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161.
Objective: This study evaluated the effectiveness of a series of 1-year multifaceted school-based programs aimed at increasing booster seat use among urban children 4–7 years of age in economically disadvantaged areas.

Methods: During 4 consecutive school years, 2011–2015, the Give Kids a Boost (GKB) program was implemented in a total of 8 schools with similar demographics in Dallas County. Observational surveys were conducted at project schools before project implementation (P0), 1–4 weeks after the completion of project implementation (P1), and 4–5 months later (P2). Changes in booster seat use for the 3 time periods were compared for the 8 project and 14 comparison schools that received no intervention using a nonrandomized trial process.

The intervention included (1) train-the-trainer sessions with teachers and parents; (2) presentations about booster seat safety; (3) tailored communication to parents; (4) distribution of fact sheets/resources; (5) walk-around education; and (6) booster seat inspections.

The association between the GKB intervention and proper booster seat use was determined initially using univariate analysis. The association was also estimated using a generalized linear mixed model predicting a binomial outcome (booster seat use) for those aged 4 to 7 years, adjusted for child-level variables (age, sex, race/ethnicity) and car-level variables (vehicle type). The model incorporated the effects of clustering by site and by collection date to account for the possibility of repeated sampling.

Results: In the 8 project schools, booster seat use for children 4–7 years of age increased an average of 20.9 percentage points between P0 and P1 (P0 = 4.8%, P1 = 25.7%; odds ratio [OR] = 6.9; 95% confidence interval [CI], 5.5, 8.7; P < .001) and remained at that level in the P2 time period (P2 = 25.7%; P < .001, for P0 vs. P2) in the univariate analysis. The 14 comparison schools had minimal change in booster seat use. The multivariable model showed that children at the project schools were significantly more likely to be properly restrained in a booster seat after the intervention (OR = 2.7; 95% CI, 2.2, 3.3) compared to the P0 time period and compared to the comparison schools.

Conclusion: Despite study limitations, the GKB program was positively associated with an increase in proper booster seat use for children 4–7 years of age in school settings among diverse populations in economically disadvantaged areas. These increases persisted into the following school year in a majority of the project schools. The GKB model may be a replicable strategy to increase booster seat use among school-age children in similar urban settings.  相似文献   

162.
为全面了解珠江三角洲淡水水产品中重金属污染现状,评估其生态风险与食用安全,于2014年8月至2015年8月采集罗非鱼、草鱼、乌鳢及鳜鱼主要养殖鱼类样品共计57份,采用原子荧光光谱仪(AFS),电感耦合等离子体质谱(ICP-MS)仪进行分析测定,并采用单因子污染指数(Pi)、重金属污染指数(MPI)、每周可耐受摄入量(PTWI)以及食入健康风险指标(Ri总)分别评估其污染程度、食用安全性与健康风险。结果表明,样品中Cr、Ni、Cu、Zn、As、Cd、Hg、Pb的含量范围分别为0.020~3.240,0.020~0.800,0.110~1.100,0.190~19.970,0.030~1.480,nd~0.606,0.003~0.118,0.040~0.803 mg·kg-1(湿重),Cr、As、Cd、Pb在水产品中超标率大小依次为As(7.0%),Pb(7.0%),Cd(5.3%),Cr(1.8%)。Pi结果表明,目前珠江三角洲养殖水域水产品中Cu与Zn残留处于正常范围内,Cr和Hg有少量样品为轻度污染,Pb、Cd与As存在重度污染样品,所占比例为2.86%、6.02%和5.74%。MPI结果显示不同水产品污染程度为乌鳢>鳜鱼>罗非鱼>草鱼,总体上各种水产品MPI依然处于较低的水平;食用安全性结果显示,目前成人每周摄入水产品是安全的,但乌鳢Cr,罗非鱼As含量较高分别达到PTWI的37.76%和19.51%,表明水产品中Cr、As残留可能存在一定的食用安全隐患。健康风险模型结果显示,所有样品均未超过国际辐射防护委员会(ICRP)的推荐的最大可接受水平(5×10-6a-1)。综合分析珠江三角洲淡水养殖主要水产品可知,其尚未出现明显的污染安全问题,但As与Cr等元素的潜在风险值得进一步关注。  相似文献   
163.
为研究六六六(HCHs)和滴滴涕(DDTs)在太原市不同功能区土壤中的暴露格局、来源以及对周围人群的健康风险,在太原市化工区、灌区、矿区、生态区周边荒地土壤中进行采样,分析测定了土壤中HCHs和DDTs含量,根据太原市人群实际情况的暴露参数和USEPA的部分参数,对土壤HCHs和DDTs的健康风险进行评价。结果表明:1)太原市表层土壤中HCHs的平均含量大小依次为化工区>灌区>矿区>生态区;DDTs平均含量的大小依次为化工区>灌区>矿区>生态区,仅6%的HCHs和3%的DDTs和的平均残留水平均高于我国土壤质量标准一级标准,但均不超过二级标准值;2)土壤中HCHs残留主要源于历史上林丹的使用,DDTs残留则来源于历史和新污染源的共同影响;3)太原市表层土壤HCHs和DDTs致癌风险大小为化工园区>矿区>灌区>生态区。非致癌风险大小为化工区>矿区>灌区>生态区。3种暴露途径的在不同功能区的健康风险贡献率大小均为经口摄入>呼吸吸入>皮肤接触;综合来看太原市表层土壤中的HCHs和DDTs并未对人类造成非致癌风险,但有一定的致癌风险。本文的研究结果可为太原市土壤质量评价和环境污染防治提供科学指导,并对太原市人群的健康风险防治提供依据。  相似文献   
164.
城市生态系统健康评价是城市可持续发展以及城市生态文明建设的需要。在当今各种"城市病"频发的背景下,研究城市生态系统健康水平,不仅有利于协调城市发展与城市生态系统健康之间的矛盾,而且对于指导城市建设规划编制,监控城市生态环境的可持续发展具有重要的现实意义。鉴于此,论文在原有的城市生态系统健康评价指标的基础上,通过基于混合指标值的TODIM方法评价东营市2007—2013年间的城市生态系统健康状况,并分析活力、组成结构、恢复力、维持生态系统服务功能以及生态系统认知的构成指标对城市生态系统健康状况的影响。为了避免主观判断对城市生态系统健康评价的不确定性,文章采用兼顾客观信息和主观信息的组合权重赋权法确定各个指标的权重;根据东营市城市生态系统健康评价指标的特性和数据特点,建立了混合多属性决策TODIM方法的数学模型;采用扩展的TODIM方法对东营市城市生态系统健康状况进行评价,并分析了各个指标在城市生态发展过程中的作用。研究表明:(1)东营市的城市生态系统健康状况一直向好,由脆弱状态逐渐过渡到亚健康状态,但是生态状况仍然不容乐观,距离健康状态仍有较大的差距;(2)环保投入力度不足、污染物排放量增加、产业结构仍不完善、建成区人口密度过高等成为制约东营市城市生态系统健康发展的突出问题。文章提出了相应的对策建议,以促进城市生态系统的健康发展。  相似文献   
165.
166.
A low-cost, high throughput bioanalytical screening method was developed for monitoring cis/trans-permethrin in dust and soil samples. The method consisted of a simple sample preparation procedure [sonication with dichloromethane followed by a solvent exchange into methanol:water (1:1)] with bioanalytical detection using a magnetic particle enzyme-linked immunosorbent assay (ELISA). Quantitative recoveries (83–126 %) of cis/trans-permethrin were obtained for spiked soil and dust samples. The percent difference of duplicate ELISA analyses was within ± 20 % for standards and ± 35 % for samples. Similar sample preparation procedures were used for the conventional gas chromatography/mass spectrometry (GC/MS) analysis except that additional cleanup steps were required. Recoveries of cis/trans-permethrin ranged from 81 to 108 % for spiked soil and dust samples by GC/MS. The ELISA-derived permethrin concentrations were highly correlated with the GC/MS-derived sum of cis/trans-permethrin concentrations with a correlation coefficient (r) of 0.986. The ELISA method provided a rapid qualitative screen for cis/trans-permethrin in soil and dust while providing a higher sample throughput with a lower cost as compared to the GC/MS method. The ELISA can be applied as a complementary, low-cost screening tool to prioritize and rank samples prior to instrumental analysis for exposure studies.  相似文献   
167.
浊漳河山西省潞城市境内干流段及南源段河道生态环境目前最突出的问题在于水质恶化、水量减少以及生物多样性衰退。本文从水质、水量、生物状况三个要素出发,通过建立浊漳河潞城市境内河段的水生态健康评价体系,对浊漳南源及干流段进行了生态健康诊断。结果显示,浊漳干流段生态健康总指数36.74,呈生态病态状;南源段生态健康总指数60.03,呈基本健康状态。据此,浊漳河潞城境内段目前的核心问题是生态恢复问题,应当针对其存在的问题选择适当的生态修复模式,采取相应的生态环境管理方法,把生态系统的恢复和重建作为其流域治理的最终目标。  相似文献   
168.
本文确认了全球社会-生态问题(过度消费,道德危机)的主要根源并提出了新的可持续发展的愿景,重点要关注精神、道德、心理、生理和人的智力开发(而代替以消费为导主的理念)。讨论了人类发展指标不足所涉及到的因素(寿命预期、人均国内生产总值),提出了测量人类可持续发展的替代指标,即:健康人口的比例。生态效率也被建议作为转化可持续发展的必要条件,人的精神,根据生态中心立场(社会-生态幸福)。通过适当的教育和体制政策而实现环境和人类健康、公平和整个人类的发展。  相似文献   
169.
环境健康事件的频发反映了我国污染防控体系的不足。以"血铅事件"为例,综述了我国铅污染管理状况,分析了我国铅环境健康防治现状,并提出了由生产排放达标为核心的国家污染防控体系向以人群健康为核心的国家污染防控体系转变的环境战略与政策管理措施。  相似文献   
170.
The acute toxicity (96 h) of pyrene (PY) to European seabass (Dicentrachus labrax) juveniles assessed in a semi-static bioassay (SSB) with medium renewal at each 12 h, and in a static bioassay (SB) without medium renewal was compared in laboratorial conditions (water PY concentrations: 0.07-10 mg L−1). Main findings in the SSB that assessed mainly the toxicity of PY and its metabolites were: increased levels of bile PY metabolites in good agreement with the profile of lipid peroxidation levels (LPO) in exposed fish relating PY exposure and oxidative damage; increased levels of PY-type compounds in the brain indicating their ability to cross the blood-brain barrier; increased levels of these substances in liver and muscle which are edible tissues for humans thus raising concern on potential adverse effects on consumers of fish from PY contaminated areas; a significant inhibition of glutathione S-transferase activity suggesting its involvement in PY detoxication as toxicant scavenger; finally, an almost complete impairment of the swimming velocity at all the PY concentrations linking sub-individual to higher population level effects. In the SB, where the overall toxicity of PY, its metabolites and environmental degradation products was evaluated, 19% and 79% of PY decay in test media was found at 12 and 96 h, respectively. In general, the effects were similar to those of SSB but with significant effects being induced at higher PY concentrations indicating that the parental compound is more toxic than its environmental degradation products. The other main differences relatively to the SSB were: increased levels of PY-type substances in the liver suggesting more accumulation in this organ. Therefore, these findings highlight the need of carefully considering experimental design options when assessing the toxicity of readily degradable substances to marine fish, and stress the importance of taking into consideration the toxicity of environmental degradation products in addition to toxic effects of the parental substance and its metabolites for marine ecological risk assessment.  相似文献   
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