Utilizing a 'systems' approach to improve the management of waste from healthcare facilities: best practice case studies from England and Wales.

Changes in environmental legislation and standards governing healthcare waste, such as the Hazardous Waste Regulations are expected to have a significant impact on healthcare waste quantities and costs in England and Wales. This paper presents findings from two award winning case study organizations, the Cardiff and Vale NHS Trust and the Cornwall NHS Trust on 'systems' they have employed for minimizing waste. The results suggest the need for the development and implementation of a holistic range of systems in order to develop best practice, including waste minimization strategies, key performance indicators, and staff training and awareness. The implications for the sharing of best practice from the two case studies are also discussed.     

Predicting the Thermal Effects of Dam Removal on the Klamath River

The Klamath River once supported large runs of anadromous salmonids. Water temperature associated with multiple mainstem hydropower facilities might be one of many factors responsible for depressing Klamath salmon stocks. We combined a water quantity model and a water quality model to predict how removing the series of dams below Upper Klamath Lake might affect water temperatures, and ultimately fish survival, in the spawning and rearing portions of the mainstem Klamath. We calibrated the water quantity and quality models and applied them for the hydrometeorological conditions during a 40-year postdam period. Then, we hypothetically removed the dams and their impoundments from the models and reestimated the rivers water temperatures. The principal thermal effect of dam and reservoir removal would be to restore the timing (phase) of the rivers seasonal thermal signature by shifting it approximately 18 days earlier in the year, resulting in river temperatures that more rapidly track ambient air temperatures. Such a shift would likely cool thermal habitat conditions for adult fall chinook (Oncorhynchus tshawytscha) during upstream migration and benefit mainstem spawning. By contrast, spring and early summer temperatures could be warmer without dams, potentially harming chinook rearing and outmigration in the mainstem. Dam removal might affect the rivers thermal regime during certain conditions for over 200 km of the mainstem.     

ASSESSING LAND USE IMPACTS ON WATER QUALITY USING MICROBIAL SOURCE TRACKING1

ABSTRACT: A renewed emphasis on source water protection and watershed management has resulted from recent amendments and initiatives under the Safe Drinking Water Act and the Clean Water Act. Knowledge of the impact of land use choices on source water quality is critical for efforts to properly manage activities within a watershed. This study evaluated qualitative relationships between land use and source water quality and the quantitative impact of season and rainfall events on water quality parameters. High levels of specific conductance tended to be associated with dense residential development, while organic carbon was elevated at several forested sites. Turbidity was generally higher in more urbanized areas. Source tracking indicators were detected in samples where land use types would predict their presence. Coliform levels were statistically different at the 95 percent confidence levels for winter versus summer conditions and dry versus wet weather conditions. Other water quality parameters that varied with season were organic carbon, turbidity, dissolved oxygen, and specific conductance. These results indicate that land use management can be effective for mitigating impacts to a water body; however, year‐ round, comprehensive data are necessary to thoroughly evaluate the water quality at a particular site.     

Competitive degradation between the fumigants chloropicrin and 1,3-dichloropropene in unamended and amended soils

The mixture of 1,3-dichloropropene (1,3-D) and chloropicrin (CP) is used as a preplant soil fumigant. In comparison with individual fumigants, application of a mixture may affect the environmental dissipation and fate of each chemical, such as emission and degradation. We investigated the degradation of CP, 1,3-D, and their mixture in fresh soils and sterile soils, and evaluated the competitive characteristic of fumigants in the mixture. The degradation of low concentrations of CP in fresh soil was accelerated at early times in the presence of 1,3-D, whereas the addition of CP reduced the degradation rate of trans-1,3-D, possibly by inhibiting the activity of trans-1,3-D degrading microorganisms. The potential of applying amendments to the soil to increase the rate of CP and 1,3-D degradation was also illustrated. The degradation of both fumigants was significantly enhanced in soils amended with ammonium thiosulfate (ATS) and sodium diethyldithiocarbamate (Na-DEDTC) compared with unamended soil. Competitive degradation was observed for CP in amended soils in the presence of 1,3-D. The degradation of cis-1,3-D in amended soils spiked as a mixture of 1,3-D and CP was repressed compared with the rate of degradation in samples spiked with 1,3-D only. This implied that in abiotic degradation, CP and cis-1,3-D competed for a limited number of reaction sites in amended soil, resulting in decreased degradation rates. No significant influence of fumigant mixtures was observed for trans-1,3-D in amended soil.     

False-positive amniotic fluid acetylcholinesterase analysis in the third trimester

Thirty-two third-trimester amniotic fluid samples were studied according to the indication for amniocentesis, result of acetylcholinesterase (AChE) analysis, and outcome, in order to address the issue of the effectiveness of AChE testing late in gestation. The results indicate that third-trimester AChE analysis is less effective than second trimester in distinguishing open neural tube defects (ONTDs) and ventral wall defects (VWDs) from other abnormalities. False-positive results occurred in cases of isolated hydrocephaly (four of seven cases), polyhydramnios, and intrauterine growth retardation (IUGR). Caution is recommended in interpreting third-trimester AChE tests, particularly when neither an ONTD nor a VWD is observed by ultrasound.     

Variability in adult group compositions of a prosimian primate

Many species fall into specific mating-system categories, and that category is usually associated with a suite of behavioral and morphological characteristics. Several lemur species, including Propithecus diadema edwardsi, have been labeled "idiosyncratic" because variation in socionomic sex ratios among groups is consistent with wide variation in social structure. We used several hypotheses founded in behavioral ecology to assess variability in P. d. edwardsi. First we examined 46 group-mating seasons to quantify variability. We then tested predictions that the number of males per group would increase as the number of adult females increased, and the number of males would increase as female mating synchrony increased. Examining variation in offspring survival relative to the number of adult males in a group may tell us which composition is likely to persist into the future, so we also hypothesized that as the number of males in a group increased, fertility and offspring survival would increase. We found an equal distribution of polygynous, polygynandrous, pairs, and polyandrous groups. Furthermore, female distribution and mating synchrony did not predict the number of males, and offspring survival was not correlated with the number of males. Since infants survived equally well in groups of all compositions, sifakas experienced no pressure to maintain a particular number of adult males per adult female. The small number of adults per group (mean=3.2) may result from balancing feeding competition against predator detection. Augmenting the mate pool available from the group with mates from neighboring groups may promote the notable variability seen in the adult group compositions of sifakas.     

Creating a Science of Nature Reserve Design: Perspectives from History

The science of nature reserve design has benefited from crossover between ecology and operations research since the 1980s. Applications of ecological theory had generated debate about reserve design in the 1970s and 1980s, when problems of reserve design were reformulated to draw on the methods of operations research and decision science. Advances in simulation modeling, especially models of forest growth, provided new tools for understanding ecological dynamics. A synthesis of these approaches provides ways to advance the science and facilitate its application to practical problems.     

Landscape-level ecological regions: Linking state-level ecoregion frameworks with stream habitat classifications

Regionalization is a form of spatial classification, where boundaries are drawn around areas that are relatively homogeneous in landscape characteristics. The process of delineating ecological regions, or ecoregions, includes the analysis of ecosystem structure. To date, ecoregions have been developed at national and state scales for research and resource management. Stream classification is another method to order the variability of aquatic habitats that spans spatial scales from microhabitat to valley segment. In this study, landscape-level ecoregions are developed for the upper Grande Ronde River basin in northeastern Oregon, 3000 sq km in area. The ecoregion framework presented here is proposed to bridge the gap between stream habitat and state-level ecoregion classifications. Classification at this scale is meant to address issues of management at local scales: to aid in sampling design, in extrapolation of the results of site-specific studies, and in the development of best management practices that are more predictive of ecosystem response than current methods.