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.     

Wildfire seasonality and land use: when do wildfires prefer to burn?

Because of the increasing anthropogenic fire activity, understanding the role of land-use in shaping wildfire regimes has become a major concern. In the last decade, an increasing number of studies have been carried out on the relationship between land-use and wildfire patterns, in order to identify land-use types where fire behaves selectively, showing a marked preference (or avoidance) in terms of fire incidence. By contrast, the temporal aspects of the relationship between landuse types and wildfire occurrence have received far less attention. The aim of this paper is, thus, to analyze the temporal patterns of fire occurrence in Sardinia (Italy) during the period 2000–2006 to identify land-use types where wildfires occur earlier or later than expected from a random null model. The study highlighted a close relationship between the timing of fire occurrence and land-cover that is primarily governed by two complementary processes: climatic factors that act indirectly on the timing of wildfires determining the spatial distribution of land-use types, and human population and human pressure that directly influence fire ignition. From a practical viewpoint, understanding the temporal trends of wildfires within the different land-use classes can be an effective decision-support tool for fire agencies in managing fire risk and for producing provisional models of fire behavior under changing climatic scenarios and evolving landscapes.     

Manganese in the urban atmosphere: identifying anomalous concentrations and sources

Purpose  

Industrial emissions can raise urban background levels of inhalable Mn particles in an order of magnitude above normal, eclipsing the contribution made by natural sources and traffic.     

Prediction of syngas quality for two-stage gasification of selected waste feedstocks

This paper compares the syngas produced from methane with the syngas obtained from the gasification, in a two-stage reactor, of various waste feedstocks. The syngas composition and the gasification conditions were simulated using a simple thermodynamic model. The waste feedstocks considered are: landfill gas, waste oil, municipal solid waste (MSW) typical of a low-income country, the same MSW blended with landfill gas, refuse derived fuel (RDF) made from the same MSW, the same RDF blended with waste oil and a MSW typical of a high-income country. Energy content, the sum of H2 and CO gas percentages, and the ratio of H2 to CO are considered as measures of syngas quality. The simulation shows that landfill gas gives the best results in terms of both H2+CO and H2/CO, and that the MSW of low-income countries can be expected to provide inferior syngas on all three quality measures. Co-gasification of the MSW from low-income countries with landfill gas, and the mixture of waste oil with RDF from low-income MSW are considered as options to improve gas quality.     

Geomorphological evolution and environmental reclamation of Fusaro Lagoon (Campania Province, southern Italy)

Analysis of morphological, geological and environmental characteristics of the Fusaro Lagoon has shown the present degraded condition of the lagoon and the perilagoon area. The lagoon developed during the mid-Holocene within a wide marine bay confined between the coastal volcanic structures of Mt. Cuma to the north and Torregaveta to the south in the western part of the Phlegrean Fields. Subsequently, the bay was gradually filled with pyroclastic materials from phlegrean eruptive vents and sediments carried by the rivers Volturno and Clanis, thus, creating an open lagoon. It then evolved into a partially closed lagoon due to the formation of a continuous littoral spit during the late Holocene, probably wider than the present-day one and surrounded by marshlands. Finally, the total closure of the lagoon took place in the Graeco-Roman period, following the stabilization of the dune ridge, and it assumed a shape similar to present-day one only towards the end of the 18th century.Between the Roman period and 1941, three lagoon channels were opened in order to avoid the frequent environmental crises which continue to affect, although for different reasons, this salt-water basin. The basin has been exploited for more than 2000 years not only for mollusc culture and pisciculture, but also for the maceration of hemp and flax. In the 1980s, in order to reduce the effects of the environmental crises, dredging of the lagoon bottom has been carried out, altering the hydrogeological equilibrium and that of the ecosystem. Over the past 30 years, the supply of raw sewage of domestic, agricultural and industrial origin has ensured the presence of a high concentration of pollutants, including heavy metals.On the basis of the data obtained and in order to restore this sensitive transitional environment, eco-compatible interventions are proposed which aim at morphological and hydrologic resettlement, abatement of pollutants on the bottom of the basin, reintroduction of endemic molluscs, together with monitoring the quality of sediments and both sea-lagoon waters and groundwater.     

Solidification/stabilisation of arsenic bearing fly ash from the metallurgical industry. Immobilisation mechanism of arsenic

When a fly ash waste material from a copper refining process containing large amounts of As2O3 is solidified using cement and lime, the arsenic concentration in the leachate can be lowered to ca. 5 mg/l in a saturated solution of Ca(OH)2. It is shown that the decrease of the concentration in the leachate, mainly of As(III), is due to the formation of insoluble CaHAsO3 in the leachate in the presence of Ca(OH)2. This method is compared with a method whereby use is made of oxidation of the waste before solidification to oxidise As(III) to As(V) using H2O2. The arsenic concentration in the leachate of the extraction test of an oxidised S/S sample was lowered to ca. 0.5 mg/l, a factor of 10 below the one for a non-oxidised sample. It is shown that the decrease of the concentration in the leachate mainly of As(V) is due to the formation of insoluble Ca3(AsO4)2 in the presence of Ca(OH)2. Extensive use was made of the speciation program MINTEQA2, to clarify the immobilisation of arsenic.     

Genotoxic damage in free-living Algerian mouse (Mus spretus) after the Coto Doñana ecological disaster

The Do?ana National Park (Spain), one of the most important wildlife sites in the West of Europe, was affected (25 April 1998) by the spill of acidic waste rich in toxic metals (mainly zinc, lead, copper, etc.), arsenic and aromatic amines from the Aznalcollar mine accident. Micronuclei test with May Grunwald-Giemsa and with CREST-antikinetocore staining using DAPI as counter-staining were performed on peripheral blood erythrocytes from Algerian mice to evaluate genotoxic damage. Animals were collected in four locations each differently affected by the disaster. Higher frequencies of micronuclei and CREST-positive micronuclei were observed in the sites, which were reached by toxic sludge and contaminated water in comparison with those located within the park. The results obtained applying the two methods indicate that DAPI staining is more sensitive in detecting micronuclei. Genotoxic biomonitoring should be further carried out in the area to control the mutagenetic level in natural populations.     

Electrochemical remediation of copper (II) from an industrial effluent Part II: three-dimensional foam electrodes

A batch recycle removal of copper ions from an industrial effluent by means of copper foam cathodes was tested. A constant current of 750 A was applied to the cell in order to perform the reduction. Copper depletion was investigated at different solution flow rates and a removal greater than 98% was obtained with a flow rate of 1000 l/h. The influence of initial metal concentration on copper deposition and current efficiency is also discussed.     

Source apportionment of PM<Subscript>10</Subscript> and PM<Subscript>2.5</Subscript> at multiple sites in the strait of Gibraltar by PMF: impact of shipping emissions

Background  

The impact of shipping emissions on urban agglomerations close to major ports and vessel routes is probably one of the lesser understood aspects of anthropogenic air pollution. Little research has been done providing a satisfactory comprehension of the relationship between primary pollutant emissions, secondary aerosols formation and resulting air quality.