The relationship between protective and risk characteristics of acting and experienced workload, and musculoskeletal disorder cases among nurses

PROBLEMS: Limited research is available on the acting (work characteristics) and experienced (perceived stress) workload of nurses. The relationship between risk and protective characteristics of work-related factors and the prevalence of musculoskletal symptoms in different body regions is also unclear. METHODS: The study was a cross-sectional design with 97 female registered nurses working in a hospital setting. Two surveys were used to document the workload exposure of the nurses. One survey consisted of 148 items aimed to measure the acting workload variables from the environment; the other survey included 33 items that were aimed to measure the nurses' experienced workload. The musculoskeletal outcomes were documented with a modified version of the Nordic Musculoskeletal Symptom Survey. RESULTS: Factor analyses revealed three factors that accounted for 56% of the total variance. Factor 1 (i.e., integrated experienced energy replenishment/expenditure) represented the psychological effects of work characteristics, effort, perceived risk, and performance. Factor 2 (i.e., acting energy replenishment/expenditure) consisted of non-physical variables of the work characteristics, while Factor 3 (i.e., acting energy expenditure) included both acting and experienced workload. Logistic regression analyses indicated that Factor 3 was significantly associated with the musculoskeletal symptoms of lower and upper back, hands/wrists, and knees/lower legs (odds ratios > 1.0). Factor 2 was significantly associated with the musculoskeletal symptoms of the upper back and knees/lower legs (odds ratios < 1.0). SUMMARY: Both the acting and experienced workloads exhibited associations with musculoskeletal outcomes in the lower back, upper back, hands/wrists, and knees/lower legs in terms of risk and protective effects.     

Complying with Executive Order 13148 using the Enterprise Environmental Safety And Occupational Health Management Information System

All U.S. Department of Defense (DoD) facilities are required under Executive Order (EO) 13148, "Greening the Government through Leadership in Environmental Management," to establish quality-based environmental management systems (EMSs) that support environmental decision-making and verification of continuous environmental improvement by December 31, 2005. Compliance with EO 13148 as well as other federal, state, and local environmental regulations places a significant information management burden on DoD facilities. Cost-effective management of environmental data compels DoD facilities to establish robust database systems that not only address the complex and multifaceted environmental monitoring, record-keeping, and reporting requirements demanded by these rules but enable environmental management decision-makers to gauge improvements in environmental performance. The Enterprise Environmental Safety and Occupational Health Management Information System (EESOH-MIS) is a new electronic database developed by the U.S. Air Force to manage both the data needs associated with regulatory compliance programs across its facilities as well as the non-regulatory environmental information that supports installation business practices. The U.S. Air Force, which has adopted the Plan-Do-Check-Act methodology as the EMS standard that it will employ to address EO 13148 requirements.     

A wide area of air pollutant impact downwind of a freeway during pre-sunrise hours

We have observed a wide area of air pollutant impact downwind of a freeway during pre-sunrise hours in both winter and summer seasons. In contrast, previous studies have shown much sharper air pollutant gradients downwind of freeways, with levels above background concentrations extending only 300 m downwind of roadways during the day and up to 500 m at night. In this study, real-time air pollutant concentrations were measured along a 3600 m transect normal to an elevated freeway 1–2 h before sunrise using an electric vehicle mobile platform equipped with fast-response instruments. In winter pre-sunrise hours, the peak ultrafine particle (UFP) concentration (～95 000 cm^?3) occurred immediately downwind of the freeway. However, downwind UFP concentrations as high as ～40 000 cm^?3 extended at least 1200 m from the freeway, and did not reach background levels (～15 000 cm^?3) until a distance of about 2600 m. UFP concentrations were also elevated over background levels up to 600 m upwind of the freeway. Other pollutants, such as NO and particle-bound polycyclic aromatic hydrocarbons, exhibited similar long-distance downwind concentration gradients. In contrast, air pollutant concentrations measured on the same route after sunrise, in the morning and afternoon, exhibited the typical daytime downwind decrease to background levels within ～300 m as found in earlier studies. Although pre-sunrise traffic volumes on the freeway were much lower than daytime congestion peaks, downwind UFP concentrations were significantly higher during pre-sunrise hours than during the daytime. UFP and NO concentrations were also strongly correlated with traffic counts on the freeway. We associate these elevated pre-sunrise concentrations over a wide area with a nocturnal surface temperature inversion, low wind speeds, and high relative humidity. Observation of such wide air pollutant impact area downwind of a major roadway prior to sunrise has important exposure assessment implications since it demonstrates extensive roadway impacts on residential areas during pre-sunrise hours, when most people are at home.     

Changes in blood lead and water lead in Edinburgh. An eight year follow-up to the Edinburgh lead study

This study aimed to measure changes in household water lead and blood lead in young people living in Edinburgh over a period of 8 years. Two hundred and twenty-three families were eligible and 207 (93%) agreed to participate. A half-hour stagnation sample of kitchen cold water was taken from each household, and 171 young people (aged 14–17 years) provided a blood sample for lead analysis. Information on plumbing changes, exposure to other sources of lead and factors which might influence blood lead was collected by questionnaire. Edinburgh is supplied with water treated in one of two treatment plants. There was a different programme of water treatment in each plant. In one (A) lime and orthophosphate was introduced in the interval between the original and follow-up studies. In the other (F) lime treatment began before the original study and orthophosphate was introduced subsequently. In water from treatment plant A, mean water lead levels fell from 34 to 4.3 gL-1 (87%). In water supplied from treatment plant F the corresponding values were 9.3 to 3.6 gL-1 (61%). These reductions were due to both water treatment and removal of lead plumbing. Houses with no lead plumbing have water lead levels 89% lower than houses with lead tanks, and 47% lower than houses with lead pipes. About one-third of households with lead tanks are predicted to have water lead levels above the current EC limit of 50 gL- 1, though only 3% or less of the remaining households would exceed this limit. If the proposed 10 gL-1 limit were introduced, 34% of households supplied from plant A and 25% from plant F would breach the limit. Blood lead levels fell from an average of 11.0 gdL-1 to 4.0 gdL-1. Males had higher values than females and the main factors influencing levels were water lead and age of house. Our results show substantial reductions in household water lead and blood lead in our sample over a period of 8 years and represent an important achievement in public health. However, more progress will be required if the proposed new limit of 10 gL-1 for water lead is to be met. There is a need for the continuing surveillance of household water lead and blood lead levels in representative samples of the population.     

Taking advantage of aerated-anoxic operation in a full-scale University of Cape Town process.

To evaluate the potential benefits or limitations of aeratedanoxic operation in high-rate biological nutrient removal processes, we conducted a full-scale experiment in a University of Cape Town (UCT)-type wastewater treatment plant by reducing oxygen supply and increasing flowrates within one treatment train so that aerated-anoxic conditions (i.e., zones that receive oxygen but maintain dissolved oxygen concentrations below 0.5 mg/L) could be implemented in a section of the aerated zone. With this retrofitted configuration, total nitrogen removal increased from 54 to 65%, but was limited by the organic carbon available for denitrification. Furthermore, the significant reduction in dissolved oxygen concentrations in the aerated zone did not negatively affect enhanced biological phosphorus removal, demonstrating that the implementation of an aerated-anoxic zone within a UCT-type reactor can contribute to a reduction in operational costs and a slight improvement in total nitrogen removal, without compromising the extent of phosphorus removal.     

The effect of thermodynamic data on computer model predictions of uranium speciation in natural water systems

Computer models have found widespread application in order to help elucidate and predict changes in environmental systems. One such application is the prediction of trace metal speciation in aqueous systems. This is achieved by solving a set of non-linear equations involving equilibrium constants for all the components in the system, within mass and charge balance constraints. In this study a comparison of the predicted uranium speciation from two computer programs, WHAM and PHREEQCI, is used to illustrate the effect variations in thermodynamic data can have on the models produced. Using the original thermodynamic data provided with the models, WHAM predicted the UO2(2+) ion as the major species (84%) while PHREEQCI predicted UO2(HPO4)2(2-) as the major species (86%). Substituting uranium data from the Nuclear Energy Agency Thermochemical Database project (NEA-TDB) into both programs produced similar results from each program, with UO2F+ predicted to dominate (68%) in a groundwater sample. Natural water samples often contain humic substances. The possible interaction of such substances with uranium was also modelled. The WHAM program includes a discreet site electrostatic humic substance model, however in order to use the PHREEQCI program to model humic substance interactions, a 'model fulvic acid' dataset was added to the program. These models predicted 85 to 98% uranium-humic substance species at neutral pH. This indicates that humic substances do need to be taken into account when modelling uranium speciation in natural water samples.     

Uranium speciation in moorland river water samples: a comparison of experimental results and computer model predictions

An on-line method has been developed for separating inorganic and organic bound uranium species present in river water samples. The method utilised a small chelating resin (Hyphan) column incorporated into the sample introduction manifold of an ICP-MS instrument. The method was evaluated for samples from rivers on Dartmoor (Devon, UK), an area of granite overlain with peat bogs. The results indicate that organic-uranium species form a major proportion (80%) of the total dissolved uranium present. Further work with synthetic water samples indicated that the level of dissolved organic carbon played a greater role in determining the level of organic-uranium species than did sample pH. Computer models for the water samples were constructed using the WHAM program (incorporating uranium data from the Nuclear Energy Agency Thermochemical Database project) in order to predict the levels of organic-uranium species that would form. By varying the proportion of humic and fulvic acids used in the humic component, predictions within 10% of the experimental results were obtained. The program did exhibit a low bias at higher pH values (7.5) and low organic carbon concentrations (0.5 microg ml(-1)), but under the natural conditions prevalent in the Dartmoor water samples, the model predictions were successful.     

Metals, Boron, and Selenium in Neosho Madtom Habitats in the Neosho River in Kansas, U.S.A.

In 1991 and 1992 we determined the levels of metals, arsenic, boron, and selenium in the Neosho River drainage in southeastern Kansas, the primary habitat for the threatened Neosho madtom (Noturus placidus). We evaluated concentrations in sediments, mussels (Quadrula pustulosa and Q. metanevra), and fish(Percina phoxocephala, Cyprinus carpio,and Ictiobus bubalus) from three sites on theNeosho River and one site on the Cottonwood River. We also evaluated contaminant concentrations in C. carpio composite samples collected by theKansas Department of Health and Environment (KDHE)at two additional locations on the Neosho River in1990–92. Sediments were contaminated by lead. Concentrations of selenium, boron, and most metalsin mussels were low to normal for biota. Arseniclevels in mussels and fish suggest low-levelcontamination of biota. Aluminum, barium, manganeseand strontium concentrations were much higher inmussels than in fish. Five fish composite sampleshad cadmium concentrations that indicate chronicdeleterious effects on biota. Lead concentrationsin six fish samples were elevated. Mercuryconcentrations in most large fish compositesexceeded concentration for protection of animalsthat might consume them. We believe that reductionsin cadmium, lead, and mercury contamination, inparticular, would benefit aquatic life in theriver.     

Airborne emissions of mercury from municipal solid waste. II: potential losses of airborne mercury before landfill

Waste distribution and compaction at the working face of municipal waste landfills releases mercury vapor (Hg(o)) to the atmosphere, as does the flaring of landfill gas. Waste storage and processing before its addition to the landfill also has the potential to release Hg(o) to the air if it is initially present or formed by chemical reduction of Hg(II) to Hg(o) within collected waste. We measured the release of Hg vapor to the atmosphere during dumpster and transfer station activities and waste storage before landfilling at a municipal landfill operation in central Florida. We also quantified the potential contribution of specific Hg-bearing wastes, including mercury (Hg) thermometers and fluorescent bulbs, and searched for primary Hg sources in sorted wastes at three different landfills. Surprisingly large fluxes were estimated for Hg losses at transfer facilities (approximately 100 mg/hr) and from dumpsters in the field (approximately 30 mg/hr for 1000 dumpsters), suggesting that Hg emissions occurring before landfilling may constitute a significant fraction of the total emission from the disposal/landfill cycle and a need for more measurements on these sources. Reducing conditions of landfill burial were obviously not needed to generate strong Hg(o) signals, indicating that much of the Hg was already present in a metallic (Hg(o)) form. Attempts to identify specific Hg sources in excavated and sorted waste indicated few readily identifiable sources; because of effective mixing and diffusion of Hg(o), the entire waste mass acts as a source. Broken fluorescent bulbs and thermometers in dumpsters emitted Hg(o) at 10 to >100 microg/hr and continued to act as near constant sources for several days.