Injuries and risk-taking behaviours in Portuguese adolescents: Highlights from the health behaviour in school-aged children survey

Aim

Injuries in adolescence are an important public health problem and a major cause of morbidity and mortality in this age group. This study aimed to determine the behaviour profile associated to risk of injury and the differences between genders, region and ethnic origin.

Methods

A cross-sectional study design of a nationally representative sample of 1581 adolescents of the Portuguese Health Behaviour in School-Aged Children study.

Results

An occurrence of one injury-related event in the previous year was reported by 21.4% of the respondents and 5.9% referred having more than one injury-related event. Boys reported higher frequency of those events when compared to girls, and non-Portuguese subjects referred higher frequency of events. Scoring higher in violence-related behaviour and psychosomatic complaints was associated to higher chances of referring more than one injury-related event.

Conclusion

Gender, social background and behaviour profile are factors that seem to influence the risk of injuries. This information should guide those involved in the planning of injuries prevention programs in youth.     

太湖饮用水源地水环境健康风险评价

介绍了水环境健康风险评价方法,并根据太湖饮用水源地水环境质量监测数据,对4个饮用水源地通过饮水途径引起的水环境健康风险进行了评价。结果表明,2005～2009年,4个饮用水源地水环境健康个人年风险多数超过国际辐射防护委员会(ICRP)推荐的标准,主要风险因子为化学致癌物六价铬和砷;化学致癌物对人体健康危害个人年风险度远高于非化学致癌物;化学致癌物所致健康危害的个人年风险呈波动降低变化,非化学致癌物所致健康危害的个人年风险基本保持稳定。     

A synergetic model for implementing an integrated management system: an empirical study in China

The implementation and certification of quality, environmental and occupational health and safety management systems have become a priority for many organizations. They are viewed as symbol for success and prerequisite for survival. However, it has been proved to be difficult to operate multiple parallel management systems covering quality, environment, and occupational health and safety and to ensure their alignment with the organization's strategy. To investigate the current status of integrated management system (IMS), a structured questionnaire survey was administrated. It is concluded that the major problems for enterprises to operate multiple parallel management systems include: it causes complexity of internal management, it lowers management efficiency, it incurs cultural incompatibility, it causes employee hostility, and increases management costs. The survey also examined the internal and external factors that affect the implementation of IMS. The internal factors include: (1) human resources, (2) organizational structure, (3) company culture, and (4) understanding and perception. The external factors consist of: (1) technical guidance, (2) certification bodies, (3) stakeholders and customers, and (4) the institutional environment. The article proposes a multi-level synergy model (strategic synergy, organizational structural-resource-cultural synergy, and documentation synergy) for an effective implementation of IMS.     

大气气溶胶中痕量金属元素的研究进展

综述了近年来国内外学者对大气气溶胶中痕量金属元素的研究进展,介绍了痕量金属元素的地球化学行为,以及大气气溶胶中痕量金属的源解析方法、在环境中的循环与污染、生物有效性及对人体的健康效应。建议研发更可靠的分析方法或在线检测仪器,避免采样和样品前处理过程中痕量金属的污染和损失;建立监测网络,形成区域性的大气监测模式,更全面地分析污染来源;与监测超级站建设、空气污染流行病学设计和毒性机制研究相结合,建立更加完善的研究体系。     

HIA, the next step: Defining models and roles

If HIA is to be an effective instrument for optimising health interests in the policy making process it has to recognise the different contests in which policy is made and the relevance of both technical rationality and political rationality. Policy making may adopt a rational perspective in which there is a systematic and orderly progression from problem formulation to solution or a network perspective in which there are multiple interdependencies, extensive negotiation and compromise, and the steps from problem to formulation are not followed sequentially or in any particular order. Policy problems may be simple with clear causal pathways and responsibilities or complex with unclear causal pathways and disputed responsibilities. Network analysis is required to show which stakeholders are involved, their support for health issues and the degree of consensus.From this analysis three models of HIA emerge. The first is the phases model which is fitted to simple problems and a rational perspective of policymaking. This model involves following structured steps. The second model is the rounds (Echternach) model that is fitted to complex problems and a network perspective of policymaking. This model is dynamic and concentrates on network solutions taking these steps in no particular order. The final model is the “garbage can” model fitted to contexts which combine simple and complex problems. In this model HIA functions as a problem solver and signpost keeping all possible solutions and stakeholders in play and allowing solutions to emerge over time. HIA models should be the beginning rather than the conclusion of discussion the worlds of HIA and policymaking.     

Options for management of municipal solid waste in New York City: a preliminary comparison of health risks and policy implications

Landfill disposal and waste-to-energy (WTE) incineration remain the two principal options for managing municipal solid waste (MSW). One critical determinant of the acceptability of these options is the different health risks associated with each. In this analysis relying on published data and exposure modeling, we have performed health risk assessments for landfill disposal versus WTE treatment options for the management of New York City's MSW. These are based on the realistic scenario of using a waste transfer station (WTS) in Brooklyn and then transporting the untreated MSW by truck to a landfill in Pennsylvania or using a WTE facility in Brooklyn and then transporting the resultant ash by truck to a landfill in Pennsylvania. The overall results indicate that the individual cancer risks for both options would be considered generally acceptable, although the risk from landfilling is approximately 5 times greater than from WTE treatment; the individual non-cancer health risks for both options would be considered generally unacceptable, although once again the risk from landfilling is approximately 5 times greater than from WTE treatment. If one considers only the population in Brooklyn that would be directly affected by the siting of either a WTS or a WTE facility in their immediate neighborhood, individual cancer and non-cancer health risks for both options would be considered generally acceptable, but risks for the former remain considerably higher than for the latter. These results should be considered preliminary due to several limitations of this study such as: consideration of risks only from inhalation exposures; assumption that only volume and not composition of the waste stream is altered by WTE treatment; reliance on data from the literature rather than actual measurements of the sites considered, assuming comparability of the sites. However, the results of studies such as this, in conjunction with ecological, socioeconomic and equity considerations, should prove useful to environmental managers, regulators, policy makers, community representatives and other stakeholders in making sound and acceptable decisions regarding the optimal handling of MSW.     

Sustainability, substance-flow management, and time, Part II: Temporal impact assessment (TIA) for substance-flow management

High-quality food and general good health are fundamental needs that have to be satisfied if society is to attain a high standard of living. Accordingly, a great deal of effort is expended in order to guarantee a high quality of food and ensure healthy living conditions. Among other things, these efforts entail massive substance flows. Significant substance flows are connected with the production and consumption of food and can be regarded from an economic, social, or environmental point of view. Substance flows are a part of both nature and the anthroposphere. This study demonstrates that food production at present is not linked to societal issues of production and sustainability; rather, it shows that a systematic approach and an analysis of issues and measures to be taken are required. This interconnectedness can be described as a timescape, in analogy to a landscape. For proper orientation in a landscape, a map is helpful, especially in combination with a compass. In the same way, we need a temporal orientation. Time scales serve as a compass to give orientation. A complete temporal analysis that includes all relevant temporalities provides the information that is encoded in a map. What has to be learned and exercised is the reading of such temporal maps. One method of doing this is temporal impact analysis (TIA). Temporal impact analysis brings issues that are not normally focused on into the foreground. It allows a better understanding of the implications of certain substance flows and the measures necessary for their management, and it provides an opportunity to develop a more sustainable management of substance flows.     

Improving pesticide regulation in the third world: The role of an independent hazard auditor

Central to the environmental and health hazards created by the expanding use of pesticides in developing countries is the weakness of national regulatory agencies. This article reviews current international efforts aimed at supporting these institutions and describes the contribution that an external “hazard auditor” might make in assessing the pesticide industry's adherence to accepted standards of health and environmental protection. An independent evaluation of this kind may prove attractive to all parties in the long-standing confrontation over the control of pesticide technology: the industry, public interest groups, developing and developed countries, and international agencies. The article outlines one approach to operationalizing the concept and examines initial responses to the proposal. An earlier version of this paper was presented at the International Commission on Occupational Health/International Development Research Centre Symposium on the Impact of Pesticide Use on Health in Developing Countries, 17–21 September 1990, Ottawa, Canada.     

光纤Bragg光栅传感器实现斜拉桥索力实时监测的研究

民用工程结构的健康监测 ,日益引起人们的重视 ,光纤传感技术 ,尤其是光纤光栅传感技术 ,因其易构成高性能、低成本的传感器阵列 ,并在结构监测应用工程中 ,具有巨大的潜力。笔者介绍一种斜拉桥索力实时监测的新方法即光纤光栅法。将光纤光栅刚性粘贴于传感头外表面上 ,使传感头承受拉索的索力 ,通过对光纤光栅波长移动量 (Δλb)的解调 ,以测出索力的大小。通过实验结果与理论分析证明 ,该测试系统具有结构简单、测量范围大、稳定性和线性度好等特点 ,该监测系统既可用于斜拉桥施工阶段的索力测定 ,也可以用于在役斜拉桥结构的长期安全监测。     

大气颗粒物对人体健康影响的研究情况

本文对大气粒状污染物的成分、流行病学研究及防治对策进展进行了介绍。