Working Alone and/or in Remote Locations: Opportunities to Prevent the Risk of Fatality From Cardiovascular Events in Oil and Gas Extraction Workers.

OBJECTIVE: The aim of the study is to explore personal and work factors related to fatal cardiac events among oil and gas extraction (OGE) workers. METHODS: The National Institute for Occupational Safety and Health Fatalities in Oil and Gas Extraction database was reviewed to identify fatal cardiac events among OGE workers from 2014 through 2019. A case series design was used to review case files, provide descriptive statistics, and summarize the findings. RESULTS: There were 75 fatalities identified, including 55 (73%) with sufficient information for review. Of the 55 workers, 18 (33%) worked alone. Thirty-six fatal cardiac events (66%) were unwitnessed by a coworker. Toxicology findings suggested some possible exposures to hydrogen sulfide or hydrocarbon gases or vapors. Missing data were common. CONCLUSIONS: This study identified the need for cardiovascular disease prevention and treatment, emergency preparedness, lone worker programs, medical screening, and enhanced exposure control in the OGE industry.

Nuances in early adolescent developmental trajectories of positive and problematic/risk behaviors: findings from the 4-H study of positive youth development.

Using data from the first three waves of data (Grades 5, 6, and 7) from the 4-H Study of Positive Youth Development (PYD), the authors assessed among 1,184 youth (58.5% female) the patterns of change associated with indicators of PYD and of risks/problem behaviors. Results indicated that five PYD trajectories represent change across grades, four trajectories were associated with indicators of internalizing problems, and three trajectories were associated with indicators of externalizing problems. Although theoretical expectations associated with the study of both child and adolescent resilience and PYD led to the expectation that most youth across the early adolescent period would show change marked by the coupling of increases in PYD and decreases in risk/problem behaviors, only about one-sixth of all youth in the sample manifested this particular pattern of change. Other youth remained stable over time, showed increases in PYD and risk, and declined in PYD. The multiplicity of patterns of conjoint trajectories for PYD and risks/problem behaviors constitutes a challenge for both developmental theory and applications aimed at enhancing resilience and positive development among adolescents.