Evaluating repeated patient handling injuries following the implementation of a multi-factor ergonomic intervention program among health care workers

Objective

The objective of this study was to evaluate repeated patient handling injuries following a multi-factor ergonomic intervention program among health care workers.

Methods

This was a quasi-experimental study which had an intervention group and a non-randomized control group. Data were collected from six hospitals in Saskatchewan, Canada from September 1, 2001 to December 1, 2006.

Results

A total of 1,480 individuals who had a previous injury were eligible for the study. Medium and small size hospitals in the intervention group had significantly fewer repeated injuries than in the control group. Multivariate analysis showed that the intervention group had 38.1% lower odds of having repeated injury compared to the control group, after adjusting for hospital size.

Conclusions

The work-related repeated injury after a multi-factor intervention program was reduced. The synergistic relationships between components of multi-factor intervention and applicability of injury prevention programs to different settings need to be further explored.

Impact on Industry

Implementing a multi-factor program with the right equipment and training can lower the risk of injury among health care workers.     

Evaluation of XRF and LIBS technologies for on-line sorting of CCA-treated wood waste

Contamination of wood waste with chromated copper arsenate greatly limits recycling opportunities for the wood waste as a whole. Separation of CCA-treated wood from other wood types is one means by which such contamination can be removed. The purpose of the current study was to evaluate two detector technologies for sorting CCA-treated wood from other wood types. The detector technologies evaluated included X-ray fluorescence spectroscopy (XRF) and laser induced breakdown spectroscopy (LIBS). The XRF detector system utilized in this study was capable of rapidly detecting the presence of CCA in painted wood, wet wood, heartwood, sapwood, and at portions of the wood containing knots. Furthermore, the XRF system was capable of distinguishing between CCA-treated wood and wood treated with alternative wood treatment preservatives, but was limited by the fact that it was not designed for on-line operation so tests were conducted in a batch mode on a conveyor. The analysis time used in this study (3 s) can be decreased significantly for an XRF system designed specifically for on-line operation. The LIBS system developed for this study was found to effectively identify CCA-treated wood for pieces ranging in thickness from 1 to 8 cm. High sorting efficiencies were noted when 10 laser shots were taken on a piece of wood. Furthermore, the LIBS system was found to be effective for identifying wood that has been coated with stains and paints in addition to identifying wood that has been CCA treated. The major drawback with the LIBS system developed in this study was the limited laser pulse energy. With an increase in laser pulse energy it is anticipated that the working focal length of the LIBS system can be increased to enable the monitoring of wood samples of more variable thicknesses. Limitations associated with analysis of very rotted pieces of wood and wet wood can also be overcome by using a higher pulse energy laser. Overall, both technologies show incredible promise for sorting CCA-treated wood from other wood types. The next recommended step would be to run an improved full-scale operation at one facility to document sorting efficiencies and fine-tune the improvements proposed in the current study. Such a study could potentially open-the-door for more widespread sorting of wood waste.     

Response of “Alamo” switchgrass tissue chemistry and biomass to nitrogen fertilization in West Tennessee,USA

Switchgrass (Panicum virgatum) is a perennial, warm-season grass that has been identified as a potential biofuel feedstock over a large part of North America. We examined above- and belowground responses to nitrogen fertilization in “Alamo” switchgrass grown in West Tennessee, USA. The fertilizer study included a spring and fall sampling of 5-year old switchgrass grown under annual applications of 0, 67, and 202 kg N ha^?1 (as ammonium nitrate). Fertilization changed switchgrass biomass allocation as indicated by root:shoot ratios. End-of-growing season root:shoot ratios (mean ± SE) declined significantly (P ≤ 0.05) at the highest fertilizer nitrogen treatment (2.16 ± 0.08, 2.02 ± 0.18, and 0.88 ± 0.14, respectively, at 0, 67, and 202 kg N ha^?1). Fertilization also significantly increased above- and belowground nitrogen concentrations and decreased plant C:N ratios. Data are presented for coarse live roots, fine live roots, coarse dead roots, fine dead roots, and rhizomes. At the end of the growing season, there was more carbon and nitrogen stored in belowground biomass than aboveground biomass. Fertilization impacted switchgrass tissue chemistry and biomass allocation in ways that potentially impact soil carbon cycle processes and soil carbon storage.     

Ecological and physiological controls of species composition in green macroalgal blooms

Green macroalgal blooms have substantially altered marine community structure and function, specifically by smothering seagrasses and other primary producers that are critical to commercial fisheries and by creating anoxic conditions in enclosed embayments. Bottom-up factors are viewed as the primary drivers of these blooms, but increasing attention has been paid to biotic controls of species composition. In Washington State, USA, blooms are often dominated by Ulva spp. intertidally and Ulvaria obscura subtidally. Factors that could cause this spatial difference were examined, including competition, grazer preferences, salinity, photoacclimation, nutrient requirements, and responses to nutrient enrichment. Ulva specimens grew faster than Ulvaria in intertidal chambers but not significantly faster in subtidal chambers. Ulva was better able to acclimate to a high-light environment and was more tolerant of low salinity than Ulvaria. Ulvaria had higher tissue N content, chlorophyll, chlorophyll b: chlorophyll a, and protein content than Ulva. These differences suggest that nitrogen availability could affect species composition. A suite of five grazers preferred Ulva to Ulvaria in choice experiments. Thus, bottom-up factors allow Ulva to dominate the intertidal zone while resistance to grazers appears to allow Ulvaria to dominate the subtidal zone. While ulvoid algae are in the same functional-form group, they are not functionally redundant.     

Tree recruitment in an empty forest

To assess how the decimation of large vertebrates by hunting alters recruitment processes in a tropical forest, we compared the sapling cohorts of two structurally and compositionally similar forests in the Rio Manu floodplain in southeastern Peru. Large vertebrates were severely depleted at one site, Boca Manu (BM), whereas the other, Cocha Cashu Biological Station (CC), supported an intact fauna. At both sites we sampled small (> or =1 m tall, <1 cm dbh) and large (> or =1 cm and <10 cm dbh) saplings in the central portion of 4-ha plots within which all trees > or =10 cm dbh were mapped and identified. This design ensured that all conspecific adults within at least 50 m (BM) or 55 m (CC) of any sapling would have known locations. We used the Janzen-Connell model to make five predictions about the sapling cohorts at BM with respect to CC: (1) reduced overall sapling recruitment, (2) increased recruitment of species dispersed by abiotic means, (3) altered relative abundances of species, (4) prominence of large-seeded species among those showing depressed recruitment, and (5) little or no tendency for saplings to cluster closer to adults at BM. Our results affirmed each of these predictions. Interpreted at face value, the evidence suggests that few species are demographically stable at BM and that up to 28% are increasing and 72% decreasing. Loss of dispersal function allows species dispersed abiotically and by small birds and mammals to substitute for those dispersed by large birds and mammals. Although we regard these conclusions as preliminary, over the long run, the observed type of directional change in tree composition is likely to result in biodiversity loss and negative feedbacks on both the animal and plant communities. Our results suggest that the best, and perhaps only, way to prevent compositional change and probable loss of diversity in tropical tree communities is to prohibit hunting.     

Mobilization of iron and arsenic from soil by construction and demolition debris landfill leachate

Column experiments were performed to examine (a) the potential for leachate from construction and demolition (C&D) debris landfills to mobilize naturally-occurring iron and arsenic from soils underlying such facilities and (b) the ability of crushed limestone to remove these aqueous phase pollutants. In duplicate columns, water was added to a 30-cm layer of synthetic C&D debris, with the resulting leachate serially passed through a 30-cm soil layer containing iron and arsenic and a 30-cm crushed limestone layer. This experiment was conducted for two different soil types (one high in iron (10,400mg/kg) and the second high in iron (5400mg/kg) and arsenic (70mg/kg)); also monitored were control columns for both soil types with water infiltration alone. Despite low iron concentrations in the simulated C&D debris leachate, elevated iron concentrations were observed when leachate passed through the soils; reductive dissolution was concluded to be the cause of iron mobilization. In the soil containing elevated arsenic, increased iron mobilization from the soil was accompanied by a similar but delayed arsenic mobilization. Since arsenic sorbs to oxidized iron soil minerals, reductive dissolution of these minerals results in arsenic mobilization. Crushed limestone significantly reduced iron (to values below the detection limit of 0.01mg/L in most cases); however, arsenic was not removed to any significant extent.     

Wet landfill decomposition rate determination using methane yield results for excavated waste samples

An increasing number of landfills are operated to accelerate waste decomposition through liquids addition (e.g., leachate recirculation) as a wet landfill. Landfill design and regulation often depend on utilizing landfill gas production models that require an estimate of a first-order gas generation rate constant, k. Consequently, several studies have estimated k using collected gas volumes from operating wet landfills. Research was conducted to examine an alternative approach in which k is estimated not from collected landfill gas but from solid waste samples collected over time and analyzed for remaining gas yield. To achieve this goal, waste samples were collected from 1990 through 2007 at two full-scale landfills in Florida that practiced liquids addition. Methane yields were measured from waste samples collected over time, including periods before and after leachate recirculation, and the results were applied to a first-order decay model to estimate rate constants for each of the sites. An initial, intensive processing step was conducted to exclude non-biodegradable components from the methane yield testing procedure. The resulting rate constants for the two landfills examined were 0.47 yr(-1) and 0.21 yr(-1). These results expectedly exceeded the United States Environmental Protection Agency's rate constants for dry and conventional landfills (0.02-0.05 yr(-1)), but they are comparable to wet landfill rate constants derived using landfill gas data (0.1-0.3 yr(-1)).     

SPATIAL VARIATIONS OF WATER LOSS DURING DROUGH A CASE STUDY1

ABSTRACT: A regional water conservation system for drought management involves many uncertain factors. Water received from precipitation may stay on the ground surface, evaporate back into the atmosphere, or infiltrate into the ground. Reliable estimates of the amount of evapotranspiration and infiltration are not available for a large basin, especially during periods of drought. By applying a geographic information system, this study develops procedures to investigate spatial variations of unavailable water for given levels of drought severity. Levels of drought severity are defined by truncated values of monthly precipitation and daily streamflow to reflect levels of water availability. The greater the truncation level, the lower the precipitation or streamflow. Truncation levels of monthly precipitation are recorded in depth of water while those of daily streamflow are converted into monthly equivalent water depths. Truncation levels of precipitation and streamflow treated as regionalized variables are spatially interpolated by the unbiased minimum variance estimation. The interpolated results are vector values of precipitation and streamflow at a grid of points covering the studied basin. They are then converted into raster‐based values and expressed graphically. The image subtraction operation is used to subtract the image of streamflow from that of precipitation at their corresponding level of drought severity. It is done on a cell‐by‐cell basis resulting in new attribute values to form the spatial image representing a spatial distribution of potential water loss at a given level of drought severity.     

Occurrence of organic pollutants in recovered soil fines from construction and demolition waste

The objective of this study was to characterize recovered soil fines from construction and demolition (C&D) waste recycling facilities for trace organic pollutants. Over a period of 18 months, five sampling trips were made to 14 C&D waste recycling facilities in Florida. Screened soil fines were collected from older stockpiles and newly generated piles at the sites. The samples were analyzed for the total concentration (mg/kg) of a series of volatile organic compound (VOCs) and semi-volatile organic compounds (semi-VOCs). The synthetic precipitation leaching procedure (SPLP) test was also performed to evaluate the leachability of the trace organic chemicals. During the total analysis only a few volatile organic compounds were commonly found in the samples (trichlorofluoromethane, toluene, 4-isopropyltoluene, trimethylbenzene, xylenes, and methylene chloride). A total of nine VOCs were detected in the leaching test. Toluene showed the highest leachability among the compounds (61.3-92.0%), while trichlorofluoromethane, the most commonly detected compound from both the total and leaching tests, resulted in the lowest leachability (1.4-39.9%). For the semi-VOC analysis, three base-neutral semi-VOC compounds (bis(2-ethylhexyl)phthalate, butyl benzyl phthalate, and di-n-butyl phthalate) and several PAHs (acenaphthene, pyrene, fluoranthene, and phenanthrene) were commonly detected in C&D fines samples. These compounds also leached during the SPLP leaching test (0.1-25%). No acid extractable compounds, pesticides, or PCBs were detected. The results of this study were further investigated to assess risk from land applied recovered soil fines by comparing total and leaching concentrations of recovered soil fines samples to risk-based standards. The results of this indicate that the organic chemicals in recovered soil fines from C&D debris recycling facilities were not of a major concern in terms of human risk and leaching risk to groundwater under reuse and contact scenarios.     

OPTIMIZATION OF INTERMITTENT PUMPING SCHEDULES FOR AQUIFER REMEDIATION USING A GENETIC ALGORITHM1

ABSTRACT: Using a genetic algorithm (GA), optimal intermittent pumping schedules were established to simulate pump‐and‐treat remediation of a contaminated aquifer with known hydraulic limitations and a water miscible contaminant, located within the Duke Forest in Durham, North Carolina. The objectives of the optimization model were to minimize total costs, minimize health risks, and maximize the amount of contaminant removed from the aquifer. Stochastic ground water and contaminant transport models were required to provide estimates of contaminant concentrations at pumping wells. Optimization model simulations defined a tradeoff curve between the pumping cost and the amount of contaminant extracted from the aquifer. For this specific aquifer/miscible contaminant combination, the model simulations indicated that pump‐and‐treat remediation using intermittent pumping schedules for each pumping well produced significant reductions in predicted contaminant concentrations and associated health risks at a reasonable cost, after a remediation time of two years.