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.     

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.     

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.     

Performance of an electrochemical COD (chemical oxygen demand) sensor with an electrode-surface grinding unit

An electrochemical COD (chemical oxygen demand) sensor using an electrode-surface grinding unit was investigated. The electrolyzing (oxidizing) action of copper on an organic species was used as the basis of the COD measuring sensor. Using a simple three-electrode cell and a surface grinding unit, the organic species is activated by the catalytic action of copper and oxidized at a working electrode, poised at a positive potential. When synthetic wastewater was fed into the system, the measured Coulombic yields were found to be dependent on the COD of the synthetic wastewater. A linear correlation between the Coulombic yields and the COD of the synthetic wastewater was established (10-1000 mg L(-1)) when the electrode-surface grinding procedure was activated briefly at 8 h intervals. When various kinds of wastewater samples obtained from various sewage treatment plants were measured, linear correlations (r(2)> or = 0.92) between the measured EOD (electrochemical oxygen demand) value and COD of the samples were observed. At a practical wastewater treatment plant, the measurement system was successfully operated with high accuracy and good stability over 3 months. These experimental results show that the application of the measurement system would be a rapid and practical method for the determination of COD in water industries.     

Estimation of methane emission potential using the Clean Development Mechanism (CDM) tool for municipal solid waste landfill in Mandalay,Myanmar

Journal of Material Cycles and Waste Management - Municipal solid waste (MSW) landfills are the third largest source of global methane emissions as biogas (11%). In developing countries, MSW...     

Optimization of the food waste water incineration with respect to CO and NO<Subscript>x</Subscript> emission characteristics

The incineration of food waste water in conjunction with the domestic waste is getting attention as a food waste water treatment method, due to its low treatment cost and high efficiency. Many studies verified that the ammonia in the food waste water served as a reducing agent to suppress the generation of NO_x when the food waste water was injected and incinerated. However, they have not revealed the correlation between the change in the concentration of the CO and NO_x by the influence of the solid matters contained in the food waste water on the incineration of the wastes. The purpose of this study is to determine the optimum amount of the food waste water injected through four nozzles in the primary and secondary incineration chambers and to assess the correlation between the concentration of CO and NO_x in accordance with the food waste water injection in each chamber of the incinerator. For the study, four food waste water injection nozzles were installed; two (A and B) at the top of the primary incineration chamber and the other two (C and D) in the secondary incineration chamber. The correlation between the change in the concentration of CO and NO_x was studied adjusting the amount of the food waste water injected through the nozzles. From the result, Case II showed the concentration of CO and NO_x as 1.8–10 and 14–26 ppm, respectively, while Case I showed that of CO and NO_x as 15–30 and 9–18 ppm, respectively. Those levels are well below the Korean emission criteria, 50 ppm for CO and 80 ppm for NO_x. Based on the results, it is evident there is a certain trade-off between emission of CO and NO_x, and Case II which has relatively low concentration of CO is easier and cheaper to control.     

A non-parametric distance-based method using all available indicators for integrated environmental assessment – a case study of the Mid-Atlantic Region,USA

The paper presents a multivariate measure useful for integrated environmental assessments. It is a weighted distance measure applied to metric data but based on nonparametric statistical procedures. The proposed measure allows all environmental indicators to be used directly without any reduction in dimension (e.g. as in principal component analysis) nor losing variance while being able to tolerate possible non-normality of the indicators, as well as non-linear relationships among them. Results of the hypothetical example and the Mid-Atlantic case study show that the proposed measure is suitable and valuable for integrating multiple indicators into a single index, an important task in integrated environmental assessment.     

Degradation of ammonium dinitramide (ADN) in digested sewage sludge under strict anaerobic conditions

The biodegradation of one popular nitramine energetics, ammonium dinitramide (ADN) by mixture of denitrifying bacterial species was investigated. ADN was observed to be effectively mineralized in the anaerobic mixed culture. The initial ADN concentration of 250 mg/L was reduced to non‐detectable levels (> 99% removal efficiency) in 5 days of incubation under anaerobic conditions. Final products generated from anaerobic degradation of nitramine energetics by anaerobic metabolism were NH₄ ⁺, CH₄, and CO₂ that were released to the environment with the denitrifiers’ growth. In addition, it was found that the activity of denitrifiers was inhibited by high concentration of ammonia generated through the degradation reactions of energetic nitrites.     

Structural effect of the in situ generated titania on its ability to oxidize and capture the gas-phase elemental mercury

Structural effect of the in situ generated TiO(2) sorbent particle was examined for its ability to capture elemental mercury under UV irradiation in a simulated combustion flue gas. Titania particles were prepared by thermal gas-phase oxidation of Titanium (IV) isopropoxide (TTIP) using a high temperature electric furnace reactor. The structural characteristics of the in situ generated TiO(2) at various synthesis temperatures were investigated; size distribution and the geometric mean diameter were measured using a scanning mobility particle sizer, while fractal dimension and radius of gyration were evaluated from the transmission electron microscopy images. Results from the Hg(0) capture experiment show that with increasing titania synthesis temperature, the overall aggregate size increases and the morphology becomes more open-structured to gas-phase Hg(0) and UV light, resulting in the improved mercury removal capability.