The Airline Lifesaver: a 17-year analysis of a technique to prompt the delivery of a safety message

INTRODUCTION: The Airline Lifesaver (AL) is a 13.3 cm x 9.8 cm card any passenger can deliver to the attendant of a commercial airline in order to prompt the delivery of an important safety message. In particular, the AL requests the following safety--belt reminder be added to the regular announcements given at the end of the flight-"Now that you have worn a seat belt for the safest part of your trip, the flight crew would like to remind you to buckle-up during your ground transportation." METHOD: The AL card was handed to 1,258 flight attendants over a 17-year period and compliance with the request for the safety message was systematically tracked. Slightly more than one-third of the AL cards (n=460) included an incentive for making the announcement. RESULTS: Without the incentive, compliance to give the buckle-up reminder was 35.5% of 798 flights. With the incentive, compliance was significantly higher (i.e., 53.3%). IMPACT: The validity of the AL intervention is discussed with regard to its: (a) relevance to cognitive dissonance and consistency theory, and (b) broad-based applicability as a component of community-wide efforts to facilitate a safety-focused culture. The 17-year study also demonstrated a practical and cost-effective application of a behavior-based incentive program.     

Preventing femoral fractures among elderly: The community safety approach

The current picture of fatal injuries in Sweden is dominated by falls, which account for about 40%. Furthermore, falls are by far the most dominating cause of hospital in-patient care (57%). The aetiologic mechanisms behind falls and fractures are complicated, with a multifactorial causal pattern.The Lidköping Accident Prevention Programme — one of the few comprehensive community intervention programs in the world — provides an opportunity to discuss links between a multifactorial intervention program and related injuries in the elderly. The incidence of femoral fractures in Lidköping shows a significantly declining trend for females (− 6.6% per year) and a − 5.4% decline for males during the study period of 1987–1992. The control area of Skaraborg County showed a minor decrease and Sweden as a whole showed an increasing trend during the same period.In spite of the methodological problems of attributing effects in quasi-experiments, there is some support for the claim that the declining trend in the trial area was largely the result of the intervention program. This conclusion is further strengthened by the recently published report from the USA showing that a multiple-risk-factor intervention strategy resulted in a significant reduction in the risk of falling among elderly persons in the community.     

MODELING HYDROLOGIC TIME SERIES FROM THE ARCTIC1

The general intervention model is applied to hydrologic and meteorologjc time series from the Canadian Arctic. The authors show how the model is able to account for environmental interventions, missing observations in the data, changes in data collection procedures, the effects of external inputs, as well as seasonality and autocorrelation. Methods for identifying transfer functions by making use of a physical understanding of the processes involved are demonstrated and sample applications of the general intervention model to Arctic data are shown.     

TREND ASSESSMENT OF WATER QUALITY TIME SERIES1

ABSTRACT A general methodology is described for identifying and statistically modeling trends which may be contained in a water quality time series. A range of useful exploratory data analysis tools are suggested for discovering important patterns and statistical characteristics of the data such as trends caused by external interventions. To estimate the entries in an evenly spaced time series when data are available at irregular time intervals, a new procedure based upon seasonal adjustment is described. Intervention analysis is employed at the confirmatory data analysis stage to rigorously model changes in the mean levels of a series which are identified using exploratory data analysis techniques. Furthermore, intervention analysis can be utilized for estimating missing observations when they are not too numerous. The effects of cutting down a forest upon various water quality variables and also the consequences of acid rain upon the alkalinity in a stream provide illustrative applications which demonstrate the effectiveness of the methodology.     

Mental and social health in disasters: the Sphere standards and post‐tsunami psychosocial interventions in Asia

The primary objective of this paper is to examine and inform the mental health and psychosocial support standards of the 2011 edition of the Sphere Project's Humanitarian Charter and Minimum Standards in Humanitarian Response. This is done through a qualitative analysis of internal evaluation documents, reflecting four long‐term humanitarian psychosocial programmes in different countries in post‐tsunami Asia. The analysis yielded three overall conclusions. First, the Sphere standards on mental health and psychosocial support generally are highly relevant to long‐term psychosocial interventions after disasters such as the Indian Ocean tsunami of 26 December 2004, and their application in such settings may improve the quality of the response. Second, some of the standards in the current Sphere handbook may lack sufficient guidance to ensure the quality of humanitarian response required. Third, the long‐term intervention approach poses specific challenges to programming, a problem that could be addressed by including additional guidance in the publication.     

Modeling using dynamic variables – An approach for the design of loss prevention programs

Records from The National Safety Council [National Safety Council, 2007. Safety Intervention Evaluation: A Systematic Approach. <http://www.acgih.org/events/ControlBand/Thomas_SafetyIntervention.pdf> (accessed 10.01.07)] have shown that in 2004 alone, on-the-job injuries to workers constituted 35% of total recorded injuries in the United States. This generated an associated cost of about $142.2 billion. Unfortunately, the safety intervention programs enforced at work places to mitigate such losses are driven mainly by intuition and experience of involved safety personnel. This paper details implementing a computer program to furnish safety personnel with an empirical basis for designing loss prevention programs based on historical safety data. The computer tool is driven by a dynamic mathematical model which adapts itself to variations in data patterns and explains the correlation between historical incident rates and corresponding resources committed to interventions. This study empowers the industry with a tool that is capable of forming the core of optimizing valuable human resource allocation in safety program designs.     

Gender aspects of work-related injuries in a Swedish municipality

The purpose of this study was to investigate gender aspects of work-related injuries in a Swedish municipality (population 41,000). All unintentional injuries treated at in- and out-patient facilities were recorded during a period of 1 year. The work-related injuries were mapped out in more detail with the help of standardized and structured surveys via telephone interviews and hospital records. The rate of work-related injuries among the gainfully employed was 33 per 1000. Males were observed to suffer more work-related injuries than females (46 compared to 12 per 1000 gainfully employed persons), and there were gender differences with regard to work-related injuries and injury event patterns. Young men showed the highest rate of injuries. Injuries caused during machine operation were the most common for both males and females, amounting to almost one quarter of all injuries. Injuries caused by falls were most common amongst females in the age groups 15–24 (25%) and 45–64 (28%). More attention should be given to gender aspects of work-related injuries and their prevention.     

考虑人因可靠性的安全仪表功能SIL验证方法研究

油气站场一般设置有紧急停车系统（ESD）等存在操作员介入的非常规安全仪表功能（SIF）,为解决已有的安全完整性等级（SIL）评估方法不能针对此类SIF进行功能安全评价的情况。对存在操作员介入的非常规SIF进行研究,将其中的人为因素细分为观察、决策和执行3个阶段;根据各类人因可靠性分析方法优缺点,筛选CREAM和HCR方法分别分析紧急情景环境和应急响应时间对非常规SIF人因失效概率的影响,建立考虑人因可靠性的SIL验证模型;基于此模型选取某输油站典型SIF开展SIL评估,分析人因失效对SIF整体可靠性的影响水平,并提出改善措施。结果表明:将操作员应急响应过程中的人因失效概率引入传统的SIL验证模型中,可实现对非常规SIF的功能安全评价;人因失效对非常规SIF具有显著影响,筛选的人因可靠性模型可准确计算人因失效概率。     

救援人员的主要心理问题、相关因素与干预策略

救援人员泛指在各种紧急情况中提供救助的个体,其心理健康风险得到越来越多的关注.研究发现救援人员的心理问题主要是应激相关障碍,消极情绪以及倦怠感.不利的救援工作条件、创伤暴露与非适应性的情绪调节策略是救援人员心理健康主要的危险因素;救援工作中的有利条件、社会支持、心理弹性以及适应性情绪调节策略是心理健康的保护因素.对救援...     

城市固体废物管理源头政策调控系统动力学模型

把城市居民固体废弃物源头调控政策、居民的废弃物分类行为与固体废弃物处置管理系统看成动态演化的反馈系统.在固体废弃物从量收费政策和法规政策影响下,采用系统动力学模型分析居民参与废弃物管理的行为对整个废弃物管理系统的动态影响.用开发的昆明城市同体废弃物系统动力学模型对3种设定的政策情景进行了仿真.结果表明:要实现同体废弃物处置与管理的可持续发展,必须在源头上通过收费和法规等政策促使居民参加到废弃物管理系统中,注重提高资源化和无害化能力的同时,要加强源头减量和回收的力度,减少废弃物的非法处置.