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.     

Hepatic mercury,cadmium, and lead in mink and otter from New York State: monitoring environmental contamination

Many non-linear processes link atmospheric emissions to the bioavailability of metals; consequently, the monitoring of metals in ecosystem components is required to model their ecodynamics. American mink (Neovison vison) and river otter (Lontra canadensis) have the potential to serve as an upper-level-consumer component in monitoring metals bioavailability. However, the relationship of bioaccumulated metals to various environmental factors has not been explored nor have the effects of demographic factors been resolved. To address these limitations, mink and otter, collected throughout New York State during 1998–2002, were analyzed for hepatic concentrations of total mercury (Hg), cadmium (Cd), and lead (Pb). Relationships were investigated between metals concentrations and landscape-level factors (physiographic zone, hydrologic unit, and elevation) and demographic factors (gender and age). Considerable variation in Hg and Cd concentrations was observed relative to both physiographic zone and hydrologic unit for both species. In contrast with Hg, Cd concentration increased predictably with increasing elevation. Mercury concentrations were greater, but for Cd less, in otter than mink. Lead concentrations showed little landscape heterogeneity and were independent of elevation. Age-related bioaccumulation was evident for Hg and Cd, but not for Pb, in both species. Mercury and Cd concentrations were greater in female than male mink; however, Pb concentrations were greater in males than females. Inverse relationships of relative growth (weight/length) to metals concentrations explained gender differences in Hg and Cd in mink. For otter, no gender-related differences in metals concentrations were apparent. The suitability of mink and otter for monitoring programs is discussed.     

Feasibility study of rainwater harvesting system in Sylhet City

In rural areas in Bangladesh, groundwater is the principal source of water supply. This underground water is available in considerable amount in shallow aquifers. It is free from pathogenic microorganisms and hence water-borne diseases. In plain lands, other than hilly areas, water supply to 97% rural population comes from tube-wells, which is regarded to be a phenomenal achievement in preserving public health. Besides, a dependable water supply system all throughout the country is offset by two factors: (a) high salinity in surface plus groundwater in coastal areas; (b) want of suitable groundwater aquifers in hilly areas and the high cost of setting up tube-wells due to deep underground water table and stony layers. However, presence of arsenic in underground water now poses a serious threat to the success once made in water supply by setting up of manually operated tube-wells in the village areas—the achievement is now on the brink of total collapse. In about 61 districts out of 64, presence of arsenic exceeds a quantity of 0.05 mg/1, a permissible limit as per Bangladeshi water quality standard. Harvesting rainwater can be a pragmatic solution to this problem, which is common in many places in Sylhet especially in the hilly areas on the north eastern part of the city. This can be an alternative source of drinking water because of availability of rainwater from March to October. Heavy rain occurs from end of May till mid September, which is commonly known as the rainy season. This paper focuses on the possibility of harvesting rainwater in rural communities and thickly populated urban areas of Sylhet. It also demonstrates the scopes of harvesting rainwater using simple and low-cost technology. With setting up of a carefully planned rainwater storage tank, a family can have all of its drinking water from rain. Planned use of rainwater through rainwater harvesting in the roof catchments may fulfill the entire annual domestic water demand of a family in the rural areas of Bangladesh.     

Biomonitoring of polychlorinated biphenyls (PCBs) in heavily polluted aquatic environment in different fish species

The distribution and concentrations of polychlorinated biphenyls (PCBs) were determined in fish species (European perch Perca fluviatilis, northern pike Esox lucius, pike perch Sander lucioperca, wels catfish Silirus glanus, common carp Cyprinus carpio, European eel Anguilla anguilla, freshwater bream Abramis brama, goldfish Carassius auratus, and roach Rutilus rutilus) in a heavily polluted water reservoir Zemplínska ?írava (Slovakia). The study performed at two different time points 5?years apart (2004 and 2009) revealed serious PCB contamination of fish muscle tissue and significant interspecies as well as tissue-specific differences in PCB uptake by fish. Total PCBs broadly correlated with the trophic position of individual fish species within a food chain (P??0.05). The study has shown that the kind of fish, its feeding habit, and specific conditions of the habitat are mutually interrelated factors that are responsible for significant variations in fish body burdens. A tendency to PCB biomagnification was also proved in some fish species of this water reservoir.     

Influence of a portable air treatment unit on health-related quality indicators of indoor air in a classroom

During periods of two weeks in February and June 2010 the performance of portable air treatment units (PATUs) was evaluated in a primary school classroom using indicators of indoor air quality. Air samples were collected in an undisturbed setting on weekend days and in an occupied setting during teaching hours. In the first week PATUs were turned off and in the second week they were turned on. On weekend days PATUs reduced indoor levels of PM-10 by 87% in February and by 70% in June compared to weekend days when PATUs were turned off. On schooldays, indoor PM-10 was increased by 6% in February and reduced by 42% in June. For PM-2.5 reductions on weekend days were 89% in February and 80% in June. On school days PM-2.5 was increased by 15% in February and reduced by 83% in June. Turning on the PATUs reduced total VOC by 80% on weekend days and by 57% on school days (but not in June). No influence on formaldehyde, NO(2), O(3) and molds was observed. PATUs appeared to be less effective in removal of air pollutants when used in an occupied classroom compared to an unoccupied setting. Our study suggests that such devices should be tested in real-life settings to evaluate their influence on indoor air quality.