The use of failure mode and effects analysis to construct an effective disposal and prevention mechanism for infectious hospital waste

In recent times, the quality of medical care has been continuously improving in medical institutions wherein patient-centred care has been emphasized. Failure mode and effects analysis (FMEA) has also been promoted as a method of basic risk management and as part of total quality management (TQM) for improving the quality of medical care and preventing mistakes. Therefore, a study was conducted using FMEA to evaluate the potential risk causes in the process of infectious medical waste disposal, devise standard procedures concerning the waste, and propose feasible plans for facilitating the detection of exceptional cases of infectious waste. The analysis revealed the following results regarding medical institutions: (a) FMEA can be used to identify the risk factors of infectious waste disposal. (b) During the infectious waste disposal process, six items were scored over 100 in the assessment of uncontrolled risks: erroneous discarding of infectious waste by patients and their families, erroneous discarding by nursing staff, erroneous discarding by medical staff, cleaning drivers pierced by sharp articles, cleaning staff pierced by sharp articles, and unmarked output units. Therefore, the study concluded that it was necessary to (1) provide education and training about waste classification to the medical staff, patients and their families, nursing staff, and cleaning staff; (2) clarify the signs of caution; and (3) evaluate the failure mode and strengthen the effects.     

Assessment of airborne environmental bacteria and related factors in 25 underground railway stations in Seoul,Korea

This study assessed bacterial concentrations in indoor air at 25 underground railway stations in Seoul, Korea, and investigated various related factors including the presence of platform screen doors (PSD), depth of the station, year of construction, temperature, relative humidity, and number of passengers. A total of 72 aerosol samples were collected from all the stations. Concentrations of total airborne bacteria (TAB) ranged from not detected (ND) to 4997 CFU m^?3, with an overall geometric mean (GM) of 191 CFU m^?3. Airborne bacteria were detected at 23 stations (92%) and Gram-negative bacteria (GNB) were detected at two stations (8%). TAB concentrations of four stations (16%) exceeded 800 CFU m^?3, the Korea indoor bio-aerosol guideline. The results of the study showed that TAB concentrations at the stations without PSD showed higher TAB concentrations than those with PSD, though not at statistically significant levels. TAB concentrations of deeper stations revealed significantly higher levels than those of shallower stations. Based on this study, it is recommended that mitigation measures be applied to improve the indoor air quality (IAQ) of underground railway stations in Seoul, with focused attention on deeper stations.     

Histopathological findings of the nose of Down syndrome abortuses

Recent reports of absent nasal bone in fetuses with Down syndrome have sparked much interest in the use of this finding for the screening of Down syndrome. We describe the histopathological findings of nasal bones of two fetuses with Down syndrome, one with absence and the other with normal ossification of the nasal bone. We propose that histopathological examination of the nasal bone could improve the accuracy of diagnosis of nasal hypoplasia among Down syndrome abortuses. Copyright © 2003 John Wiley & Sons, Ltd.     

In utero sonographic diagnosis of a communicating enteric duplication cyst in a giant omphalocele

Enteric duplications are rare lesions, and relatively few cases have been diagnosed prenatally. We present, to our knowledge, the first case of an associated communicating ileal duplication cyst in a huge omphalocele diagnosed prenatally. The prenatal ultrasound findings revealed four features of the cystic lesion including peristaltic movements of the cystic wall, communication between the cyst and normal bowel lumen, intra-cystic echogenic contents, and echogenic mesenteric tissue (fat) close to the cyst. These distinct characteristics helped us to make a firm in utero diagnosis. Copyright © 2001 John Wiley & Sons, Ltd.     

Scientometric analysis of coastal eutrophication research during the period of 1993 to 2008

No studies were reported on the field of coastal eutrophication research by using bibliometrics. The objective of this study was to evaluate the coastal eutrophication research performance based on all the related articles in Science Citation Index databases from 1993 to 2008. Document type, publication output, authorship, keywords, publication pattern, country, and institute of publication were analyzed. The USA contributed 35.0% of total articles where the ten major industrial countries accounted for the majority of the total production. An indicator citation per publication was presented in this study to evaluate the impact of number of authors, institutes, countries, and journals. The mean value of citation per publication of collaborative papers was higher than that of single country or institute publications. Collaboration trend was toward multi-authors, multi-institutes and multi-countries papers. This was coincident with the research trends of coastal eutrophication, which was thought to be a component of global change. Additionally, keywords analysis was used to indicate the formation and shift of hot research.     

A simple model for describing the concentration of 212Pb in the atmosphere

The implementation of the Comprehensive Test Ban Treaty is resulting in the construction of a world-wide system of 80 monitoring stations that will be able to detect air-borne radioactivity, not only from atomic bombs but also from other anthropogenic and natural sources. A prototype monitoring station has been operating since April 1996 in Vancouver, BC, Canada. This station provides daily reports of natural radioactivity, including 7Be and decay products of 220Rn (thoron). Data for 212Pb concentrations have been analyzed over a 6-month period. The concentration is reduced by rainfall, high wind velocity, and low temperatures and it also depends on the wind direction, but atmospheric inversions appeared to have little impact. We present a relatively simple model, which is easy to use and which offers predictive powers that can be applied to other similar environmental situations.     

Relationship between air pollution and daily mortality in a subtropical city: Taipei, Taiwan

Air pollution has been associated with daily mortality in numerous studies over the past decade. However most of these studies were conducted in the United States and Europe with relatively few done in Asia. In the current study, the association between ambient air pollution and daily mortality in Taipei, Taiwan's largest city which has a subtropical climate was undertaken, for the period 1994-1998 using a case-crossover analysis. This design is an alternative to Poisson time series regression for studying the short-term adverse health effects of air pollution. The air pollutants examined included particulate matter (PM(10)), sulfur dioxide (SO(2)), ozone (O(3)), nitrogen dioxide (NO(2)), and carbon monoxide (CO). The largest observed effect, which was without statistical significance, was seen for NO(2) and CO levels on deaths due to respiratory diseases (ORs=1.013 and 1.014, respectively). The well established link between air pollution levels and daily mortality may not be as strong in cities in subtropical areas, although other factors such as differences in pollutant mix or the underlying health of the population may explain the lack of a strong association in this study. Further studies of this type in cities with varying climates and cultures are needed.     

Effects of the aflatoxins on ATPase activities in mouse and rat liver.

The effects of the aflatoxins on ATPase activities in mouse and rat tissues were investigated in vitro. The hepatic oligomycin-sensitive (O.S.) Mg++ ATPase was inhibited significantly. The order of inhibition was G1 greater than B1 greater than G2 greater than B2. Mouse O.S. Mg++ ATPase was more sensitive than the corresponding rat enzyme. The oligomycin-insensitive (O.I.) Mg++ ATPase activities in rat and mouse liver were not altered. Although aflatoxins G1 and B1 were more potent inhibitors of hepatic O.S. Mg++ ATPase, no concentration-response was observed, whereas aflatoxins G2 and B2 inhibited enzyme activity in a concentration-dependent manner. Spectral analysis of aflatoxin G1 solutions suggested that solubility was not related to the observed effects. In addition, the effects of aflatoxin B1 and G1 on mouse brain microsomal Na+-K+ ATPase were examined. Although aflatoxin B1 was more potent that G1, both mycotoxins significantly inhibited enzyme activity in a concentration-dependent fashion.     

Potential source of asbestos in non-asbestos textile manufacturing company

Recently, a worker with lung carcinoma and a metastatic brain tumor was diagnosed as having a work-related disease. He had been employed in a non-asbestos textile company for 25 years. Consequently, to identify and explore possible causative agents for lung cancer in a non-asbestos textile manufacturing company and establish a causal relationship between exposure and lung cancer, an epidemiological investigative study was conducted and the work processes the worker was engaged in were examined. Air samples were taken from the workplace and during the drilling processes, and a suspected causative material was analyzed. The study revealed that the subject had been employed in the non-asbestos textile manufacturing company for 25 years from 1973 and his responsibilities included repairing spinning machines. In particular, the subject was involved in drilling B-bushings that were used to protect against gear abrasion in the spinning machines. An analysis of the B-bushings using a transmission electron microscope equipped with an energy dispersive X-ray analyzer indicated that they contained crocidolite asbestos fibers. Air samples obtained when drilling the B-bushings clearly indicated that the subject had most likely been exposed to crocidolite fibers when installing the B-bushings in the spinning machines. The frequency and duration of the work suggested that there would be a sufficient degree of exposure to crocidolite fibers to cause lung cancer. Except for smoking and asbestos exposure, no other chemical exposure was suspected for developing lung cancer in the workplace. Smoking appeared to be more of a potentiating risk factor in conjunction with the asbestos exposure. Accordingly, this case may provide significant evidence in identifying the cause of the mesothelioma or lung carcinoma found among workers in non-asbestos textile manufacturing companies elsewhere.     

生物补救、植物工程与人工地下水补充:对发展中国家的潜在用途与技术转让问题

在工业化国家,已经证实了生物补救、植物工程与人工地下永补充的有效性.他们对发展中世界也有巨大的使用潜力.模拟自然的发育过程,它们提供了使环境可持续的解决办法.当这些和那些技术在发展中国家应用的时候,要根据当地的实际情况考虑社会、经济和环境条件.关于技术转让和能力建设的问题,也应该量力而行.