Concentrations of inorganic elements in 20 municipal waters in Sweden before and after treatment – links to human health

The water chemistry of 20 municipal water treatment plants in southern Sweden, representing various bedrock situations, and water qualities, were investigated. Four water samples, raw and treated, were collected from each plant and analyzed by predominantly ICP-OES and ICP-MS at four occasions from June to December, 2001. The concentrations of Ca, Mg, K, Na, HCO₃ and a number of micronutrients, varied considerably in treated waters from the studied plants (ranges; Ca: 9.1–53.7 mg L⁻¹, Mg: 1.4–10.9 mg L⁻¹, K: 1.1–4.8 mg L⁻¹, Na; 5.4–75.6 mg L⁻¹, HCO₃: 27–217 mg L⁻¹). The elimination of Fe and Mn from raw water was efficient in all treatments investigated, giving concentrations in treated waters below the detection limits at some plants. Softening filters gave waters with Ca-concentrations comparable to the softest waters in this study. Adjustment of pH by use of chemicals like lye, soda or lime, modified the consumer water composition significantly, besides raising the pH. It was estimated that drinking water contributed to approximately 2.2–13% of the daily Ca uptake, if the gastrointestinal uptake efficiency from food and water was estimated to be around 50%. The corresponding figures for Mg was 1.0–7% and for F 0–59%. None of the studied elements showed any significant time trends in raw or treated waters during the follow-up period. The concentrations of potentially toxic metals such as Al, Pb and U were low and did not indicate risks for adverse health effects (ranges; Al: 0.5–2.3 μg L⁻¹, Pb: 0–0.3 μg L⁻¹, U: 0.2.5 μg L⁻¹).     

Hair element concentrations in females in one acid and one alkaline area in southern Sweden

Concentrations of 34 trace elements in hair have been determined in 47 females from an acid region in southern Sweden, who were compared with 43 females from an alkaline area. The concentrations of these elements in hair and drinking water were determined by inductively coupled plasma optical emission spectroscopy and inductively coupled plasma mass spectrometry. The hair concentrations of boron and barium were significantly higher (p < 0.001) in hair samples from the acid region, the hair levels of calcium, strontium, molybdenum, iron, and selenium were significantly higher (p < 0.001) in the alkaline region. For some metals, e.g. calcium, lead, molybdenum, and strontium, there were positive correlations between the concentrations in hair and water (rs = 0.34-0.57; p < or = 0.001), indicating the importance of intake from minerals in water. The increased ratio of selenium/mercury concentrations in hair samples obtained in the alkaline district (p < 0.001) indicates that these subjects may have better protection against the toxic effects of mercury.     

瑞典南部一酸性地区和一碱性地区女性头发中微量元素浓度问题

通过对瑞典南部一个酸性环境地区47名女性头发中34种微量元素浓度的测定,将其结果与某碱性环境地区43名女性的结果进行对比.利用感应耦合等离子光学发射光谱和感应耦合等离子质谱分析法测定头发和饮用水中这些元素的浓度.来自酸性地区的头发样本中硼和钡的浓度明显要高些(p＜0.001),而碱性地区头发样本中的钙、锶、钼、铁、硒浓度明显增高(p＜0.001).对有些金属元素,如钙、铅、钼和锶来说,其在头发中和水中的浓度是呈正相关的(r.=0.34～0.57;p≤0.001),显示了摄入水中矿物质的重要性.取自碱性地区头发样本中的硒/汞比率的增加(p＜0.001)说明这些受试者可能对汞的毒性有更好的防护.     

Factors that influence the use of safe patient transfer technique in home care service

The aim of this pilot study was to explore whether home care service personnel used knowledge and skills in transfer technique in their daily work; knowledge and skills gained by participating in training programmes, and to identify factors that may hinder and support their use. Focus group interviews were held with 2 home care service groups in 2 Swedish towns. Individual interviews were conducted with the personnel's managers, unit leaders and safety representatives. Qualitative content analysis was used. The findings revealed that the personnel tried to use their knowledge and skills. However, there were both hindering and supporting factors for the use of safe work technique. The findings indicate that training programmes in transfer technique should not be implemented as isolated actions without considering the physical environment, the wishes of persons receiving care and their relatives, the work organisation, the safety culture and the role of managers.     

Team-Based Risk Assessment and Action Plans as Participatory Methods for Safe Patient Handling in Two Swedish Municipal Care Homes for the Elderly

Objective. We investigated the usefulness of a team-based risk assessment method in patient transfer situations in municipal care homes for the elderly. Methods. Evaluation of risk assessment and action plans carried out in 2009. Focus group interviews with care givers and one-to-one interviews with managers and occupational therapists. Results. The evaluation showed that action plans and interventions were developed for each resident with identified risk connected with movement/transfer in daily life. Twenty-six patients (28%) of a total number of 94 were assigned to the “no risk” category regarding movement/transfer situations in daily life. The other 68 patients (72%) required further interventions, which were documented in action plans. The interviews indicated that the approach of team-based risk assessment and action plans was perceived as a functional participatory method aiming to improve daily life and work. Conclusion. Systematic team-based risk assessment and action plans benefit staff as well as residents at care homes for the elderly.