Hospital waste management and toxicity evaluation: a case study

Hospital waste management is an imperative environmental and public safety issue, due to the waste's infectious and hazardous character. This paper examines the existing waste strategy of a typical hospital in Greece with a bed capacity of 400-600. The segregation, collection, packaging, storage, transportation and disposal of waste were monitored and the observed problematic areas documented. The concentrations of BOD, COD and heavy metals were measured in the wastewater the hospital generated. The wastewater's toxicity was also investigated. During the study, omissions and negligence were observed at every stage of the waste management system, particularly with regard to the treatment of infectious waste. Inappropriate collection and transportation procedures for infectious waste, which jeopardized the safety of staff and patients, were recorded. However, inappropriate segregation practices were the dominant problem, which led to increased quantities of generated infectious waste and hence higher costs for their disposal. Infectious waste production was estimated using two different methods: one by weighing the incinerated waste (880 kg day(-1)) and the other by estimating the number of waste bags produced each day (650 kg day(-1)). Furthermore, measurements of the EC(50) parameter in wastewater samples revealed an increased toxicity in all samples. In addition, hazardous organic compounds were detected in wastewater samples using a gas chromatograph/mass spectrograph. Proposals recommending the application of a comprehensive hospital waste management system are presented that will ensure that any potential risks hospital wastes pose to public health and to the environment are minimized.     

Landfill leachate treatment using a rotating biological contactor and an upward-flow anaerobic sludge bed reactor

This paper describes the feasibility of an aerobic system (rotating biological contactor, RBC) and a biological anaerobic system (upward-flow anaerobic sludge bed reactor) at small scale for the treatment of a landfill leachate. In the first phase of the aerobic system study, a cyclic-batch RBC system was used to select perforated acetate discs among three different acetate disc configurations. These discs were chosen on the basis of high COD removal (65%) and biological stability. In the second phase, the RBC system (using four stages) was operated continuously at different hydraulic retention times (HRT), at different rotational speeds, and with varying organic concentrations of the influent leachate (2500-9000mgL(-1)). Forty percent of the total surface area of each perforated disc was submerged in the leachate. A COD removal of about 52% was obtained at an HRT of 24h and a rotational speed of 6rpm. For the anaerobic system, the reactor was evaluated with a volumetric organic load of 3273g-COD m(-3) day(-1) at an HRT of 54, 44, 39, 24 and 17h. At these conditions, the system reached COD removal efficiencies of 62%, 61%, 59%, 44% and 24%, respectively.     

Reusing fly ash in glass fibre reinforced cement: a new generation of high-quality GRC composites

New composite materials based on an alkali-resistant glass-fibre reinforced cement (AR-GRC) system are being developed by using fly ash (FA) produced at coal thermoelectric power plants, and fluid catalytic cracking catalyst residue (FC3R) from the petrol industry as cement replacement materials. These wastes are reactive from the pozzolanic viewpoint, and modify the nature and the microstructure of the cement matrix when a part of the Portland cement is replaced in the formulation of GRC. Several microstructural and mechanical aspects are being studied for AR-GRC systems. The behaviour of composites exposed to ageing shows that the pozzolanic activity of the ground FA added in high amounts and its mixture with the FC3R increase the flexural strength and no evidences of strength decay are observed. Additionally, the fibres due to the high alkalinity of the cementing matrix can be deteriorated. Fibres in the control (only Portland cement) and FC3R containing composites were attacked, whereas composites with FA and their mixture with FC3R show that the fibres have not been attacked, due to the pozzolanic activity of replacing materials that reduce the calcium hydroxide content in the cementing matrix.     

The impact of the 2004 tsunami on coastal Thai communities: assessing adaptive capacity

The suddenness and scale of the 26 December 2004 tsunami and the challenges posed to affected communities highlighted the benefits of their members having a capacity to confront and adapt to the consequences of such a disaster. Research into adaptive capacity or resilience has been conducted almost exclusively with Western populations. This paper describes an exploratory study of the potential of a measure of collective efficacy developed for Western populations to predict the capacity of members of a collective society, Thai citizens affected by the 2004 tsunami, to confront effectively the recovery demands associated with this disaster. Following a demonstration that this measure could predict adaptive capacity, the role of religious affiliation, ethnicity and place of residence in sustaining collective efficacy is discussed. The implications of the findings for future research on, and intervention to develop, adaptive capacity among Thai citizens in particular and collectivist societies in general are discussed.     

Unprecedented bleaching-induced mortality in Porites spp. at Rangiroa Atoll, French Polynesia

In April-May 1998, mass coral bleaching was observed in the lagoon of Rangiroa Atoll, Tuamotu Archipelago, French Polynesia. Six months later, the extent of bleaching-induced coral mortality was assessed at three sites. Corals in the fast-growing genus Pocillopora had experienced >99% mortality. Many large colonies of the slow-growing genus Porites (mean horizontal cross-sectional area 5.8 m²) had also died - a phenomenon not previously observed in French Polynesia and virtually unprecedented world-wide. At one site, 25% of colonies, or 44% of the pre-bleaching cover of living Porites, experienced whole-colony mortality. At the two other sites, recently dead Porites accounted for 41% and 82% of the pre-bleaching live cover. Mortality in Porites was negatively correlated with depth between 1.5 and 5 m. Using a 50-year dataset of mean monthly sea surface temperature (SST), derived from ship- and satellite-borne instruments, we show that bleaching occurred during a period of exceptionally high summer SST. 1998 was the first year in which mean monthly SSTs exceeded the 1961-1990 upper 95% confidence limit (29.4°C) for a period of three consecutive months. We suggest that the sustained 3-month anomaly in local summer SST was a major cause of coral mortality, but do not discount the synergistic effect of solar radiation. Recovery of the size-frequency distribution of Porites colonies to pre-bleaching levels may take at least 100 years.     

Life on glass houses: sponge stalk communities in the deep sea

Photographs of the deep-sea floor often show organisms attached to biogenic structures that protrude from the soft bottom. In particular, the stalks of glass sponges (hexactinellids) provide hard substrata and act as habitat islands for deep-sea fauna. The primary objectives of this study were to determine the abundance of glass sponge “stalks” at an abyssal station in the NE Pacific, to identify the fauna associated with stalks, and to compare the distribution patterns of epifaunal taxa both horizontally and vertically. Densities of stalks and large epifauna were estimated from analysis of ∼9 km of photographic transects taken in 1994–1995 at station M (34°45′N; 123°00′W; 4,100 m depth) off California, USA. At least 87% of the stalks were the spicule columns of live or dead hexactinellids in the genus Hyalonema (Gray, 1832). Stalks appeared to be distributed randomly across the sea floor (density: 0.13 stalks m⁻²). A colonial zoanthid, Epizoanthus stellaris (Hertwig, 1888), inhabited 20% of the stalks and was the most commonly observed epifaunal organism, followed by other suspension feeders that generally were situated at the top of the structures. Thirty-five stalk communities were collected in tube cores in 1994–1995 using the submersible “Alvin”. A total of 139 taxa was associated with these hard-substratum habitats (another five species were observed only in photographs). Although taxon richness was high, the species diversity of these communities was relatively low due to the dominance in percentage abundance of a foraminiferan, Cibicides lobatulus (Walker and Jakob, 1798), and a serpulid polychaete, Bathyvermilia sp. (Zibrowius, 1973). The relationship between number of taxa and surface area of the stalks yielded a slope (z-value) typical of islands with a low rate of immigration. Three-dimensional complexity created by branching epifauna on the stalks provided more surface area and a variety of cryptic microhabitats. Vertical zonation on the stalks appeared to be controlled by biological interactions among species, with solitary fauna and certain functional groups of colonial organisms restricted by sheet-like colonial organisms that appeared to be dominant space competitors. Received: 13 April 2000 / Accepted: 9 November 2000     

Chromosomal evolution in Mugilidae: karyotype characterization of Liza saliens and comparative localization of major and minor ribosomal genes in the six Mediterranean mullets

This study continues a comparative cytogenetic analysis of the fish family Mugilidae, reporting the karyotype characterization of the leaping mullet, Liza saliens, by C-banding, Ag- and fluorochrome-staining, and completing the fluorescence in situ hybridization (FISH)-mapping of the 18S and 5S rRNA genes (rDNA) to the chromosomes of the six Mediterranean mullets, namely L. saliens, L. ramada, L. aurata, Mugil cephalus, Chelon labrosus and Oedalechilus labeo. In all species, except M. cephalus, the 5S rDNA sites were localized on a medium-sized acrocentric chromosome pair, which was considered homeologous in all of them. In L. saliens, an additional 5S rDNA site was detected in a location close to the one shown by major ribosomal genes in M. cephalus, i.e. the subtelomeric region of chromosome pair 1. The 5S rDNA site in M. cephalus is located on the smallest chromosome pair of the complement, which, on the other hand, though on a different position, bears 18S rDNA in all the species of Liza and Chelon examined. The heterochromatin composition and the major and minor ribosomal gene locations suggest that the karyotype of L. saliens (subgenus Protomugil) can be considered intermediate between the karyotype of the more primitive M. cephalus and those of the other Liza (subgenus Liza) species and of the representatives of the more derived genera Chelon and Oedalechilus.     

Phylogenetic relationships within the Octocorallia (Cnidaria: Anthozoa) based on nuclear 18S rRNA sequences

We determined the nuclear 18S rRNA sequences for 41 species of octocorals and used these to address the validity of the historical ordinal divisions and the current subordinal divisions within the subclass Octocorallia. We also explored the phylogenetic affinities of the species Dendrobrachia paucispina, which was originally classified in the order Antipatharia (subclass Ceriantipatharia) although polyp structure indicates it belongs in the subclass Octocorallia. Trees constructed using maximum likelihood techniques are incongruent with the current and historical taxonomy of the Octocorallia. There appeared to be three major clades of octocorals. The first clade included most, but not all, pennatulaceans as a monophyletic group. The second clade contained 21 species, representing all major octocoral groups other than pennatulaceans. The third clade contained members from three suborders of the Alcyonacea and one member of the Pennatulacea. These data could not be used to distinguish the branching order of the three major clades. The species D. paucispina had a close affinity with the genera Corallium and Paragorgia (Alcyonacea: Scleraxonia), although its morphology suggests it is more similar to the genus Chrysogorgia (Alcyonacea: Calcaxonia). The morphological character of dimorphism (the presence of both autozooids and siphonozooids within a single colony) corresponded loosely with the topology of the most likely trees, and a single origin of dimorphism could not be rejected. Despite sampling from the majority of families within the Octocorallia, many of the relationships within this group remain ambiguous. Received: 16 June 2000 / Accepted: 14 September 2000     

Predicting the Risk of Extinction through Hybridization

Abstract: Natural hybridization threatens a substantial number of plant and animal species with extinction, but extinction risk has been difficult to evaluate in the absence of a quantitative assessment of risk factors. We investigated a number of ecological parameters likely to affect extinction risk, through an individual-based model simulating the life cycle of two hybridizing annual plant species. All parameters tested, ranging from population size to variance in pollen-tube growth rates, affected extinction risk. The sensitivity of each parameter varied dramatically across parameter sets, but, overall, the competitive ability, initial frequency, and selfing rate of the native taxon had the strongest effect on extinction. In addition, prezygotic reproductive barriers had a stronger influence on extinction rates than did postzygotic barriers. A stable hybrid zone was possible only when habitat differentiation was included in the model. When there was no habitat differentiation, either one of the parental species or the hybrids eventually displaced the other two taxa. The simulations demonstrated that hybridization is perhaps the most rapidly acting genetic threat to endangered species, with extinction often taking place in less than five generations. The simulation model was also applied to naturally hybridizing species pairs for which considerable genetic and ecological information is available. The predictions from these "worked examples" are in close agreement with observed outcomes and further suggest that an endemic cordgrass species is threatened by hybridization. These simulations provide guidance concerning the kinds of data required to evaluate extinction risk and possible conservation strategies.     

A new method for municipal solid waste incinerator (MSWI) fly ash inertization, based on colloidal silica

Municipal solid waste incineration (MSWI) is a straightforward way to manage waste, however the disposal of process byproducts, mainly bottom and fly ash, is still a problem, because of their hazardous contents. Fly ash is a byproduct of many other processes that involve combustion to produce energy. In this paper we present and discuss a new method for MSWI fly ash inertization, mainly based on the use of colloidal silica as a stabilization agent for metals. In the patented procedure, fly ash of different provenance can be used to produce an inert and non-hazardous material, that can be reused. In fact to make the recovery process more efficient, landfilling should be totally avoided. For this reason, to enhance the possibility of reuse, a washing process, for salts recovery, is proposed as a final step of the inertization procedure. The obtained inert material is called COSMOS (COlloidal Silica Medium to Obtain Safe inert), and it is composed of calcium carbonate, calcium sulfate, silicon oxide and a wide quantity of non-soluble amorphous compounds. COSMOS does not contain any corrosive salts. This makes it extremely interesting for cement industry applications with several other advantages, and environmental benefits. The new proposed inertization procedure appears very promising, because it allows MSWI fly ash to be considered a valuable resource. Thanks to the obtained results, a demonstration project, in the frame of LIFE+, has been funded by the European Commission (LIFE+ 2008 project ENV/IT/000434, ).