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.     

Particle Surface Hydrophobicity and the Dechlorination of Chloro-Compounds by Iron Sulfides

Halogenated aliphatic compounds (HACs) can be reduced by iron sulfides in aqueous systems. Generally, the thermodynamics and kinetics of dehalogenation reactions are controlled by the mineralogical and particle surface characteristics of the iron sulfide, the composition of the HAC and reaction conditions such as component concentrations, pH and Eh. In this theoretical and experimental investigation of CCl₄ and C₂Cl₆ reduction by FeS and FeS₂, the roles of hydrophobic and hydrophilic sites on the iron sulfides were analyzed. Experimental data obtained through zeta potential measurements, were used along with the Gouy-Chapman model and the simple two-layer surface complexation model to relate iron sulfide surface hydroxyl densities to the degree of HAC dehalogenation. The surface hydroxyl site densities of FeS and FeS₂ were found to be 0.11 sites/nm² and 0.21 sites/nm², respectively. During the dehalogenation reaction process, CCl₄ was found to decrease to its first intermediate product CHCl₃ within the first 20 hours followed by a slower process of conversion to CH₂Cl₂. The results also show that FeS is less hydrated (more hydrophobic) than FeS₂. For CCl₄ and C₂Cl₆, FeS is a better dehalogenator than FeS₂. These results imply that particle surface hydrophobicity is a critical factor in surface-mediated dehalogenation of chlorinated compounds.     

Improvement of nuclide leaching resistance of paraffin waste form with low density polyethylene

Low-level liquid borate wastes have been immobilized with paraffin wax using a concentrate waste drying system (CWDS) in Korean nuclear power plants. The possibility for improving chemical durability of paraffin waste form was suggested in this study. A small amount of low density polyethylene (LDPE) was added to increase the leaching resistance of the existing paraffin waste form. The influence of LDPE on the leaching behavior of waste form was investigated by performing leaching test according to ANSI/ANS-16.1 procedure during 325 days. It was observed that the leaching of nuclides immobilized within paraffin waste form made a marked reduction although little content of LDPE was added to waste form. The acceptance criteria of paraffin waste form associated with leachability index (LI) and compressive strength after the leaching test were fully satisfied with the help of LDPE.     

Glass recycling in cement production--an innovative approach

An innovative approach of using waste glass in cement production was proposed and tested in a laboratory and cement production plant. The laboratory characterization of 32 types of glass show that the chemical composition of glass does not vary significantly with its color or origin but depends on its application. The alkali content of glass, a major concern for cement production varies from 0 to 22%. For the glass bottles mainly found in Hong Kong waste glasses, the alkali content (Na2O) ranges from 10 to 19% with an average around 15%. There is no significant change of the SO2 content in the gas exhaust of the rotary kiln when about 1.8 t/h of glass bottles were loaded along with the 280-290 t/h raw materials. The content of NOx, mainly depends on the temperature of the kiln, does not show significant change either. The SO3 content of the clinker is comparable with that obtained without the loading of glass. The alkaline content shows a slight increase but still within three times the standard deviation obtained from the statistical data of the past year. The detailed analysis of the quality of the cement product shows that there is not any significant impact of glass for the feeding rate tested.     

Distribution and hydrodynamic model of the Keumdong oil spill in Kwangyang Bay, Korea

Oil concentrations in the seawater, seabed sediments, and shoreline sediments were measured from the samples collected 165 days after the Keumdong oil spill accident, which had occurred in Kwangyang Bay of the South Sea, Korea in September 1993. Distribution patterns of the concentrations in the seabed and shoreline sediments have allowed us to hindcast the transport and fate of the spilled oil. Overall, the patterns agree better with the southward (seaward) surface water circulation than with the northward (landward) bottom water circulation over the region. Rapid, initial dispersal of the spilled oil to the south and its subsequent grounding onto the intertidal seabed sediments, as well as onto the shorelines, appear to have made ineffective the subsurface oil transport by the bottom current.     

Swelling related to ettringite crystal formation in chromite ore processing residue

Several million tons of Chromite Ore Processing Residue (COPR) were deposited at two sites in New Jersey and Maryland, USA, and over time they exhibited extensive heaving phenomena. Ettringite, a needle-shaped mineral and an expansive mineral commonly recognized in the literature concerning cement- and soil, has been identified extensively in numerous COPR samples collected from these sites. It was therefore believed that ettringite formation and its crystal growth are strongly associated with COPR heaving. We investigated the correlation between ettringite and the heaving phenomena in COPR materials that contained no initial ettringite. Two identical COPR samples were exposed to a 4% w/w sulfate solution (25°C, 50°C) in a confined swell test apparatus. Both swell test samples were analyzed by means of X-ray powder diffraction. The peak intensities of newly formed ettringite were more pronounced in the sample tested at 50°C, and swell development was only observed in this sample. Scanning electron microscopy analyses revealed well-crystallized ettringite needles exceeding 40 μm in length for this sample, while ettringite crystals less than 15 μm in length formed in the sample tested at 25°C. Therefore, the results suggest that the quantity of ettringite and the extent of crystallization play a key role in the heave of COPR.     

Predictive model for the (14)C radioactivity in a plant following an exposure to airborne (14)CO(2) gas

This paper provides details of a dynamic compartment model for estimating the (14)C radioactivity in an agricultural plant exposed to an amount of airborne (14)CO(2) gas. The plant, in the model, is divided into two compartments, the plant body (shoot and root) and ears, to predict the radioactivity of different parts of a plant. The carbon transports from, to and between the compartments are described by the processes of a photosynthesis, respiration, and translocation. The carbon transport fluxes of these processes are determined from the growth rates of a plant, which are usually easily attained. The model predictions showed that the present model could converge to a region where the specific activity model is applicable when the elapsed exposure time was extended up to the harvest time of a plant. The (14)C activity of a plant was greatly affected by the elapsed exposure time, the developmental stages of a plant at an exposure time, and the airborne (14)C activity during an exposure. It was expected that the peak of the ears' (14)C activity appeared when the exposure time was close to the ears-maturity date. The model predictions agreed reasonably well with the measured (14)C radioactivity of the rice plants that were artificially exposed to (14)CO(2) of a high (14)C source for a short period of time in an exposure box.     

Enhancement of turbulent scalar mixing and its application by a multihole nozzle in selective catalytic reduction of NOx

The mixing characteristics of a passive scalar in the turbulent flow of a selective catalytic reduction process were numerically and experimentally investigated, focusing especially on an injection nozzle with multiple holes for the reducing agent. The multihole injection nozzle studied has six holes that are perpendicular to the ambient flue gas flow and are located near the tip of the nozzle. Large eddy simulation was applied to the turbulent flow and mixing fields to elucidate the mixing mechanism of the proposed nozzle compared with the single-hole nozzle that is commonly used in the conventional selective catalytic reduction process. From the results, there exist broader regions of higher turbulent intensities for the multihole nozzle than for the conventional single-hole nozzle. These regions are well matched with the positions of high vorticity in the near upstream region of the jet flow issuing from the multiple holes of the nozzle. Consequently, the high turbulent intensities and vorticity magnitudes lead to intensified mixing between the flue gas and the reducing agent. Hence, the most suitable molar ratio between NOx and the reducing agent for the catalytic reaction can be easily obtained within a shorter physical mixing length as a result of the enhanced scalar mixing. Finally, the numerical results were applied to a trial design version of a multihole nozzle, and this nozzle was experimentally tested to confirm its mixing performance.     

Intentionally building relationships between participatory online groups and formal organisations for effective emergency response

Advances in information and communication technologies enable the public to contribute to emergency response. For instance, reporting systems set up during recent disasters allowed affected people to submit testimonies about conditions on the ground. In addition, the public has analysed data and helped to mobilise and deliver relief resources. To plan intentionally for an integrative emergency response system in the networked age, this research explores two subject areas: (i) the organisational and technical determinants of relationships forged between formal organisations and participatory online groups established by the public; and (ii) the consequences of the outcomes generated by these relationships. Four in‐depth case studies were selected for the analysis, which revealed that resource dependence, shared understanding, and the use of certain types of information technology influence the formation of such relationships. Furthermore, healthy collaborative relationships increase the chances of desirable results, including inter‐organisational alignment and minimal long‐term harm owing to a disaster.