A system dynamics approach for hospital waste management

Healthcare services provided by hospitals may generate some infectious wastes. Although a large percentage of hospital waste is classified as general waste, which has similar nature as that of municipal solid waste and, therefore, could be disposed in municipal landfills, a small portion of infectious waste has to be managed in the proper manner in order to minimize risk to public health. Many factors involved in the hospital waste management system often link to one another, which require a comprehensive analysis to determine the role of each factor in the system. In this paper, we present a hospital waste management model based on system dynamics to determine the interaction among factors in the system using a software package, Stella. A case study of the City of Jakarta, Indonesia is selected. The hospital waste generation is affected by various factors including the number of beds in the hospitals and the NIMBY (not in my back yard) syndrome. To minimize the risk to public health, we found that waste segregation, as well as infectious waste treatment prior to disposal, has to be conducted properly by the hospital management, especially when scavenging takes place in landfill sites in developing countries.     

Leachability and metal-binding capacity in ageing landfill material

In order to study the stability of landfilled heavy metals, landfill material from a combined household and industrial waste landfill was aerated for 14 months to simulate the natural ageing processes as air slowly begins to penetrate the landfill mass. During aeration, the pH of the landfill material decreased from around 8.6 to 8.1 and the carbon content also decreased. In order to investigate the possible fate of metals in ageing landfills, a four-stage sequential extraction technique was applied. The ability of the materials to bind metal ions by electrostatic attractions and to form stronger complexes was studied separately. The amount of exchangeable cations, the capacity to bind metal ions by electrostatic attraction and the capacity of the landfill material to complex copper ions were increased by the aeration process. However, results from the sequential analysis showed an increased solubility of sulphur and some metals (Cd, Co, Cu, Ni and Zn). Equilibrium speciation models (Medusa) indicated that the organic matter deposit had a significant capacity to bind metal ions provided that pH was sufficiently high. However, as carbonates are consumed over time, the risk for metal mobility increases. Therefore, the landfills can become an environmental risk, depending on variations in the solubility of metal ions due to changes in pH, redox status and the availability of organic material.     

Risk assessment of landfill disposal sites--State of the art

A risk assessment process can assist in drawing a cost-effective compromise between economic and environmental costs, thereby assuring that the philosophy of 'sustainable development' is adhered to. Nowadays risk analysis is in wide use to effectively manage environmental issues. Risk assessment is also applied to other subjects including health and safety, food, finance, ecology and epidemiology. The literature review of environmental risk assessments in general and risk assessment approaches particularly regarding landfill disposal sites undertaken by the authors, reveals that an integrated risk assessment methodology for landfill gas, leachate or degraded waste does not exist. A range of knowledge gaps is discovered in the literature reviewed to date. From the perspective of landfill leachate, this paper identifies the extent to which various risk analysis aspects are absent in the existing approaches.     

Numerical simulation of hydrogen–air detonation for damage assessment in realistic accident scenarios

An accidental hydrogen release within an equipment enclosure may result in the presence of detonable mixture in a confined environment. From a safety standpoint, it is then useful to assess the potential for damage. In that context, numerical simulation of the sequence of events subsequent to detonative ignition provides a useful tool, although with obvious limitations. This article describes the procedure, summarizes two case studies, and reviews the limitations. First, a hydrogen dispersion pattern is obtained from numerical simulation of dispersion, using a commercial package designed primarily for incompressible flow. This dispersion cloud is then used as the initial condition in an inviscid, compressible, reactive flow simulation. To force detonative ignition, a sufficiently large amount of energy is deposited in a small region that corresponds to the ignition location. Chemistry is modeled using a single step Arrhenius model. Because the wave thickness is small compared with the computational domain, a fine mesh is needed, limiting the practicality of the process to two-dimensional geometries. This is the most significant limitation; it is conservative. The two cases described in the paper include an electrolyzer, in which a small release occurs, leading potentially to some damage to the enclosure, and a reformer, in which the consequences are potentially more serious.     

On the implementation of an International Curriculum on Hydrogen Safety Engineering into higher education

This paper describes the implementation of an International Curriculum on Hydrogen Safety Engineering into higher education. The curriculum is being developed as part of the educational and training activities of the European Network of Excellence Safety of Hydrogen as an Energy Carrier (HySafe) and has been implemented into a 1-year Postgraduate Certificate Course in Hydrogen Safety Engineering by the University of Ulster. The course is taught in the distance learning mode and comprises of two 30 CATS-point modules, namely, ‘Principles of Hydrogen Safety’ and ‘Applied Hydrogen Safety’. The first delivery of this course began in January 2007 and the second delivery will commence in September 2007.     

Mechanical Property Characterization of Plasticized Sugar Beet Pulp and Poly(Lactic Acid) Green Composites Using Acoustic Emission and Confocal Microscopy

Sorbitol and glycerol were used to plasticize sugar beet pulp-poly(lactic acid) green composites. The plasticizer was incorporated into sugar beet pulp (SBP) at 0%, 10%, 20%, 30% and 40% w/w at low temperature and shear and then compounded with poly(lactic acid) (PLA) using twin-screw extrusion and injection molding. The SBP:PLA ratio was maintained at 30:70. As expected, tensile strength decreased by 25% and the elongation increased. Acoustic emission (AE) showed correlated debonding and fracture mechanisms for up to 20% w/w plasticizer and uncorrelated debonding and fracture for 30–40% sorbitol and 30% glycerol content in SBP–PLA composites. All samples had a well dispersed SBP phase with some aggregation in the PLA matrix. However, at 40% glycerol plasticized SBP–PLA composites exhibited unique AE behavior and confocal microscopy revealed the plasticized SBP and PLA formed a co-continuous two phase system.

Material Flows in Sweden 2004

This paper presents and discusses the method and results of account for material flows in Sweden for the year 2004. The results show that it is possible to compile material flow data from existing sources in the Swedish statistical system. By using the European classification system of goods, the Combined Nomenclature, as the basic unit of the data collection, both data collection and aggregation into material flow categories were made possible. Although these data exist in the statistical system, they are not easily available for the scientific community. This is due to several reasons, such as the aggregation of data in the system of statistics not corresponding to the material flow account structure and the fact that data on import and export of materials are organised differently than data for domestic extraction. Almost 50% of the material flows in Sweden are flows of minerals, mainly construction minerals followed by iron ores. Most of the extracted iron ores are exported. In comparison with other European countries this generates a unique situation with Sweden as the only net exporter of iron ores. The flow of biomass in terms of wood is also considerable (26% of the Swedish material flows in 2004). The domestic material consumption (inflow) per capita in 2004 was 8 tonnes minerals, 6 tonnes biomass and almost 3 tonnes of fossil fuels. Of the material flows of fossil fuels petroleum and natural gas dominates with 90%.     

Modelling and assessment of South African elephant Loxodonta africana population persistence

The use of a quantitative population growth model to investigate the persistence of South African elephant populations is explored. The model provides quantitative assessments of population persistence and confidence intervals for estimated parameters based purely on population size estimates. The analysis supports the view that most of the larger populations in the region are secure. This view is further supported by a lack of density dependent effects in most of the recovering populations and the high population rates of increase observed. This predominantly positive prognosis is in contrast with that emerging from most of the rest of the African continent where the populations are under greater threat because of habitat restriction and direct human conflict. This preliminary assessment of elephant population persistence suggests that “viable” populations may lie between 400 and 6000 individuals. Although not inconsistent with information-greedy genetic and demographic models, the relationship between population growth versus genetic and demographic models should be further investigated. The implementation of a metapopulation management strategy towards these smaller populations is advocated. In addition, as all of the populations included in this analysis have been afforded some degree of protection since the 1920s, continued protection would be a prerequisite for their continued survival.