities (segregation, storage, treatment/processing, reuse/recycle and disposal) and allocation of waste to these facilities. The model is based on an integer linear programming method with the objectives of minimizing environmental risk as well as cost. The issue of uncertainty in the estimated waste quantities from multiple sources is addressed using the Monte Carlo simulation technique. An illustrated example of computer waste management in Delhi, India is presented to demonstrate the usefulness of the proposed model and to study tradeoffs between cost and risk. The results of the example problem show that it is possible to reduce the environmental risk significantly by a marginal increase in the available cost. The proposed model can serve as a powerful tool to address the environmental problems associated with exponentially growing quantities of computer waste which are presently being managed using rudimentary methods of reuse, recovery and disposal by various small-scale vendors.  相似文献   
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Over the past 10 years, there has been an increased recognition that matrix diffusion processes are a significant factor controlling the success of groundwater remediation. New field techniques and modeling tools have, consequently, been developed to understand how contaminants diffuse into and then out of low‐permeability (“low‐k”) zones and assess the resulting impact on groundwater quality. Matrix diffusion, in turn, is driven by one key factor: geologic heterogeneity. The importance of heterogeneity is being emphasized in the groundwater field by general rules of thumb such as “90% of the mass flux occurs in 10%‐20% of the cross‐sectional area” and conceptual models that show most of the groundwater flow occurs through the aquifer's “mobile porosity” which just a small fraction of commonly used effective porosity values (between 0.02 and 0.10 for mobile porosity vs. 0.25 for effective porosity). For this study, 141 boring logs from 43 groundwater remediation sites were evaluated to develop an empirically based estimate of the groundwater flow versus aquifer cross‐sectional area to confirm or reject the general flow versus area rules of thumb. This study indicated that at these 43 sites, an average of 30% of the cross‐sectional area carried 90% of the groundwater flow. Our flow‐only analysis does provide moderate (but not confirmatory) support for the “mobile porosity” concept with an estimated representative mobile porosity value of about 0.11 at the 43 sites.  相似文献   
36.
Chenopodium album is a weed commonly consumed by North Indian population as vegetable. Plants are known to accumulate toxins from their environment. Presently, the leaf homogenates of these plants growing in a tubewell irrigated field and a sewage irrigated field were evaluated for cytotoxicological effects in Allium root tip assay. Studies revealed that Chenopodium album was mildly mitodepressive in nature and was capable of inducing chromosomal aberrations. The leaf homogenate of the plants growing in sewage irrigated fields induced more quantum of aberrations than the plants from the control site. This has a direct bearing on consumability of sewage grown vegetables and fodder.  相似文献   
37.
Cybil, 25%EC formulation of Cypermethrin, induces biochemical changes in the liver of wistar rats after oral intubation of the same at acute (one day) and subacute (7, 14 and 21 days) levels. The changes were tallied with the controls run simultaneously. LD50 of Cybil was estimated to be 622mg/kg body weight The acute dose is 80mg/kg body weight exposed for one day i.e. 24 hours and subacute dose is 4mg/kg body weight exposed for 7, 14 and 21 days. When compared with the control values, both the doses enhanced the level of glycogen, cholesterol, total lipid and acid phosphatase activities, while decreased activity of alkaline phosphatase. Alterations in glycogen, cholesterol, total lipid, acid phosphatase and alkaline phosphatase resulted in the impairement in liver physiology.  相似文献   
38.
Concern over the possible relation between environmental aluminium exposure and Alzheimer's disease has prompted studies of all forms of human intake of this element including that from foods. Aluminium cookware, apart from other sources of dietary aluminium, is considered to be a potential source of this metal to human beings. Various research groups have carried out aluminium leaching experiments with food, beverages and water under different experimental conditions modified by varying the level of pH, chloride, fluoride, citrate, acetate etc. The results reported by different workers show marked discrepancies in levels of leached aluminum. The apparent reason for such discrepancy in levels of aluminum leached can be attributed to factors such as non-systematic and non-uniform experimental designs, non-standard conditions maintained during the experiments and choice of method for aluminium analysis. In order to assess accurately the contribution of aluminium ingestion by human beings through aluminium cookware, the present review emphasises the need of i) standard size aluminium plates obtained from the same lot for one set of experimentations; ii) real life cooking conditions to highlight the role of various complexing species present in food e.g. citrate, oxalate, acetate, tartrate etc.; iii) role of chemistry of aluminium in presence of acidic, basic and neutral cooking medium and iv) strict analytical control in the estimation of aluminium. Results of a systematic study by the authors conducted on the abovementioned lines are also described.  相似文献   
39.
The potential of Wolffia globosa, a profusely occurring rootless duckweed, was evaluated as an indicator of metal pollution in the water bodies. Plants of W. globosa were cultured in 3% Hoagland's nutrient medium which was supplemented with 0.05, 0.1, 1.0 and 2.0 mg/L of Cr and Cd. Plants showed substantial accumulation of both the metals at lowest concentrations. For example, at 0.05 ppm, the concentration factor (Cf) value for Cr was significantly higher (5616) than for Cd (1018). A high level of tolerance was shown by the plants to both Cr and Cd. The results show that the plants are sensitive to the variations in metal concentration and are capable of high metal enrichment at very low ambient concentration of the metals. This information may be useful for detecting metals in the water.NBRI Research Publication No. 401 (N.S.)  相似文献   
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