COVID-19 and beliefs about tobacco use: an online cross-sectional study in Iran

Environmental Science and Pollution Research - There is mixed evidence surrounding the relationship between tobacco use and COVID-19 infection/progression. The current study investigates beliefs...     

A review of medical error taxonomies: A human factors perspective

Although a large number of medical error taxonomies have been published, there is little evidence to suggest that these taxonomies have been systematically compared. This paper describes a study comparing 26 medical error taxonomies using a human factors perspective. The taxonomies were examined to determine if they classified systemic factors of medical errors and if they utilized theoretical error concepts in their classifications. Scope of classification was also examined. It was found that two-thirds of the taxonomies classified systemic factors of medical errors and only a third utilized theoretical error concepts. Medical error taxonomies based on theoretical error concepts were more likely to be generic in applicability and also more likely to classify systemic factors and psychological error mechanisms of medical errors. In addition to terminology, the medical error taxonomies also varied in terms of domain-specificity, granularity, and developmental process. Different medical error taxonomies provide different information; how these differences affect medical error management needs to be investigated.     

A model for occupational injury risk assessment of musculoskeletal discomfort and their frequencies in computer users

Occupational injuries pose a major problem in workplaces where computers are widely used. Intensive, repetitive and long period computer use results in costly health problems (direct cost), and lost productivity (indirect cost). Yet, the effect of musculoskeletal discomfort and their frequencies associated with the use of computers have not received considerable attention. This paper presents the findings of a risk assessment model through a scientific research to determine the effect of discomfort factors that contribute to musculoskeletal disorders resulting from intensive use of computers in the workplaces. In this context a questionnaire was given to 130 intensive computer users working in the university sector. A list of significant predictor variables for musculoskeletal disorders was developed to assess and analyze workplace ergonomics, worker attitudes and experiences on computer keyboard and mouse. The main focus of the current research is to seek and provide evidence that symptoms of musculoskeletal discomfort and the frequency of these symptoms are significant in the development of work-related musculoskeletal disorders (WRMSDs). This study provides the evidence that, ache and pain are the most common types of discomforts in all body regions. The discomforts were more pronounced at neck, shoulder, upper back, hand/wrist, and lower back regions. The risk factors determined by the risk assessment model were validated through ANOVA of the sEMG records for the control and test groups. The findings indicated that for each test group respondent, the mean musculoskeletal strain experienced differs in time, but the same is not true for the control group.     

Comparing the usability and reliability of a generic and a domain-specific medical error taxonomy

Medical error taxonomies are used to report and analyse patient safety incidents. Medical error taxonomies can be generic or domain-specific. In comparing generic and domain-specific medical error taxonomies, the literature compares the information both type of taxonomies classify. There is little evidence the taxonomies have been compared in terms of usability and reliability. Twenty nurses and 21 pharmacists participated in a study comparing the usability and reliability of a generic medical error taxonomy and a medication error taxonomy. The medical error taxonomies utilized were the Patient Safety Event Taxonomy and the NCC MERP Taxonomy of Medication Error. The study found no significant difference in the usability ratings of both taxonomies. The taxonomies required different amount of time to classify patient safety incidents and had significantly different reliability levels. The reliability of the NCC MERP Taxonomy of Medication Error was significantly different when used by nurses and pharmacists. The taxonomy was also preferred by the majority of participants. Some recommendations are made about the design of future medical error taxonomies.     

Impact of heavy metal pollution on the hemogram and serum biochemistry of the Libyan jird, Meriones libycus

The stress profiles of the hemogram and serum biochemistry were determined in the context of heavy metal (Cd, Cu, Hg, Ni and Pb) exposure in the wild libyan jird, Meriones libycus, from one of Riyadh’s polluted areas versus a reference site. Coupling the pronounced drop in platelets (PLT) (28%) and mean platelet volume (MPV) (17%) with the insignificant responses of other red blood cell indices, suggests bone marrow suppression that is characterized by thrombocytopenia as an initial abnormality. The species-specific stress leukogram for M. libycus is expressed by leukocytosis (66%), monocytosis (40%), lymphocytosis (23%) with eosinopenia (81%) and neutropenia (42%). Hyperglycemia (50%), hyper-low-density-lipoproteinemia (38%), hypocortisolism (85%) and hypotriglyceridemia (55%) depicted serum biochemistry profile. In polluted jirds, the elevated activities of pseudocholinesterase (PChE) and serum marker enzymes (alanine aminotransferase ALT, aspartate aminotransferase AST and creatine kinase CK) strongly suggest functional damage of the liver and/or heart. A potential role of PChE in low-density lipoprotein (LDL) metabolism is implied in the joint rise of both indices and in the recognized relationship between PChE and lipid metabolites. While increased utilization in lipid metabolism and energy synthesis could rationalize the inhibition of the normal patterns of triglycerides and lactate dehydrogenase (LDH), the inhibited activities of LDH could additionally be attributed to its hormetic behavior towards low and high metal concentrations. The overall findings presented here documented the relevance of M. libycus in biomonitoring and predicting the risk imposed on human populations living in polluted areas.     

Nasreya: a treatment and disposal facility for industrial hazardous waste in Alexandria, Egypt: phase I.

A facility for the treatment and disposal of industrial hazardous waste has been established in Alexandria, Egypt. Phase I of the facility encompassing a secure landfill and solar evaporation ponds is ready to receive waste, and Phase II encompassing physico-chemical treatment, solidification, and interim storage is underway. The facility, the Nasreya Centre, is the first of its kind in Egypt, and represents the nucleus for the integration, improvement and further expansion of different hazardous waste management practices and services in Alexandria. It has been developed within the overall legal framework of the Egyptian Law for the Environment, and is expected to improve prospects for enforcement of the regulatory requirements specified in this law. It has been developed with the overall aim of promoting the establishment of an integrated industrial hazardous waste management system in Alexandria, serving as a demonstration to be replicated elsewhere in Egypt. For Phase I, the Centre only accepts inorganic industrial wastes. In this respect, a waste acceptance policy has been developed, which is expected to be reviewed during Phase II, with an expansion of the waste types accepted.     

Impact of Hazardous Exposure to Metals in the Nile and Delta Lakes on the Catfish, Clarias lazera

The impact of metal pollution in the Nile and Delta lakes was studied in Clarias lazera. Lake Edku is grouped as the site highest in metal concentrations. Compared to Lakes Maryût and Edku, the Nile stations displayed lower levels of metal contamination signifying their selection as reference sites. Metals were accumulated most by the liver, less by muscles and least by serum. Iron showed the highest bioconcentration factors (BCF) in liver, muscles or serum compared to other metals. Even after the refinement of the surrounding water, fish seem to uphold the metals that have been previously ingested. Mercury, in particular, seems to eventually reside in muscles rather than in liver. The positive relationship between total serum protein and metal contents may indicate the formation of specific metal-binding proteins. Meanwhile, serum hyperalbuminemia in polluted fish is probably a shock response towards the high stress index induced by metals. The hypothesis that most of serum copper is bound to ceruloplasmin is documented also in C. lazera. Moderate, but not extennsive, exposure to metals was quite stimulatory to liver alkaline phosphatase (AP) biosynthesis. AP could, thus, be considered as a promising bioindicator for assessing sublethal water intoxicosis.     

Performance investigation of membrane bioreactor systems during municipal wastewater reclamation.

Four commercially available membrane bioreactor (MBR) systems were operated at the pilot scale, to investigate performance during the reclamation of municipal wastewater. The MBR performance was evaluated under a variety of operating conditions, including two types of feed wastewater (raw and advanced primary effluent), hydraulic retention times (HRTs) ranging from 2 to 6 hours, and permeate fluxes between 20 and 41 lmh. Test results showed that MBR systems were capable of operating on advanced primary effluent, despite the possible presence of coagulant and/or polymer residual, with minimal membrane fouling. Membrane performance data generated during this study was also used to quantify the relationship between permeate flux and membrane fouling. Cleaning intervals at various flux conditions were estimated as follows: 69 days at 20 lmh, 58 days at 25 lmh, and 30 days for operation between 31 and 41 lmh. It was also demonstrated that the MBR process could be optimized to operate with minimal fouling under high hydraulic (flux = 37 lmh) and organic loading (HRT = 2 hours and food-to-microorganism ratio = 0.33 g COD/g VSS x d) conditions. Water quality monitoring conducted throughout the study showed that each MBR system consistently produced an oxidized (5-day biochemical oxygen demand < 2 mg/L) and nitrified (ammonia < 1 mg-N/L) effluent low in particulate matter (turbidity < 0.1 NTU), under all conditions tested.     

Risk assessment of heavy metal contamination in soil and wild Libyan jird Meriones libycus in Riyadh, Saudi Arabia

This study was undertaken to document the impact of heavy metal pollution on the Libyan jird, Meriones libycus and to contribute to an environmental impact statement for the rapidly growing City of Riyadh. All metal concentrations in surface soil of a polluted site (within Riyadh City) were higherthan those from a reference site (outside the city).Although Pb declined versus earlier reports on Riyadh soil, Cd (0.97 microg g(-1)) and Hg (0.28 microg g(-1)) were above some of the most stringent quality guidelines (0.07-0.62 microg g(-1) for Cd and 0.14-0.18 microg g(-1) for Hg). Metal distribution in M. libycus proved site-related and organ-specific, recognizing a higher affinity of most tested metals towards the kidneys, liver and brain than the lung and heart. The comparatively lower site-specific accumulation of Pb in soft tissues was attributed primarily to its major hypothetical accumulation in bones, whereas, the transition rate of Hg from the liver was suggested to be lower to the brain than to the kidneys. Although a non hazardous status was assumed for Cu (11.27-13.16 microg g(-1)) and Hg (up to 0.207 microg g(-1)) in tissues of M. libycus, a potential risk was imposed by mean tissue concentrations of Cd (up to 3.29 microg g(01)), Ni (up to 1.48 microg g(-1)) and Pb (up to 1.94 microg g(-1)). On the grounds of the significantly higher metal levels in polluted soft tissues versus reference subjects, Libyan jirds possess high exposure potential and can be useful biomonitors of environmental metal contamination.