Implementing the evidence for preventing falls among community-dwelling older people: a systematic review

Problem and objective

The translation of the evidence-base for preventing falls among community-dwelling older people into practice has been limited. This study systematically reviewed and synthesised the effectiveness of methods to implement falls prevention programmes with this population.

Methods

Articles published between 1980 and May 2010 that evaluated the effects of an implementation strategy. No design restrictions were imposed. A narrative synthesis was undertaken.

Results

15 studies were identified. Interventions that involved the active training of healthcare professionals improved implementation. The evidence around changing the way people who fall are managed within primary care practices, and, layperson, peer or community delivered models was mixed.

Impact on industry

Translating the evidence-base into practice involves changing the attitudes and behaviours of older people, healthcare professionals and organisations. However, there is a need for further evaluation on how this can be best achieved.     

核电站电气柜地震易损性分析的一般方法概述与相关问题讨论

基于若干实际评估的经验,概述了核电站安全评估中对电气柜进行地震易损性分析的一般方法,包括获取分析的前提条件、对电气柜进行保守确定性分析以辨识其潜在失效模式、对最可能失效模式进行确定性分析以确定危险点、以及对各危险点进行不确定性失效分析以获得电气柜的地震易损度等。然后从评估经验的角度,介绍了评估分析中遇到的一些问题及其处理方法,包括对评估前提条件缺失的解决方法、对确定性和不确定性参数值的取定方法、以及对电气柜螺栓连接与焊接连接的比较。这些方法有助于评估分析人员更加容易地开展相关评估工作,并合理解决评估中可能出现的问题。     

Predicting the time needed for environmental systematic reviews and systematic maps

Systematic reviews (SRs) and systematic mapping aim to maximize transparency and comprehensiveness while minimizing subjectivity and bias. These are time-consuming and complex tasks, so SRs are considered resource intensive, but published estimates of systematic-review resource requirements are largely anecdotal. We analyzed all Collaboration for Environmental Evidence (CEE) SRs (n = 66) and maps (n = 20) published from 2012 to 2017 to estimate the average number of articles retained at each review stage. We also surveyed 33 experienced systematic reviewers to collate information on the rate at which those stages could be completed. In combination, these data showed that the average CEE SR takes an estimated 164 d (full-time equivalent) (SD 23), and the average CEE systematic map (SM) (excluding critical appraisal) takes 211 d (SD 53). While screening titles and abstracts is widely considered time-consuming, metadata extraction and critical appraisal took as long or longer to complete, especially for SMs. Given information about the planned methods and evidence base, we created a software tool that predicts time requirements of a SR or map with evidence-based defaults as a starting point. Our results shed light on the most time-consuming stages of the SR and mapping processes, will inform review planning, and can direct innovation to streamline processes. Future predictions of effort required to complete SRs and maps could be improved if authors provide more details on methods and results.     

Relationships between exposure to polyhalogenated aromatic hydrocarbons and organochlorine pesticides and the risk for developing type 2 diabetes: a systematic review and a meta-analysis of exposures to 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD)

A systematic review was performed to evaluate the association between environmental exposures to polyhalogenated aromatic hydrocarbons (PHAHs) and organochlorine (OC) pesticides and the risk for type 2 diabetes (T2D). Searches of EMbase, Google Scholar, Medline, and Scopus were performed. Reports were included if they were original human studies whose design included a control group and if the sample size was larger than 10 participants per group. The articles were excluded if the type of diabetes was unknown or Type 1. Odds ratios (OR), 95% confidence intervals (CI), and modified Naranjo scores for the effects of environmental contaminants were determined for each study. Of the 35 eligible studies, six were included in the meta-analysis; these focused specifically on 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD). Meta-analysis of these studies showed no significant increased OR for the development of T2D from exposure to TCDD. However, subgroup analysis showed significant elevated OR for the development of T2D if exposure is repeated and accompanied by exposure to other persistent pesticides (OR?=?1.48; 1.10–1.90) but a decreased odds for T2D with exposure resulting from accidental exposure (OR?=?0.46; 0.39–0.52). Our results suggest that there are significant risks of developing T2D in populations with recurring exposures to TCDD in concert with other persistent chlorinated pesticides. A mean Naranjo score of 2.0 was determined for all 35 articles; this score was 2.5 when examining only TCDD studies and 2.1 when examining studies that looked only at T2D. Each of these Naranjo scores suggests a possible association between the prevalence of T2D and exposure to PHAHs or OC pesticides.     

生态补偿理论研究现状与进展

全球生态环境问题已经引起世界各国的极大关注。生态系统及其服务的可持续性是人类社会可持续发展的决定性约束因素,人类赖以生存与发展的自然环境面临威胁,修复自然生态创伤,实施生态补偿是可持续发展的必然要求。一些生态补偿关键问题成为科学研究热点,如生态系统服务功能的价值核算、生态补偿的对象、标准、途径与方法,以及资源开发和重大工程活动的生态影响评价等。总结了国内外生态补偿相关研究成果,并进行综述,为开展生态补偿研究提供借鉴。     

危险化学品运输事故历史数据研究综述

系统地回顾国内外近20 a来的危险化学品运输事故历史数据分析的理论和方法,旨在为我国今后危险化学品运输风险研究提供指导。调研国内外危险化学品运输事故研究的历史数据来源,介绍该领域的主要研究方法及其发展过程,讨论现有研究内容及研究结果的共性和特征。发现现有研究主要集中于危险化学品的道路运输,侧重于分析运输事故的主要影响因素,经济损失、次生灾害及事故数与运输批次的关联方面的研究不足。提出要把事故后果的科学衡量作为未来的研究方向。     

城乡用地遥感识别与时空变化研究进展

土地利用/覆被变化在全球环境变化和可持续发展研究中具有极其重要的意义。论文在国内外土地利用/覆被变化研究梳理的基础上,从城乡用地遥感识别和时空变化两个方面归纳和总结了国内外土地利用/覆被变化的研究前沿和进展。研究发现在遥感和GIS技术支撑下土地利用/覆被变化研究形成了独特的研究范式,多分析方法、多数据源和多时段融合成为当前研究的重要趋势。目前在城乡生活-生产-生态空间识别研究领域取得了较大进展,但仍然存在“重城市和大城市、轻中小城市和城镇”的问题。时空变化研究重点从城市和乡村两个地域单元展开。城市扩张和城市蔓延的原因、后果、特征、过程、格局、模式和测度方法成为城市土地利用研究重点。耕地保护和乡村居民点变化研究成为乡村土地利用研究的两大核心。在研究取向上总体呈现出重城市轻乡村的趋势。当前研究应该以问题为导向、注重应用出口的探寻,构建适合中国国情的研究框架,鼓励多学科、多领域的综合交叉借鉴,创新理论和方法,打造本土性和原创性的创新成果。     

2003年我国事故与灾害状况综述

对我国2003年的安全生产事故及自然灾害情况进行了总结和评述.包括火灾(城乡火灾、森林火灾、草原火灾)、沙尘天气、水旱灾害(干旱、暴雨洪涝、夏季高温)、农业自然灾害(干旱、洪涝、风雹、低温冻害)、海洋灾害(风暴潮、赤潮、海浪、海冰、溢油)、地质灾害(地震、泥石流)等.     

ILO职业安全卫生标准体系现状综述

为了解国际组织职业安全健康标准状况,收集了国际劳工组织职业安全卫生标准有关资料,对国际劳工组织职业安全卫生标准进行了梳理,按照标准属性、适用对象和范围,对标准进行了分类归纳,梳理形成了国际劳工组织职业安全卫生标准体系的整体框架,并对标准体系构成要素的主要内容作了简要的阐述,总结了国际劳工组织职业安全卫生标准及标准体系的特点。