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.     

Sustainable regeneration: a guiding vision towards low-carbon transition?

While the concept of sustainable development brings together concepts of economic, environmental and social sustainability, much has been said regarding inherent tensions between them. Conflicts between economic and environmental objectives, in particular, have been noted as restraining efforts to instigate transitions to environmental sustainability, with growth ambitions limiting environmental policy to “win–win” cases. This paper argues that they can also play complementary roles in managing transitions by creating inclusive visions for rallying actors and resources. This is explored by looking at a case of sustainable regeneration in Wales, UK. Using as a case study the Arbed scheme, an area-based project established in 2009 to retrofit housing stock for energy efficiency, this paper shows how the scheme explicitly addresses economic, environmental and social aspects of sustainability; and, in particular, how sustainable development aims constituted a guiding vision that supported the formation of actor and resource networks necessary for large-scale retrofitting.     

The Role of Abatement Costs in GHG Permit Allocations: A Global Stabilization Scenario Analysis

Our objective is to propose permit allocation schemes that lead to a fair distribution of the net abatement cost among regions in a global greenhouse gas (GHG) stabilization scenario. We use a detailed technology-based energy model, World-MARKAL, to determine efficient abatement decisions, and to calculate the regional gross abatement costs (before permit allocation and trading). The net abatement costs are then calculated and used for different permit allocation schemes.     

Application of statistical modeling to optimize a coastal water quality monitoring program

The long-term water quality monitoring program implemented by the Massachusetts Water Resources Authority in 1992 is extensive and has provide substantial understanding of the seasonality of the waters in both Boston Harbor and Massachusetts Bay and the response to improvements in effluent quality and offshore transfer of the effluent in September 2000. The monitoring program was designed with limited knowledge of spatial and temporal variability and long-term trends within the system. This led to an extensive spatial and temporal sampling program. The data through 2003 showed high correlation within physical parameters measured (e.g., salinity, dissolved oxygen) and in biological measures such as chlorophyll fluorescence. To address the potential sampling redundancies in the measurement program, an assessment of the impact of reduced levels of monitoring on the ability to make water quality decisions was completed. The optimization was conducted by applying statistical models that took into account whether there was evidence of a seasonal pattern in the data. The optimization used model survey average readings to identify temporal fixed effects, model survey-average-corrected individual station readings to identify spatial fixed effects, corrected the individual station readings for temporal and spatial fixed effects and derived a correlation model for the corrected data, and applied the correlation model to characterize the correlation of annual average readings from reduced monitoring programs with true parameter levels. Reductions in the number of sampling stations were found less detrimental to the quality of the data for annual decision-making than reductions in the number of surveys per year, although there is less of a difference in this regard for dissolved oxygen than there is for chlorophyll. The analysis led to recommendations for a substantially lower monitoring effort with minimal loss of information. The recommendation supported an annual budget savings of approximately $183,000. Most of the savings was from fewer surveys as approximately $21,000 came from the reduction in the number of stations monitored from 21 to 7 and associated laboratory analytical costs.     

A risk-based screening approach for prioritizing contaminants and exposure pathways at Superfund sites

Contamination at Superfund sites can involve mixtures of chemicals and radionuclides in a variety of environmental media. Determining priorities for evaluation and remediation of various contaminants is an important part of the initial phases of any site investigation. An effective screening analysis at the beginning of the project can help by identifying both those situations in need of immediate remedial attention and those which require further sampling and evaluation. The screening approach discussed here is made up of two sets of calculations designed to provide upper- and lower-bound estimates of health risk to individuals likely to receive the highest exposures. This approach allows rapid identification of contaminants which pose a negligible risk and can be assigned a low priority for remedial attention or which pose a substantial risk and should be given the highest priority for appropriate remediation efforts. Contaminants designated as neither high- nor low-priority should be investigated in more detail prior to making decisions regarding the need for or method of remediation. The utility of this approach has already been demonstrated in the evaluation of contamination in the Clinch and Tennessee River systems originating from historical operations of atomic weapons and energy research facilities near Oak Ridge, Tennessee.     

Occurrence and determination of organic oxidants in rivers and wastewaters

Two iodometric methods for the concentration and analysis of water samples containing organic oxidants were applied to rivers and wastewaters in Illinois, Delaware, and Pennsylvania. Oxidant concentrations detected were as high as 2.5 § 10⁻⁵ M; the methods were capable of detecting as little as 10⁻⁸ M. Compounds possibly responsible for the observed oxidizing activity include N-chloro compounds, organic peroxides, or quinones.     

Identifying optimal agricultural countermeasure strategies for a hypothetical contamination scenario using the strategy model

A spatially implemented model designed to assist the identification of optimal countermeasure strategies for radioactively contaminated regions is described. Collective and individual ingestion doses for people within the affected area are estimated together with collective exported ingestion dose. A range of countermeasures are incorporated within the model, and environmental restrictions have been included as appropriate. The model evaluates the effectiveness of a given combination of countermeasures through a cost function which balances the benefit obtained through the reduction in dose with the cost of implementation. The optimal countermeasure strategy is the combination of individual countermeasures (and when and where they are implemented) which gives the lowest value of the cost function. The model outputs should not be considered as definitive solutions, rather as interactive inputs to the decision making process. As a demonstration the model has been applied to a hypothetical scenario in Cumbria (UK). This scenario considered a published nuclear power plant accident scenario with a total deposition of 1.7x10(14), 1.2x10(13), 2.8x10(10) and 5.3x10(9)Bq for Cs-137, Sr-90, Pu-239/240 and Am-241, respectively. The model predicts that if no remediation measures were implemented the resulting collective dose would be approximately 36 000 person-Sv (predominantly from 137Cs) over a 10-year period post-deposition. The optimal countermeasure strategy is predicted to avert approximately 33 000 person-Sv at a cost of approximately 160 million pounds. The optimal strategy comprises a mixture of ploughing, AFCF (ammonium-ferric hexacyano-ferrate) administration, potassium fertiliser application, clean feeding of livestock and food restrictions. The model recommends specific areas within the contaminated area and time periods where these measures should be implemented.     

The effects of UVB radiation on temperate southern hemisphere forests

The temperate forests of the southern hemisphere are the most likely forests to be affected by increased levels of ultraviolet-B (UVB) radiation resulting from reduced ozone. The review describes these forests and then discusses the morphological changes, physiological effects, and protection mechanisms, particularly UV absorbing compounds that result from present day and increasing UVB radiation. Possible avenues for future research are explored.