Environmental evaluation for workplace violence in healthcare and social services

PROBLEM: Federal policy recommends environmental strategies as part of a comprehensive workplace violence program in healthcare and social services. The purpose of this project was to contribute specific, evidence-based guidance to the healthcare and social services employer communities regarding the use of environmental design to prevent violence. METHOD: A retrospective record review was conducted of environmental evaluations that were performed by an architect in two Participatory Action Research (PAR) projects for workplace violence prevention in 2000 and, in the second project in 2005. Ten facility environmental evaluation reports along with staff focus group reports from these facilities were analyzed to categorize environmental risk factors for Type II workplace violence. RESULTS: Findings were grouped according to their impact on access control, the ability to observe patients (natural surveillance), patient and worker safety (territoriality), and activity support. DISCUSSION: The environmental assessment findings reveal design and security issues that, if corrected, would improve safety and security of staff, patients, and visitors and reduce fear and unpredictability. IMPACT ON INDUSTRY: Healthcare and social assistance employers can improve the effectiveness of violence prevention efforts by including an environmental assessment with complementary hazard controls.     

An enzyme-linked immunosorbent assay for the determination of dioxins in contaminated sediment and soil samples

A 96-microwell enzyme-linked immunosorbent assay (ELISA) method was evaluated to determine PCDDs/PCDFs in sediment and soil samples from an EPA Superfund site. Samples were prepared and analyzed by both the ELISA and a gas chromatography/high resolution mass spectrometry (GC/HRMS) method. Comparable method precision, accuracy, and detection level (8 ng kg(-1)) were achieved by the ELISA method with respect to GC/HRMS. However, the extraction and cleanup method developed for the ELISA requires refinement for the soil type that yielded a waxy residue after sample processing. Four types of statistical analyses (Pearson correlation coefficient, paired t-test, nonparametric tests, and McNemar's test of association) were performed to determine whether the two methods produced statistically different results. The log-transformed ELISA-derived 2,3,7,8-tetrachlorodibenzo-p-dioxin values and log-transformed GC/HRMS-derived TEQ values were significantly correlated (r=0.79) at the 0.05 level. The median difference in values between ELISA and GC/HRMS was not significant at the 0.05 level. Low false negative and false positive rates (<10%) were observed for the ELISA when compared to the GC/HRMS at 1,000 ng TEQ kg(-1). The findings suggest that immunochemical technology could be a complementary monitoring tool for determining concentrations at the 1,000 ng TEQ kg(-1) action level for contaminated sediment and soil. The ELISA could also be used in an analytical triage approach to screen and rank samples prior to instrumental analysis.     

Assessment of the Water Quality and Ecosystem Health of the Great Barrier Reef (Australia): Conceptual Models

Run-off containing increased concentrations of sediment, nutrients, and pesticides from land-based anthropogenic activities is a significant influence on water quality and the ecologic conditions of nearshore areas of the Great Barrier Reef World Heritage Area, Australia. The potential and actual impacts of increased pollutant concentrations range from bioaccumulation of contaminants and decreased photosynthetic capacity to major shifts in community structure and health of mangrove, coral reef, and seagrass ecosystems. A detailed conceptual model underpins and illustrates the links between the main anthropogenic pressures or threats (dry-land cattle grazing and intensive sugar cane cropping) and the production of key contaminants or stressors of Great Barrier Reef water quality. The conceptual model also includes longer-term threats to Great Barrier Reef water quality and ecosystem health, such as global climate change, that will potentially confound direct model interrelationships. The model recognises that system-specific attributes, such as monsoonal wind direction, rainfall intensity, and flood plume residence times, will act as system filters to modify the effects of any water-quality system stressor. The model also summarises key ecosystem responses in ecosystem health that can be monitored through indicators at catchment, riverine, and marine scales. Selected indicators include riverine and marine water quality, inshore coral reef and seagrass status, and biota pollutant burdens. These indicators have been adopted as components of a long-term monitoring program to enable assessment of the effectiveness of change in catchment-management practices in improving Great Barrier Reef (and adjacent catchment) water quality under the Queensland and Australian Governments’ Reef Water Quality Protection Plan.     

Estimation of Nonpoint Source Nitrate Concentrations in Indiana Rivers Based on Agricultural Drainage in the Watershed

Subsurface tile‐drained agricultural fields are known to be important contributors to nitrate in surface water in the Midwest, but the effect of these fields on nitrate at the watershed scale is difficult to quantify. Data for 25 watersheds monitored by the Indiana Department of Environmental Management and located near a U.S. Geological Survey stream gage were used to investigate the relationship between flow‐weighted mean concentration (FWMC) of nitrate‐N and the subsurface tile‐drained area (DA) of the watershed. The tile DA was estimated from soil drainage class, land use, and slope. Nitrate loads from point sources were estimated based on reported flows of major permitted facilities with mean nitrate‐N concentrations from published sources. Linear regression models exhibited a statistically significant relationship between annual/monthly nonpoint source (NPS) nitrate‐N and DA percentage. The annual model explained 71% of the variation in FWMC of nitrate‐N. The annual and monthly models were tested in 10 additional watersheds, most with absolute errors within 1 mg/l in the predicted FWMC. These models can be used to estimate NPS nitrate for unmonitored watersheds in similar areas, especially for drained agricultural areas where model performance was strongest, and to predict the nitrate reduction when various tile drainage management techniques are employed.     

A method for determining the analytical form of a radionuclide depth distribution using multiple gamma spectrometry measurements

When characterizing environmental radioactivity, whether in the soil or within concrete building structures undergoing remediation or decommissioning, it is highly desirable to know the radionuclide depth distribution. This is typically modeled using continuous analytical expressions, whose forms are believed to best represent the true source distributions. In situ gamma ray spectroscopic measurements are combined with these models to fully describe the source. Currently, the choice of analytical expressions is based upon prior experimental core sampling results at similar locations, any known site history, or radionuclide transport models. This paper presents a method, employing multiple in situ measurements at a single site, for determining the analytical form that best represents the true depth distribution present. The measurements can be made using a variety of geometries, each of which has a different sensitivity variation with source spatial distribution. Using non-linear least squares numerical optimization methods, the results can be fit to a collection of analytical models and the parameters of each model determined. The analytical expression that results in the fit with the lowest residual is selected as the most accurate representation. A cursory examination is made of the effects of measurement errors on the method.     

Fitness benefits of coalitionary aggression in male chimpanzees

Coalitionary aggression occurs when at least two individuals jointly direct aggression at one or more conspecific targets. Scientists have long argued that this common form of cooperation has positive fitness consequences. Nevertheless, despite evidence that social bond strength (which is thought to promote coalition formation) is correlated with fitness in primates, cetaceans, and ungulates, few studies have directly examined whether coalitionary aggression improves reproductive success. We tested the hypothesis that among free-ranging chimpanzees (Pan troglodytes schweinfurthii), participation in coalitionary aggression increases reproductive output. Using 14 years of genetic and behavioral data from Gombe National Park, Tanzania, we found that coalitionary aggression increased a male’s chances of (A) siring offspring, compared to other males of similar dominance rank, and (B) ascending in rank, a correlate of future reproductive output. Because male chimpanzees form coalitions with many others within a complex network, we used social network analysis to identify the types of connections correlated with these fitness benefits. The beneficiaries of coalitionary aggression were males with the highest “betweenness”—that is, those who tended to have coalition partners who themselves did not form coalitions with each other. This suggests that beyond simply recognizing third-party relationships, chimpanzees may use this knowledge to choose coalition partners. If so, this is a significant step forward in our knowledge of the adaptive value of social intelligence. Regardless of mechanism, however, this is the first evidence of genetic benefits of coalitionary aggression in this species, and therefore has important implications for understanding the evolution of cooperation.     

Examining intra-urban variation in fine particle mass constituents using GIS and constrained factor analysis

Recent studies have used land use regression (LUR) techniques to explain spatial variability in exposures to PM_2.5 and traffic-related pollutants. Factor analysis has been used to determine source contributions to measured concentrations. Few studies have combined these methods, however, to construct and explain latent source effects. In this study, we derive latent source factors using confirmatory factor analysis constrained to non-negative loadings, and develop LUR models to predict the influence of outdoor sources on latent source factors using GIS-based measures of traffic and other local sources, central site monitoring data, and meteorology. We collected 3–4 day samples of nitrogen dioxide (NO₂) and PM_2.5 outside of 44 homes in summer and winter, from 2003 to 2005 in and around Boston, Massachusetts. Reflectance analysis, X-ray fluorescence spectroscopy (XRF), and high-resolution inductively-coupled plasma mass spectrometry (ICP-MS) were performed on particle filters to estimate elemental carbon (EC), trace element, and water-soluble metals concentrations. Within our constrained factor analysis, a five-factor model was optimal, balancing statistical robustness and physical interpretability. This model produced loadings indicating long-range transport, brake wear/traffic exhaust, diesel exhaust, fuel oil combustion, and resuspended road dust. LUR models largely corroborated factor interpretations through covariate significance. For example, ‘long-range transport’ was predicted by central site PM_2.5 and season; ‘brake wear/traffic exhaust’ and ‘resuspended road dust’ by traffic and residential density; ‘diesel exhaust’ by percent diesel traffic on nearest major road; and ‘fuel oil combustion’ by population density. Results suggest that outdoor residential PM_2.5 source contributions can be partially predicted using GIS-based terms, and that LUR techniques can support factor interpretation for source apportionment. Together, LUR and factor analysis facilitate source identification, assessment of spatial and temporal variability, and more refined source exposure assignment for evaluation of source contributions to health outcomes in epidemiological studies.     

Developing markets for recyclate: perspectives from south Wales

This paper introduces the problems of a market-driven waste management strategy in the UK and the momentum towards developing markets for recycled materials. It focuses on the demand side barriers and principally the need for market stimulation in the end uses for recyclables. The important role, which small- and medium-sized manufacturing enterprises (SMEs) have to play in developing existing markets for recyclate, is discussed. SMEs also have the potential to contribute to the radical new approach of identifying and developing a broad range of new, more diverse and higher value uses for recyclate. If these enterprises are to be engaged effectively then regional action is essential. The paper then reports on research work focusing on SMEs that has taken place as a component of the CWMRE (Creating Welsh Markets for REcyclate) market development initiative in Wales. As a foundation for this, a series of semi-structured interviews with SMEs has been conducted with those operating in sectors that are known to have the potential to provide novel applications for secondary materials or to have the potential for material displacement. Some of the barriers and corresponding needs within the case study companies involved are discussed. The implications of these findings for a regional market development programme are considered and in particular how these case studies support the need to engage SMEs in the use of secondary materials.     

First trimester diagnosis of lesch-nyhan syndrome: Applications to other disorders of purine metabolism

The prenatal detection of hypoxanthine phosphoribosyltransferase (HPRT, EC 2.4.2.8) deficiency, the Lesch-Nyhan syndrome, during the first trimester of an affected pregnancy through the use of chorionic villus sampling is reported. Quantitation of reaction products formed by villus cell extracts from exogenous hypoxanthine-8-[¹⁴C] or adenine-8-[¹⁴C] is used in diagnosis. We report the diagnosis of Lesch-Nyhan syndrome using a chorionic villus specimen and confirmation of that diagnosis. In addition, adenosine deaminase (ADA) and purine nucleoside phosphorylase (PNP), enzymes deficient in inherited immune disorders, are detected in chorionic villus samples. These heritable disorders also appear amenable to early prenatal diagnosis.