WorldWideScience

Sample records for sanitary risks due

  1. Usage of risk management system for improvement of sanitary-epidemiological control and surveillance

    Directory of Open Access Journals (Sweden)

    A. O. Karelin

    2015-01-01

    Full Text Available The article reviewsthe possibility to work out and introduce risk-oriented model for control and surveillance in the field of the sanitary-epidemiological well-being of the population in the Russian Federation. In implementation of risk-oriented approaches, choice of a model is of importance. If the static model is the starting one, then in the future, the dynamic model will be the most promising allowing for assessment of stability of the sanitary-epidemiologic situation in time. Introduction and development of risk-oriented models for control and surveillance is the actual objective at realization of sanitary-epidemiological control (surveillance . It is necessary to work out and harmonize concept, procedural apparatus, and scientific and methodological support of risk-oriented control and surveillance on the base of the best world patterns and standards.

  2. Sanitary effects of fossil fuels; Effets sanitaires des combustibles fossiles

    Energy Technology Data Exchange (ETDEWEB)

    Nifenecker, H. [Centre National de la Recherche Scientifique (IN2P3/CNRS), 38 - Grenoble (France)

    2006-07-01

    In this compilation are studied the sanitary effects of fossil fuels, behavioral and environmental sanitary risks. The risks in connection with the production, the transport and the distribution(casting) are also approached for the oil(petroleum), the gas and the coal. Accidents in the home are evoked. The risks due to the atmospheric pollution are seen through the components of the atmospheric pollution as well as the sanitary effects of this pollution. (N.C.)

  3. The weeding of Ambrosia artemisiifolia and sanitary risks.

    Science.gov (United States)

    Zicari, Giuseppe; Soardo, Vincenzo; Rivetti, Daniela; Cerrato, Elena; Russo, Domenico

    2013-01-01

    Ambrosia artemisiifolia is a potentially allergenic annual herbaceous plant coming from North America and widespread in Italy, where it can be easily seen since May-April. Its pollination is mainly windborne and each plant is able to produce billions of pollen grains. The pollen peaks are in the hottest days in the absence of rain and wind. In susceptible individuals, the great amount of pollen produced by this species may cause rhinitis and severe asthma attacks. Some allergic subjects can manifest disorders already at a concentration of a few granules per cubic metre. Chemical control is often practiced on a large scale and uses herbicides. A major risk is the result of the unprofessional use of chemicals by the population, especially in residential or very busy areas (eg railways, urban areas). In this paper we propose preventive measures of chemical hazards that may be resulting from the excessive use of plant protection products.

  4. Sanitary risk analysis for farm workers exposed to environmental pollutants

    Directory of Open Access Journals (Sweden)

    Simone Pascuzzi

    2013-03-01

    Full Text Available In Italy, a large number of agricultural areas are contaminated by organic and inorganic polluting substances. In such areas, the agricultural operators come into contact with the environmental contaminants through inhalation and dermic contact with dusts and vapour, and this exposure can potentially alter the biological equilibrium with consequent poisonings and/or work-related illness. The aim of this paper is to apply a methodological procedure for the numerical evaluation of the health risk for agricultural employees operating in open fields or inside greenhouses located in areas contaminated with organic pollutants. This procedure is in response to the lack of calculation models concerning these types of environment and agricultural activities. As a case study, this methodology has been applied to an agricultural area of southern Italy characterised by the presence of pollutants. The results underline that in this area there is a smaller concentration of pollutants in open field cultivations than inside greenhouses owing to a phenomenon of dispersion into the atmosphere. This numeric analysis will later be verified by measurements carried out in situ in order to evaluate the real situation on the ground.

  5. On the development of the system of risk-based supervision in the field of sanitary and epidemiological welfare of the population and consumer protection

    Directory of Open Access Journals (Sweden)

    A.Y. Popova

    2015-12-01

    Full Text Available In order to fulfill the legal requirements for the transition to the new risk-based model of the state control (supervision in the Federal Service for Consumer Rights Protection and Human Welfare, the methodical approaches to the classification of economic entities and activities of potential risk of injury have been developed. The risk assessment takes into account the frequency of violations of sanitary legislation, the severity of the consequences of these violations for the health and extent of negative effects, which is estimated in terms of population under the influence of the economic entity. Algorithms and methods for calculating the exposed population: workers, consumers, including consumer food products, non-food products and services; residents of settlements under the negative impact of air pollution, water and soil, have been developed. Regional and federal registries of objects for sanitary and epidemiological supervision are formed. Testing of the risk-based approaches in the regions allowed excluding the low risk harm objects when forming the audit plans for 2016, due to what the number of planned inspections all over country was reduces by more than 20 %. The basic directions of further improvement of the risk-based model of sanitary and epidemiological surveillance: its extension to the system of technical regulation and consumer protection; scientific substantiation of its volume, content and laboratory support of the scheduled inspections of objects belonging to different classes of health risk; improving procedures and methods for evaluating the effectiveness and efficiency of risk-based supervisory activities; creation of an effective system of risk communication between the sanitary and epidemiological surveillance, economic entities, public organizations and associations and civil society.

  6. [Hygiene-sanitary risks associated with dentistry in the city of Milan. Questionnaire-based survey].

    Science.gov (United States)

    Galli, M G; Tesauro, M; Consonni, M

    2000-06-01

    Aim of this investigation is to identify possible sanitary risks connected with the practice of dentistry and to draw up guidelines which may help all those who work in this field. Between April and July 1998, we distributed 231 questionnaires to public and private dental offices in Milan, to evaluate dentists' knowledge of sanitary risks in their practices. One hundred and sixteen of the 231 distributed questionnaires were returned. All the dentists contacted, used protective measures such as gloves, masks, glasses, and high-speed aspirators. Survey responses indicated that the most readily transmittable infectious diseases in dentist's practices are, in order of importance, hepatitis, AIDS, airborne diseases, and herpes. Surgery, endodontics, and the use of sharp instruments most likely lead to transmission of pathogens in both patients and dentists. Dentist's knowledge of out-patient treatment is good whereas their knowledge of the use of disinfectants for dental equipment is poor. The latter suggests the utility of continuing education in this critical aspect of the practice of dentistry.

  7. Evaluation of sanitary impact of environmental pollution and quantitative evaluation of sanitary risks; Estimation de l'impact sanitaire d'une pollution environnementale et evaluation quantitative des risques sanitaires

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-09-15

    The calculation of a sanitary impact present a great interest at the decision level for the decision-makers and the whole of concerned actors. It constitutes a first step to organize a social debate around the risk acceptance, to analyze the feasibility of an inquiry or an epidemiological surveillance or to proportion an activity leading to pollutants emission in natural medium. Several conclusions are brought out: it is justified to estimate a sanitary impact from a sanitary risk excess, especially coming from animal tissue. It is conceivable to go beyond an estimation of the only individual risk and to calculate a number of cases in excess in the concerned population. The working group underlines that the characteristics of the situation are the determining factor to give the type of response to bring. The effective of the population is an important element and a situation has not to be underestimated because of the size at the pretext that the excess calculation leads to a number of cases inferior to one leading to believe that the impact is minor or negligible while the individual probability is high. The sanitary impact, expressed by the number of cancer cases in excess in an exposed population is quantified from the average value of excess of sanitary risk multiplied by the population effective, and expressed with a confidence interval. The sanitary impact can be expressed under the form of a percentage of the population present in the exposure area and goes past the comparison marks usually pointed up. This practice must be cheered. An analysis of uncertainties must be made as often as possible. (N.C.)

  8. Social life and sanitary risks: evolutionary and current ecological conditions determine waste management in leaf-cutting ants

    Science.gov (United States)

    Farji-Brener, Alejandro G.; Elizalde, Luciana; Amador-Vargas, Sabrina

    2016-01-01

    Adequate waste management is vital for the success of social life, because waste accumulation increases sanitary risks in dense societies. We explored why different leaf-cutting ants (LCA) species locate their waste in internal nest chambers or external piles, including ecological context and accounting for phylogenetic relations. We propose that waste location depends on whether the environmental conditions enhance or reduce the risk of infection. We obtained the geographical range, habitat and refuse location of LCA from published literature, and experimentally determined whether pathogens on ant waste survived to the high soil temperatures typical of xeric habitats. The habitat of the LCA determined waste location after phylogenetic correction: species with external waste piles mainly occur in xeric environments, whereas those with internal waste chambers mainly inhabit more humid habitats. The ancestral reconstruction suggests that dumping waste externally is less derived than digging waste nest chambers. Empirical results showed that high soil surface temperatures reduce pathogen prevalence from LCA waste. We proposed that LCA living in environments unfavourable for pathogens (i.e. xeric habitats) avoid digging costs by dumping the refuse above ground. Conversely, in environments suitable for pathogens, LCA species prevent the spread of diseases by storing waste underground, presumably, a behaviour that contributed to the colonization of humid habitats. These results highlight the adaptation of organisms to the hygienic challenges of social living, and illustrate how sanitary behaviours can result from a combination of evolutionary history and current environmental conditions. PMID:27226469

  9. [Risk assessment of work related stress: examination and operative difficulties in sanitary field].

    Science.gov (United States)

    Garofano, G; Piscina, G; Fantasia, D; Bologna, I; Murri, G; Tobia, L; Paoletti, A

    2012-01-01

    Work related stress can highly negatively affect not only company's productivity but also other aspects causing increased costs for absenteeism, increased number of work accident and near miss, higher turnover, reduced quality of products and services, reduced capability of renewal, and so on. In agreement with the Italian legislative decree 81/08 we evaluated stress level of workers of three different sanitary structures located in the middle of Italy. 305 workers (physicians, nurses, technicians, auxiliary nurse, white collars) were submitted to a questionnaire designed by our team of work. The sector reporting higher stress level was represented by nurses, the sector with lower stress level was made of technicians. We proposed a set of measures aiming to reduce the load of stress based on the assumption that in this sector is fundamental to develop strategies of intervention both at organizational and individual level.

  10. Irregularidades sanitárias como marcador de risco à saúde: um desafio para a vigilância sanitária / Sanitary Disparities as risks markers health: a challenge to sanitary surveillance

    Directory of Open Access Journals (Sweden)

    Fernanda Pini Freitas

    2013-02-01

    Full Text Available O estudo, de caráter exploratório, do tipo levantamento retrospectivo, objetivou identifi car as irregularidades sanitárias nos estabelecimentos e equipamentos de assistência de alta complexidade e de interesse à saúde do município de Franca-SP, registradas no Sistema de Informação em Vigilância Sanitária, no período de agosto de 2008 a julho de 2009, como marcador de risco à saúde. Do total de 186 serviços, 59 (31,72% apresentaram irregularidades sanitárias, categorizadas em nove eixos: documentação, estrutura física, recursos humanos, qualidade de produtos, manutenção preventiva de equipamentos, processo de esterilização, resíduos de saúde, higienização do ambiente e equipamento de proteção individual; e 164 (88,17% apresentaram condições de baixo risco, 21 (11,29% de médio e um serviço apresentou risco alto. Os resultados demonstram que as irregularidades sanitárias podem comprometer a qualidade do serviço ou do produto oferecido e gerar riscos à saúde dos usuários, consumidores e trabalhadores. ---------------------------------------------------------------------------------------- This study, as an exploratory one, retrospective survey-type, aimed to identify the sanitary disparities in the high complexity facilities and assistance tools and concerned to Franca – SP heath, registered in the Sanitary Surveillance Information System, in August 2008 to July 2009 as risks markers to health. From the amount of 186 services, 58 (31,72% presented sanitary disparities, categorized into nine axes: documentation, physical frames, human resources, products qualities, tool’s preventive maintenance, sterilization process. Health waste, environment hygiene and individual protection equipments, 164 (88, 17% presented a law risk condition, 21 (11,29% are average, and only one presented a high risk level. Results shows that such sanitary disparities may comprise the service or the offered product quality and

  11. Wastes and health: representation of sanitary risks linked to wastes and to their processing modes; Dechets et sante: representations des risques sanitaires lies aux dechets et a leurs modes de traitement

    Energy Technology Data Exchange (ETDEWEB)

    Lhuilier, D.; Cochin, Y.

    1999-10-01

    This research has for objective the analysis of perception of sanitary risks in relation with wastes and the waste processing facilities. This work in at the intersection of the sociological study and the psychologic one. (N.C.)

  12. Sanitary Risks Connected to the Consumption of Infusion from Senna rotundifolia L. Contaminated with Lead and Cadmium in Cotonou (Benin

    Directory of Open Access Journals (Sweden)

    S. A. Montcho

    2014-01-01

    Full Text Available This study carried out an assessment of sanitary risks connected to the consumption of Senna rotundifolia Linn. contaminated with lead and cadmium. This plant was collected and analyzed by atomic absorption spectrophotometry. The results revealed a contamination of plants from markets of Dantokpa, Vossa, and Godomey with heavy metals. Senna from Vossa was higher in cadmium and lead levels (Pb: 2.733 mg/kg ± 0.356 mg/kg; Cd: 0.58 mg/kg ± 0.044 mg/kg compared to the two other places (Pb: 1.825 mg/kg ± 0.133 mg/kg, Cd: 0.062 mg/kg ± 0.015 mg/kg and Pb: 1.902 mg/kg ± 0.265 mg/kg, Cd: 0.328 mg/kg ± 0.024 mg/kg, respectively, for Dantokpa and Godomey. In terms of risk assessment through the consumption of Senna, the values recorded for lead were nine times higher with children and six times higher with adults than the daily permissive intake (Pb: 3.376 × 10−2 mg/kg/day for children and 2.105 × 10−2 mg/kg/day for adults versus 3.6 × 10−3 mg/kg/day for DPI. With respect to cadmium, there was no significant difference between the recorded values and the DPI (Cd: 1 × 14 10−3 mg/ kg/day for children and Cd: 0.71 × 10−3 mg/ kg/day for adults versus Cd: 1 × 10−3 mg/kg/day for adults. This exposure of the population to lead and cadmium through the consumption of antimalarial healing plants could pose public health problems.

  13. Erika: evaluation of residual sanitary risks linked to the beaches-going after cleaning-up; Erika: evaluation des risques sanitaires residuels lies a la frequentation des plages apres depollution

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-07-01

    The aim of this study is to evaluate the sanitary risks for the populations frequenting the coast beaches affected by the fuel oils of the tanker Erika, after their cleaning up. This quantitative evaluation of sanitary risks is led according to a protocol developed jointly between the two institutes ( the national institute of industrial environment and risks, I.N.E.R.I.S., and the national institute of sanitary watch I.n.V.S.). It does not give the risks in function the residual pollution level of concerned beaches but supplies to the authorities elements of scientific information in order to allow them to choose criteria appropriate for the management of eventual residual risks. (N.C.)

  14. Evaluation of the sanitary and environmental risks resulting from the Erika sinking and from the coasts cleaning operations; Evaluation des risques sanitaires et environnementaux resultant du naufrage de l'ERIKA et des operations de nettoyage des cotes

    Energy Technology Data Exchange (ETDEWEB)

    Cicolella, A

    2000-03-15

    This synthesis presents the methodology of the risks evaluation and of the INERIS report, the products analysis, general data on polycyclic aromatic hydrocarbons, the exposure evaluation, the sanitary impact evaluation for the polycyclic organic hydrocarbons and volatile organic compounds and the evaluation of ecological risks. (A.L.B.)

  15. [METHODICAL APPROACHES, EXPERIENCE AND PERSPECTIVES OF THE IMPLEMENTATION OF THE RISK MODEL OF SURVEILLANCE ACTIVITIES IN THE SPHERE OF THE ASSURANCE OF SANITARY AND EPIDEMIOLOGICAL WELFARE OF POPULATION, POPULATION'S HEALTH RISK MANAGEMENT AND THE CONSUMER RIGHTS PROTECTION].

    Science.gov (United States)

    Gurvich, V B; Kuz'min, S V; Dikonskaia, O V; Gileva, M A; Boiarskiĭ, A P

    2015-01-01

    Control and supervision measures--one of the main technologies of Federal Service for Supervision of Consumer Rights protection and Human Welfare in the overall system of risk management for public health and damage to property consumers, aimed at the solution of the prior tasks in the field of assurance of the sanitary and epidemiological welfare of the population and consumer rights protection. The effectiveness of this technology depends on the correct choice of priority objects of supervision, which form the main problems in the sanitary and epidemiological situation and in the consumer market. The application of is approach has led to more effective oversight activity and the improvement of a number of indices characterizing the achievement of the objectives in the common system of risk management for public health and property of consumers.

  16. The sanitary approach: risk assessment according to the usable drainage techniques; L'approche sanitaire: evaluation des risques selon les techniques d'evacuation utilisables

    Energy Technology Data Exchange (ETDEWEB)

    Mouthon, G. [Ecole Nationale Veterinaire d' Alfort, 94 - Maison-Alfort (France)

    2003-02-01

    Sludges are by-products of waste water processing facilities. These sludges contain organic matter which can be valorized in agriculture, but they also contain microorganisms (parasites, bacteria, viruses, prions, dioxines), noxious compounds like heavy metals and persistent organic micro-pollutants. Valorization processes are developed to reduce the sanitary and environmental risks of sludges which are reviewed in this article: metal micro-pollutants (origin, physico-chemical state, transfer in the soil, accumulation in plants and soils, remobilization by erosion, French legislation about trace elements content); organic micro-pollutants (nature, public health risks, transfer in plants and environments, regulation); pathogenic microorganisms in sludges (content, abatement by spreading); valorization of urban and industrial sludges (disposal, spreading in agriculture, heavy metals elimination using Ondeo's 'Metix' process, incineration and valorization of combustion products); other valorization ways (biogas production, use as fuel for cement plants, phosphorous extraction). (J.S.)

  17. Sanitary risks related to the installation of hydroelectric turbines on drinking water networks; Hydroelectricite: les risques sanitaires pour l'adduction d'eau

    Energy Technology Data Exchange (ETDEWEB)

    Novelli, A. [Agence Francaise de Securite Sanitaire des Aliments - AFSSA, DERNS - Unite d' Evaluation des Risques Lies a l' Eau - UERE, 94 - Maisons Alfort (France); Montiel, A.; Cabillic, P.J.; Fourrier, P.; Levi, Y.; Potelon, J.L.; Welte, B. [Comite d' Experts Specialise Eaux de l' AFSSA, 94 - Maisons Alfort (France); Fourrier, P. [Autorite de Surete Nucleaire 75 - Paris (France); Levi, Y. [Paris-11 Univ., Faculte de Pharmacie, Lab. Sante Publique Environnement, 91 - Orsay (France); Potelon, J.L. [Ecole des Hautes Etudes de Sante Publique - EHESP, 35 - Rennes (France); Welte, B. [Eau de Paris, 75 (France)

    2010-11-15

    With the notion of sustainable development gaining ground, practices aimed at saving water and energy are more and more frequent, particularly the installation of hydroelectric turbine on drinking water networks. It is essential in this case that the water quality should not be deteriorated, and the water supply for consumption and fire protection has to be prioritized over energy production. Thus, a sanitary risk assessment must be done and actions to control the described critical points have to be taken. The installation of a turbine is an additional risk whereas it is not necessary for drinking water production and distribution. As a consequence, a quality management system including the turbine and additional quality water monitoring should be carried out. (authors)

  18. DEP Reported Sanitary Sewer Overflows

    Data.gov (United States)

    Montgomery County of Maryland — Sanitary sewer overflows reported to the Department of Environmental Protection by the Washington Suburban Sanitary Commission or individuals in the County. Update...

  19. Health risks due to coffee dust.

    Science.gov (United States)

    Oldenburg, Marcus; Bittner, Cordula; Baur, Xaver

    2009-08-01

    This study assessed current health risks due to occupational exposure to coffee dust. We performed a cross-sectional study in a coffee haulage company (n = 24), a coffee silo (n = 19), and a decaffeinating company (n = 17). Cross-shift and cross-week case histories of these employees as well as lung function values were recorded. During the handling of green coffee, measurements of airborne dust were conducted. The employees in these workplaces were mainly affected by erythematous and rhinoconjunctival symptoms. They occurred especially in subjects exposed to a high dust load (> 10 mg of inhalable dust per cubic meter of air; n = 28) [Pearson chi(2) test, p = 0.020 and p = 0.023]. IgE antibodies to green coffee and castor beans were detected in 3 workers and 10 workers, respectively. The majority of them (two employees and six employees, respectively) had shown respiratory symptoms during the past 12 months. The preshift lung function values were below average but were not dependent on the level of the inhalable coffee dust exposure. Employees with a coffee dust load > 10 mg/m(3) of air showed higher unspecific bronchial responsiveness more frequently than those with lower exposures. During the transshipment (especially during unloading) of green coffee, a high and clinically relevant exposure to irritative and sensitizing dust occurs. Therefore, efforts to reduce these dust exposures are generally recommended.

  20. [The risk of infectious morbidity among population under the pollution of the sanitary protective and recreation areas of water consumption in the city of Krasnodar].

    Science.gov (United States)

    Petruchuk, O E; Shchepin, V O; Bedrin, A V

    2007-01-01

    The probability of development of public health derangements among population due to the anthropogenic pollution of the environment in the most cases depends on specific public, social economic and other characteristics of the community on the investigated territory. In the article the data related to the infectious morbidity developed because of water factor and due to the pollution of the soil and water in the sanitary protective and recreation areas of water consumption in the city of Krasnodar is presented. The mentioned recommendations include the organizational and medical preventive measures targeted to the optimization of the industrial and domestic water consumption and to the elimination the causes of the pollution of drinking water with xenobiotics in the centralized water supply system.

  1. [Sanitary and epidemiological supply for the Russian Army during the First World War (1914-1918)].

    Science.gov (United States)

    gorelova, L E; Loktev, A E

    2014-02-01

    At the beginning of the First World War the most typical diseases in the Russian Army were typhoid, typhus, diphtheria, cholera, smallpox and other infectious diseases. At the beginning of the First World War the level of infectious morbidity was significantly low, but further increased and pandemic risk arose. Servicemen were mostly ill with typhus, relapsing fever, flux, cholera, smallpox and typhoid. The highest mortality rate was registered in patients with cholera, typhus and typhoid. According the prewar deployment program of the Russian Army anti-epidemiologic facilities were established. By the end of war were established 110 sanitary-and-hygienic and 90 disinfection units. However, organization of anti-epidemiologic security was unsatisfactory. Due to lack of specialists and equipment anti-epidemiologic facilities of units were under strength. Commanders of sanitary units and sanitary service had not enough resources for operational service in the Forces and facilities of rear area.

  2. Occupational health risks due to shipboard cockroaches.

    Science.gov (United States)

    Oldenburg, Marcus; Latza, Ute; Baur, Xaver

    2008-05-01

    In various investigated populations, sensitization to cockroaches was observed in 8% of screened subjects from temperate climatic zones and in 36% of those from tropical zones. Because of the numerous hiding places and food storages aboard a ship the crews can be highly exposed to cockroaches. The aim of this study is to assess the prevalence of sensitization to cockroaches and potentially associated health risks in seafarers. In July 2005, a total of 145 seamen sailing under the German flag were recruited from a medical surveillance program for a cross-sectional study (response 95.4%). A standardized interview and a skin prick test (SPT) with nine common inhalant allergens and a cockroach extract (Blatella germanica) were performed. In cockroach-sensitized seafarers total and cockroach-specific IgE was measured and lung function tests conducted. In total, 39 seamen (26.9%) were cockroach-sensitized according to SPT results. Presence of cockroach sensitization in seamen from the tropical zone (37.3%) was significantly higher than in seamen from the temperate zone (21.3%) (odds ratio 2.20, 95% confidence interval 1.04-4.66). The prevalence of sensitization to any of the other nine common allergen mixtures tested was lower (between 2.1 and 12.4%). Neither current or past cockroach exposure on board nor cumulative cockroach exposure and time since last cockroach exposure were associated with cockroach sensitization. Among cockroach SPT-positive seamen, cockroach-specific IgE was detected in 52.8%. Five out of 37 (13.5%) SPT-positive seamen exhibited an obstructive ventilation pattern. The prevalence of work-related atopic symptoms was 9.0% (n = 13). These symptoms were not related to cockroach sensitization. The high prevalence of sensitization to cockroaches among seamen in the presented study emphasizes the strong sensitization potency of these insects. Longitudinal studies and bronchial cockroach challenge tests are necessary to assess the clinical relevance of

  3. [Construction of the Brazilian Sanitary Surveillance System: arguments to debate].

    Science.gov (United States)

    De Seta, Marismary Horsth; Dain, Sulamis

    2010-11-01

    This paper analyzes the Brazilian Sanitary Surveillance System as an arrangement aimed at regulating and reducing health risks associated with consumption of products, use of health services and the environment. Historical, political and tax aspects were considered and their development compared with the National Health Surveillance System, which has received strong international cooperation. The comparison was based on the trajectory of their national systems and related federal agencies, as well as on criteria adopted for decentralization. The central category of analysis is federative coordination and was based on the framework of federalism and intergovernmental relations. The institutional context of health and sanitary surveillance presents strong political competition, instability in the project and probable reduction of the ability of federal coordination after the Pact for Health. The National Sanitary Surveillance System due to its nature of public good and high externality in its field of action requires federal coordination for increasing the regional and local cooperation, also because of the structural heterogeneity of Brazilian municipalities.

  4. Sensitivity analysis of the leaching rate parameter in assessing the environmental risk of phosphogypsum application in sanitary landfills

    Energy Technology Data Exchange (ETDEWEB)

    Marchesi, Marcos Vinicius A.; Hama, Naruhiko; Jacomino, Vanusa M.F.; Ladeira, Ana Claudia Q.; Cota, Stela D.S., E-mail: mvmarchesi@hotmail.com, E-mail: sdsc@cdtn.br, E-mail: vmfj@cdtn.br, E-mail: ana.ladeira@cdtn.br, E-mail: naruhikohama@hotmail.com [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil)

    2013-07-01

    The attack with sulfuric acid to phosphate rock produces both phosphoric acid, basic raw material in the manufacture of fertilizers, as a by-product called phosphogypsum. Phosphogypsum is composed mostly of calcium sulfate dihydrated, but may have high levels of impurities from the phosphate rock matrix as a series of natural radionuclides, and heavy metals (e.g. Cd, Zn) and metalloids (e.g. , As and Se). Although it is used for agricultural purposes and more recently in construction, in Brazil the generation rate estimated at six million tons per year is much higher than the amount spent on existing alternatives, and therefore mostly deposited in piles in the same place production, causing thereby the risk of contamination of soil and water resources of the region and providing risk to human health. Taken into account the need to find alternative arrangements for phosphogypsum and reduce the impact generated by its contaminants, this study aims to analyze the sensitivity of the leaching rate parameter in the environmental risk evaluation of the application of phosphogypsum in landfills through mathematical modeling, where it is evaluated the concentration of heavy metals and radionuclides in the layer of the soil under the clay layer of the landfill.

  5. [Safety and electromagnetic compatibility in sanitary field].

    Science.gov (United States)

    Bini, M; Feroldi, P; Ferri, C; Ignesti, A; Olmi, R; Priori, S; Riminesi, C; Tobia, L

    2012-01-01

    In sanitary field and especially in a hospital, multiple sources of non ionizing radiation are used for diagnostic and therapeutic aims. In sanitary sector both workers and users are present at the same time, and in some cases general population could need higher protection than workers in relationship to the exposition to electromagnetic fields. In order to protect health and safety of patients, general population and workers of hospitals and with the aim to identify, analyze, evaluate and study its level of significance, electrical, magnetic and electromagnetic sources Research Italian project Si.C.E.O. (Safety And Electromagnetic Compatibility In Sanitary Field) was instituted. Target of our research project was to deepen risk of exposition elements with analysis of outdoor (e.g. power lines, transmission cabinets) and indoor (e.g. equipment for physical therapy) sources, located in sanitary structures and to verify the level exposition of workers and common population end the respect of specific regulation, and finally to define technical and organizational measures really useful for protection and reduction of risk.

  6. [Cardiovascular risk and cardiovascular events in the general population of the sanitary area of Toledo. RICARTO Study].

    Science.gov (United States)

    Rodríguez-Roca, G C; Rodríguez-Padial, L; Alonso-Moreno, F J; Segura-Fragoso, A; Villarín-Castro, A; Rodríguez-García, M L; Menchén-Herreros, A; Rojas-Martelo, G A; Fernández-Conde, J A; Artigao-Rodenas, L M; Carbayo-Herencia, J A; Escobar-Cervantes, C; Hernández-Moreno, J; Fernández-Martín, J

    2017-05-26

    The main aim of this study is to ascertain the prevalence of cardiovascular risk factors (CVRF), target organ damage (TOD), cardiovascular disease (CVD), as well as life habits (physical exercise, alcohol consumption, and Mediterranean diet) in the population of a Health Area in Toledo, Spain, to assess cardiovascular risk (CVR). Epidemiological and observational study that will analyse a sample from the general population aged 18 years or older, randomly selected from a database of health cards, and stratified by age and gender. Clinical history, physical examination, and complementary tests will be performed. Aliquots of whole blood and serum samples will be stored at a temperature of-85°C to evaluate future genetic studies. CVR will be estimated by using SCORE project scales calibrated for Spanish population and the Framingham Heart Study scale. When the estimated sample size has been achieved and after a minimum follow-up of 5 years, a final visit will performed in which CVRF, TOD, CVD, CVRF control, and fatal and non-fatal outcomes will be evaluated. The RICARTO study is aimed to assess the prevalence of the main CVRF, TOD and CVD in order to determine the CVR in the general population of a health area of Toledo. An analysis will be repeated on the final sample after at least 5 years of follow-up to ascertain the incidence of CV outcomes and the temporal trends of life style, as well as the prevalence of CVRF, TOD, and CVD. Copyright © 2017 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.

  7. Diabetes Drug Gets FDA Warning Due to Amputation Risk

    Science.gov (United States)

    ... html Diabetes Drug Gets FDA Warning Due to Amputation Risk Canagliflozin tied to a doubling of amputations of legs, feet, agency says To use the ... to increase the risk of leg and foot amputations, the U.S. Food and Drug Administration says. The ...

  8. Design of self-cleansing sanitary sewer systems with the use of flushing devices.

    Science.gov (United States)

    Goormans, T; Engelen, D; Bouteligier, R; Willems, P; Berlamont, J

    2009-01-01

    Many European countries tend to shift from constructing combined sewer systems to separate ones, in order to optimise wastewater treatment efficiency and reduce CSO impact on surface waters. An economic design minimises maintenance requirements by aiming at self-cleansing pipes. However, providing the necessary slopes for self-cleansing sanitary sewer pipes often is unfeasible in flat regions, resulting in an increased risk of loss of hydraulic capacity or blocking. To reduce these risks, flushing tanks can be installed in the sewer system. Where most other researchers contribute to a better understanding of the hydraulics of flushing, this paper rather tries to formulate a methodology to design and test flushing devices in sanitary sewer systems using standards and hydrodynamic simulations. Therefore, several aspects that require consideration when incorporating flushing devices into a sanitary sewer system are discussed. For instance, when flushing sanitary sewers the increase in discharge has to be explicitly considered. A Belgian case study is used to investigate the suitability of the developed methodology. Although the pipe slopes in the methodology are derived assuming uniform flow, the simulation results comply with it. Furthermore, pressurisation of the conduits due to multiple flushing waves remains within acceptable limits.

  9. Sanitary costs of osteoarthritis

    Directory of Open Access Journals (Sweden)

    M. Franceschini

    2011-09-01

    Full Text Available Muscoloskeletal disorders are the first cause of disability and the second cause of permanent disablement in Italy. Osteoarthritis is the most frequent rheumatic disease and affects about 4 million Italians. In spite of that, data concerning social costs are lacking. On account of this lack we measured sanitary costs of 314 patients suffering from osteoarthritis. A retrospective, prevalence- based multicentric study was performed using a bottom-up approach. The study period was 12 months and referred to 1999. Eight percent of patients didn’t take any drug for the treatment of osteoarthritis; NSAIDs were prescribed to 86.9% of patients, analgesics to 29.9%, chondroprotective drugs to 7.6%, and gastroprotective drugs to 36.9%. Total sanitary costs came to 455 € / patient / year: 122 € were spent on diagnostics, 293 € on therapy and 40 € on management of drug-related gastropathy. Since the costs of anti-inflammatory drugs came to 30 € we calculated iatrogenic cost factor of 2.3. Moreover, the study supplied interesting informations about prescriptive habits, which differ in Italy from international guidelines for the medical treatment of OA, about patient management, because of hospitalization, which by itself absorbs 1/3 of resources, and about physiotherapy, which costs twice as much as pharmacological therapy. At last, data analysis gave the cue for suggestions on changing patients’ management.

  10. Sanitary quality, occurrence and identification of Staphylococcus sp. in food services

    Science.gov (United States)

    de Mello, Jozi Fagundes; da Rocha, Laura Braga; Lopes, Ester Souza; Frazzon, Jeverson; da Costa, Marisa

    2014-01-01

    Sanitary conditions are essential for the production of meals and control of the presence of pathogensis important to guarantee the health of customers. The aim of this study was to evaluate the sanitary quality of food services by checking the presence of thermotolerant coliforms, Staphylococcus sp. and evaluate the toxigenic potential from the latter. The analysis was performed on water, surfaces, equipment, ready-to-eat foods, hands and nasal cavity of handlers in seven food services. The water used in food services proved to be suitable for the production of meals. Most food, equipment and surfaces showed poor sanitary conditions due to the presence of thermotolerant coliforms (60.6%). Twenty-six Staphylococcus species were identified from the 121 Staphylococcus isolates tested. Staphylococci coagulase-negative species were predominant in the foods, equipment and surfaces. In food handlers and foods, the predominant species was Staphylococcus epidermidis. Twelve different genotypes were found after PCR for the classical enterotoxin genes. The seb gene (19.8%) was the most prevalent among all Staphylococcus sp. Both coagulase-positive and coagulase-negative Staphylococci showed some of the genes of the enterotoxins tested. We conclude that there are hygienic and sanitary deficiencies in the food services analyzed. Although coagulase-positive Staphylococci have not been present in foods there is a wide dispersion of enterotoxigenic coagulase-negative Staphylococci in the environment and in the foods analyzed, indicating a risk to consumer health. PMID:25477940

  11. Sanitary quality, occurrence and identification of Staphylococcus sp. in food services.

    Science.gov (United States)

    de Mello, Jozi Fagundes; da Rocha, Laura Braga; Lopes, Ester Souza; Frazzon, Jeverson; da Costa, Marisa

    2014-01-01

    Sanitary conditions are essential for the production of meals and control of the presence of pathogensis important to guarantee the health of customers. The aim of this study was to evaluate the sanitary quality of food services by checking the presence of thermotolerant coliforms, Staphylococcus sp. and evaluate the toxigenic potential from the latter. The analysis was performed on water, surfaces, equipment, ready-to-eat foods, hands and nasal cavity of handlers in seven food services. The water used in food services proved to be suitable for the production of meals. Most food, equipment and surfaces showed poor sanitary conditions due to the presence of thermotolerant coliforms (60.6%). Twenty-six Staphylococcus species were identified from the 121 Staphylococcus isolates tested. Staphylococci coagulase-negative species were predominant in the foods, equipment and surfaces. In food handlers and foods, the predominant species was Staphylococcus epidermidis. Twelve different genotypes were found after PCR for the classical enterotoxin genes. The seb gene (19.8%) was the most prevalent among all Staphylococcus sp. Both coagulase-positive and coagulase-negative Staphylococci showed some of the genes of the enterotoxins tested. We conclude that there are hygienic and sanitary deficiencies in the food services analyzed. Although coagulase-positive Staphylococci have not been present in foods there is a wide dispersion of enterotoxigenic coagulase-negative Staphylococci in the environment and in the foods analyzed, indicating a risk to consumer health.

  12. Substantiation of optimum fill rate of the groups according to the sanitary and hygienic conditions of preschool educational institutions and risks of violations of children's health

    Directory of Open Access Journals (Sweden)

    V.N. Rakitskiy

    2016-09-01

    Full Text Available The increase in the number of children in groups of preschool educational institutions (PEI of more than 22 people is accompanied by a deterioration of sanitary and hygienic state of the premises of group cells by chemical, biological and physical indicators. In the densely populated groups the content of phenol and formaldehyde in the air of playing and sleeping rooms reaches 2.2–4.6 MAC daily average, for 30 % increases the air contamination by the conditionally pathogenic flora (St. aureus, the level of noise impact during gaming sessions is up to 80 dBA. Direct dependence between the increase of morbidity of children by the allergic diseases of the respiratory organs and the skin, functional gastrointestinal disorders, acute viral and bacterial diseases and urinary tract infections with the index of fill rate of PEI groups (R 2 = 0,32–0,89; r≤0,035–0,0001 has been correlated. The risk of violations of physical development and development delay of biological maturation of children is increased by more than 1.5–2.0 times (OR = 1,51–2,17; DI = 1,1–3,01; p = 0.01–0.03 and reduce of the adaptive reserve of the cardiovascular, respiratory and autonomic nervous system and the development of functional disorders, including cognitive, increases in 1,2–10,0 times (OR = 1,2–10,11; DI = 1,11–18,81; p = 0.01–0.04. Longtime combined effects of chemical, biological and physical factors determine the formation of chronic physiological distress syndrome in children, manifesting by a change in metabolism, haematopoiesis, decreased cellular activity and humoral immune response, a violation of the intracellular mechanisms of antioxidant protection (p = 0,0001–0,017. The results of sanitaryhygienic, clinical laboratory and mathematical methods of research have established that the optimum fill rate of groups of standard PEIs of general developmental orientation should not exceed 14–16 children and the standard of playing or sleeping

  13. Análisis de riesgos por desastres sanitarios endémicos en los equinos - Analysis of risks for sanitary endemic disasters in the english equines

    Directory of Open Access Journals (Sweden)

    E. Marzo

    2010-03-01

    it took into account the qualitative condition of the vulnerabilities. Database Maps with georeferences were used and without that condition in Microsoft Excel and Access. To determine the grade of influence of each aspect on the illnesses, it was carried out a comparison of the risks, by means of an association analysis, applying charts of contingencies, the test of individual X2 and general for each risk and illness. It was also designed The System of Alert Early proposed that it allows a quick control of the endemic illnesses avoiding that these reach the category of epidemics and it should be part of the communication of the risk in the sanitary analysis.With the analysis developed in this cattle company for the equinespecies, it puts on in hands of the authorities dedicated aindispensable tool to define where, how and when to act to eliminate the main present vulnerabilities that propitiate the setting-up,development and diffusion of germs that can originate epidemics inthe animals.

  14. Mortality due to Respiratory Syncytial Virus. Burden and Risk Factors.

    Science.gov (United States)

    Geoghegan, Sarah; Erviti, Anabella; Caballero, Mauricio T; Vallone, Fernando; Zanone, Stella M; Losada, Juan Ves; Bianchi, Alejandra; Acosta, Patricio L; Talarico, Laura B; Ferretti, Adrian; Grimaldi, Luciano Alva; Sancilio, Andrea; Dueñas, Karina; Sastre, Gustavo; Rodriguez, Andrea; Ferrero, Fernando; Barboza, Edgar; Gago, Guadalupe Fernández; Nocito, Celina; Flamenco, Edgardo; Perez, Alberto Rodriguez; Rebec, Beatriz; Ferolla, F Martin; Libster, Romina; Karron, Ruth A; Bergel, Eduardo; Polack, Fernando P

    2017-01-01

    Respiratory syncytial virus (RSV) is the most frequent cause of hospitalization and an important cause of death in infants in the developing world. The relative contribution of social, biologic, and clinical risk factors to RSV mortality in low-income regions is unclear. To determine the burden and risk factors for mortality due to RSV in a low-income population of 84,840 infants. This was a prospective, population-based, cross-sectional, multicenter study conducted between 2011 and 2013. Hospitalizations and deaths due to severe lower respiratory tract illness (LRTI) were recorded during the RSV season. All-cause hospital deaths and community deaths were monitored. Risk factors for respiratory failure (RF) and mortality due to RSV were assessed using a hierarchical, logistic regression model. A total of 2,588 (65.5%) infants with severe LRTI were infected with RSV. A total of 157 infants (148 postneonatal) experienced RF or died with RSV. RSV LRTI accounted for 57% fatal LRTI tested for the virus. A diagnosis of sepsis (odds ratio [OR], 17.03; 95% confidence interval [CI], 13.14-21.16 for RF) (OR, 119.39; 95% CI, 50.98-273.34 for death) and pneumothorax (OR, 17.15; 95% CI, 13.07-21.01 for RF) (OR, 65.49; 95% CI, 28.90-139.17 for death) were the main determinants of poor outcomes. RSV was the most frequent cause of mortality in low-income postneonatal infants. RF and death due to RSV LRTI, almost exclusively associated with prematurity and cardiopulmonary diseases in industrialized countries, primarily affect term infants in a developing world environment. Poor outcomes at hospitals are frequent and associated with the cooccurrence of bacterial sepsis and clinically significant pneumothoraxes.

  15. [Risk assessment of work disability due to mental disorders].

    Science.gov (United States)

    Dohrenbusch, R; Balg, B

    2011-03-01

    For more than 20 years, the rate of work disability pensions due to mental disorders has been rising. This development is in contrast to an overall decrease in the use of disability pension for other diseases. According to an exploratory study by the German state chamber of psychotherapy, most German insurance companies have hindered or excluded insurance protection for customers who have undergone psychotherapy. This practice will be analysed critically because it does not seem to be based on empirical evidence or on established risk algorithms. Results of empirical studies suggest that the use of psychotherapy is not a suitable criterion for the prediction of vocational disabilities due to mental disorders. In contrast, socio-demographic factors such as age or education level, personality factors like neuroticism or attribution style, coping characteristics like exhaustion and cynism, features of the working place like stress or payment conditions, and the type of mental disorder provide better information to calculate the risk of later long-term disability and disability pension caused by mental illness. The impact of these factors has mainly been proven by epidemiological studies from different European countries. Assessment of risk for the use of disability pensions should be based on evidence from epidemiological studies.

  16. Risk of Therapeutic Failure due to Ineffectiveness of Medication

    Science.gov (United States)

    Woring, Virginia E.

    2011-01-01

    Given that terrestrial medical practices must be used as the basis for drug choice and use on missions, there is a possibility that medications used will be ineffective or inappropriate for the actual circumstances encountered on missions. Because the human body undergoes a variety of physiological changes during spaceflight, there is a risk that terrestrial medications may not perform as expected when used during spaceflight. Alterations in physiology due to spaceflight could result in unexpected drug action on the body (pharmacodynamics) or in unusual drug absorption, distribution, metabolism or excretion (pharmacokinetics). The spaceflight environment may also have direct effects on stored drugs themselves, leading to premature inactivation or degradation of stored drugs.

  17. Recommendation of the 19 july 2000 ''sanitary risks control of the polluted soils by an industrial activity''; Recommandation du 19 juillet 2000 ''surveillance des risques sanitaires lies aux sols pollues par une activite industrielle''

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-07-01

    Compare to the laws of the air and water domain, the soils appeared like an affected sector by the environmental policy. This paper proposes actions and elements taken into account concerning the polluted soils. The types of sites and the type of pollution, the good evaluation conditions of the sanitary risks and the general frame of the recommendation are presented. (A.L.B.)

  18. Towards an integrated disaster risk management due to coastal flooding

    OpenAIRE

    González-Riancho Calzada, Pino

    2015-01-01

    ABSTRACT: This thesis deals with the vulnerability and risk assessment of coastal complex systems in order to move towards an integrated and holistic disaster risk management approach. The research carried out covers the entire process from risk assessment to risk management and has resulted in 4 scientific papers published, each one focusing on different risk components on which gaps in literature were identified. • An integrated vulnerability and risk assessment framework has been prop...

  19. [Topical problems of sanitary and epidemiologic examination concerning projects of sanitary protection zones in airports].

    Science.gov (United States)

    Isayeva, A M; Zibaryov, E V

    2015-01-01

    The article covers data on major errors in sanitary protection zones specification for civil airports, revealed through sanitary epidemiologic examination. The authors focus attention on necessity to develop unified methodic approach to evaluation of aviation noise effects, when justifying sanitary protection zone of airports and examining sanitary and epidemiologic project documents.

  20. Risk Due to Radiological Terror Attacks With Natural Radionuclides

    Science.gov (United States)

    Friedrich, Steinhäusler; Stan, Rydell; Lyudmila, Zaitseva

    2008-08-01

    The naturally occurring radionuclides radium (Ra-226) and polonium (Po-210) have the potential to be used for criminal acts. Analysis of international incident data contained in the Database on Nuclear Smuggling, Theft and Orphan Radiation Sources (CSTO), operated at the University of Salzburg, shows that several acts of murder and terrorism with natural radionuclides have already been carried out in Europe and Russia. Five different modes of attack (T) are possible: (1) Covert irradiation of an individual in order to deliver a high individual dose; (2) Covert irradiation of a group of persons delivering a large collective dose; (3) Contamination of food or drink; (4) Generation of radioactive aerosols or solutions; (5) Combination of Ra-226 with conventional explosives (Dirty Bomb). This paper assesses the risk (R) of such criminal acts in terms of: (a) Probability of terrorist motivation deploying a certain attack mode T; (b) Probability of success by the terrorists for the selected attack mode T; (c) Primary damage consequence (C) to the attacked target (activity, dose); (d) Secondary damage consequence (C') to the attacked target (psychological and socio-economic effects); (e) Probability that the consequences (C, C') cannot be brought under control, resulting in a failure to manage successfully the emergency situation due to logistical and/or technical deficits in implementing adequate countermeasures. Extensive computer modelling is used to determine the potential impact of such a criminal attack on directly affected victims and on the environment.

  1. Sanitary inspection of wells using risk-of-contamination scoring indicates a high predictive ability for bacterial faecal pollution in the peri-urban tropical lowlands of Dar es Salaam, Tanzania.

    Science.gov (United States)

    Mushi, Douglas; Byamukama, Denis; Kirschner, Alexander K T; Mach, Robert L; Brunner, K; Farnleitner, Andreas H

    2012-06-01

    Sanitary inspection of wells was performed according to World Health Organization (WHO) procedures using risk-of-contamination (ROC) scoring in the peri-urban tropical lowlands of Dar es Salaam, Tanzania. The ROC was assessed for its capacity to predict bacterial faecal pollution in the investigated well water. The analysis was based on a selection of wells representing environments with low to high presumptive faecal pollution risk and a multi-parametric data set of bacterial indicators, generating a comprehensive picture of the level and characteristics of faecal pollution (such as vegetative Escherichia coli cells, Clostridium perfringens spores and human-associated sorbitol fermenting Bifidobacteria). ROC scoring demonstrated a remarkable ability to predict bacterial faecal pollution levels in the investigated well water (e.g. 87% of E. coli concentration variations were predicted by ROC scoring). Physicochemical characteristics of the wells were not reflected by the ROC scores. Our results indicate that ROC scoring is a useful tool for supporting health-related well water management in urban and suburban areas of tropical, developing countries. The outcome of this study is discussed in the context of previously published results, and future directions are suggested.

  2. Air pollution and health risks due to vehicle traffic.

    Science.gov (United States)

    Zhang, Kai; Batterman, Stuart

    2013-04-15

    Traffic congestion increases vehicle emissions and degrades ambient air quality, and recent studies have shown excess morbidity and mortality for drivers, commuters and individuals living near major roadways. Presently, our understanding of the air pollution impacts from congestion on roads is very limited. This study demonstrates an approach to characterize risks of traffic for on- and near-road populations. Simulation modeling was used to estimate on- and near-road NO2 concentrations and health risks for freeway and arterial scenarios attributable to traffic for different traffic volumes during rush hour periods. The modeling used emission factors from two different models (Comprehensive Modal Emissions Model and Motor Vehicle Emissions Factor Model version 6.2), an empirical traffic speed-volume relationship, the California Line Source Dispersion Model, an empirical NO2-NOx relationship, estimated travel time changes during congestion, and concentration-response relationships from the literature, which give emergency doctor visits, hospital admissions and mortality attributed to NO2 exposure. An incremental analysis, which expresses the change in health risks for small increases in traffic volume, showed non-linear effects. For a freeway, "U" shaped trends of incremental risks were predicted for on-road populations, and incremental risks are flat at low traffic volumes for near-road populations. For an arterial road, incremental risks increased sharply for both on- and near-road populations as traffic increased. These patterns result from changes in emission factors, the NO2-NOx relationship, the travel delay for the on-road population, and the extended duration of rush hour for the near-road population. This study suggests that health risks from congestion are potentially significant, and that additional traffic can significantly increase risks, depending on the type of road and other factors. Further, evaluations of risk associated with congestion must

  3. Air pollution and health risks due to vehicle traffic

    Science.gov (United States)

    Zhang, Kai; Batterman, Stuart

    2014-01-01

    Traffic congestion increases vehicle emissions and degrades ambient air quality, and recent studies have shown excess morbidity and mortality for drivers, commuters and individuals living near major roadways. Presently, our understanding of the air pollution impacts from congestion on roads is very limited. This study demonstrates an approach to characterize risks of traffic for on- and near-road populations. Simulation modeling was used to estimate on- and near-road NO2 concentrations and health risks for freeway and arterial scenarios attributable to traffic for different traffic volumes during rush hour periods. The modeling used emission factors from two different models (Comprehensive Modal Emissions Model and Motor Vehicle Emissions Factor Model version 6.2), an empirical traffic speed–volume relationship, the California Line Source Dispersion Model, an empirical NO2–NOx relationship, estimated travel time changes during congestion, and concentration–response relationships from the literature, which give emergency doctor visits, hospital admissions and mortality attributed to NO2 exposure. An incremental analysis, which expresses the change in health risks for small increases in traffic volume, showed non-linear effects. For a freeway, “U” shaped trends of incremental risks were predicted for on-road populations, and incremental risks are flat at low traffic volumes for near-road populations. For an arterial road, incremental risks increased sharply for both on- and near-road populations as traffic increased. These patterns result from changes in emission factors, the NO2–NOx relationship, the travel delay for the on-road population, and the extended duration of rush hour for the near-road population. This study suggests that health risks from congestion are potentially significant, and that additional traffic can significantly increase risks, depending on the type of road and other factors. Further, evaluations of risk associated with congestion

  4. Fuzzy Logic Application in Risk Analysis Due to Lightning

    Directory of Open Access Journals (Sweden)

    Yelennis Godoy Valladares

    2010-05-01

    Full Text Available This work uses the application of the fuzzy logic to the analysis of risk on the base of the approaches picked up in the IEC 62305-2, with the objective of developing a simple tool, of easy use and understanding, which offers the designer the possibility of a bigger interpretation to the subjectivity wrapped in the analysis using the language to evaluate the characteristics of the installation in study and the risk of lightning impact.

  5. Risk analysis for renewable energy projects due to constraints arising

    Science.gov (United States)

    Prostean, G.; Vasar, C.; Prostean, O.; Vartosu, A.

    2016-02-01

    Starting from the target of the European Union (EU) to use renewable energy in the area that aims a binding target of 20% renewable energy in final energy consumption by 2020, this article illustrates the identification of risks for implementation of wind energy projects in Romania, which could lead to complex technical implications, social and administrative. In specific projects analyzed in this paper were identified critical bottlenecks in the future wind power supply chain and reasonable time periods that may arise. Renewable energy technologies have to face a number of constraints that delayed scaling-up their production process, their transport process, the equipment reliability, etc. so implementing these types of projects requiring complex specialized team, the coordination of which also involve specific risks. The research team applied an analytical risk approach to identify major risks encountered within a wind farm project developed in Romania in isolated regions with different particularities, configured for different geographical areas (hill and mountain locations in Romania). Identification of major risks was based on the conceptual model set up for the entire project implementation process. Throughout this conceptual model there were identified specific constraints of such process. Integration risks were examined by an empirical study based on the method HAZOP (Hazard and Operability). The discussion describes the analysis of our results implementation context of renewable energy projects in Romania and creates a framework for assessing energy supply to any entity from renewable sources.

  6. Analysis of an Underground Structure Settlement Risk due to Tunneling

    DEFF Research Database (Denmark)

    Vahdatirad, Mohammad Javad; Ghodrat, Hadi; Firouzianbandpey, Sarah

    2010-01-01

    The tunnel of the Tabriz urban railway line 2 (TURL2), Iran, will pass through an underground commercial center on its way. Too little distance between the tunnel crown and the underground structure foundation will probably cause collapse or excessive settlement during the tunnel construction based...... of the underground commercial center structure settlement is estimated using both empirical and numerical methods. The settlement risk level of the commercial center structure is determined based on presented definitions about risk classification of various types of structures. Consequently, tunneling processes...

  7. Evaluation of sanitary consequences of Chernobylsk accident in France. Epidemiological surveillance plan, state of knowledge, risks evaluation and perspectives; Evaluation des consequences sanitaires de l'accident de Tchernobyl en France. Dispositif de surveillance epidemiologique, etat des connaissances, evaluation des risques et perspectives

    Energy Technology Data Exchange (ETDEWEB)

    Verger, P.; Cherie-Challine, L

    2000-12-15

    This report jointly written by IPSN and InVS, reviews the sanitary consequences in France of the Chernobyl accident, which occurred in 1986. The first point is dedicated to a short presentation of the knowledge relative to the sanitary consequences of the Chernobyl accident in the high contaminated countries and to the risk factors of the thyroid cancer. Secondly, this report describes the main systems of epidemiological surveillance of health implemented in France in 1986 and in 1999, as well as the data of the incidence and mortality of thyroid cancer observed in France since 1975. In addition, this report presents an analysis of the risk of thyroid cancer related to radioactive contamination in France, for young people of less than 15 years of age who where living in 1986 in the highest contaminated areas of France (Eastern territories). For this purpose, the theoretical number of thyroid cancers in excess is evaluated for this population, on the basis of different available risk model. Finally starting from the results of risk assessment, there is a discussion about the relevance and the feasibility of different epidemiological methods in view of answering the questions related to the sanitary consequences of the Chernobyl accident. In conclusion, this report recommends to reinforce the surveillance of thyroid cancer in France. (author)

  8. Health risks due to radon in drinking water

    Science.gov (United States)

    Hopke, P.K.; Borak, T.B.; Doull, J.; Cleaver, J.E.; Eckerman, K.F.; Gundersen, L.C.S.; Harley, N.H.; Hess, C.T.; Kinner, N.E.; Kopecky, K.J.; Mckone, T.E.; Sextro, R.G.; Simon, S.L.

    2000-01-01

    Following more than a decade of scientific debate about the setting of a standard for 222Rn in drinking water, Congress established a timetable for the promulgation of a standard in the 1996 Amendments to the Safe Drinking Water Act. As a result of those Amendments, the EPA contracted with the National Academy of Sciences to undertake a risk assessment for exposure to radon in drinking water. In addition, the resulting committee was asked to address several other scientific issues including the national average ambient 222Rn concentration and the increment of 222Rn to the indoor- air concentration arising from the use of drinking water in a home. A new dosimetric analysis of the cancer risk to the stomach from ingestion was performed. The recently reported risk estimates developed by the BEIR VI Committee for inhalation of radon decay products were adopted. Because the 1996 Amendments permit states to develop programs in which mitigation of air- producing health-risk reductions equivalent to that which would be achieved by treating the drinking water, the scientific issues involved in such 'multimedia mitigation programs' were explored.

  9. [The population's insurance protection as a mechanism responsible for provision of sanitary and epidemiological well-being].

    Science.gov (United States)

    Iarushin, S V

    2007-01-01

    The paper describes a principal scheme of insurance protection organization due to the negative human influences of environmental factors and industrial risks as one of the most effective mechanisms responsible for controlling sanitary-and-epidemiological well-being and human health. It also considers how a voluntary medical collective insurance program and a civil responsibility insurance one are being implemented due to unforeseen damages done to the population's health and how the quality and safety of goods (work, services) are controlled. Organizational, methodic, and normative legal approaches are proposed to developing the population's insurance protection system.

  10. Air pollution and health risks due to vehicle traffic

    OpenAIRE

    Zhang, Kai; Batterman, Stuart

    2013-01-01

    Traffic congestion increases vehicle emissions and degrades ambient air quality, and recent studies have shown excess morbidity and mortality for drivers, commuters and individuals living near major roadways. Presently, our understanding of the air pollution impacts from congestion on roads is very limited. This study demonstrates an approach to characterize risks of traffic for on- and near-road populations. Simulation modeling was used to estimate on- and near-road NO2 concentrations and he...

  11. Evaluation of the residual sanitary risk for people spending time on the beaches polluted by the Erika fuel, after the depollution; Evaluation du risque sanitaire residuel pour les populations frequentant les plages polluees par le fioul rejete par l'ERIKA, apres depollution

    Energy Technology Data Exchange (ETDEWEB)

    Dor, F.; Gourier-Frery, C.; Zmirou, D. [Institut de veille sanitaire, 94 - Saint-Maurice (France); Cicolella, A.; Bonnard, R.; Dujardin, R. [Institut National de l' Environnement Industriel et des Risques, 60 - Verneuil en Halatte (INERIS) (France)

    2004-07-01

    This study aims to evaluate the short dated and long dated sanitary risks for adults and children who are going to spend time on the beach affected by the Erika fuel, after the depollution. 36 beaches were selected and 7 beaches which were not polluted, were taking as a reference. The methodology, the analysis of the data and the results are described. (A.L.B.)

  12. Mapping Risks Due To Storm Surges Within The Coastal Zone

    Science.gov (United States)

    Mai, S.; Zimmermann, C.

    The coast protection at the Wadden Sea coastline of Lower Saxony, Germany, is mainly guaranteed by sea dikes. In case of a failure of these dikes a total area of approx. 7.130 km2 is endangered from inundation. Besides that approx. 1.3 million people and economic values of 150 billion Euro are at risk. The consequences of dike failure show a large spatial variability. However today's design of sea dikes does not take into account the spatial variability, i.e. coastal areas with high losses in case of dike failure are not protected better than those with low. In order to improve this sit- uation a scheme for risk analysis was developed and applied at the estuaries Jade and Weser including the cities Wilhelmshaven, Bremerhaven, Bremen and Cuxhaven. The scheme of risk analysis comprises on the one hand a calculation of the probability of dike failure and a determination of the area flooded in case of dike breaching and on the other hand a register of all values, i.e. houses, industrial estates and infrastructure, within the hinterland. The different steps are integrated and linked to a Geographical Information System GIS using ARCVIEW. Within the developed design scheme failure of sea dikes is related to wave overtop- ping. Therefore the probability of failure is determined from the joined probability of tidal high water-levels and waves. The statistics of latter are calculated from the wind statistics using the numerical wave model SWAN. The time dependent flooding process after dike breaches is calculated with the numer- ical model MIKE 21 HD providing information on the depth, velocity and duration of the inundation. The sensitivity of the calculations of the inundation characteristics with respect to the width of the dike breach, the surface roughness and the character- istics of the storm surge is evaluated. The inundation depth and speed is used to estimate the damage factor, i.e. the ratio of the expected loss after inundation and the maximum possible loss. The

  13. Risk of death due to chronic chagasic cardiopathy

    Directory of Open Access Journals (Sweden)

    Enrique C Manzullo

    1999-09-01

    Full Text Available In this longitudinal study 5,710 people were included. The inclusion criteria were two positive serological results for Trypanosoma cruzi infection, 15 and 50 years old and no other demostrable diesease at the time of study. In the five year follow up 1,117 patients were lost. The follow up involved yearly evaluation of serology, clinical examination, X-ray of torax, and ECG, for 4,593 patients and 263 were contacted at home because they did not assist for their clinical consultant. Time average of follow up was 5.3 years. Eighty nine (1.5% of the 4,593 patients died during the follow-up period, 63 (71% by cardiac insufiency (CI and 26 (29% by severe ventricular arrithmias. Diagnosis of cardiomegaly was present in all the patients with diagnosis of CI and in 15 (5% of the patients with diagnosis of arrithmias.The ECG alterations of these pacients show 61 right bundle brunch block (RBBB, associated or not with left anterior hemiblock (LAHB, 47 pathological Q wave and 70 primary repolarization alterations; 61 had polyfocal ventricular arrithmia. The death rate was similar in the sexes and was more frequent between 40 and 50 years of age. Information on 1,380 recuperated patients shows that 15 died with no previous symptoms and without medical assistance and were interpretate as sudden death. The latest ECG in three follow-up of these pacients indicates (before death that only one had normal study and 14 presented 12 RBBB; 9 LAHB; 7 isolated ventricular arrithmia; 10 repolariz alterations; 2 patological Q wave, 10 patients of them with RBBB and repolariz alterations. In all the cases we had people between 35 and 43 years old, 9 men and 6 women. This study shows that in Chagas disease is possible to differenciate two risk groups. A low risk death group that have normal ECG and clinical evaluation during the follow up, and a high risk group associate ECG with RBBB and primary alterations of repolarization and/or inactivation zones with not anual

  14. [Is there a risk of zoonotic disease due to adenoviruses?].

    Science.gov (United States)

    Loustalot, Fabien; Creyssels, Sophie; Salinas, Sara; Benkõ, Mária; Harrach, Balázs; Mennechet, Franck J D; Kremer, Eric J

    2015-12-01

    Every year brings another round of zoonotic viral infections. Usually they fall under the radar, but the occasional lethal epidemic brings another scare to the public and new urgency to the medical community. The types of these viruses (DNA vs. RNA genomes, enveloped vs. proteinaceous) as well as the preceding host(s) vary. Over the last 20 years, bats have been identified as an enigmatic carrier for several pathogens that have jumped the species barrier and infected humans. Factors that favour the emergence of zoonotic pathogens include the increasing overlap of the human and animal habitats, cultural activities, and the host reservoir. In this context, we asked whether bat and/or nonhuman primate adenoviruses are a risk for human health.

  15. Moisture Risk in Unvented Attics Due to Air Leakage Paths

    Energy Technology Data Exchange (ETDEWEB)

    Prahl, D. [IBACOS, Inc., Pittsburgh, PA (United States); Shaffer, M. [IBACOS, Inc., Pittsburgh, PA (United States)

    2014-11-01

    IBACOS completed an initial analysis of moisture damage potential in an unvented attic insulated with closed-cell spray polyurethane foam. To complete this analysis, the research team collected field data, used computational fluid dynamics to quantify the airflow rates through individual airflow (crack) paths, simulated hourly flow rates through the leakage paths with CONTAM software, correlated the CONTAM flow rates with indoor humidity ratios from Building Energy Optimization software, and used Wärme und Feuchte instationär Pro two-dimensional modeling to determine the moisture content of the building materials surrounding the cracks. Given the number of simplifying assumptions and numerical models associated with this analysis, the results indicate that localized damage due to high moisture content of the roof sheathing is possible under very low airflow rates. Reducing the number of assumptions and approximations through field studies and laboratory experiments would be valuable to understand the real-world moisture damage potential in unvented attics.

  16. Moisture Risk in Unvented Attics Due to Air Leakage Paths

    Energy Technology Data Exchange (ETDEWEB)

    Prahl, D.; Shaffer, M.

    2014-11-01

    IBACOS completed an initial analysis of moisture damage potential in an unvented attic insulated with closed-cell spray polyurethane foam. To complete this analysis, the research team collected field data, used computational fluid dynamics to quantify the airflow rates through individual airflow (crack) paths, simulated hourly flow rates through the leakage paths with CONTAM software, correlated the CONTAM flow rates with indoor humidity ratios from Building Energy Optimization software, and used Warme und Feuchte instationar Pro two-dimensional modeling to determine the moisture content of the building materials surrounding the cracks. Given the number of simplifying assumptions and numerical models associated with this analysis, the results indicate that localized damage due to high moisture content of the roof sheathing is possible under very low airflow rates. Reducing the number of assumptions and approximations through field studies and laboratory experiments would be valuable to understand the real-world moisture damage potential in unvented attics.

  17. CONTROLLING RISK DUE TO NOISE ON FERRY BOAT

    Directory of Open Access Journals (Sweden)

    Aleksandar Nikolic

    2013-07-01

    Full Text Available Environmental and occupational noise is common nuisance that affects the health of employees. Performed health checks of employees engaged by Company “Pomorski Saobraćaj” showed that 5% of examined sailors had hearing loss. The results were a trigger for starting experiment on noise risk assessment with objective to discover possibilities of noise pollution presence, precise significant noise sources and describe solutions for eliminating negative effects. Several measurements on five positions were performed on ferry boat “KAMENARI”, according to EC Physical Agents Directive and Merchant Shipping and Fishing Vessels Regulations 2007. Noise on selected positions exceeded the limit for about 1-5dB. Noise exposure level was 84.5dB. Diesel engine, exhaust system and structural noise were main sources of excessive noise. Experiment shows noise presence as nuisance that affects sailors. Noise presents a serious threat for sailor’s health. It interferes with crew communication and jeopardizes navigation safety. Technical measures, crew health checks and noise monitoring could prevent all negative effects.

  18. Probabilistic Risk Assessment: Piping Fragility due to Earthquake Fault Mechanisms

    Directory of Open Access Journals (Sweden)

    Bu Seog Ju

    2015-01-01

    Full Text Available A lifeline system, serving as an energy-supply system, is an essential component of urban infrastructure. In a hospital, for example, the piping system supplies elements essential for hospital operations, such as water and fire-suppression foam. Such nonstructural components, especially piping systems and their subcomponents, must remain operational and functional during earthquake-induced fires. But the behavior of piping systems as subjected to seismic ground motions is very complex, owing particularly to the nonlinearity affected by the existence of many connections such as T-joints and elbows. The present study carried out a probabilistic risk assessment on a hospital fire-protection piping system’s acceleration-sensitive 2-inch T-joint sprinkler components under seismic ground motions. Specifically, the system’s seismic capacity, using an experimental-test-based nonlinear finite element (FE model, was evaluated for the probability of failure under different earthquake-fault mechanisms including normal fault, reverse fault, strike-slip fault, and near-source ground motions. It was observed that the probabilistic failure of the T-joint of the fire-protection piping system varied significantly according to the fault mechanisms. The normal-fault mechanism led to a higher probability of system failure at locations 1 and 2. The strike-slip fault mechanism, contrastingly, affected the lowest fragility of the piping system at a higher PGA.

  19. Risks from GMOs due to horizontal gene transfer.

    Science.gov (United States)

    Keese, Paul

    2008-01-01

    Horizontal gene transfer (HGT) is the stable transfer of genetic material from one organism to another without reproduction or human intervention. Transfer occurs by the passage of donor genetic material across cellular boundaries, followed by heritable incorporation to the genome of the recipient organism. In addition to conjugation, transformation and transduction, other diverse mechanisms of DNA and RNA uptake occur in nature. The genome of almost every organism reveals the footprint of many ancient HGT events. Most commonly, HGT involves the transmission of genes on viruses or mobile genetic elements. HGT first became an issue of public concern in the 1970s through the natural spread of antibiotic resistance genes amongst pathogenic bacteria, and more recently with commercial production of genetically modified (GM) crops. However, the frequency of HGT from plants to other eukaryotes or prokaryotes is extremely low. The frequency of HGT to viruses is potentially greater, but is restricted by stringent selection pressures. In most cases the occurrence of HGT from GM crops to other organisms is expected to be lower than background rates. Therefore, HGT from GM plants poses negligible risks to human health or the environment.

  20. Risks to offshore installations in Europe due to natural hazards

    Science.gov (United States)

    Necci, Amos; Krausmann, Elisabeth

    2017-04-01

    Natural hazards, such as storms, earthquakes, or lightning are a major threat to industry. In particular, chemical plants, storage facilities, pipelines, and offshore oil and gas facilities are vulnerable to natural events which can cause hazardous materials releases and thereby endanger workers, the population and the environment. These technological accidents are commonly referred to as Natech accidents. Recent events have increased concerns about safety in the offshore oil and gas sector, and the need for improving knowledge on the matter has become evident. With those premises, we analyzed accidents, near misses and accident precursors at offshore facilities in Europe caused by natural events using both a statistical and a qualitative approach. For this purpose, we screened the World Offshore Accident Database (WOAD) to identify all incidents that featured natural events as causes or aggravating factors. A dataset of 1,085 global Natech events was built for the statistical analysis. Among those, a subset composed of 303 European records was selected. The results of the analysis showed that offshore Natech events in Europe are frequent; they resulted, however, in low consequences. The main threat to offshore facilities resulted from bad weather, such as strong winds and heavy seas. Storms can put intense loads on the structural parts of offshore installations, eventually exceeding design resistance specifications. Several incidents triggered by lightning strikes and earthquakes were also recorded. Substantial differences in terms of vulnerability, damage modality and consequences emerged between fixed and floating offshore structures. The main damage mode for floating structures was the failure of station keeping systems due to the rupture of mooring or anchors, mainly caused by adverse meteorological conditions. Most of the incidents at fixed offshore structures in Europe involved falling loads for both metal jacket and concrete base platforms due to storms. In

  1. Potential future risk of cholera due to climate change in northern ...

    African Journals Online (AJOL)

    Potential future risk of cholera due to climate change in northern Nigeria. ... African Research Review. Journal Home · ABOUT ... Several studies have raised concern that climate change may exacerbate the risk of the disease in the future.

  2. Microbial safety and sanitary quality of strawberry primary production in Belgium: risk factors for Salmonella and Shiga toxin-producing Escherichia coli contamination.

    Science.gov (United States)

    Delbeke, Stefanie; Ceuppens, Siele; Hessel, Claudia Titze; Castro, Irene; Jacxsens, Liesbeth; De Zutter, Lieven; Uyttendaele, Mieke

    2015-04-01

    Strawberries are an important fruit in Belgium in both production and consumption, but little information is available about the presence of Salmonella and Shiga toxin-producing Escherichia coli (STEC) in these berries, the risk factors in agricultural production, and possible specific mitigation options. In 2012, a survey was undertaken of three soil and three soilless cultivation systems in Belgium. No Salmonella spp. were isolated. No STEC was detected in the strawberry samples (0 of 72), but STEC was detected by PCR in 11 of 78 irrigation water and 2 of 24 substrate samples. Culture isolates were obtained for 2 of 11 PCR-positive irrigation water samples and 2 of 2 substrate samples. Multivariable logistic regression analysis revealed elevated generic E. coli numbers (the odds ratio [OR] for a 1 log increase being 4.6) as the most important risk factor for STEC, together with the berry-picking season (elevated risk in summer). The presence of generic E. coli in the irrigation water (≥1 CFU per 100 ml) was mainly influenced by the type of irrigation water (collected rainfall water stored in ponds was more often contaminated than groundwater pumped from boreholes [OR = 5.8]) and the lack of prior treatment (untreated water versus water subjected to sand filtration prior to use [OR = 19.2]). The follow-up study in 2013 at one of the producer locations indicated cattle to be the most likely source of STEC contamination of the irrigation water. Copyright © 2015, American Society for Microbiology. All Rights Reserved.

  3. Sanitary and Phytosanitary Measures, Barriers to trade?: the Peruvian Case in Asia-Pacific

    Directory of Open Access Journals (Sweden)

    Marcelo Alonso Valverde Arevalo

    2016-12-01

    Full Text Available Currently, tariffs do not represent the main barrier to foreign trade, due to the continued reduction of these measures in the multilateral or bilateral level. In contrast, non-tariff measures have increased to be considered as the main concern for exports. In this context, one kind of such measures becomes more important, the sanitary and phytosanitary (SPS measures. SPS measures serve to protect the health of people, animals and plants against risks associated with diseases, pests between others; however, by the design of those measures, they can distort trade or even been used for protectionist purposes in favor of national industries of importing countries. This article questions whether Peru has achieved real market access for its agricultural and fishery products, because of the wide range of international trade agreements in force. In this sense, historical and pending cases are presented in terms of market access due to SPS measures, like the access for Peruvian avocadoes In the Japanese market. Furthermore, the provisions of trade agreements in terms of sanitary and phytosanitary measures are analyzed in order to present potential opportunities that are established in these agreements and how they encourage trade. It is also presented that those kind of measures have not been used to facilitate Peruvian foreign trade.

  4. Research and development of intelligent controller for high-grade sanitary ware

    Science.gov (United States)

    Bao, Kongjun; Shen, Qingping

    2013-03-01

    With the social and economic development and people's living standards improve, more and more emphasis on modern society, people improve the quality of family life, the use of intelligent controller applications in high-grade sanitary ware physiotherapy students. Analysis of high-grade sanitary ware physiotherapy common functions pointed out in the production and use of the possible risks, proposed implementation of the system hardware and matching, given the system software implementation process. High-grade sanitary ware physiotherapy intelligent controller not only to achieve elegant and beautiful, simple, physical therapy, water power, deodorant, multi-function, intelligent control, to meet the consumers, the high-end sanitary ware market, strong demand, Accelerate the enterprise product Upgrade and improve the competitiveness of enterprises.

  5. [The urgency of the application of the medical sanitary passport in the system for chemical safety in the areas of location of high-risk chemical facilities in the Russian Federation].

    Science.gov (United States)

    Kombarova, M Iu; Radilov, A S; Dulov, S A

    2012-01-01

    The main provisions concerning the need for a creation of medical and sanitary passport for territories in the protective measures zones (PMZ) of storage facilities and facilities for the destruction of chemical weapons (FDCW) are presented in the article. The assessment of results of certification of the territory of PMZ and FDCW in "Maradykovsky" in the Kirov region has been done.

  6. Sanitary survey rapport 2: Nissum Bredning

    DEFF Research Database (Denmark)

    Larsen, Martin Mørk; Jakobsen, Hans Henrik; Göke, Cordula

    .3and the associated sampling plan are required to be based on so-called ‘sanitary surveys’. A sanitary survey is an assessment of the interactions between potential sources of microbial pollution, climate conditions and oceanography in the area. The EU Commission guidance for making a sanitary...... survey formed the basis for this report. However, in certain cases, the Danish practice for microbiological sampling frequency and classification made previously on the basis of this, as described in ‘muslingebekendtgørelsen’ is summarized in Appendix 13. The report covers production areas P1, P2, P3...... is determined in samples of mussels, etc. taken at different sampling points within each area. The report points to the most precautionary fixed sampling points for future monitoring In summary, the sanitary survey of Nissum Broads identifies an area that in general is a microbial homogeneous, stable...

  7. Assessing absolute changes in breast cancer risk due to modifiable risk factors.

    Science.gov (United States)

    Quante, Anne S; Herz, Julia; Whittemore, Alice S; Fischer, Christine; Strauch, Konstantin; Terry, Mary Beth

    2015-07-01

    Clinical risk assessment involves absolute risk measures, but information on modifying risk and preventing cancer is often communicated in relative terms. To illustrate the potential impact of risk factor modification in model-based risk assessment, we evaluated the performance of the IBIS Breast Cancer Risk Evaluation Tool, with and without current body mass index (BMI), for predicting future breast cancer occurrence in a prospective cohort of 665 postmenopausal women. Overall, IBIS's accuracy (overall agreement between observed and assigned risks) and discrimination (AUC concordance between assigned risks and outcomes) were similar with and without the BMI information. However, in women with BMI > 25 kg/m(2), adding BMI information improved discrimination (AUC = 63.9 % and 61.4 % with and without BMI, P risk difference for a woman with high (27 kg/m(2)) versus low (21 kg/m(2)) BMI was only 0.3 % for a woman with neither affected first-degree relatives nor BRCA1 mutation, compared to 4.5 % for a mutation carrier with three such relatives. This contrast illustrates the value of using information on modifiable risk factors in risk assessment and in sharing information with patients of their absolute risks with and without modifiable risk factors.

  8. Benjarong Sanitary Ware: Design and development for commerce in Samut Sakhon Province, Thailand

    Directory of Open Access Journals (Sweden)

    Wanchai Sama

    2015-08-01

    Full Text Available This investigation has three primary aims: 1 to study the traditional knowledge of Benjarong in Samut Sakhon Province; 2 to study designs and the production process of Benjarong sanitary ware in Samut Sakhon Province; 3 to develop Benjarong sanitary ware for commerce in Samut Sakhon Province. The research area for this investigation was purposively selected as Samut Sakhon Province. Data was gathered by document study, survey, participant and non-participant observation, structured and non-structured interview, focus group discussion and workshop. Results show that Benjarong sanitary products have been inherited from generation to generation in Samut Sakhon Province and continue to provide local jobs. Benjarong sanitary ware production uses a high budget because of the high price of colour inks, gold and electricity, so there are problems securing adequate funding. There are also problems with the management process and a lack of expert craftsmen to write and design modern patterns in harmony with contemporary art and Thai social identity. Moreover, many Thai people do not realize the value of cultural heritage and Benjarong inheritance is at risk. Benjarong sanitary ware can reflect local knowledge and traditional handicrafts. The researchers propose patterns for three types of Benjarong sanitary ware: washbasins, wall tiles and soap ledges. Development of these products will increase functionality and aesthetics, whilst maintaining Thai heritage.

  9. Proposal for the reinforcement of the environmental sanitary safety; Proposition pour un renforcement de la securite sanitaire environnementale

    Energy Technology Data Exchange (ETDEWEB)

    Grzegrzulka, O.; Aschieri, A. [Assemblee Nationale, 75 - Paris (France)

    1998-11-01

    Facing the context of the public reliance crisis, the sanitary risks bound to the environment became more and more important. This report asked by the first Minister of France, takes stock on the government policy in this domain and the today institutions. The first part defines the problematic of the sanitary risks bound to the environment, the second one shows the non adapted answer offered by the actual government and the last one proposes new procedures and actions.

  10. Definition of the risk grounding fatalities due to unintentional airplane crashes by calculates

    Directory of Open Access Journals (Sweden)

    І.Л. Государська

    2005-04-01

    Full Text Available  Estimates of the expected number of grounding fatalities, are given which probably will arise due to accident of air carriers, air taxi and general aviation. Measures regulation of the risk is considered.

  11. Risk of Death Due to Birth Defects Higher if Baby Covered by Medicaid

    Science.gov (United States)

    ... medlineplus.gov/news/fullstory_163268.html Risk of Death Due to Birth Defects Higher If Baby Covered ... defects cause about one in every five infant deaths in the United States. Now, new research finds ...

  12. Quantitative risk assessment of Listeriosis due to consumption of raw milk

    Science.gov (United States)

    The objectives of this study were to estimate the risk of illnesses for raw milk consumers due to L. monocytogenes contamination in raw milk sold by permitted raw milk dealers, and the risk of listeriosis for people on farms who consume raw milk. Three scenarios were evaluated for raw milk sold by ...

  13. [Sanitary and chemical protection during the Great Patriotic War].

    Science.gov (United States)

    Imangulov, R G; Grebeniuk, A N; Rybalko, V M; Nosov, A V

    2011-05-01

    During the Great Patriotic War (1941-1945) there was a real danger of use by German armies of the chemical weapon against staff of Red Army. However German command didn't risked to go on conducting large-scale chemical war against the USSR that rescued from painful death millions person. A principal cause of this decision was well organized and technically provided system of antigas protection in Red Army, including precisely organized actions of sanitary-chemical protection, qualitative preparation of military doctors on these questions and presence at them effective antidotes and other means of treatment of injuries by fighting poison gases.

  14. Evaluation of sanitary consequences of Chernobyl accident in France: epidemiological monitoring device, state of knowledge, evaluation of risks and perspectives; Evaluation des consequences sanitaires de l'accident de Tchernobyl en France: dispositif de surveillance epidemiologique, etat des connaissances, evaluation des risques et perspectives

    Energy Technology Data Exchange (ETDEWEB)

    Verger, P.; Champion, D.; Gourmelon, P.; Hubert, Ph.; Joly, J.; Renaud, Ph.; Tirmarche, M.; Vidal, M. [CEA/Fontenay-aux-Roses, Inst. de Protection et de Surete Nucleaire, IPSN, 92 (France); Cherie-Challine, L.; Boutou, O.; Isnard, H.; Jouan, M.; Pirard, Ph. [Institut National de Veille Sanitaire, 94 - Saint-Maurice (France)

    2000-12-01

    The objectives of this document are firstly, to present the situation of knowledge both on the sanitary consequences of the Chernobyl accident and on the risk factors of thyroid cancers, these ones constituting one of the most principal consequences observed in Belarus, in Ukraine and Russia; secondly, the give the principal system contributing to the epidemiological surveillance of effects coming from a exposure to ionizing radiations, in France and to give the knowledge on incidence and mortality of thyroid cancer in France; thirdly, to discuss the pertinence and the feasibility of epidemiological approaches that could be considered to answer questions that the public and authorities ask relatively to the sanitary consequences of Chernobyl accident in France; fourthly to male a calculation of thyroid cancer risk in relation with Chernobyl fallout in France from works and studies made from 1986 on the consequences of this disaster in terms of radioecology and dosimetry at the national level. Besides, the improvement of thyroid cancer surveillance is also tackled. (N.C.)

  15. 21 CFR 1210.14 - Sanitary inspection of plants.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Sanitary inspection of plants. 1210.14 Section... FEDERAL IMPORT MILK ACT Inspection and Testing § 1210.14 Sanitary inspection of plants. The sanitary conditions of any plant handling milk or cream any part of which is to be shipped or transported into...

  16. 21 CFR 1210.11 - Sanitary inspection of dairy farms.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Sanitary inspection of dairy farms. 1210.11... UNDER THE FEDERAL IMPORT MILK ACT Inspection and Testing § 1210.11 Sanitary inspection of dairy farms. The sanitary conditions of any dairy farm producing milk or cream to be shipped or transported...

  17. Assessing the Risk of Crew Injury Due to Dynamic Loads During Spaceflight

    Science.gov (United States)

    Somers, J. T.; Gernhardt, M.; Newby, N.

    2014-01-01

    Spaceflight requires tremendous amounts of energy to achieve Earth orbit and to attain escape velocity for interplanetary missions. Although the majority of the energy is managed in such a way as to limit the accelerations on the crew, several mission phases may result in crew exposure to dynamic loads. In the automotive industry, risk of serious injury can be tolerated because the probability of a crash is remote each time a person enters a vehicle, resulting in a low total risk of injury. For spaceflight, the level of acceptable injury risk must be lower to achieve a low total risk of injury because the dynamic loads are expected on each flight. To mitigate the risk of injury due to dynamic loads, the NASA Human Research Program has developed a research plan to inform the knowledge gaps and develop relevant tools for assessing injury risk. The risk of injury due to dynamic loads can be further subdivided into extrinsic and intrinsic risk factors. Extrinsic risk factors include the vehicle dynamic profile, seat and restraint design, and spacesuit design. Human tolerance to loads varies considerably depending on the direction, amplitude, and rise-time of acceleration therefore the orientation of the body to the dynamic vector is critical to determining crew risk of injury. Although a particular vehicle dynamic profile may be safe for a particular design, the seat, restraint, and suit designs can affect the risk of injury due to localized effects. In addition, characteristics intrinsic to the crewmember may also contribute to the risk of injury, such as crewmember sex, age, anthropometry, and deconditioning due to spaceflight, and each astronaut may have a different risk profile because of these factors. The purpose of the research plan is to address any knowledge gaps in the risk factors to mitigate injury risk. Methods for assessing injury risk have been well documented in other analogous industries and include human volunteer testing, human exposure to dynamic

  18. [Activity of sanitary surveillances in Vilnius at the time of the Second Republic of Poland].

    Science.gov (United States)

    Berner, Włodzimierz

    2009-01-01

    At the time of the Second Republic of Poland, in March 1922, the city of Vilnius together with the Vilnius Region was incorporated into Poland. Sanitary and health negligence was one of the main problems of the city. The genesis of that situation dates back to the 120-year national bondage, when the city was under the Russian rule. Since 1915 it was occupied by the German invader, and from January to April 1919 it belonged to Soviet Russia. The legacy left by this epoch concerned bad housing conditions, problems with removal of impurities, scarcity of fresh water supply, uneven and dirt roads, which along with other bionegative factors resulted in dissemination of contagious diseases and occurrence of other health risks. In Vilnius of the interwar period, similarly to other big cities in Poland, sanitary surveillances played a significant role in controlling acute contagious diseases, inspecting sanitary conditions of living quarters, service outlets, industrial plants, sites of production and selling food articles, as well as surveillance of food. Municipal doctors supervised the work of sanitary inspectors in each sanitary office.

  19. Sanitary technology. Special issue; Sanitairtechniek. Themanummer

    Energy Technology Data Exchange (ETDEWEB)

    Lodder, H. [Deerns Raadgevende Ingenieurs, Rijswijk (Netherlands); De Veer, T. [PWN Waterleidingbedrijf Noord-Holland, Velserbroek (Netherlands); Korstanje, H.; De Gids, Ph. K. [LegioFreeWaterSystems, Wijk bij Duurstede (Netherlands); Lansbergen, A. [Itho, Schiedam (Netherlands); Scheffer, W.J.H. [UNETO-VNI, Zoetermeer (Netherlands); Van Wolferen, H. [TNO Milieu en Energie, Apeldoorn (Netherlands); Donker, H. [Kemper Nederland, Groenlo (Netherlands); Engelenburg, M. [ATECA, Den Haag (Netherlands); Wolters, J. [Tour en Andersson, Alphen aan den Rijn (Netherlands); Doldersum, R.H. [De Melker Sanitairtechniek, Veenendaal (Netherlands)

    2007-09-15

    In 11 articles attention is paid to several aspects of sanitary technology, in particular the prevention and control of legionella in heating systems and water supply installations. [Dutch] In 11 artikelen wordt aandacht besteed aan verschillende aspecten m.b.t. sanitaire techniek, in het bijzonder legionella preventie en beheer in verwarmingssystemen en leidingwaterinstallaties.

  20. 21 CFR 110.35 - Sanitary operations.

    Science.gov (United States)

    2010-04-01

    ..., when cleaning is necessary to protect against the introduction of microorganisms into food, all food... 21 Food and Drugs 2 2010-04-01 2010-04-01 false Sanitary operations. 110.35 Section 110.35 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) FOOD...

  1. [Sanitary-hygienic assessment of microbial biofertilizer].

    Science.gov (United States)

    Arkhipchenko, N A; Akhtemava, G A; Lebedeva, T V; Voronina, A A; Makhan'kova, T I; Pavlova, M M; Shteĭntsaĭg, T A

    1991-10-01

    Biological treatment of sewage from pig-breeding complexes allowed to produce microbial biomass and primary sediments. The mixture of these components (1:1) after rendering harmless and drying out become the high effective biofertilizer. The results of chronic experiment on sanitary status of soil (microbial and helminthological indexes) under this biofertilizer usage are discussed, and the harmlessness of it is demonstrated.

  2. Smoking and subsequent risk of early retirement due to permanent disability

    DEFF Research Database (Denmark)

    Husemoen, Lise Lotte N; Osler, Merete; Godtfredsen, Nina S

    2004-01-01

    on early retirement due to chronic disease. The objective of the study is to determine the effects of smoking behaviour on early retirement due to permanent disability in a large sample of the general population. METHODS: Follow-up study based on data from three longitudinal population studies conducted...... ratio of 5.66 (1.88-17.00) and 5.61 (2.11-14.92) in heavily smoking men and women, respectively, who were below age 60. CONCLUSIONS: Smokers are at considerably higher risk of early retirement due to chronic disease. In addition to the burden of disease, this leads to social and economic problems...

  3. RHDM procedure for analysis of the potential specific risk due to a rockfall hazard

    Directory of Open Access Journals (Sweden)

    Blažo Đurović

    2005-06-01

    Full Text Available Theoretical basis and practical legislation (Water Law and regulation acts would allow in future the determination and classification of endangered territorial zones due to various natural hazards, among them also due to rock collapse and rockfall hazard as forms of the mass movement hazard. Interdisciplinary risk analysis, assessment and management of natural hazard are factors of harmonious spatial development in future. Especially risk analysis is the essential part of preventive mitigation actions and forms the basis for evaluation of the spatial plans, programs and policies.In accordance with the basic principles of the risk analysis the Rockfall Hazard Determination Method (RHDM for estimation of the potential specific risk degree due to a rock fall hazard along roadways and in hinterland is introduced. The method is derivedfrom the Rockfall Hazard Rating System (RHRS and adjusted to a holistic concept of the risk analysis procedure. The outcomes of the phenomenon simulation with a computer programme for rock mass movement analysis at local scale are included as well as climateand seismic conditions criteria which are newly introduced, thus making this method more adequate for specific geologic conditions in Slovenia.

  4. Risk to life due to flooding in post-Katrina New Orleans

    NARCIS (Netherlands)

    Miller, A.; Jonkman, S.N.; Van Ledden, M.

    2014-01-01

    After the catastrophic flooding of New Orleans due to hurricane Katrina in the year 2005, the city's hurricane protection system has been improved to provide protection against a hurricane load with a 1/100 per year exceedance frequency. This paper investigates the risk to life in post-Katrina New

  5. Risk to life due to flooding in post-Katrina New Orleans

    NARCIS (Netherlands)

    Miller, A.; Jonkman, S.N.; Van Ledden, M.

    2015-01-01

    Since the catastrophic flooding of New Orleans due to Hurricane Katrina in 2005, the city's hurricane protection system has been improved to provide protection against a hurricane load with a 1/100 per year exceedance frequency. This paper investigates the risk to life in post-Katrina New Orleans.

  6. Risk to life due to flooding in Post-Katrina New Orleans

    NARCIS (Netherlands)

    Miller, A.; Jonkman, S.N.; Van Ledden, M.

    2012-01-01

    After the catastrophic flooding of New Orleans due to hurricane Katrina in the year 2005, the city’s hurricane protection system has been improved to provide protection against storms with at least a 100 year return period. The aim of this article is to investigate the risk to life in the

  7. Exposure to physical risk factors in Dutch agriculture : Effect on sick leave due to musculoskeletal disorders

    NARCIS (Netherlands)

    Hartman, E; Vrielink, HHEO; Metz, JHM; Huirne, RBM

    2005-01-01

    A case-control study examined the association between Dutch farmers' exposure to single physical risk factors or combinations of them and sick leave due to back disorders and neck, shoulder or upper extremity disorders. The sick leave claims of an insurance company in the years 1998-2001 for back (S

  8. Exposure to physical risk factors in Dutch agriculture: Effect on sick leave due to musculoskeletal disorders

    NARCIS (Netherlands)

    Hartman, E.; Oude Vrielink, H.H.E.; Metz, J.H.M.; Huirne, R.B.M.

    2005-01-01

    A case-control study examined the association between Dutch farmers¿ exposure to single physical risk factors or combinations of them and sick leave due to back disorders and neck, shoulder or upper extremity disorders. The sick leave claims of an insurance company in the years 1998¿2001 for back (S

  9. The application of irradiation to phyto sanitary problems

    Energy Technology Data Exchange (ETDEWEB)

    Ross, R.T. [USDA/APHIS/PPQ. Department of Agriculture, Room 1630 Soagribg, 1400 Independence Ave. Sw. Mail Code Stop 3438, 20250 Washington D.C. (United States)

    1997-12-31

    The first formally adopted regulatory policy for irradiation as a phyto sanitary treatment in the United States was issued in 1989 and was based on Title 7 of the Code of Federal Regulations. These regulations authorized irradiation as a quarantine treatment for papayas intended for movement from the State of Hawaii to the continental United States (U.S.), Guam, Puerto Rico, and the U.S. Virgin Islands. This authorization was specific for commodity, place of origin, and program, but was designed for a complex of three fruit flies rather than a single pest. Routine commercial shipments were never realized under this regulation due to the lack of a treatment facility in Hawaii. However, the authorization has proven useful from the standpoint of beginning to establish policies for irradiation as a phyto sanitary treatment in the United States. The United States Department of Agriculture (USDA), Animal and Plant Health Inspection Service (APHIS), Plant Protection and Quarantine (PPQ) remains dedicated to using the most up-to-date, appropriate and least intrusive technology to provide quarantine security. The need for alternative treatments for pests mitigation systems is greater than ever. Global trade pressures and the possible loss of methyl bromide make it imperative that all practical treatment options be explored. Since 1989 irradiation treatment concepts have matured significantly. Technological advances, greater experience, and an increasingly larger body of research indicate that irradiation has important potential as a treatment for quarantine pest problems. It is in this light that PPQ is expanding its regulatory framework, is addressing irradiation treatment options, and is developing comprehensive policy statements intended to facilitate the development and formalization of new treatments for phyto sanitary applications. (Author)

  10. Comparative effects of level of dietary fiber and sanitary conditions on the growth and health of weanling pigs.

    Science.gov (United States)

    Montagne, L; Le Floc'h, N; Arturo-Schaan, M; Foret, R; Urdaci, M C; Le Gall, M

    2012-08-01

    , feeding pigs a high-fiber diet in the immediate period after weaning is probably an additional risk factor for slower BW gain, especially in poor sanitary conditions.

  11. SANITARY-HYGIENIC QUALITY OF FRESH AND FROZEN TILAPIA (Oreochromis spp. IN PUBLIC MARKETS

    Directory of Open Access Journals (Sweden)

    Renata Xavier Silva

    2016-10-01

    Full Text Available This study aimed to verify the sanitary quality of tilapia (Oreochromis spp. sold in public markets in the city of Mossoro-RN. For such we made use of a checklist and an observational study to evaluate good handling practices in 10 establishments that commercialize fish. We obtained 30 samples of tilapia and evaluated them as to their sensory and microbiological aspects (Salmonella spp., coliforms at 45 ºC, Staphylococcus ssp. count, psychrotrophic bacteria and enterobacteria, as well as to their pH and internal and external temperature. We observed that none of the studied establishments were in accordance with the standards recommended by the legislation. Regarding the sensory evaluation, 83.3% of the samples showed compliance with the requirements of the legislation. As for the coliforms at 45 °C essay, the results ranged from 0.477 to 1.509 log10 CFU/g; in the Staphylococcus spp. essay we found results from 4.854 to 5.397 log10 CFU/g; and further, we found values from 3.884 to 4.937 and from 4.707 to 5.463 log10 CFU/g for enterobacteria and psychrotrophic bacteria, respectively. All the samples were within the requirements for contamination by Salmonella spp. (absence. The pH ranged from 5.99 to 6.18 and temperatures indicated non-compliance with the recommendations. Thus, we can infer that the sanitary quality of tilapia sold in public markets in Mossoro-RN was impaired, presenting a risk to consumer health due to unsatisfactory handling conditions. Keywords: best practices; microbiology; physio-chemistry.

  12. Quantification of increased flood risk due to global climate change for urban river management planning.

    Science.gov (United States)

    Morita, M

    2011-01-01

    Global climate change is expected to affect future rainfall patterns. These changes should be taken into account when assessing future flooding risks. This study presents a method for quantifying the increase in flood risk caused by global climate change for use in urban flood risk management. Flood risk in this context is defined as the product of flood damage potential and the probability of its occurrence. The study uses a geographic information system-based flood damage prediction model to calculate the flood damage caused by design storms with different return periods. Estimation of the monetary damages these storms produce and their return periods are precursors to flood risk calculations. The design storms are developed from modified intensity-duration-frequency relationships generated by simulations of global climate change scenarios (e.g. CGCM2A2). The risk assessment method is applied to the Kanda River basin in Tokyo, Japan. The assessment provides insights not only into the flood risk cost increase due to global warming, and the impact that increase may have on flood control infrastructure planning.

  13. A framework for assessing risk reduction due to DNAPL mass removal from low permeability soils

    Energy Technology Data Exchange (ETDEWEB)

    Freeze, R.A. [R. Allan Freeze Engineering, Inc., White Rock, British Columbia (Canada); McWhorter, D.B. [Colorado State Univ., Fort Collins, CO (United States)

    1996-08-01

    Many emerging remediation technologies are designed to remove contaminant mass from source zones at DNAPL sites in response to regulatory requirements. There is often concern in the regulated community as to whether mass removal actually reduces risk, or whether the small risk reductions achieved warrant the large costs incurred. This paper sets out a framework for quantifying the degree to which risk is reduced as mass is removed from shallow, saturated, low-permeability, dual-porosity, DNAPL source zones. Risk is defined in terms of meeting an alternate concentration level (ACL) at a compliance well in an aquifer underlying the source zone. The ACL is back-calculated from a carcinogenic health-risk characterization at a downstream water-supply well. Source-zone mass-removal efficiencies are heavily dependent on the distribution of mass between media (fractures, matrix) and phases (dissolved, sorbed, free product). Due to the uncertainties in currently-available technology performance data, the scope of the paper is limited to developing a framework for generic technologies rather than making risk-reduction calculations for specific technologies. Despite the qualitative nature of the exercise, results imply that very high mass-removal efficiencies are required to achieve significant long-term risk reduction with technology, applications of finite duration. 17 refs., 7 figs., 6 tabs.

  14. Biogas movements in sanitary landdfills; Movimiento de biogas en rellenos sanitarios

    Energy Technology Data Exchange (ETDEWEB)

    Vidales A, Humberto

    1988-12-31

    This paper shows a model to study the physical and kinetic equations that determine the movement and diffusion of the biogas in sanitary landfills. This model for biogas flow was made in function of pressure, temperature, waste porosity and permeability, due to a diffusion coefficient of biogas determination 6 refs., 4 figs.

  15. Risk factors and outcomes for patients with bloodstream infection due to Acinetobacter baumannii-calcoaceticus complex.

    Science.gov (United States)

    Chopra, Teena; Marchaim, Dror; Johnson, Paul C; Awali, Reda A; Doshi, Hardik; Chalana, Indu; Davis, Naomi; Zhao, Jing J; Pogue, Jason M; Parmar, Sapna; Kaye, Keith S

    2014-08-01

    Identifying patients at risk for bloodstream infection (BSI) due to Acinetobacter baumannii-Acinetobacter calcoaceticus complex (ABC) and providing early appropriate therapy are critical for improving patient outcomes. A retrospective matched case-control study was conducted to investigate the risk factors for BSI due to ABC in patients admitted to the Detroit Medical Center (DMC) between January 2006 and April 2009. The cases were patients with BSI due to ABC; the controls were patients not infected with ABC. Potential risk factors were collected 30 days prior to the ABC-positive culture date for the cases and 30 days prior to admission for the controls. A total of 245 case patients were matched with 245 control patients. Independent risk factors associated with BSI due to ABC included a Charlson's comorbidity score of ≥ 3 (odds ratio [OR], 2.34; P = 0.001), a direct admission from another health care facility (OR, 4.63; P < 0.0001), a prior hospitalization (OR, 3.11; P < 0.0001), the presence of an indwelling central venous line (OR, 2.75; P = 0.011), the receipt of total parenteral nutrition (OR, 21.2; P < 0.0001), the prior receipt of β-lactams (OR, 3.58; P < 0.0001), the prior receipt of carbapenems (OR, 3.18; P = 0.006), and the prior receipt of chemotherapy (OR, 15.42; P < 0.0001). The median time from the ABC-positive culture date to the initiation of the appropriate antimicrobial therapy was 2 days (interquartile range [IQR], 1 to 3 days). The in-hospital mortality rate was significantly higher among case patients than among control patients (OR, 3.40; P < 0.0001). BSIs due to ABC are more common among critically ill and debilitated institutionalized patients, who are heavily exposed to health care settings and invasive devices.

  16. Riscos na qualidade sanitária da carne de jacaré da Amazônia Centra | Sanitary risk assessment for caiman meat quality in Central Amazon

    Directory of Open Access Journals (Sweden)

    Adriana Sotero-Martins

    2015-11-01

    production chain of wild populations. In Brazil, there are no protocols for this type of meat. The slaughter and processing were performed using a simplified, traditional floating raft system and a water treatment system that used both filtration and chemicals. The animals were caught using a hook, harpoon, resting pole, and cable snare. The wild caimans of two species (Melanosuchus niger and Caiman crocodilus were captured in the region of the Piagaçu-Purus Sustainable Development Reserve in Central Amazon during three harvesting events. After each event, we progressively improved the meat-processing protocol. Microbiological testing of the meat was performed as described in norms and Brazilian legislation for fish meat. As a result, we achieved improvements in the sanitary quality of the meat of the killed animals for 57%, 76.5% and 100% of the samples obtained during the first, second, and third harvesting events, respectively. There were significant differences in the microbiological quality of the meat, with a reduction in the disapproval of the samples. The process of capturing animals, the cable snare, and the restraining pole were the factors that least affected the quality of the meat; in addition, animals between 81 and 100 cm of CRC had a lower risk of microbiological contamination. We can conclude that health surveillance activities, such as hand hygiene when handling meat, improvements in water quality, selection of animals of the most appropriate size for slaughter, and capture by less invasive methods can reduce the potential for microbiological contamination of the meat contribute to decrease the potential for microbiological contamination of meat.

  17. A quantitative method for risk assessment of agriculture due to climate change

    Science.gov (United States)

    Dong, Zhiqiang; Pan, Zhihua; An, Pingli; Zhang, Jingting; Zhang, Jun; Pan, Yuying; Huang, Lei; Zhao, Hui; Han, Guolin; Wu, Dong; Wang, Jialin; Fan, Dongliang; Gao, Lin; Pan, Xuebiao

    2016-11-01

    Climate change has greatly affected agriculture. Agriculture is facing increasing risks as its sensitivity and vulnerability to climate change. Scientific assessment of climate change-induced agricultural risks could help to actively deal with climate change and ensure food security. However, quantitative assessment of risk is a difficult issue. Here, based on the IPCC assessment reports, a quantitative method for risk assessment of agriculture due to climate change is proposed. Risk is described as the product of the degree of loss and its probability of occurrence. The degree of loss can be expressed by the yield change amplitude. The probability of occurrence can be calculated by the new concept of climate change effect-accumulated frequency (CCEAF). Specific steps of this assessment method are suggested. This method is determined feasible and practical by using the spring wheat in Wuchuan County of Inner Mongolia as a test example. The results show that the fluctuation of spring wheat yield increased with the warming and drying climatic trend in Wuchuan County. The maximum yield decrease and its probability were 3.5 and 64.6%, respectively, for the temperature maximum increase 88.3%, and its risk was 2.2%. The maximum yield decrease and its probability were 14.1 and 56.1%, respectively, for the precipitation maximum decrease 35.2%, and its risk was 7.9%. For the comprehensive impacts of temperature and precipitation, the maximum yield decrease and its probability were 17.6 and 53.4%, respectively, and its risk increased to 9.4%. If we do not adopt appropriate adaptation strategies, the degree of loss from the negative impacts of multiclimatic factors and its probability of occurrence will both increase accordingly, and the risk will also grow obviously.

  18. Socioeconomic status, occupation, and risk of hospitalisation due to coxarthrosis in Denmark 1981–99

    Science.gov (United States)

    Tuchsen, F; Hannerz, H; Jensen, M; Krause, N

    2003-01-01

    Objectives: To predict the relative risk and time trend in hospitalisation due to coxarthrosis (CA) among groups of different socioeconomic status and occupations in order to test existing aetiological hypotheses. Methods: Four consecutive cohorts of all gainfully employed Danish men were followed up for CA. Standardised hospitalisation ratios (SHR) and time trends were calculated. Results: Self employed men had an SHR due to CA of 140 (95% confidence interval (CI) 130 to 151) in 1994-99. It changed -1.2% (95% CI -2 to -0.4) annually from 1981 to 1999. Self employed farmers had an SHR of 286 (95% CI 262 to 313) during 1994–99, increasing 0.14% a year (95% CI -0.9 to 1.1) from 1981 to 1999. Unskilled men had an SHR of 121 (95% CI 113 to 130) in 1994-99. The SHR increased 1.6% annually (95% CI 0.7 to 2.4) from 1981 to 1999. Employed agricultural workers had an SHR of 189 (95% CI 158 to 227) from 1994 to 1999. The SHR increased 3.7% annually (95% CI 1.2 to 6.2) from 1981 to 1999. Conclusions: The relative risk of hospitalisation due to CA was consistently high among farmers in four successive analyses spanning an 18 year period. The relative risks remained stable over time despite the fact that the number of farmers decreased. The risk increased among employed workers in agriculture and horticulture over that period, and an increased risk was also found among tractor drivers and a few other occupations. PMID:14583575

  19. Action plan to regain unnecessary deferred blood donors due to malaria risk in Turkey.

    Science.gov (United States)

    Değirmenci, Aysu; Döşkaya, Mert; Caner, Ayşe; Nergis, Sebnem; Gül, Kadri; Aydınok, Yeşim; Ertop, Tufan; Aksoy, Nurten; Korkmaz, Metin; Alkan, Mehmet Ziya; Üner, Ahmet; Gürüz, Yüksel

    2012-06-01

    Malaria was expected to be a major problem during blood donation in Turkey due to existence of malaria cases in southeastern region of Turkey. The present study aimed for the first time, to investigate malaria in "donors deferred for malaria risk" and to determine the regional rates of malaria deferral in Turkey. Blood samples were collected from several Blood Banks of southeastern provinces where local malaria cases still exist and from Blood Bank of Ege University Medical School (EUMS) located in western Turkey where malaria is eradicated decades ago. Plasmodium spp. and specific antibodies were investigated by stained smears, antigen detection, PCR and ELISA. Among the donors deferred for malaria risk, Plasmodium spp. were not detected by microscopy, PCR or antigen detection. Seroprevalances were 2% and 3.92% in western and southeastern regions, respectively. Rate of donor deferral for malaria risk was 0.9% in EUMS and deferrals were exclusively because of travel to southeastern Turkey. In southeastern provinces, deferrals were mainly due to malaria like fever history. The present study first time assessed regional rates of donor deferral due to malaria risk in Turkey. Previously, malaria was expected to be a major problem during blood donation in Turkey due to existence of malaria cases in southeastern region of Turkey. The results of the study showed that 97% of the deferrals were unnecessary. In conclusion, to reduce unnecessary donor deferrals in Turkey, in addition to comprehensive questioning for malaria history, the usage of a malaria antibody screening method should be initiated prior to deferral decision.

  20. Evidence Report: Risk of Acute Radiation Syndromes Due to Solar Particle Events

    Science.gov (United States)

    Carnell, Lisa; Blattnig, Steve; Hu, Shaowen; Huff, Janice; Kim, Myung-Hee; Norman, Ryan; Patel, Zarana; Simonsen, Lisa; Wu, Honglu

    2016-01-01

    Crew health and performance may be impacted by a major solar particle event (SPE), multiple SPEs, or the cumulative effect of galactic cosmic rays (GCR) and SPEs. Beyond low-Earth orbit, the protection of the Earth's magnetosphere is no longer available, such that increased shielding and protective mechanisms are necessary in order to prevent acute radiation sickness and impacts to mission success or crew survival. While operational monitoring and shielding are expected to minimize radiation exposures, there are EVA scenarios outside of low-Earth orbit where the risk of prodromal effects, including nausea, vomiting, anorexia, and fatigue, as well as skin injury and depletion of the blood-forming organs (BFO), may occur. There is a reasonable concern that a compromised immune system due to high skin doses from a SPE or due to synergistic space flight factors (e.g., microgravity) may lead to increased risk to the BFO. The primary data available at present are derived from analyses of medical patients and persons accidentally exposed to acute, high doses of low-linear energy transfer (LET) (or terrestrial) radiation. Data more specific to the space flight environment must be compiled to quantify the magnitude of increase of this risk and to develop appropriate protection strategies. In particular, information addressing the distinct differences between solar proton exposures and terrestrial exposure scenarios, including radiation quality, dose-rate effects, and non-uniform dose distributions, is required for accurate risk estimation.

  1. Risk factors and outcome of community-acquired pneumonia due to Gram-negative bacilli.

    Science.gov (United States)

    Falguera, Miquel; Carratalà, Jordi; Ruiz-Gonzalez, Agustín; Garcia-Vidal, Carolina; Gazquez, Isabel; Dorca, Jordi; Gudiol, Francesc; Porcel, José M

    2009-01-01

    Several sets of guidelines have advocated initial antibiotic treatment for community-acquired pneumonia due to Gram-negative bacilli in patients with specific risk factors. However, evidence to support this recommendation is scarce. We sought to identify risk factors for community-acquired pneumonia due to Gram-negative bacilli, including Pseudomonas aeruginosa, and to assess outcomes. An observational analysis was carried out on prospectively collected data for immunocompetent adults hospitalized for community-acquired pneumonia in two acute-care hospitals. Cases of pneumonia due to Gram-negative bacilli were compared with those of non-Gram-negative bacilli causes. Sixty-one (2%) of 3272 episodes of community-acquired pneumonia were due to Gram-negative bacilli. COPD (odds ratio (OR) 2.4, 95% confidence interval (CI): 1.2-5.1), current use of corticosteroids (OR 2.8, 95% CI: 1.2-6.3), prior antibiotic therapy (OR 2.6, 95% CI: 1.4-4.8), tachypnoea >or=30 cycles/min (OR 2.1, 95% CI: 1.1-4.2) and septic shock at presentation (OR 6.1, 95% CI: 2.5-14.6) were independently associated with Gram-negative bacilli pneumonia. Initial antibiotic therapy in patients with pneumonia due to Gram-negative bacilli was often inappropriate. These patients were also more likely to require admission to the intensive care unit, had longer hospital stays, and higher early (Gram-negative bacilli is uncommon, but is associated with a poor outcome. The risk factors identified in this study should be considered when selecting initial antibiotic therapy for patients with community-acquired pneumonia.

  2. Study of epidemiological risk of lung cancer in Mexico due indoor radon exposure

    Science.gov (United States)

    Ángeles, A.; Espinosa, G.

    2014-07-01

    In this work the lifetime relative risks (LRR) of lung cancer due to exposure to indoor 222Rn on the Mexican population is calculated. Cigarette smoking is the number one risk factor for lung cancer (LC), because that, to calculate the number of cases of LC due to exposure to 222Rn is necessary considers the number of cases of LC for smoking cigarette. The lung cancer mortality rates published by the "Secretaría de Salud" (SSA), the mexican population data published by the "Consejo Nacional de Población" (CONAPO), smoking data in the mexican population, published by the "Comisión Nacional Contra las Adicciones" (CONADIC), the "Organización Panamericana de la Salud" (OPS) and indoor 222Rn concentrations in Mexico published in several recent studies are used. To calculate the lifetime relative risks (LRR) for different segments of the Mexican population, firstly the Excess Relative Risk (ERR) is calculated using the method developed by the BEIR VI committee and subsequently modified by the USEPA and published in the report "EPA Assessment of Risks from Radon in Homes". The excess relative risks were then used to calculate the corresponding lifetime relative risks, again using the method developed by the BEIR VI committee. The lifetime relative risks for Mexican male and female eversmokers and Mexican male and female never-smokers were calculated for radon concentrations spanning the range found in recent studies of indoor radon concentrations in Mexico. The lifetime relative risks of lung cancer induced by lifetime exposure to the mexican average indoor radon concentration were estimated to be 1.44 and 1.40 for never-smokers mexican females and males respectively, and 1.19 and 1.17 for ever-smokers Mexican females and males respectively. The Mexican population LRR values obtained in relation to the USA and Canada LRR published values in ever-smokers for both gender are similar with differences less than 4%, in case of never-smokers in relation with Canada

  3. Can Sanitary Surveys Replace Water Quality Testing? Evidence from Kisii, Kenya

    Science.gov (United States)

    Misati, Aaron Gichaba; Ogendi, George; Peletz, Rachel; Khush, Ranjiv; Kumpel, Emily

    2017-01-01

    Information about the quality of rural drinking water sources can be used to manage their safety and mitigate risks to health. Sanitary surveys, which are observational checklists to assess hazards present at water sources, are simpler to conduct than microbial tests. We assessed whether sanitary survey results were associated with measured indicator bacteria levels in rural drinking water sources in Kisii Central, Kenya. Overall, thermotolerant coliform (TTC) levels were high: all of the samples from the 20 tested dug wells, almost all (95%) of the samples from the 25 tested springs, and 61% of the samples from the 16 tested rainwater harvesting systems were contaminated with TTC. There were no significant associations between TTC levels and overall sanitary survey scores or their individual components. Contamination by TTC was associated with source type (dug wells and springs were more contaminated than rainwater systems). While sanitary surveys cannot be substituted for microbial water quality results in this context, they could be used to identify potential hazards and contribute to a comprehensive risk management approach. PMID:28178226

  4. Managing risks from virus intrusion into water distribution systems due to pressure transients.

    Science.gov (United States)

    Yang, Jian; LeChevallier, Mark W; Teunis, Peter F M; Xu, Minhua

    2011-06-01

    Low or negative pressure transients in water distribution systems, caused by unexpected events (e.g. power outages) or routine operation/maintenance activities, are usually brief and thus are rarely monitored or alarmed. Previous studies have shown connections between negative pressure events in water distribution systems and potential public health consequences. Using a quantitative microbial risk assessment (QMRA) model previously developed, various factors driving the risk of viral infection from intrusion were evaluated, including virus concentrations external to the distribution system, maintenance of a disinfectant residual, leak orifice sizes, the duration and the number of nodes drawing negative pressures. The most sensitive factors were the duration and the number of nodes drawing negative pressures, indicating that mitigation practices should be targeted to alleviate the severity of low/negative pressure transients. Maintaining a free chlorine residual of 0.2 mg/L or above is the last defense against the risk of viral infection due to negative pressure transients. Maintaining a chloramine residual did not appear to significantly reduce the risk. The effectiveness of ensuring separation distances from sewer mains to reduce the risk of infection may be system-specific. Leak detection/repair and cross-connection control should be prioritized in areas vulnerable to negative pressure transients.

  5. A framework for assessing risk to coastal ecosystems in Taiwan due to climate change

    Directory of Open Access Journals (Sweden)

    Ming-Chih Chiu

    2017-01-01

    Full Text Available Coastal ecosystems are rich with biodiversity and ecological functions that provide valuable ecosystem services. They are also vulnerable to the impacts of climate change and anthropogenic activities. Assessing the impacts of climate change on coastal ecosystems is crucial if we are to develop and implement strategies that minimize and mitigate these impacts. This study uses a theoretical framework that includes climatic hazards, ecosystem vulnerability, and exposure to damaging climatic events, to estimate the risks due to climate change on coastal ecosystems in Taiwan. We found that seagrass beds, algal reefs, and coral reefs in Taiwan are at high ecological risk to the future effects of sea level rise, elevated sea temperature, and ocean acidification. The responses of these highly threatened ecosystems to the effects of climate change is uncertain and depend, in part, on the type of ecosystem, its location in Taiwan, the rate at which these effects occur, and whether these impacts occur at the same time or sequentially. The coastal ecosystem risk to the adverse effects of climate change is high because they are especially vulnerable. The resistance of coastal ecosystems is linked to their complexity and maturity. Their low adaptive capacity is linked to the exploitation of their natural resources and inadequate biodiversity conservation. To minimize and mitigate the effects of climate change on high-risk areas and ecosystems ongoing monitoring programs and dynamic management will be needed. Our study is a first step toward building a framework for climate change risk assessment for the coastal ecosystems in Taiwan.

  6. Modeling safety risk perception due to mobile phone distraction among four wheeler drivers

    Directory of Open Access Journals (Sweden)

    Raghunathan Rajesh

    2017-04-01

    Full Text Available Nowadays, there is an increasing trend in the use of information and communication technology devices in new vehicles. Due to these increasing service facilities, driver distraction has become a major concern for transportation safety. To reduce safety risks, it is crucial to understand how distracting activities affect driver behavior at different levels of vehicle control. The objective of this work is to understand how the vehicle and driver characteristics influence mobile phone usage while driving and associated risk perception of road safety incidents. Based on literature review, a man–machine framework for distracted driving and a mobile phone distraction model is presented. The study highlights the findings from a questionnaire survey conducted in Kerala, India. The questionnaire uses a 5-point Likert scale. Responses from 1203 four-wheeler drivers are collected using random sampling approach. The questionnaire items associated with three driver-drive characteristics are: (i Human Factors (age, experience, emotional state, behavior of driver, (ii Driver space (meter, controls, light, heat, steering, actuators of vehicle, (iii Driving conditions (speed, distance, duration, traffic, signals. This mobile phone distraction model is tested using structural equation modeling procedure. The study indicates that among the three characteristics, ‘Human Factors’ has the highest influence on perceived distraction due to mobile phones. It is also observed that safety risk perception due to mobile phone usage while driving is moderate. The practical relevance of the study is to place emphasis on behavior-based controls and to focus on strategies leveraging perception of distraction due to mobile phones while driving.

  7. Probable Health Risks Due to Exposure to Outdoor PM2.5 in India

    Science.gov (United States)

    Dey, S.; Chowdhury, S.

    2014-12-01

    Particulate matter of size chemical transport model to constrain the relation between columnar aerosol optical depth (AOD) and surface PM2.5 and establish mean monthly conversion factor. Satellite-derived daily AODs for the period 2000-2012 are then converted to PM2.5 using the conversion factors. The dataset (after validation against coincident in-situ measurements and bias-correction) was used to carry out the exposure assessment. 51% of the population is exposed to PM2.5 concentration exceeding WHO air quality interim target-3 threshold (35 μg m-3). The health impacts are categorized in terms of four diseases - cardio ortho-pulmonary disease (COPD), stroke, ischemic heart disease (IHD) and lung cancer (LC). In absence of any region-specific cohort study, published studies are consulted to estimate risk. The risks relative to the background concentration of 10 μg m-3 are estimated by logarithmic fitting of the individual cohort studies against the corresponding PM2.5 concentration. This approach considers multiple (>100) cohort studies across a wide variety of adult population from various socio-economic backgrounds. Therefore, the calculated risks are considered to be better estimates in relative to any one particular type of risk function model (e.g. linear 50 or linear 70 or exponential). The risk values are used to calculate the additional mortality due to exposure to PM2.5 in each of the administrative districts in India to identify the vulnerable regions. 52.1% of the additional mortality is attributed to COPD, while the corresponding numbers for stroke, IHD and LC are 19.3%, 25.2% and 3.4% respectively. In absolute terms, an additional 0.6 million (with an uncertainty of ±20%) mortality per year is estimated in India due to exposure to outdoor PM2.5 in the last decade.

  8. [Modern problems of the application of sanitary regulations concerning sanitary protection zones and sanitary classification of enterprises, buildings and other facilities].

    Science.gov (United States)

    Lomtev, A Iu; Eremin, G B; Mozzhukhina, N A; Kombarova, M Iu; Mel'tser, A V; Giul'mamedov, É Iu

    2013-01-01

    In this paper there was performed an analysis of the application of sanitary norms and rules concerning sanitary protective zones and sanitary classification of enterprises, buildings and other facilities, including requirements for the sufficiency and accuracy of information in the performance of projects in sanitary protection zone (SPZ). There is presented an analysis of regulations that set requirements for implementation of mapping works in drafting the SPZ. The design of the SPZ was shown to be, on the one hand, the element of territorial planning subjects of the Russian Federation, on the other hand, the object of capital construction. The substantiations of requirements for graphic and text content, structure, and composition of data, sources of their obtaining, methods of data convergence are reported. There are revealed inconsistencies in Sanitary Regulations and Norms (SanPins) and in their relationship with the Town Planning and Land Code and other laws, and regulations adopted in their development.

  9. Using the Design for Demise Philosophy to Reduce Casualty Risk Due to Reentering Spacecraft

    Science.gov (United States)

    Kelley, R. L.

    2012-01-01

    Recently the reentry of a number of vehicles has garnered public attention due to their risk of human casualty due to fragments surviving reentry. In order to minimize this risk for their vehicles, a number of NASA programs have actively sought to minimize the number of components likely to survive reentry at the end of their spacecraft's life in order to meet and/or exceed NASA safety standards for controlled and uncontrolled reentering vehicles. This philosophy, referred to as "Design for Demise" or D4D, has steadily been adopted, to at least some degree, by numerous programs. The result is that many programs are requesting evaluations of components at the early stages of vehicle design, as they strive to find ways to reduce the number surviving components while ensuring that the components meet the performance requirements of their mission. This paper will discuss some of the methods that have been employed to ensure that the consequences of the vehicle s end-of-life are considered at the beginning of the design process. In addition this paper will discuss the technical challenges overcome, as well as some of the more creative solutions which have been utilized to reduce casualty risk.

  10. The 5 key questions coping with risks due to natural hazards, answered by a case study

    Science.gov (United States)

    Hardegger, P.; Sausgruber, J. T.; Schiegg, H. O.

    2009-04-01

    Based on Maslow's hierarchy of needs, human endeavours concern primarily existential needs, consequently, to be safeguarded against both natural as well as man made threads. The subsequent needs are to realize chances in a variety of fields, as economics and many others. Independently, the 5 crucial questions are the same as for coping with risks due to natural hazards specifically. These 5 key questions are I) What is the impact in function of space and time ? II) What protection measures comply with the general opinion and how much do they mitigate the threat? III) How can the loss be adequately quantified and monetized ? IV) What budget for prevention and reserves for restoration and compensation are to be planned ? V) Which mix of measures and allocation of resources is sustainable, thus, optimal ? The 5 answers, exemplified by a case study, concerning the sustainable management of risk due to the debris flows by the Enterbach / Inzing / Tirol / Austria, are as follows : I) The impact, created by both the propagation of flooding and sedimentation, has been forecasted by modeling (numerical simulation) the 30, 50, 100, 150, 300 and 1000 year debris flow. The input was specified by detailed studies in meteorology, precipitation and runoff, in geology, hydrogeology, geomorphology and slope stability, in hydraulics, sediment transport and debris flow, in forestry, agriculture and development of communal settlement and infrastructure. All investigations were performed according to the method of ETAlp (Erosion and Transport in Alpine systems). ETAlp has been developed in order to achieve a sustainable development in alpine areas and has been evaluated by the research project "nab", within the context of the EU-Interreg IIIb projects. II) The risk mitigation measures of concern are in hydraulics at the one hand and in forestry at the other hand. Such risk management is evaluated according to sustainability, which means economic, ecologic and social, in short, "triple

  11. [Occupational risk due to use of mercury in dentistry: a bibliographic review].

    Science.gov (United States)

    Grigoletto, Jamyle Calencio; Oliveira, Aline da Silva; Muñoz, Susana Inés Segura; Alberguini, Leny Borghesan Albertini; Takayanagui, Angela Maria Magosso

    2008-01-01

    The aim of this study is to present data concerning hazardous waste management in the health area, with emphasis to the utilization of mercury in dentistry. The study was based on a bibliographic review regarding the use of mercury in dental fillings and its potential toxicological risks for patients and due to occupational exposure. The studies also take into consideration national and international recommendations on the use of mercury and its occupational exposure limits. The review of the literature reveals the potential toxic effects of mercury both on the environment and on human health. Given that the use of dental amalgam is still very frequent in dentistry, there is a need for safety regulations in order to minimize the risks posed by dental amalgam in dentistry proceedings based on technical guidelines for its use, discard and final disposal.

  12. Assessment of health risks due to arsenic from iron ore lumps in a beach setting.

    Science.gov (United States)

    Swartjes, Frank A; Janssen, Paul J C M

    2016-09-01

    In 2011, an artificial hook-shaped peninsula of 128ha beach area was created along the Dutch coast, containing thousands of iron ore lumps, which include arsenic from natural origin. Elemental arsenic and inorganic arsenic induce a range of toxicological effects and has been classified as proven human carcinogens. The combination of easy access to the beach and the presence of arsenic raised concern about possible human health effects by the local authorities. The objective of this study is therefore to investigate human health risks from the presence of arsenic-containing iron ore lumps in a beach setting. The exposure scenarios underlying the human health-based risk limits for contaminated land in The Netherlands, based on soil material ingestion and a residential setting, are not appropriate. Two specific exposure scenarios related to the playing with iron ore lumps on the beach ('sandcastle building') are developed on the basis of expert judgement, relating to children in the age of 2 to 12years, i.e., a worst case exposure scenario and a precautionary scenario. Subsequently, exposure is calculated by the quantification of the following factors: hand loading, soil-mouth transfer effectivity, hand-mouth contact frequency, contact surface, body weight and the relative oral bioavailability factor. By lack of consensus on a universal reference dose for arsenic for use in the stage of risk characterization, three different types of assessments have been evaluated: on the basis of the current Provisional Tolerable Daily Intake (PTWI), on the basis of the Benchmark Dose Lower limit (BMDL), and by a comparison of exposure from the iron ore lumps with background exposure. It is concluded, certainly from the perspective of the conservative exposure assessment, that unacceptable human health risks due to exposure to arsenic from the iron ore lumps are unlikely and there is no need for risk management actions. Copyright © 2016 Elsevier B.V. All rights reserved.

  13. Sanitary hot water; Eau chaude sanitaire

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-07-01

    Cegibat, the information-recommendation agency of Gaz de France for building engineering professionals, has organized this conference meeting on sanitary hot water to present the solutions proposed by Gaz de France to meet its clients requirements in terms of water quality, comfort, energy conservation and respect of the environment: quantitative aspects of the hot water needs, qualitative aspects, presentation of the Dolce Vita offer for residential buildings, gas water heaters and boilers, combined solar-thermal/natural gas solutions, key-specifications of hot water distribution systems, testimony: implementation of a gas hot water reservoir and two accumulation boilers in an apartment building for young workers. (J.S.)

  14. Quantifying Unnecessary Normal Tissue Complication Risks due to Suboptimal Planning: A Secondary Study of RTOG 0126

    Energy Technology Data Exchange (ETDEWEB)

    Moore, Kevin L., E-mail: kevinmoore@ucsd.edu [Department of Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, California (United States); Schmidt, Rachel [Department of Physics, Fort Hays State University, Hays, Kansas (United States); Moiseenko, Vitali [Department of Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, California (United States); Olsen, Lindsey A.; Tan, Jun [Department of Radiation Oncology, Washington University in St. Louis, St. Louis, Missouri (United States); Xiao, Ying; Galvin, James [Thomas Jefferson University Hospital, Philadelphia, Pennsylvania (United States); Pugh, Stephanie [NRG Oncology Statistics and Data Management Center, Philadelphia, Pennsylvania (United States); Seider, Michael J. [Akron City Hospital, Akron, Ohio (United States); Dicker, Adam P. [Thomas Jefferson University Hospital, Philadelphia, Pennsylvania (United States); Bosch, Walter; Michalski, Jeff; Mutic, Sasa [Department of Radiation Oncology, Washington University in St. Louis, St. Louis, Missouri (United States)

    2015-06-01

    predicted NTCP reductions while maintaining the volume of the PTV receiving prescription dose. An equivalent sample of high-quality plans showed fewer toxicities than low-quality plans, 6 of 73 versus 10 of 73 respectively, although these differences were not significant (P=.21) due to insufficient statistical power in this retrospective study. Conclusions: Plan quality deficiencies in RTOG 0126 exposed patients to substantial excess risk for rectal complications.

  15. Genetic testing and genetic counseling in patients with sudden death risk due to heritable arrhythmias.

    Science.gov (United States)

    Spoonamore, Katherine G; Ware, Stephanie M

    2016-03-01

    Sudden cardiac death due to heritable ventricular arrhythmias is an important cause of mortality, especially in young healthy individuals. The identification of the genetic basis of Mendelian diseases associated with arrhythmia has allowed the integration of this information into the diagnosis and clinical management of patients and at-risk family members. The rapid expansion of genetic testing options and the increasing complexity involved in the interpretation of results creates unique opportunities and challenges. There is a need for competency to incorporate genetics into clinical management and to provide appropriate family-based risk assessment and information. In addition, disease-specific genetic knowledge is required to order and correctly interpret and apply genetic testing results. Importantly, genetic diagnosis has a critical role in the risk stratification and clinical management of family members. This review summarizes the approach to genetic counseling and genetic testing for inherited arrhythmias and highlights specific genetic principles that apply to long QT syndrome, short QT syndrome, Brugada syndrome, and catecholaminergic polymorphic ventricular tachycardia.

  16. Evaluación higiénica de riesgos biológicos del trabajo en estabulario de un centro de investigación sanitaria Biological risk assesment in animal facilities of a sanitary investigation centre

    Directory of Open Access Journals (Sweden)

    Carolina Miraz Novás

    2008-12-01

    proper animals. Conclusions: The methodology of evaluation proves to be an agile, orderly and relatively simple method for the determination of the biological risk to which the workers are exposed. The method of evaluation BIOGAVAL is a practical tool as systematized evaluations of high complexity, due to its characteristic uncertainty on the presence of the biological agents, though its application results drastically reduced due to the absence of statistical trustworthy information on determinant variables as duration of temporary disabilities or rates of incidents for some biological agents. The method provides orientation on the type of preventive measures to adopt. It is proposed an extension in the «Form of Hygienic Adopted Measures» to take into account the fact of the working with animals.

  17. Assessing risk due to injection-induced seismicity prior to operation (Invited)

    Science.gov (United States)

    Johnson, S.; Foxall, W.; Hutchings, L. J.; Savy, J. B.

    2013-12-01

    Probabilistic Seismic Hazard Analysis (PSHA) has been used successfully over a number of years to evaluate the risk due to natural seismic hazards. However, there are key differences between anthropogenic seismicity due to injection (induced seismicity, IS) and natural seismicity that limit the usefulness of such an approach directly. Furthermore, because this approach must be generally suitable prior to injection, it can be assumed that there will be little to no natural, site-specific seismicity record. Here we address two significant deviations from traditional PSHA, the non-Poissonian nature of induced seismicity and the form of the frequency-magnitude relation for long-term, site-specific seismicity, through the use of a physics-based, numerical approach to estimating earthquake frequency-magnitude distributions. Induced earthquake sequences are generated using RSQSIM (Dieterich and Richards-Dinger, PAGEOPH, 2010) augmented to include effective stress effects on the shear failure behavior of faults and fractures embedded in a 3D geological structure under steady-state tectonic shear loading. The spatially and temporally evolving pore pressure distribution is provided as a boundary condition and calculated via a multi-phase flow simulation in NUFT (Nitao, 2001). Hazard and risk are assessed via an adaptation of SIMRISK (Savy Risk Consultants), amended to consider frequency-magnitude relations that may deviate from a truncated exponential form. In addition to potentially damaging ground motions, induced seismicity poses a risk of perceived nuisance in nearby communities caused by small felt earthquakes, which occur relatively frequently. Including these shallow local earthquakes in the hazard analysis requires extending the magnitude range considered to as low as M2 and the frequency band to include the short-duration pulses that typically characterize these events. To calculate the hazard, one-dimensional empirical ground motion prediction equations (eGMPE) are

  18. Technical Evaluation of the NASA Model for Cancer Risk to Astronauts Due to Space Radiation

    Science.gov (United States)

    2012-01-01

    At the request of NASA, the National Research Council's (NRC's) Committee for Evaluation of Space Radiation Cancer Risk Model reviewed a number of changes that NASA proposes to make to its model for estimating the risk of radiation-induced cancer in astronauts. The NASA model in current use was last updated in 2005, and the proposed model would incorporate recent research directed at improving the quantification and understanding of the health risks posed by the space radiation environment. NASA's proposed model is defined by the 2011 NASA report Space Radiation Cancer Risk Projections and Uncertainties 2010 (Cucinotta et al., 2011). The committee's evaluation is based primarily on this source, which is referred to hereafter as the 2011 NASA report, with mention of specific sections or tables cited more formally as Cucinotta et al. (2011). The overall process for estimating cancer risks due to low linear energy transfer (LET) radiation exposure has been fully described in reports by a number of organizations. They include, more recently: (1) The "BEIR VII Phase 2" report from the NRC's Committee on Biological Effects of Ionizing Radiation (BEIR) (NRC, 2006); (2) Studies of Radiation and Cancer from the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR, 2006), (3) The 2007 Recommendations of the International Commission on Radiological Protection (ICRP), ICRP Publication 103 (ICRP, 2007); and (4) The Environmental Protection Agency s (EPA s) report EPA Radiogenic Cancer Risk Models and Projections for the U.S. Population (EPA, 2011). The approaches described in the reports from all of these expert groups are quite similar. NASA's proposed space radiation cancer risk assessment model calculates, as its main output, age- and gender-specific risk of exposure-induced death (REID) for use in the estimation of mission and astronaut-specific cancer risk. The model also calculates the associated uncertainties in REID. The general approach for

  19. Technical Evaluation of the NASA Model for Cancer Risk to Astronauts Due to Space Radiation

    Science.gov (United States)

    2012-01-01

    At the request of NASA, the National Research Council's (NRC's) Committee for Evaluation of Space Radiation Cancer Risk Model reviewed a number of changes that NASA proposes to make to its model for estimating the risk of radiation-induced cancer in astronauts. The NASA model in current use was last updated in 2005, and the proposed model would incorporate recent research directed at improving the quantification and understanding of the health risks posed by the space radiation environment. NASA's proposed model is defined by the 2011 NASA report Space Radiation Cancer Risk Projections and Uncertainties 2010 (Cucinotta et al., 2011). The committee's evaluation is based primarily on this source, which is referred to hereafter as the 2011 NASA report, with mention of specific sections or tables cited more formally as Cucinotta et al. (2011). The overall process for estimating cancer risks due to low linear energy transfer (LET) radiation exposure has been fully described in reports by a number of organizations. They include, more recently: (1) The "BEIR VII Phase 2" report from the NRC's Committee on Biological Effects of Ionizing Radiation (BEIR) (NRC, 2006); (2) Studies of Radiation and Cancer from the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR, 2006), (3) The 2007 Recommendations of the International Commission on Radiological Protection (ICRP), ICRP Publication 103 (ICRP, 2007); and (4) The Environmental Protection Agency s (EPA s) report EPA Radiogenic Cancer Risk Models and Projections for the U.S. Population (EPA, 2011). The approaches described in the reports from all of these expert groups are quite similar. NASA's proposed space radiation cancer risk assessment model calculates, as its main output, age- and gender-specific risk of exposure-induced death (REID) for use in the estimation of mission and astronaut-specific cancer risk. The model also calculates the associated uncertainties in REID. The general approach for

  20. Managing the Risk for Early Onset Osteoporosis in Long-Duration Astronauts Due to Spaceflight

    Science.gov (United States)

    Sibonga, Jean D.

    2010-01-01

    Early Onset Osteoporosis is probably the most recognized but poorly understood long-term health risk due to spaceflight. Osteoporosis management is primarily prophylactic and clinical interventions rely upon the ability to predict fractures which is currently determined by surrogate measures of bone strength. The RMAT for Early Onset Osteoporosis identified some open issues related to the fact that long-duration astronauts compose a unique group of subjects for which clinical approaches for osteoporosis management do not apply. Long-duration astronauts are healthy, young (25 to 55 years of age), predominantly male, and physical fit relative to the typical osteoporosis patient. Moreover, during prolonged space missions (typically 6-month missions) the skeleton not only adapts to weightlessness, but is influenced by numerous risk factors induced by operational constraints, e.g., inability to maintain preflight weight-bearing and aerobic activities, sub-optimal dietary intake (e.g., high sodium content for food stability, lack of fresh fruit and vegetables), suppression of vitamin D metabolism by uv shielding, and remote medicine care. Moreover, adaptation results in novel changes to astronauts bones that cannot be detected by current medically-useful measures. Consequently, a panel of clinicians (recognized leaders and policy-makers in osteoporosis) was convened to review the dataset of bone measures and bone loss risk factors in long-duration astronauts. Driven by the queries in the RMAT, the panel was charged to determine 1) if an intervention is required to prevent this risk, 2) what type and at what time would intervention be optimal, 3) what is the clinical trigger that would require a medical response from flight surgeons and 4) how should research data be used in the clinical care of astronauts. Hence, the RMAT determined that a bone health policy need to be formulated specific for this unique cohort subjected to a novel skeletal condition

  1. [Sanitary-and-epidemiologic examination of the food-products].

    Science.gov (United States)

    Sukhanov, V B; Kerimova, M G; Elizarova, E V

    2011-01-01

    Some aspects of sanitary and epidemiologic examination of food products are considered. The examination is an important part of sanitary and epidemiologic control and surveillance in the sphere of food safety and quality, consumer rights protection, consumer market and human welfare.

  2. Sickness absence due to otoaudiological diagnoses and risk of disability pension: a nationwide Swedish prospective cohort study.

    Directory of Open Access Journals (Sweden)

    Emilie Friberg

    Full Text Available BACKGROUND: Hearing difficulties are a large public health problem. Knowledge is scarce regarding risk of disability pension among people who have been sickness absent due to these difficulties. METHODS: A cohort including all 4,687,756 individuals living in Sweden in 2005, aged 20-64, and not on disability or old-age pension, was followed through 2009. Incidence rate ratios (RR of disability pension with 95% confidence intervals (CI were estimated using Cox proportional hazard models. RESULTS: In multivariable models, individuals who had a sick-leave spell due to otoaudiological diagnoses in 2005 had a 1.52-fold (95% CI: 1.43-1.62 increased risk of being granted a disability pension compared to individuals on sick leave due to other diagnoses. Hearing and tinnitus sick-leave diagnoses were associated with risk of disability pension: RR 3.38, 95% CI: 3.04-3.75, and 3.30, 95% CI: 2.95-3.68, respectively. No association was observed between sick leave due to vertigo diagnoses and disability pension whereas otological diagnoses and no sick leave were inversely associated with risk of disability pension compared to non-otoaudiological sick-leave diagnoses. Sick leave due to otoaudiological diagnoses was positively associated with risk of disability pension due to otoaudiological diagnoses and sick leave due to a tinnitus diagnosis was also associated with risk of disability pension due to mental diagnoses. The risk of disability pension among individuals with hearing or tinnitus sick-leave diagnoses was highest in the age group 35-44. Moreover, men had a slightly higher risk. CONCLUSION: This large cohort study suggests an increased risk of disability pension among those with sickness absence due to otoaudiological diagnoses, particularly hearing and tinnitus diagnoses, compared to those with sickness absence due to non-otoaudiological diagnoses.

  3. Collapse risk of buildings in the Pacific Northwest region due to subduction earthquakes

    Science.gov (United States)

    Raghunandan, Meera; Liel, Abbie B.; Luco, Nicolas

    2015-01-01

    Subduction earthquakes similar to the 2011 Japan and 2010 Chile events will occur in the future in the Cascadia subduction zone in the Pacific Northwest. In this paper, nonlinear dynamic analyses are carried out on 24 buildings designed according to outdated and modern building codes for the cities of Seattle, Washington, and Portland, Oregon. The results indicate that the median collapse capacity of the ductile (post-1970) buildings is approximately 40% less when subjected to ground motions from subduction, as compared to crustal earthquakes. Buildings are more susceptible to earthquake-induced collapse when shaken by subduction records (as compared to crustal records of the same intensity) because the subduction motions tend to be longer in duration due to their larger magnitude and the greater source-to-site distance. As a result, subduction earthquakes are shown to contribute to the majority of the collapse risk of the buildings analyzed.

  4. Neurodevelopmental toxicity risks due to occupational exposure to industrial chemicals during pregnancy

    DEFF Research Database (Denmark)

    Julvez, Jordi; Grandjean, Philippe

    2009-01-01

    demonstrates the vulnerability of the developing brain to substances like lead and methylmercury. Despite the evident hazards involved, the number of occupational cohort studies carried out in this field is very low. However, the lack of evidence for assumed neurotoxicants should not divert the attention......Exposure to neurotoxic chemicals is of particular concern when it occurs during early development. The immature brain is highly vulnerable prenatally and is therefore at risk due to occupational exposures incurred by pregnant women. A systematic search of the literature has been performed...... with emphasis on epidemiological studies on female workers and the neurodevelopment of their children. The majority of recent occupational studies focused on organic solvents and pesticides, which were associated with neurobehavioral impairments in the progeny. Additional evidence on environmental exposures...

  5. An assessment of adult risks of paresthesia due to mercury from coal combustion

    Energy Technology Data Exchange (ETDEWEB)

    Lipfert, F.W.; Moskowitz, P.D.; Fthenakis, V.; Dephillips, M.; Viren, J.; Saroff, L. [Brookhaven National Laboratory, Upton, NY (United States). Dept. of Applied Science

    1995-02-01

    This paper presents a probabilistic assessment of the risks of transient adult paresthesia (tingling of the extremities) resulting from ingestion of methylmercury (MeHg) in fish and shellfish. Two scenarios are evaluated: the baseline, in which the MeHg dose results from the combined effects of eating canned tuna fish, various marine seafood, and freshwater sportfish, and an impact scenario in which the Hg content of the freshwater sportfish is increased due to local deposition from a hypothetical 1000 Mw{sub e} coal-fired power plant. Measurements from the literature are used to establish the parameters of the baseline, including atmospheric rates of Hg deposition and the distributions of MeHg in fish. The Hg intake for the impact scenario is then based on linear scaling of the additional annual Hg deposition as estimated from a Guassian plume dispersion model. Human health responses are based on a logistic fit to the frequencies of paresthesia observed during a grain poisoning incident in Iraq 1971-2. Based on a background prevalence rate of 2.2% for adult paresthesia, the assessment predicts a 5% chance that the increase in paresthesia prevalence due to either baseline or incremental MeHg doses might approach about 1% of the background prevalence rate. 15 refs., 3 figs., 3 tabs.

  6. Health Risks Due to the Use of Clenbuterol Hydrochloride: a Review

    Directory of Open Access Journals (Sweden)

    Benjamín Valladares-Carranza

    2015-09-01

    Full Text Available This paper analyzes and evaluates information about the characteristics and risks of using Clenbuterol hydrochloride (CCL for their potential toxic effects, due to its inclusion in animal food (cattle, pigs, sheep and poultry to improve productive-reproductive parameters, but neglecting food safety. Therefore, it is necessary to reassess the potential dangers that may result when used in both human and veterinary medicine. The β-adrenergic synthetic CCL, white powder, anhydrous, highly water soluble and highly stable at room temperature is used in a clandestine manner to fatten animals for human consumption. Therapeutically, it is used as a bronchodilator drug (asthma patients; its illegal use (doping has been detected in sports competitions, and it is used for bodybuilding due to its anabolic effect. Its use in cattle for slaughter modifies and increases the growth of muscle mass and reduces fat accumulation, which accumulates in different organs. In people with a history of bovine liver consumption contaminated with CCL, there has been registration of: tremor, muscle pain, dizziness, headache, and tachycardia. In Mexico, in an illegal and clandestine manner, there is distribution, marketing and use of CCL; however, the work of livestock organizations in registering production units free of this substance will ensure the consumption of meat products. Moreover, to propose the use of other substances which so far have no signs of toxicity will lead to a sustainable, secure and safe productivity in livestock units.

  7. Human health risk assessment due to global warming--a case study of the Gulf countries.

    Science.gov (United States)

    Husain, Tahir; Chaudhary, Junaid Rafi

    2008-12-01

    Accelerated global warming is predicted by the Intergovernmental Panel on Climatic Change (IPCC) due to increasing anthropogenic greenhouse gas emissions. The climate changes are anticipated to have a long-term impact on human health, marine and terrestrial ecosystems, water resources and vegetation. Due to rising sea levels, low lying coastal regions will be flooded, farmlands will be threatened and scarcity of fresh water resources will be aggravated. This will in turn cause increased human suffering in different parts of the world. Spread of disease vectors will contribute towards high mortality, along with the heat related deaths. Arid and hot climatic regions will face devastating effects risking survival of the fragile plant species, wild animals, and other desert ecosystems. The paper presents future changes in temperature, precipitation and humidity and their direct and indirect potential impacts on human health in the coastal regions of the Gulf countries including Yemen, Oman, United Arab Emirates, Qatar, and Bahrain. The analysis is based on the long-term changes in the values of temperature, precipitation and humidity as predicted by the global climatic simulation models under different scenarios of GHG emission levels. Monthly data on temperature, precipitation, and humidity were retrieved from IPCC databases for longitude 41.25 degrees E to 61.875 degrees E and latitude 9.278 degrees N to 27.833 degrees N. Using an average of 1970 to 2000 values as baseline, the changes in the humidity, temperature and precipitation were predicted for the period 2020 to 2050 and 2070 to 2099. Based on epidemiological studies on various diseases associated with the change in temperature, humidity and precipitation in arid and hot regions, empirical models were developed to assess human health risk in the Gulf region to predict elevated levels of diseases and mortality rates under different emission scenarios as developed by the IPCC.The preliminary assessment indicates

  8. Letter to Editor: Carpal tunnel syndrome due to an atypical deep soft tissue leiomyoma: The risk of misdiagnosis and mismanagement

    Directory of Open Access Journals (Sweden)

    Caliandro Pietro

    2008-02-01

    Full Text Available Abstract A response to Chalidis et al: Carpal tunnel syndrome due to an atypical deep soft tissue leiomyoma: The risk of misdiagnosis and mismanagement. World J Surg Oncol 2007, 5:92.

  9. Pathogen cross-transmission via building sanitary plumbing systems in a full scale pilot test-rig

    Science.gov (United States)

    Aspray, Thomas J.; Kelly, David A.; Rodriguez-Gil, Cristina

    2017-01-01

    The WHO Consensus Document on the epidemiology of the SARS epidemic in 2003, included a report on a concentrated outbreak in one Hong Kong housing block which was considered a ‘super-spreading event’. The WHO report conjectured that the sanitary plumbing system was one transmission route for the virus. Empty U-traps allowed the aerosolised virus to enter households from the sewerage system. No biological evidence was presented. This research reports evidence that pathogens can be aerosolised and transported on airstreams within sanitary plumbing systems and enter buildings via empty U-traps. A sanitary plumbing system was built, representing two floors of a building, with simulated toilet flushes on the lower floor and a sterile chamber with extractor fan on the floor above. Cultures of a model organism, Pseudomonas putida at 106–109 cfu ml-1 in 0·85% NaCl were flushed into the system in volumes of 6 to 20 litres to represent single or multiple toilet flushes. Air and surface samples were cultured on agar plates and assessed qualitatively and semi-quantitatively. Flushing from a toilet into a sanitary plumbing system generated enough turbulence to aerosolise pathogens. Typical sanitary plumbing system airflows (between 20–30 ls-1) were sufficient to carry aerosolised pathogens between different floors of a building. Empty U-traps allowed aerosolised pathogens to enter the chamber, encouraging cross-transmission. All parts of the system were found to be contaminated post-flush. Empty U-traps have been observed in many buildings and a risk assessment indicates the potential for high risk cross-transmission under defect conditions in buildings with high pathogen loading such as hospitals. Under defective conditions (which are not uncommon) aerosolised pathogens can be carried on the airflows within sanitary plumbing systems. Our findings show that greater consideration should be given to this mode of pathogen transmission. PMID:28187135

  10. Assessment of the risk of failure of high voltage substations due to environmental conditions and pollution on insulators.

    Science.gov (United States)

    Castillo Sierra, Rafael; Oviedo-Trespalacios, Oscar; Candelo, John E; Soto, Jose D

    2015-07-01

    Pollution on electrical insulators is one of the greatest causes of failure of substations subjected to high levels of salinity and environmental pollution. Considering leakage current as the main indicator of pollution on insulators, this paper focuses on establishing the effect of the environmental conditions on the risk of failure due to pollution on insulators and determining the significant change in the magnitude of the pollution on the insulators during dry and humid periods. Hierarchical segmentation analysis was used to establish the effect of environmental conditions on the risk of failure due to pollution on insulators. The Kruskal-Wallis test was utilized to determine the significant changes in the magnitude of the pollution due to climate periods. An important result was the discovery that leakage current was more common on insulators during dry periods than humid ones. There was also a higher risk of failure due to pollution during dry periods. During the humid period, various temperatures and wind directions produced a small change in the risk of failure. As a technical result, operators of electrical substations can now identify the cause of an increase in risk of failure due to pollution in the area. The research provides a contribution towards the behaviour of the leakage current under conditions similar to those of the Colombian Caribbean coast and how they affect the risk of failure of the substation due to pollution.

  11. Integrity management of Brazil-Bolivia gas pipeline to reduce risks due third party damage

    Energy Technology Data Exchange (ETDEWEB)

    Vasconcellos, Carlos Renato Aragonez de; Monte, Oswaldo [PETROBRAS, Rio de Janeiro, RJ (Brazil); Colen, Eustaquio; Cunha, Roberto de Souza; Oliveira, Hudson Regis de [Transportadora Brasileira Gasoduto Bolivia-Brasil, S.A., Rio de Janeiro, RJ (Brazil); Lima, Rogerio de Souza [RSL Consultoria Geoprojetos (Brazil); Schultz Neto, Walter [Milton Braga Assessoria Tecnica (Brazil)

    2005-07-01

    The Bolivia-Brazil Natural Gas Pipeline has 2.600 kilometers from Rio Grande City in Bolivia to Canoas City, in the south of Brazil. The right-of-way crosses a lot of types of topography and areas subjected to various kinds of anthropological actions, like areas in class locations 3, locals under agricultural activities, forests and minerals explorations, and near constructions of highway and railway, industrial constructions, new pipelines in the same right-of -way, channels, dams, that requires special projects to avoid that the gas pipeline could be subject to strengths that were not consider in the original design. The aim of this paper is to present the jobs developed by TBG during seven years of gas pipeline operations, as public awareness program, procedures to design, construct and inspect specials constructions along and near the right-of -way, control of mineral and forest explorations, monitoring and controlling of excavations on the right-of-way to install new pipelines and optical cables, to reduce risks of gas pipeline damage due third party, as a component of TBG' Managing Integrity Gas Pipeline Program. (author)

  12. Key Factors for Determining Risk of Groundwater Impacts Due to Leakage from Geologic Carbon Sequestration Reservoirs

    Energy Technology Data Exchange (ETDEWEB)

    Carroll, Susan [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Keating, Elizabeth [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Mansoor, Kayyum [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Dai, Zhenue [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Sun, Yunwei [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Trainor-Guitton, Whitney [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Brown, Chris [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Bacon, Diana [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2014-01-06

    The National Risk Assessment Partnership (NRAP) is developing a science-based toolset for the analysis of potential impacts to groundwater chemistry from CO2 injection (www.netldoe.gov/nrap). The toolset adopts a stochastic approach in which predictions address uncertainties in shallow underwater and leakage scenarios. It is derived from detailed physics and chemistry simulation results that are used to train more computationally efficient models,l referred to here as reduced-order models (ROMs), for each component system. In particular, these tools can be used to help regulators and operators understand the expected sizes and longevity of plumes in pH, TDS, and dissolved metals that could result from a leakage of brine and/or CO2 from a storage reservoir into aquifers. This information can inform, for example, decisions on monitoring strategies that are both effective and efficient. We have used this approach to develop predictive reduced-order models for two common types of reservoirs, but the approach could be used to develop a model for a specific aquifer or other common types of aquifers. In this paper we describe potential impacts to groundwater quality due to CO2 and brine leakage, discuss an approach to calculate thresholds under which "no impact" to groundwater occurs, describe the time scale for impact on groundwater, and discuss the probability of detecting a groundwater plume should leakage occur.

  13. Down's syndrome is a risk factor for severe lower respiratory tract infection due to respiratory syncytial virus

    NARCIS (Netherlands)

    Galleguillos, Constanza; Galleguillos, Bárbara; Larios, Guillermo; Menchaca, Gonzalo; Bont, Louis; Castro-Rodriguez, Jose A

    2016-01-01

    AIM: Previous studies have suggested that Down's syndrome is an independent risk factor for severe respiratory infection due to respiratory syncytial virus (RSV). We compared the clinical characteristics of children with and without Down's syndrome hospitalised due to RSV. METHODS: This retrospectiv

  14. Down's syndrome is a risk factor for severe lower respiratory tract infection due to respiratory syncytial virus

    NARCIS (Netherlands)

    Galleguillos, Constanza; Galleguillos, Bárbara; Larios, Guillermo; Menchaca, Gonzalo; Bont, Louis|info:eu-repo/dai/nl/304813370; Castro-Rodriguez, Jose A

    2016-01-01

    AIM: Previous studies have suggested that Down's syndrome is an independent risk factor for severe respiratory infection due to respiratory syncytial virus (RSV). We compared the clinical characteristics of children with and without Down's syndrome hospitalised due to RSV. METHODS: This retrospectiv

  15. Measuring perceptions of synergistic circulatory disease risk due to smoking and the oral contraceptive pill.

    Science.gov (United States)

    French, David P; Gayton, Emma L; Burton, Jessica; Thorogood, Margaret; Marteau, Theresa M

    2002-12-01

    There is evidence that the oral contraceptive pill (OCP) and smoking contribute independently to risk of circulatory disease. There is mixed evidence that the combined risk may be greater than the sum of these factors operating in isolation. Little is known about how the general population views the risks from OCP use, singly and in combination with smoking. Previous attempts at assessing whether the public views risks as operating synergistically have generally found evidence for subadditive models, where the combined risk is less than the sum of factors operating in isolation. However, concerns have been expressed over the validity of the measures of risk perception used. Therefore, this study used three distinct methods of measurement to assess the extent to which 241 undergraduate students perceive the risks of smoking and the OCP separately and combined, for circulatory disease. For all three methods, respondents read each of four vignettes describing information about a woman's risk factors (with high and low levels of both OCP and smoking), and then estimated risk of circulatory disease using one of the three risk measures. The three measures produced similar ratings. Consistent with the epidemiological evidence, information about smoking had more impact on estimates of overall risk than did information about the OCP For all three measures, responses were consistent with an additive model of risk from smoking and the OCP. This convergence of results from different methods suggests that all three methods of measurement employed, which all had a large number of response options, may be valid.

  16. Prevalence of extra-intestinal porcine helminth infections and assessment of sanitary conditions of pig slaughter slabs in Dar es Salaam city, Tanzania.

    Science.gov (United States)

    Mkupasi, Ernatus M; Ngowi, Helena A; Nonga, Hezron Emmanuel

    2011-02-01

    A study was carried out to establish the prevalence of extra-intestinal porcine helminth infections and to assess the pig slaughter slab sanitary conditions in Dar es Salaam city, Tanzania. A total of 24 privately owned pig slaughter slabs were assessed. All slaughter slabs were sub-standard; wrongly located, poorly designed and constructed and lacked most basic requirements for a slaughter house. Because of inadequate slaughtering, disposal and cleaning facilities, the slaughter slabs were under unhygienic condition with questionable safety, soundness and wholesomeness of the pork produced. Routine meat inspection procedures were used to detect extra-intestinal porcine helminth infections. Of the 731 examined pigs; 8.1%, 5.9% and 0.4% were infected with ascariosis, porcine cysticercosis and hydatidosis, respectively. It was noted that almost all slaughter pigs in Dar es Salaam originated from different regions. Based on the region of origin, the status of porcine cysticercosis was 8.2% for Dodoma (n = 98), 8.2% for Manyara (n = 260) and 6.9% for Mbeya (n = 116). This study disclosed the unhygienic sanitary condition prevailing in Dar es Salaam pig slaughter slabs and recommends that strategies should be devised to improve the situation. Porcine ascariosis and cysticercosis were widely prevalent and caused economic losses due to condemnations. Because of their zoonotic nature, the observed extra-intestinal porcine helminth infections in pig pose a public health risk among consumers. Thus, there is a need to introduce appropriate control measures of parasitic infections in pigs.

  17. Risk of Performance Decrement and Crew Illness Due to an Inadequate Food System

    Science.gov (United States)

    Douglas, Grace L.; Cooper, Maya; Bermudez-Aguirre, Daniela; Sirmons, Takiyah

    2016-01-01

    evidence for the Risk of Performance Decrement and Crew Illness Due to an Inadequate Food System and the gaps in relation to exploration, as identified by the NASA Human Research Program (HRP). The research reviewed here indicates strategies to establish methods, technologies, and requirements that increase food stability, support adequate nutrition, quality, and variety, enable supplementation with grow-pick-and-eat salad crops, ensure safety, and reduce resource use. Obtaining the evidence to establish an adequate food system is essential, as the resources allocated to the food system may be defined based on the data relating nutritional stability and food quality requirements to crew performance and health.

  18. Data Mining of Historical Human Data to Assess the Risk of Injury due to Dynamic Loads

    Science.gov (United States)

    Wells, Jesica; Somers, Jeffrey T.; Newby, N.; Gernhardt, Michael

    2014-01-01

    deflection was determined from motion capture video of the impact test. HIC- 15 and BRIC were calculated from head acceleration responses. Given the number of human subjects for each test condition a confidence interval of injury probability will be obtained. RESULTS: Results will be discussed in terms of injury-risk probability estimates based on the human data set evaluated. Also, gaps in the data set will be identified. These gaps could be one of two types. One is areas where additional THOR testing would increase the comparable human data set, thereby improving confidence in the injury probability rate. The other is where additional human testing would assist in obtaining information on other acceleration levels or directions. DISCUSSION: The historical human data showed validity of the THOR ATD for supplemental testing. The historical human data are limited in scope, however. Further data are needed to characterize the effects of sex, age, anthropometry, and deconditioning due to spaceflight on risk of injury

  19. Indoor Environmental Conditions and Sanitary Practices in Selected ...

    African Journals Online (AJOL)

    African Journal of Sustainable Development ... Rapidly urbanizing cities are witnessing an increase in Day care centres (DCCs) whose ... Keywords: Day Care Centres, sanitary practices, indoor air quality, children, urban communities ...

  20. Sanitary and Phytosanitary Measures in NAFTA: The Canada Experience

    OpenAIRE

    Terry Norman

    2005-01-01

    Canada's Experience in Implementing the Sanitary and Phytosanitary (SPS) provisions of the North American free trade agreement (NAFTA). The NAFTA has been a major success story for Canada since its entry into force on January 1, 1994.

  1. Ammonia nitrogen desorption from sanitary landfill leachate in filling towers

    OpenAIRE

    Leite,Valderi D.; Barros,Aldre J. M.; Lopes,Wilton S.; Sousa,José T. de

    2014-01-01

    Sanitary landfill leachates present high concentrations of carbonaceous and nitrogenous materials. The crucial point is that carbonaceous materials are of difficult biodegradation, what compromises the performance of biological treatment processes, while nitrogenous materials, such as ammonia nitrogen, probably preclude the use of biological treatments. Therefore, the aim of this work was to study the desorption process of ammonia nitrogen from sanitary landfill leachate in filling towers. De...

  2. Charles Dickens and the movement for sanitary reform.

    Science.gov (United States)

    Litsios, Socrates

    2003-01-01

    Charles Dickens's adult life parallels the period when the movement for sanitary reform took root in England. Although he was not one of its leaders, he became in time one of its most outspoken advocates. This essay describes Dickens's growing involvement in the sanitary movement and looks at one of the most important ways he supported it--articles published in his weekly journal Household Words

  3. Electrochemical treatment of leachates from sanitary landfills

    Directory of Open Access Journals (Sweden)

    ANNABEL FERNANDES

    2013-06-01

    Full Text Available The electrochemical treatment of leachate samples from a Portuguese intermunicipal sanitary landfill was carried out using anodic oxidation. The treatment was performed in a pilot plant that possesses an electrochemical cell, with boron-doped diamond electrodes, working in batch mode with recirculation. The influence of the applied current density and the flow rate on the performance of the electrochemical oxidation was investigated. Current density was decreased by steps, during the degradation, in order to study this effect on the efficiency of the process. For the assays run at equal flow rate and initial current intensity, chemical oxygen demand (COD removal seems to depend mainly on the charge passed and the variation of the current density during the anodic oxidation process can reduce the energetic costs. An increase in the recirculation flow rate leads to an increase in the organic load removal rate and a consequent decrease in the energetic costs, but it decreases the nitrogen removal rate. Also, the bias between dissolved organic carbon and COD removals increases with flow rate, indicating that an increase in recirculation flow rate decreases the mineralization index.

  4. Student-Generated Protective Behaviors to Avert Severe Harm Due to High-Risk Alcohol Consumption

    Science.gov (United States)

    Smith, Sandi W.; LaPlante, Carolyn; Wibert, Wilma Novales; Mayer, Alex; Atkin, Charles K.; Klein, Katherine; Glazer, Edward; Martell, Dennis

    2011-01-01

    High-risk alcohol consumption is a significant problem on college campuses that many students see as a rite of passage in their development into adulthood. Developing effective prevention campaigns designed to lessen or avert the risks associated with alcohol consumption entails understanding how students perceive harmful consequences as well as…

  5. Short Interpregnancy Interval as a Risk Factor of Spontaneous Preterm Labor due to Low Cervical Collagen

    DEFF Research Database (Denmark)

    Sundtoft, Iben Blaabjerg; Uldbjerg, Niels; Sommer, Steffen

      OBJECTIVE: The incidence of preterm labor is increasing and continues to be a significant cause of neonatal mortality and morbidity. Various risk factors of preterm labor are known, among those a short interval between labor and a subsequent conception. The risk of spontaneous preterm labor inc...

  6. Student-Generated Protective Behaviors to Avert Severe Harm Due to High-Risk Alcohol Consumption

    Science.gov (United States)

    Smith, Sandi W.; LaPlante, Carolyn; Wibert, Wilma Novales; Mayer, Alex; Atkin, Charles K.; Klein, Katherine; Glazer, Edward; Martell, Dennis

    2011-01-01

    High-risk alcohol consumption is a significant problem on college campuses that many students see as a rite of passage in their development into adulthood. Developing effective prevention campaigns designed to lessen or avert the risks associated with alcohol consumption entails understanding how students perceive harmful consequences as well as…

  7. Sele coastal plain flood risk due to wave storm and river flow interaction

    Science.gov (United States)

    Benassai, Guido; Aucelli, Pietro; Di Paola, Gianluigi; Della Morte, Renata; Cozzolino, Luca; Rizzo, Angela

    2016-04-01

    Wind waves, elevated water levels and river discharge can cause flooding in low-lying coastal areas, where the water level is the interaction between wave storm elevated water levels and river flow interaction. The factors driving the potential flood risk include weather conditions, river water stage and storm surge. These data are required to obtain inputs to run the hydrological model used to evaluate the water surface level during ordinary and extreme events regarding both the fluvial overflow and storm surge at the river mouth. In this paper we studied the interaction between the sea level variation and the river hydraulics in order to assess the location of the river floods in the Sele coastal plain. The wave data were acquired from the wave buoy of Ponza, while the water level data needed to assess the sea level variation were recorded by the tide gauge of Salerno. The water stages, river discharges and rating curves for Sele river were provided by Italian Hydrographic Service (Servizio Idrografico e Mareografico Nazionale, SIMN).We used the dataset of Albanella station (40°29'34.30"N, 15°00'44.30"E), located around 7 km from the river mouth. The extreme river discharges were evaluated through the Weibull equation, which were associated with their return period (TR). The steady state river water levels were evaluated through HEC-RAS 4.0 model, developed by Hydrologic Engineering Center (HEC) of the United States Army Corps of Engineers Hydrologic Engineering Center (USACE,2006). It is a well-known 1D model that computes water surface elevation (WSE) and velocity at discrete cross-sections by solving continuity, energy and flow resistance (e.g., Manning) equation. Data requirements for HEC-RAS include topographic information in the form of a series of cross-sections, friction parameter in the form of Manning's n values across each cross-section, and flow data including flow rates, flow change locations, and boundary conditions. For a steady state sub

  8. The risk of river pollution due to washout from contaminated floodplain water bodies during high floods

    Science.gov (United States)

    Lyubimova, Tatyana; Lepikhin, Anatoly; Parshakova, Yanina; Tiunov, Alexey

    2016-04-01

    Today, the potential impact of extremely high floods, which in the last years have become a rather frequent weather-related disaster, is the problem of primary concern. In studies of the potential impact of floods the emphasis is placed first of all on the estimation of possible flood zones and the analysis of the flow regimes in these zones. However, in some cases the hydrochemical parameters related to changes in the chemical composition of water are more important than the hydraulic parameters. It is generally believed that the higher is the flow rate, the more intensive is the process of dissolution, i.e. the lower is the concentration of limiting contaminants in water. However, this statement is valid provided that flooding does not activate new sources of water pollution such as contaminated floodplain water bodies located in the vicinity of water supply systems. Being quite reliable and safe at small and moderate discharges, in the case of extremely high level of river waters they become intensive sources of water pollution, essentially limiting the water consumption schedule for downstream water consumers. It should be noted that compared to the well-studied mechanisms of waste discharge due to failure of hydraulic engineering structures by flood waves, the mechanisms of pollutant washout from the contaminated floodplain water bodies by the flood waves is still poorly understood. We analyze the impacts of such weather-related events on the quality of water in the water intake system, taking as an example, the section of the Vyatka River located in the Prikamskaya lowland of the Russian Federation. The risk of river pollution due to washout from the contaminated floodplain water bodies during high floods is studied by hydrodynamical modeling in the framework of combined approach using one-, two- and three-dimensional hydrodynamic models are implemented and by in situ measurements. It is shown that during high floods the removal of pollutants from the

  9. Risk factors for hospitalization due to community-acquired sepsis - a population-based case-control study

    DEFF Research Database (Denmark)

    Henriksen, Daniel Pilsgaard; Pottegård, Anton; Laursen, Christian B

    2015-01-01

    BACKGROUND: The aim of the study was to estimate risk factors for hospitalization due to sepsis and to determine whether these risk factors vary by age and gender. METHODS: We performed a population-based case-control study of all adult patients admitted to a medical ED from September 2010...... to August 2011. Controls were sampled within the hospital catchment-area. All potential cases were manually validated using a structured protocol. Vital signs and laboratory values measured at arrival were registered to define systemic inflammatory response syndrome and organ dysfunction. Multivariable...... logistic regression was used to elucidate which predefined risk factors were associated with an increased or decreased risk hospitalization due to sepsis. RESULTS: A total of 1713 patients were admitted with sepsis of any severity. The median age was 72 years (interquartile range: 57-81 years) and 793 (46...

  10. SANITARY SEWAGE REUSE IN AGRICULTURAL CROP IRRIGATION

    Directory of Open Access Journals (Sweden)

    Lidiane Bittencourt Barroso

    2011-10-01

    Full Text Available The water availability was exceeded by demand, becoming a limiting factor in irrigated agriculture. This study aimed to provide a general theoretical framework on the issue of water reuse for agricultural purposes. This is due to the fact that we need a prior knowledge of the state of the art concerning the matter. To that end, we performed a review of irrigated agriculture, the effects on cultivated land and the development of agricultural crops as well as aspects of security to protect groups at risk. The amount of macro and micronutrients in the effluent may reduce or eliminate the use of commercial fertilizers. And this addition of organic matter acts as a soil conditioner, increasing its capacity to retain water. Depending on the characteristics of sewage, the practice of irrigation for long periods may lead to accumulation of toxic compounds and the significant increase of salinity. The inhibition of plant growth by salinity may be due to osmotic effect, causing drought and / or specific effects of ions, which can cause toxicity or nutritional imbalance. The minimization of human exposure to the practice of agricultural reuse is based on a set of mitigation measures that must be implemented by the authorities responsible for operating and monitoring systems for water recycling. It is concluded that the use of sewage depends on management of irrigation, monitoring of soil characteristics and culture.

  11. Operationalizing Iterative Risk Management under Limited Information: Fiscal and Economic Risks Due to Natural Disasters in Cambodia

    National Research Council Canada - National Science Library

    Mochizuki, Junko; Vitoontus, Soravit; Wickramarachchi, Bandula; Hochrainer-Stigler, Stefan; Williges, Keith; Mechler, Reinhard; Sovann, Ros

    2015-01-01

    .... The study provides a bottom-up assessment of flood and cyclone risks to public and private buildings including educational structures, health facilities, and housing and estimates the total direct...

  12. Short Interpregnancy Interval as a Risk Factor of Spontaneous Preterm Labor due to Low Cervical Collagen

    DEFF Research Database (Denmark)

    Sundtoft, Iben Blaabjerg; Uldbjerg, Niels; Sommer, Steffen

      OBJECTIVE: The incidence of preterm labor is increasing and continues to be a significant cause of neonatal mortality and morbidity. Various risk factors of preterm labor are known, among those a short interval between labor and a subsequent conception. The risk of spontaneous preterm labor inc...... cervix has not normalized until 12 months after labor. The lower collagen concentrations may explain the association between short interpregnancy interval and preterm labor.......  OBJECTIVE: The incidence of preterm labor is increasing and continues to be a significant cause of neonatal mortality and morbidity. Various risk factors of preterm labor are known, among those a short interval between labor and a subsequent conception. The risk of spontaneous preterm labor...... increases with interpregnancy intervals shorter than 12 months, the strongest association with intervals shorter than 6 months. Cervix uteri consist predominantly of fibrous connective tissue and it is from this tissue cervix derives its "strength". A prerequisite for vaginal delivery is a decrease...

  13. Risk assessment of balance and falls in elderly patients due to stroke

    Directory of Open Access Journals (Sweden)

    Pietro Araújo dos Santos

    2012-06-01

    Full Text Available The aim of this study was to evaluate the balance and risk of falls in elderly patients with Stroke treated at the Municipal Center for Prevention and Rehabilitation Physics of the Municipality of Jequié (NUPREJ, (Bahia. Instruments were used as the Mini Mental State Examination, a social demographic questionnaire and the Berg Balance Scale. The results showed a decrease in balance, indicating that this was a risk factor for falls.

  14. Risk factors associated with the development of gastroduodenal ulcers due to the use of NSAIDs.

    Science.gov (United States)

    Wolfe, M Michael

    2003-04-01

    The risk of gastrointestinal mucosal injury with non-steroidal anti-inflammatory drugs (NSAIDs) is dose-dependent. Epidemiological studies have clearly demonstrated a rank order of risk of ulcer complications for commonly used NSAIDs, with ibuprofen consistently associated with the lowest risk and piroxicam with the highest. Antacids, H2 receptor antagonists and misoprostol all have drawbacks as prophylaxis. Of the cyclo-oxygenase (COX)-2 selective NSAIDs, rofecoxib is associated with a lower risk of gastrointestinal toxicity but there is uncertainty about the long-term risk associated with celecoxib. Rofecoxib has been associated with a significantly higher incidence of myocardial infarction than naproxen that may counteract the benefit of greater gastrointestinal safety. At over-the-counter doses, the short duration of use and the low dose reduce the risk of a serious adverse event compared with chronic use at prescribed doses. Intermittent therapy with low-dose NSAIDs has proved extremely safe and it has not been determined whether COX-2 selective agents offer a safety advantage compared with such treatment.

  15. A Review of Human Health and Ecological Risks due to CO2 Exposure

    Science.gov (United States)

    Hepple, R. P.; Benson, S. M.

    2001-05-01

    This paper presents an overview of the human health and ecological consequences of exposure to elevated levels of carbon dioxide (CO2) in the context of geologic carbon sequestration. The purpose of this effort is to provide a baseline of information to guide future efforts in risk assessment for CO2 sequestration. Scenarios for hazardous CO2 exposure include surface facility leaks, leaks from abandoned or aging wells, and leakage from geologic CO2 storage structures. Amounts of carbon in various reservoirs, systems, and applications were summarized, and the levels of CO2 encountered in nature and everyday life were compared along with physiologically relevant concentrations. Literature pertaining to CO2 occupational exposure limits, regulations, monitoring, and ecological consequences was reviewed. The OSHA, NIOSH, and ACGIH occupational exposure standards are 0.5% CO2 averaged over a 40 hour week, 3% average for a short-term (15 minute) exposure, and 4% as the maximum instantaneous limit considered immediately dangerous to life and health. All three conditions must be satisfied at all times. Any detrimental effects of low-level CO2 exposure are reversible, including the long-term metabolic compensation required by chronic exposure to 3% CO2. Breathing rate doubles at 3% CO2 and is four times the normal rate at 5% CO2. According to occupational exposure and controlled atmosphere research into CO2 toxicology, CO2 is hazardous via direct toxicity at levels above 5%, concentrations not encountered in nature outside of volcanic settings and water-logged soils. Small leaks do not present any danger to people unless the CO2 does not disperse quickly enough through atmospheric mixing but accumulates instead in depressions and confined spaces. These dangers are the result of CO2 being more dense than air. Carbon dioxide is regulated for diverse purposes but never as a toxic substance. Catastrophic incidents involving large amounts and/or rapid release of CO2 such as Lake

  16. Assessment of risks due to climate change for the Upper Tamakoshi Hydropower Project in Nepal

    Directory of Open Access Journals (Sweden)

    Sangam Shrestha

    2016-01-01

    Full Text Available Climate change poses significant challenges to hydropower development and management in mountainous basins. This study examined the impact of climate change, and the associated risks, on the energy production of the Upper Tamakoshi Hydropower Project, which is located in the Tamakoshi basin of Nepal. The outputs of three GCMs—namely MIROC-ESM, MRI-CGCM3, and MPI-ESM-M—under the Representative Concentration Pathways (RCP scenarios were used for the projection of precipitation and temperature in the future. The minimum and maximum temperatures of the basin are projected to increase by 6.33 °C and 3.82 °C, respectively, by 2100. The projected precipitation varies from −8% to +24.8%, which is expected to alter the streamflow by −37.83% to +47% in the future. Based on the streamflow output, the risk for energy production was calculated with respect to the baseline energy production of 1963 GW h and 2281 GW h. Using the three GCMs, the risk associated with annual hydropower production under altered runoff was analyzed. The risk percentage in the future periods shows a mild risk varying from 0.69% to 6.63%. MPI-ESM-M GCM projects a higher percentage of risk for energy production during the same future periods, as compared to the baseline energy production of 1963 GW h. A mild to moderate risk, ranging from 2.73% to 13.24% can be expected when energy production in the future is compared to the baseline energy production of 2281 GW h.

  17. Risk control and prevention of spinal cord damage due to surgery of thoracoabdominal aneurysms: medicolegal aspects.

    Science.gov (United States)

    de Mol, B; Hamerlijnck, R; Vermeulen, F E; de Geest, R

    1991-01-01

    Surgery of thoracoabdominal aneurysms is accompanied by many complications of which spinal cord damage is the most serious. Such a complication tends to be the subject of litigation and medicolegal assessment. This report presents a risk control concept focussed on the reduction of spinal cord damage after surgery for a thoracoabdominal aneurysm. This concept may provide a basis for a risk management program in major surgery. Apart from sparing the patient a serious complication, improvement of the quality of care and anticipation of a medicolegal assessment were considered valuable benefits of such an effort. It is described how the threat of litigation--also in Europe--may affect clinical practice. A definition of surgical failure is described related to the five elements of risk homeostasis: complexity, linkage, cascade, human factor and safety margins. Limitations of risk control in the surgery of thoracoabdominal aneurysms are described. Finally the role of perception of risks by patient and doctor as well as the importance of informed consent and adequate disclosure are described in respect of medical quality improvement and litigation.

  18. Molecular biomarkers to assess health risks due to environmental contaminants exposure.

    Science.gov (United States)

    Poblete-Naredo, Irais; Albores, Arnulfo

    2016-06-03

    Biomarkers, or bioindicators, are metric tools that, when compared with reference values, allow specialists to perform risk assessments and provide objective information to decision makers to design effective strategies to solve health or environmental problems by efficiently using the resources assigned. Health risk assessment is a multidisciplinary exercise, and molecular biology is a discipline that greatly contributes to these evaluations because the genome, transcriptome, proteome and metabolome could be affected by xenobiotics causing measurable changes that might be useful biomarkers. Such changes may greatly depend on individual genetic background; therefore, the polymorphic distribution of exposed populations becomes an essential feature for adequate data interpretation. The aim of this paper is to offer an up-to-date review of the role of different molecular biomarkers in health risk assessments.

  19. Risk of Adverse Health Outcomes and Decrements in Performance Due to In-flight Medical Conditions

    Science.gov (United States)

    Antonsen,Erik

    2017-01-01

    The drive to undertake long-duration space exploration missions at greater distances from Earth gives rise to many challenges concerning human performance under extreme conditions. At NASA, the Human Research Program (HRP) has been established to investigate the specific risks to astronaut health and performance presented by space exploration, in addition to developing necessary countermeasures and technology to reduce risk and facilitate safer, more productive missions in space (NASA Human Research Program 2009). The HRP is divided into five subsections, covering behavioral health, space radiation, habitability, and other areas of interest. Within this structure is the ExMC Element, whose research contributes to the overall development of new technologies to overcome the challenges of expanding human exploration and habitation of space. The risk statement provided by the HRP to the ExMC Element states: "Given that medical conditions/events will occur during human spaceflight missions, there is a possibility of adverse health outcomes and decrements in performance in mission and for long term health" (NASA Human Research Program 2016). Within this risk context, the Exploration Medical Capabilities (ExMC) Element is specifically concerned with establishing evidenced-based methods of monitoring and maintaining astronaut health. Essential to completing this task is the advancement in techniques that identify, prevent, and treat any health threats that may occur during space missions. The ultimate goal of the ExMC Element is to develop and demonstrate a pathway for medical system integration into vehicle and mission design to mitigate the risk of medical issues. Integral to this effort is inclusion of an evidence-based medical and data handling system appropriate for long-duration, exploration-class missions. This requires a clear Concept of Operations, quantitative risk metrics or other tools to address changing risk throughout a mission, and system scoping and system

  20. The health risk due to exposure to bioaerosol occurring in health care institutions

    Directory of Open Access Journals (Sweden)

    Marcin Ebisz

    2016-06-01

    Full Text Available Health care workers employed in health care institutions are a population particularly exposed to a number of dangerous and burdensome factors, and the main risk factors are biological factors. Infections at the workplace can be transferred by blood but the use of mechanical barriers could potentially reduce the risk. When microorganisms are present in the air and create a bioaerosol, prevention methods are more difficult, and the problem relates to a larger number of employees and other people using health care facilities. Bioaerosol enters the human body through the respiratory system and includes mainly bacteria, fungi, viruses and other organic substances which can cause negative health outcomes.

  1. Safety assessment of sanitary pads with a polymeric foam absorbent core.

    Science.gov (United States)

    Woeller, Kara E; Hochwalt, Anne E

    2015-10-01

    Sanitary pads for menstrual hygiene have a layered design consisting of a fluid permeable surface (topsheet), an absorbent core, and an impermeable backing with adhesive. Most sanitary pads employ cellulose-based cores. This describes the safety evaluation of a menstrual pad with an emollient-treated topsheet and a novel polymeric foam core. A quantitative risk assessment was performed, which included: (1) toxicological evaluation of the raw material components; (2) quantitative exposure assessments of pad constituents, accounting for the fluid handling properties of the product and pertinent conditions of use; and (3) risk characterization for exposure to raw materials (e.g., potential for skin irritation, contact sensitization, or systemic effects, if relevant) and to the physical article itself (potential effects on skin friction, etc.). No significant risk of adverse effects was found. Five years of post-market surveillance substantiates that the product is well-tolerated (1 health complaint reported per 2 million products shipped to market) and surpasses women's expectations for menstrual protection and overall comfort and dryness. This report illustrates how the classical risk assessment paradigm, informed by the impact of product design, functionality and pertinent use conditions, allowed the systematic safety evaluation of a personal hygiene product with a novel, non-cellulosic absorbent foam core technology.

  2. Final Disposal of Solid Waste in Sanitary Landfills and Human Health

    Directory of Open Access Journals (Sweden)

    Gustavo Silveira Graudenz

    2012-06-01

    Full Text Available This article presents a critical review of scientific literature on waste sanitary landfills and its effects on human health, with an approach to the adverse effects that are most commonly associated to living near waste landfills. The health variables included were low birth weight, congenital abnormalities, some types of neoplasms, allergies, asthma and other respiratory diseases using the MEDLINE, LILACS and CAPES’ thesis post graduation database for systematic review. In spite of the fact that some studies indicate positive asssociation between health risks and living close to landfills, the majority of the studies, mainly the most recent ones, do not demonstrate a significant health risk in this condition. Some common limitations and bias of the work in the field are discussed. The lack of direct quantification of exposure, lack of prospective approach and no comparaison of the different types and quality of management of the residues are common limitations to most studies. So far, there is weak evidence to support significant epidemiological health risks associated to landfills. More interdisciplinary research should improve the knoledge of the health risks related to living in the proximity to sanitary landfills.

  3. Landscape changes in the environment due to military actions and their epidemic risks

    Directory of Open Access Journals (Sweden)

    Krushelnitsky A.D.

    2016-05-01

    Full Text Available The article considers the influence of the military-ecological and man-caused-anthropogenic factors on the environment state and natural processes. Epidemic risks and consequences resulted from landscapic changes of the environment which arise as a result of war and destruction of ecosystems are described.

  4. Health and occupational risks due to pesticide handling among agricultural workers in marinilla, antioquia, 2009

    Directory of Open Access Journals (Sweden)

    Juan C. Tabares L

    2011-11-01

    Full Text Available The agricultural sector has played a key role in the development of Colombia’s economy and rural communities. The Marinilla municipality, located in the eastern area of the department of Antioquia, bases its economy in agriculture and livestock activities. This requires the use of a wide variety of chemical products that pose health risks. Objective: to describe the occupational and health risks of the farmers who use pesticides in Marinilla. Methodology: a descriptive study with multistage sampling and a sample of 157 farmers. Results: 64.9% of the farmers combine more than two chemicals. 83% of them have received no training on safe handling of agricultural chemical products. Approximately 80% of these individuals do not use the appropriate protective equipment to perform this task. Only 2.5 % of the farmers have occupational risks insurance. The most common disease was acute respiratory infection (78%. 22.3% have suffered from acute intoxication, and 14% (11 of the female farmers who have ever been intoxicated had abortions, premature births, or bore children with some kind of disability. A statistically significant difference was found between the age of farmers and pesticide usage time. No statistical difference was found between low schooling level and knowledge of the risks posed by chemical products. Conclusion: most agricultural workers have not been trained in safety standards; therefore, they disregard all kinds of safety measures during their work, and act without safety in mind and without personal hygiene habits.

  5. Risk Factors for Nosocomial Bacterremia Due to Methicillin-Resistant Staphylococcus Aureus

    NARCIS (Netherlands)

    M. Pujol (Miquel); C. Pena; R. Pallares (Roman); J. Ayats (Josefina); J. Ariza (Javier); F. Gudiol (Francesc)

    1994-01-01

    textabstractIn a prospective surveillance study (February 1990–December 1991) performed at a 1000-bed teaching hospital to identify risk factors for nosocomial methicillin-resistantStaphylococcus aureus (MRSA) bacteremia, 309 patients were found to be colonized (n=103; 33 %) or infected (n=206; 67 %

  6. [Risk and prevention of gastrointestinal complications due to low-dose aspirin and other antiplatelet agents].

    Science.gov (United States)

    Bretagne, Jean-François

    2008-09-15

    Upper and lower gastrointestinal (GI) haemorrhages are the main complications associated with low-dose aspirin or anti-thrombotic drugs. In France, low-dose aspirin or anti-thrombotic agents use has been found in 30% of upper GI and 40% of lower GI bleeding episodes. Main causes of GI bleeding with low-dose aspirin are gastroduodenal peptic ulcer and colonic diverticulosis. Recent cohort studies have shown that the relative risk of GI bleeding with low-dose aspirin was comprised between 2 and 4 and the absolute risk comprised between 1 per 100 and 1 per 1000 aspirin users per year. Main risk factors for upper GI bleeding with low-dose aspirin are concomitant antiplatelet agents, anticoagulants, non steroidal anti-inflammatory drugs or steroids use, and recent history of complicated or non-complicated gastroduodenal ulcer. Helicobacter pylori infection increases the risk for upper GI bleeding with low-dose aspirin, but infection should be searched and treated only in patients with peptic ulcer. Despite eradication of H. pylori in the latter patients, gastroprotection with PPI is strongly recommended. In patients presenting with peptic ulcer bleeding with low-dose aspirin, aspirin should be continued in association with PPI rather than replaced with clopidogrel. Discontinuation of low-dose aspirin which exposes to increased cardiovascular complications and mortality should be avoided, even in cases of peptic ulcer bleeding.

  7. Food supply chain disruption due to natural disaster: Entities, risks and strategies for resilience

    Science.gov (United States)

    The resilience of food supply chain (FSC) to disruptions has not kept pace with the extended, globalized and complex network of modern food chain. This chapter presents a holistic view of the FSC, interactions among its components, risks and vulnerabilities of disruption in the context of natural d...

  8. Potential Future Risk of Cholera Due to Climate Change in Northern ...

    African Journals Online (AJOL)

    Prof

    ... 21%) respectively. Key words: Climate change; Cholera; Projections; Nigeria ... the potential impact of climate change on future diseases risk in the absence of interventions ..... results may encourage governments and public health workers to enhance efforts cholera incidence .... The role of moist convection in the West.

  9. A simple method to identify areas of environmental risk due to manure application.

    Science.gov (United States)

    Flores, Héctor; Arumí, José Luis; Rivera, Diego; Lagos, L Octavio

    2012-06-01

    The management of swine manure is becoming an important environmental issue in Chile. One option for the final disposal of manure is to use it as a biofertilizer, but this practice could impact the surrounding environment. To assess the potential environmental impacts of the use of swine manure as a biofertilizer, we propose a method to identify zones of environmental risk through indices. The method considers two processes: nutrient runoff and solute leaching, and uses available information about soils, crops and management practices (irrigation, fertilization, and rotation). We applied the method to qualitatively assess the environmental risk associated with the use of swine manure as a biofertilizer in an 8,000-pig farm located in Central Chile. Results showed that the farm has a moderate environmental risk, but some specific locations have high environmental risks, especially those associated with impacts on areas surrounding water resources. This information could assist the definition of better farm-level management practices, as well as the preservation of riparian vegetation acting as buffer strips. The main advantage of our approach is that it combines qualitative and quantitative information, including particular situations or field features based on expert knowledge. The method is flexible, simple, and can be easily extended or adapted to other processes.

  10. Risk assessment due to environmental exposures to fibrous particulates associated with taconite ore.

    Science.gov (United States)

    Wilson, Richard; McConnell, Ernest E; Ross, M; Axten, Charles W; Nolan, Robert P

    2008-10-01

    In the early 1970s, it became a concern that exposure to the mineral fibers associated taconite ore processed in Silver Bay, Minnesota would cause asbestos-related disease including gastrointestinal cancer. At that time data gaps existed which have now been significantly reduced by further research. To further our understanding of the types of airborne fibers in Silver Bay we undertook a geological survey of their source the Peter Mitchell Pit, and found that there are no primary asbestos minerals at a detectable level. However we identified two non-asbestos types of fibrous minerals in very limited geological locales. Air sampling useful for risk assessment was done to determine the type, concentrations and size distribution of the population of airborne fibers around Silver Bay. Approximately 80% of the airborne fibers have elemental compositions consistent with cummingtonite-grunerite and the remaining 20% have elemental compositions in the tremolite-actinolite series. The mean airborne concentration of both fiber types is less than 0.00014 fibers per milliliter that is within the background level reported by the World Health Organization. We calculate the risk of asbestos-related mesothelioma and lung cancer using a variety of different pessimistic assumptions. (i) that all the non-asbestos fibers are as potent as asbestos fibers used in the EPA-IRIS listing for asbestos; with a calculated risk of asbestos-related cancer for environmental exposure at Silver Bay of 1 excess cancer in 28,500 lifetimes (or 35 excess cancers per 1,000,000 lifetimes) and secondly that taconite associated fibers are as potent as chrysotile the least potent form of asbestos. The calculated risk is less than 0.77 excess cancer case in 1,000,000 lifetimes. Finally, we briefly review the epidemiology studies of grunerite asbestos (amosite) focusing on the exposure conditions associated with increased risk of human mesothelioma.

  11. Smoking and subsequent risk of early retirement due to permanent disability

    DEFF Research Database (Denmark)

    Husemoen, Lise Lotte N; Osler, Merete; Godtfredsen, Nina S;

    2004-01-01

    BACKGROUND: Smoking is the most important single preventable cause of a variety of common diseases, and a considerable share of premature death is attributable to smoking. Although the effects of smoking on morbidity and mortality are widely recognized, little is known about the impact of smoking...... on early retirement due to chronic disease. The objective of the study is to determine the effects of smoking behaviour on early retirement due to permanent disability in a large sample of the general population. METHODS: Follow-up study based on data from three longitudinal population studies conducted...

  12. Barometric pumping of burial trench soil gases into the atmosphere at the 740-G Sanitary Landfill

    Energy Technology Data Exchange (ETDEWEB)

    Wyatt, D.E.; Pirkle, R.J.; Masdea, D.J.

    1992-12-01

    In 1991, a soil gas survey was performed at the Savannah River Site Sanitary Landfill as part of the characterization efforts required under the integrated Resource Conservation and Recovery Act (RCRA) Facility Investigation and Comprehensive Environmental Resource Conservation and Recovery Act (CERCLA) Remedial Investigation (RFI/RI) program. This report details the findings of this survey, which identified several areas of the landfill that were releasing volatile organic compounds to the atmosphere at levels exceeding regulatory standards. Knowledge of the rates of VOC outgassing is necessary to protect site workers, provide input into the human health and environmental risk assessment documents and provide input into the remedial design scenario.

  13. Risk estimates of liver cancer due to aflatoxin exposure from peanuts and peanut products

    Energy Technology Data Exchange (ETDEWEB)

    Dichter, C.R.

    1984-06-01

    An assessment was undertaken of the risk of liver cancer in the USA associated with aflatoxin ingestion from peanuts. Both laboratory-animal data and epidemiological data collected from the scientific literature and several prominent mathematical extrapolation techniques were used. Risk estimates differed by a factor of greater than 1000 when the extrapolated results of three selected animal studies were analysed. Dose-response data for the male Fischer rat, the most sensitive mammalian species studied, produced an estimate of 158 cases of liver cancer per year in the USA at current levels of aflatoxin exposure. An estimate of 58 annual cases was predicted on the basis of epidemiological data of populations in Africa and Thailand.

  14. The risk of musculoskeletal disorders due to repetitive movements of upper limbs for workers employed in hazelnut sorting

    Directory of Open Access Journals (Sweden)

    Andrea Colantoni

    2013-09-01

    Full Text Available In the agro-industrial sector there are many activities whose urgent rhythms can cause a considerable exposure to bio-mechanical risk factors. In the hazelnut sorting, the workers are subject to several biomechanical risks, with repetitive movements, and operations that require a remarkable degree of strength. A thorough study of the workers’ exposure to repetitive manual movements has been carried out, with the aim of setting up the necessary measures to reduce the risk factors. The aim of the research is to assess the risk of work-related musculo-skeletal disorders (WMSDs due to repetitive work, for workers employed to hazelnut shells sorting. The research was carried out in an agricultural cooperative in the Viterbo’s area. For risk assessment authors used a method (Occupational Repetitive Actions “OCRA” index according to ISO 11228- 3:2009, Ergonomics - Manual handling - Part 3: Handling of low loads at high frequency which keeps into consideration several risk factors (such as repetitiveness, prehension force, posture. The risk was assessed for 16 female workers (in eight workplaces and in two different shifts through this classification: workers with experience less than 1 year, from 1 to 10 years and more than 10 years. This classification is very important for knowing if the professional experience could be considered a “prevention measure” for the risk reduction. The results show a high risk level for the right and left limb. The factors which more have contributed to reach such risk level are the great number of movements and the lack of recovering time.

  15. An automatic framework for assessing breast cancer risk due to various hormone replacement therapies (HRT)

    DEFF Research Database (Denmark)

    Karemore, Gopal; Brandt, Sami; Nielsen, Mads

    It is well known that menopausal hormone therapy increases mammographic density. Increase in breast density may relate to breast cancer risk. Several computer assisted automatic methods for assessing mammographic density have been suggested by J.W. Byng (1996), N. Karssemeijer (1998), J.M. Boone(...... features describing the local elongatedness or stripiness, especially trained to see the effect of HRT (Hormone Replacement Therapy ) thereby providing a non-subjective and reproducible measure and compare it to the BIRADS and percentage density measure....

  16. An assessment of adult risks of paresthesia due to mercury from coal combustion

    Energy Technology Data Exchange (ETDEWEB)

    Lipfert, F.; Moskowitz, P.; Fthenakis, V.; DePhillps, M. [Brookhaven National Lab., Upton, NY (United States); Viren, J. [Viren, (J.) Bellevue, WA (United States); Saroff, L. [USDOE, Washington, DC (United States)

    1993-11-01

    This paper presents results from a probabilistic assessment of the mercury health risks associated with a hypothetical 1000 MW coal-fired power plant. The assessment draws on the extant knowledge in each of the important steps in the chain from emissions to health effects, based on methylmercury derived from seafood. For this assessment, we define three separate sources of dietary Hg: canned tuna (affected by global Hg), marine shellfish and finfish (affected by global Hg), and freshwater gamefish (affected by both global Hg and local deposition from nearby sources). We consider emissions of both reactive and elemental mercury from the hypothetical plant (assumed to burn coal with the US average Hg content) and estimate wet and dry deposition rates; atmospheric reactions are not considered. Mercury that is not deposited within 50 km is assumed to enter the global background pool. The incremental Hg in local fish is assumed to be proportional to the incremental total Hg deposition. Three alternative dose-response models were derived from published data on specific neurological responses, in this case, adult paresthesia (skin prickling or tingling of the extremities). Preliminary estimates show the upper 95th percentile of the baseline risk attributed to seafood consumption to be around 10{sup {minus}4} (1 chance in 10,000). Based on a doubling of Hg deposition in the immediate vicinity of the hypothetical plant, the incremental local risk from seafood would be about a factor of 4 higher. These risks should be compared to the estimated background prevalence rate of paresthesia, which is about 7%.

  17. [Risk of acute hepatic insufficiency in children due to chronic accidental overdose of paracetamol (acetaminophen)

    NARCIS (Netherlands)

    Hameleers-Snijders, P.; Hogeveen, M.; Smeitink, J.A.M.; Kramers, C.; Draaisma, J.M.T.

    2007-01-01

    Two girls aged 4 and 3 years, respectively, experienced acute liver failure due to accidental ingestion of supratherapeutic doses of paracetamol (90 mg/kg/day or more). Recognition of chronic paracetamol intoxication as a cause of acute hepatic failure is often delayed. It is important to consider t

  18. Caregiver awareness of cerebrovascular risk of patients with dementia due to Alzheimer's disease in São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Fabricio Ferreira de Oliveira

    2014-07-01

    Full Text Available Background Proper control of cerebrovascular risk is essential to prevent cognitive change in dementia due to Alzheimer’s disease (AD. Objective To investigate whether caregiver awareness to control cerebrovascular risk impacts the lifestyles of patients with AD. Methods Consecutive outpatients with AD were assessed for demographic features, Clinical Dementia Rating scores, cerebrovascular risk, pharmacotherapy, dietary therapy and practice of physical activities. Patients and caregivers were inquired on awareness of the importance of measures to control cerebrovascular risk. Chi-square test was employed for statistics, significance at ρ < 0.05. Results A total of 217 patients were included; whereas 149 caregivers (68.7% were aware of the need to control cerebrovascular risk, only 11 patients (5.1% simultaneously practiced physical activities and received pharmacological treatment and dietary therapy. Patients with hypertension and diabetes mellitus were more likely to receive dietary therapy (ρ = 0.007. Male patients were more engaged in physical activities (ρ = 0.018. Patients in earlier AD stages exercised (ρ = 0.0003 and received pharmacological treatment more often (ρ = 0.0072. Caregiver awareness of the need to control cerebrovascular risk was higher when patients had hypertension (ρ = 0.024 and/or hypercholesterolemia (ρ = 0.006, and influenced adherence to dietary therapy (ρ = 0.002 and to pharmacological treatment (ρ = 0.001. Discussion Caregiver awareness of the need to control cerebrovascular risk has positive impacts for patients with AD.

  19. Assessment and prevention of radioactive risk due to 222Radon on University Premises in Genoa, Italy.

    Science.gov (United States)

    Panatto, D; Gasparini, R; Benatti, U; Gallelli, G

    2006-12-01

    From October 2004 to September 2005, Radon222 activity in high-risk indoor spaces used by employees and students at the University of Genoa was measured with CR-39 nuclear track detectors. The mean concentration in winter (78.9 Bq/m3 +/- 74.92 S.D.) was low in relation to the microenvironment considered. When data were broken down by type and location of the spaces, no significant differences were found, despite the fact that the Genoa conurbation lies on soil of variable geological composition. The dose absorbed by employees was 0.42 mSv/year, with a relative risk of 4.2/1000 cases of Radon-related lung cancer. The dose absorbed by students was 0.28 mSv/year, with a relative risk of 2.5/1000 cases of Radon-related lung cancer. The level of radon activity detected never exceeded the limit of 500 Bq/m3 established by Italian law. Nevertheless, the value of the compound uncertainty index suggested that the real level of Radon contamination could have exceeded 400 Bq/m3 in selected spaces, a value requiring annual concentration tests.

  20. Methodology of risk assessment of loss of water resources due to climate changes

    Science.gov (United States)

    Israfilov, Yusif; Israfilov, Rauf; Guliyev, Hatam; Afandiyev, Galib

    2016-04-01

    For sustainable development and management of rational use of water resources of Azerbaijan Republic it is actual to forecast their changes taking into account different scenarios of climate changes and assessment of possible risks of loss of sections of water resources. The major part of the Azerbaijani territory is located in the arid climate and the vast majority of water is used in the national economic production. An optimal use of conditional groundwater and surface water is of great strategic importance for economy of the country in terms of lack of common water resources. Low annual rate of sediments, high evaporation and complex natural and hydrogeological conditions prevent sustainable formation of conditioned resources of ground and surface water. In addition, reserves of fresh water resources are not equally distributed throughout the Azerbaijani territory. The lack of the common water balance creates tension in the rational use of fresh water resources in various sectors of the national economy, especially in agriculture, and as a result, in food security of the republic. However, the fresh water resources of the republic have direct proportional dependence on climatic factors. 75-85% of the resources of ground stratum-pore water of piedmont plains and fracture-vein water of mountain regions are formed by the infiltration of rainfall and condensate water. Changes of climate parameters involve changes in the hydrological cycle of the hydrosphere and as a rule, are reflected on their resources. Forecasting changes of water resources of the hydrosphere with different scenarios of climate change in regional mathematical models allowed estimating the extent of their relationship and improving the quality of decisions. At the same time, it is extremely necessary to obtain additional data for risk assessment and management to reduce water resources for a detailed analysis, forecasting the quantitative and qualitative parameters of resources, and also for

  1. [Sanitary regulation in Mexico and the Free Trade Treaty].

    Science.gov (United States)

    Juan-López, M

    1994-01-01

    In this paper are discussed essential issues about the concept, characteristics and general functions of sanitary regulation, as well as the principles and main lines of action contained in the Program of Modernization of the Sanitary Regulation, which is being implemented by the Ministry of Health of Mexico. In addition, some considerations are offered regarding the supporting role of such a program, in the context of the free trade era that Mexico is undergoing. After 40 years of an outdated sanitary regulation based in a non-functional licensing concept, the new and improved scheme relies on several ammendments to the General Health Law. Thus, the present approach, focuses on a set of flexible, simple and efficient rules, strengthened by proven scientific and technical procedures.

  2. Trends in the risk of mortality due to cardiovascular diseases in five Brazilian geographic regions from 1979 to 1996

    Directory of Open Access Journals (Sweden)

    Maria de Fátima Marinho de Souza

    2001-12-01

    Full Text Available OBJECTIVE - To analyze the trends in risk of death due to cardiovascular diseases in the northern, northeastern, southern, southeastern, and central western Brazilian geographic regions from 1979 to 1996. METHODS - Data on mortality due to cardiovascular, cardiac ischemic, and cerebrovascular diseases in 5 Brazilian geographic regions were obtained from the Ministry of Health. Population estimates for the time period from 1978 to 1996 in the 5 Brazilian geographic regions were calculated by interpolation with the Lagrange method, based on the census data from 1970, 1980, 1991, and the population count of 1996, for each age bracket and sex. Trends were analyzed with the multiple linear regression model. RESULTS - Cardiovascular diseases showed a declining trend in the southern, southeastern, and northern Brazilian geographic regions in all age brackets and for both sexes. In the northeastern and central western regions, an increasing trend in the risk of death due to cardiovascular diseases occurred, except for the age bracket from 30 to 39 years, which showed a slight reduction. This resulted from the trends of cardiac ischemic and cerebrovascular diseases. The analysis of the trend in the northeastern and northern regions was impaired by the great proportion of poorly defined causes of death. CONCLUSION - The risk of death due to cardiovascular, cerebrovascular, and cardiac ischemic diseases decreased in the southern and southeastern regions, which are the most developed regions in the country, and increased in the least developed regions, mainly in the central western region.

  3. Modeling of lung cancer risk due to radon exhalation of granite stone in dwelling houses

    Directory of Open Access Journals (Sweden)

    Akbar Abbasi

    2017-01-01

    Conclusions: The estimated numbers of lung cancer deaths attributable to indoor radon due to granite stones in 2013 were 145 (3.33% and 103 (2.37% for poor and normal ventilation systems, respectively. According to our estimations, the values of 3.33% and 2.37% of lung cancer deaths in 2013 are attributed to radon exhalation of granite stones with poor and normal ventilation systems, respectively.

  4. Metal speciation in soil and health risk due to vegetables consumption in Bangladesh.

    Science.gov (United States)

    Islam, Md Saiful; Ahmed, Md Kawser; Habibullah-Al-Mamun, Md

    2015-05-01

    This study was conducted to investigate the contamination level of heavy metals in soil and vegetables, chemical speciation, and their transfer to the edible part of vegetables. Metals were analyzed using inductively coupled plasma mass spectrometer (ICP-MS). The ranges of Cr, Ni, Cu, As, Cd, and Pb in agricultural soils were 3.7-41, 3.9-36, 3.7-46, 2.3-26, 0.6-13, and 4.5-32 mg/kg, respectively. The metals were predominantly associated with the residual fractions of 39, 41, 40, 40, 34, and 41 % for Cr, Ni, Cu, As, Cd, and Pb, respectively. Considering the metal transfer from soil to the edible part of vegetables, the mean transfer factors (TFs) were in the descending order of Cu > Ni > Cr > Pb > As > Cd. In the edible tissues of vegetables, the concentrations of As, Cd, and Pb in most vegetable samples exceeded the maximum permissible levels, indicating not safe for human consumption. Total target hazard quotient (THQ) of the studied metals (except Cr) from all vegetables were higher than 1, indicated that if people consume these types of vegetables in their diet, they might pose risk to these metals. Total values of carcinogenic risk (CR) were 3.2 for As and 0.15 for Pb which were higher than the US Environmental Protection Agency (USEPA) threshold level (0.000001), indicating that the inhabitants consuming these vegetables are exposed to As and Pb with a lifetime cancer risk.

  5. Decreased Risk of Ventilator-Associated Pneumonia in Sepsis Due to Intra-Abdominal Infection.

    Directory of Open Access Journals (Sweden)

    François Philippart

    Full Text Available Experimental studies suggest that intra-abdominal infection (IAI induces biological alterations that may affect the risk of lung infection.To investigate the potential effect of IAI at ICU admission on the subsequent occurrence of ventilator-associated pneumonia (VAP.We used data entered into the French prospective multicenter Outcomerea database in 1997-2011. Consecutive patients who had severe sepsis and/or septic shock at ICU admission and required mechanical ventilation for more than 3 days were included. Patients with acute pancreatitis were not included.Of 2623 database patients meeting the inclusion criteria, 290 (11.1% had IAI and 2333 (88.9% had other infections. The IAI group had fewer patients with VAP (56 [19.3%] vs. 806 [34.5%], P<0.01 and longer time to VAP (5.0 vs.10.5 days; P<0.01. After adjustment on independent risk factors for VAP and previous antimicrobial use, IAI was associated with a decreased risk of VAP (hazard ratio, 0.62; 95% confidence interval, 0.46-0.83; P<0.0017. The pathogens responsible for VAP were not different between the groups with and without IAI (Pseudomonas aeruginosa, 345 [42.8%] and 24 [42.8%]; Enterobacteriaceae, 264 [32.8%] and 19 [34.0%]; and Staphylococcus aureus, 215 [26.7%] and 17 [30.4%], respectively. Crude ICU mortality was not different between the groups with and without IAI (81 [27.9%] and 747 [32.0%], P = 0.16.In our observational study of mechanically ventilated ICU patients with severe sepsis and/or septic shock, VAP occurred less often and later in the group with IAIs compared to the group with infections at other sites.

  6. Evaluation of the risk of pressure vessel failure due to errors in the manufacturing process

    Energy Technology Data Exchange (ETDEWEB)

    Marriott, D.L. (Illinois Univ., Urbana); Beyers, C.J.E.

    1983-01-01

    A pilot study based on the construction of a small pressure vessel is described together with a general safety assessment strategy. It is concluded that the application of safety assessment to a manufacturing process is feasible, and that useful information regarding the improvement of control of such processes can be so derived. The most important contribution is considered to be the development of a systematic strategy for the identification of potential material failure mechanisms in a given manufacturing process. An alternative probability measure is proposed for evaluating risk. This is a subjective measure of the uncertainty of the available information, and has implications for the possible quantification of quality assurance activities.

  7. Sanitary Landfill Groundwater Monitoring Report. Second Quarter 1995

    Energy Technology Data Exchange (ETDEWEB)

    Chase, J.A.

    1995-08-01

    This report contains analytical data for samples taken during second quarter 1995 from wells of the LFW series located at the Sanitary Landfill at the Savannah River Site (SRS). The data are submitted in reference to the Sanitary landfill Operating Permit (DWP-087A). The report presents monitoring results that equaled or exceeded the Safe Drinking Water Act final Primary Water Standards (PDWS) or screening levels, established by the US Environmental Protection Agency (Appendix A), the South Carolina final Primary Drinking Water Standard for lead (Appendix A), or the SRS flagging criteria (Appendix B).

  8. PROPOSAL OF SANITARY MANAGEMENT OF EDIBLE ECHINODERMS IN SARDINIA

    Directory of Open Access Journals (Sweden)

    G. Terrosu

    2011-01-01

    Full Text Available Sea urchin (Paracentrotus lividus is an edible echinoderm very common in the Mediterranean sea. In the Sardinian gastronomic tradition it represents a product very used in some periods of the year, but in practice the sanitary controls by the competent authorities are very difficult. The Reg. (EC n. 853/2004 provides that, as regards as the control on production, echinoderms are assimilable to live bivalve molluscs, with the exception of the provisions on purification. In this work a proposal for the sanitary management of the phases of gathering, transport and selling of the sea urchins has been studied.

  9. Sanitary Transportation of Human and Animal Food. Final rule.

    Science.gov (United States)

    2016-04-06

    The Food and Drug Administration (FDA or we) is issuing a final rule to establish requirements for shippers, loaders, carriers by motor vehicle and rail vehicle, and receivers engaged in the transportation of food, including food for animals, to use sanitary transportation practices to ensure the safety of the food they transport. This action is part of our larger effort to focus on prevention of food safety problems throughout the food chain and is part of our implementation of the Sanitary Food Transportation Act of 2005 (2005 SFTA) and the Food Safety Modernization Act of 2011 (FSMA).

  10. Sanitary Landfill groundwater monitoring report. First quarter 1993

    Energy Technology Data Exchange (ETDEWEB)

    1993-05-01

    This report contains analytical data for samples taken during first quarter 1993 from wells of the LFW series located at the Sanitary Landfill at the Savannah River Site. The data are submitted in reference to the Sanitary Landfill Operating Permit (DWP-087A). The report presents monitoring results that equaled or exceeded the Safe Drinking Water Act final Primary Drinking Water Standards (PDWS) or screening levels, established by the US Environmental Protection Agency, the South Carolina final Primary Drinking Water Standards for lead or the SRS flagging criteria.

  11. Sanitary landfill groundwater monitoring report, Third Quarter 1999

    Energy Technology Data Exchange (ETDEWEB)

    Chase, J.

    1999-12-08

    This report contains analytical data for samples taken during Third Quarter 1999 from wells of the LFW series located at the Sanitary Landfill at the Savannah River Site. The data are submitted in reference to the Sanitary Landfill Operating Permit. The report presents monitoring results that equaled or exceeded the Safe Drinking Water Act final Primary Drinking Water Standards or screening levels, established by the U.S. Environmental Protection Agency, the South Carolina final Primary Drinking Water Standard for lead, or the SRS flagging criteria.

  12. Relationships between health, education and environment in Quito: the role of sanitary and environmental education

    Directory of Open Access Journals (Sweden)

    Diana Sarrade Cobos

    2013-10-01

    Full Text Available In order to analyze the ecological unbalance that affects a city like Quito, marked by an anarchic urban growth and problems on its environmental quality, it is interesting to relate three “Good Living” factors: Health, Education and Environment. There are numerous ways to establish links. Under this thought, based on scientific studies and public policies, we have defined to concrete facts: the impact of the environment on the health of the public and the possibility of reducing sanitary risks thru education. The economical, political and cultural dynamics of the Ecuadorian Capital could encourage the elaboration of programs and actions toward a better environmental and sanitary education. Which are the strategies, from the Municipal authorities, to create a collective dynamism that will take the population to become aware of the natural and anthropological risks? Many efforts have been realized to determine the natural threats, but little has been done in order to analyze the impact of the decay of the environment over our health. There are many different initiatives to sensitize the population on these risks. Nevertheless, there is a still lot to do with respect to the dissemination and follow up of programs and projects that are being carried out on the Distrito Metropolitano de Quito.

  13. Post-rehabilitation evaluation of the sanitary sewer system at Lawrence Livermore National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Royal, D.

    1995-11-01

    We are updating a CH2M Hill study which found that the sanitary sewer system is sufficient to transport peak dry weather flow. However, under peak wet weather conditions, the system has insufficient capacity to transport the projected flows for existing and future development. This is due to the amount of infiltration/inflow (I/I) that enters the sewer system when it rains. Our goal is to examine the existing system to determine its adequacy to accommodate present and future peak flows, and also to further update and improve the CH2M Hill study. A set of alternatives was also developed to address deficiencies of the existing system.

  14. Health risks due to pre-harvesting sugarcane burning in São Paulo State, Brazil

    Directory of Open Access Journals (Sweden)

    Maria Leticia de Souza Paraiso

    2015-09-01

    Full Text Available After 2003, a new period of expansion of the sugarcane culture began in Brazil. Pre-harvesting burning of sugarcane straw is an agricultural practice that, despite the nuisance for the population and pollution generated, still persisted in over 70% of the municipalities of São Paulo State in 2010. In order to study the distribution of this risk factor, an ecological epidemiological study was conducted associating the rates of deaths and hospital admissions for respiratory diseases, for each municipality in the State, with the exposure to the pre-harvesting burning of sugarcane straw. A Bayesian multivariate regression model, controlled for the possible effects of socioeconomic and climate (temperature, humidity, and rainfall variations, has been used. The effect on health was measured by the standardized mortality and morbidity ratio. The measures of exposure to the pre-harvesting burning used were: percentage of the area of sugarcane harvested with burning, average levels of aerosol, and number of outbreaks of burning. The autocorrelation between data was controlled using a neighborhood matrix. It was observed that the increase in the number of outbreaks of burning was significantly associated with higher rates of hospital admissions for respiratory disease in children under five years old. Pre-harvesting burning of sugarcane effectively imposes risk to population health and therefore it should be eliminated.

  15. Cancer mortality risk of nuclear power workers due to the exposure of ionising radiation in Germany

    Energy Technology Data Exchange (ETDEWEB)

    Fehringer, F.; Seitz, G. [Berufsgenossenschaft der Feinmechanik und Elektrotechnik, Koln (Germany); Hammer, G.P.; Blettner, M. [Johannes Gutenberg-Universitat Mainz, Institut fur Medizinische Biometrie, Epidemiologie und Informatik des Klinikums (Germany)

    2006-07-01

    A cohort study of German nuclear power workers was set up to investigate overall and cancer mortality risk related to a chronic exposure to ionising radiation of low-level dose. The German study was performed as a part of an international study carried out by the International Agency for Research on Cancer (IARC), Lyon. First results of the international study have been published recently [1]. German data are not yet included in this analysis. The German cohort consists of 4844 employees from 10 nuclear power plants. All persons who worked in these nuclear power plants in 1991 or started employment between 1991 und 1997 are included (except for employees of one plant, whose observation period started in 1992). These persons accumulated about 31,000 person years. Overall, 68 deaths were observed in the observation period between 1.1.1991-31.12.1997. Standardized mortality ratios (SMR) were computed for all causes of death, all cancers, cardiovascular diseases, external causes, and all other causes. Overall, a strong healthy worker effect was observed (SMR=0.52 [95% CI: 0.41;0.67]). No increase in total cancer mortality was seen (SMR=0.85 [95% CI: 0.53;1.30]). However, numbers are too small for stable risk estimates and further effort is under way to complete the cohort in terms of power plants and to extend the follow-up until 2005. (authors)

  16. Effects of in vivo chronic hydrocarbons pollution on sanitary status and immune system in sea bass (Dicentrarchus labrax L.).

    Science.gov (United States)

    Danion, Morgane; Le Floch, Stéphane; Kanan, Rami; Lamour, François; Quentel, Claire

    2011-10-01

    Following the development of an experimental system to expose adult fish to low and stable concentration of pollutant over a prolonged period, the in vivo effects of hydrocarbons on sanitary status, i.e. the health status of fish with regard to chemical pollution, and immune system in sea bass, Dicentrarchus labrax were assessed. A total of 90 fish were acclimated for 15 days, then 45 fish were exposed to the water soluble fraction (WSF) of Arabian crude oil, similar to a complex pollution by hydrocarbons chronically observed in situ in estuaries, while the 45 other control fish sustained the same experimental conditions in clean seawater. After 21 days of exposure, 30 contaminated and control fish were sampled, then 30 other fish were collected after a 15 day recovery period in clean sea water. PAH concentrations in crude oil, WSF, muscles and bile were measured by gas chromatography coupled with mass spectrometry analysis. White blood cell counts and differential leucocyte counts were determined by classical haematology methods. Cell mortality and phagocytosis activity of leucocytes were analyzed by flow cytometry. Haemolytic alternative complement activity and stress parameters were analyzed in blood plasma by spectrophotometry. After a 21 day exposure period to a mixture of 41 parent/alkylated-PAHs (835 ± 52/85 ± 1 5 ng L(-1)). Fish flesh was contaminated by a bioconcentration of naphthalene very closed to the Reference Dose for Oral Exposure estimated by US-EPA's Integrated Risk Information System, causing a potential risk for human consumers. A leucopenia due to a lymphopenia, a rise in leucocyte mortality and a decrease in phagocytosis activity were noted in contaminated fish compared to controls. All these results may be explained by the damage to membrane cells integrity by uptake of PAHs and suggested an impairment of specific and nonspecific immune systems. After a 15 day recovery period, effects were reversible for sanitary status and an offset in

  17. Emerging Risks Due to New Injecting Patterns in Hungary During Austerity Times.

    Science.gov (United States)

    Tarján, Anna; Dudás, Mária; Gyarmathy, V Anna; Rusvai, Erzsébet; Tresó, Bálint; Csohán, Ágnes

    2015-01-01

    As a consequence of the massive restructuring of drug availability, heroin injection in Hungary was largely replaced by the injecting of new psychoactive substances (NPS) starting in 2010. In the following years in our sero-prevalence studies we documented higher levels of injecting paraphernalia sharing, daily injection-times, syringe reuse, and HCV prevalence among stimulant injectors, especially among NPS injectors. Despite the increasing demand, in 2012 the number of syringes distributed dropped by 35% due to austerity measures. Effects of drug market changes and the economic recession may have future epidemiological consequences. Study limitations are noted and future needed research is suggested.

  18. Riduzione del tabagismo nei futuri operatori sanitari: alcune proposte

    Directory of Open Access Journals (Sweden)

    M. Aporti

    2003-05-01

    Full Text Available

    Obiettivi: valutazione della prevalenza di fumatori negli studenti di medicina e di infermieristica al fine di migliorarne le competenze e i comportamenti in tema di tabagismo, in vista anche del loro futuro ruolo nelle Aziende Sanitarie1.

    Materiali e metodi: nell’ambito della Facoltà di Medicina dell’Università di Bologna è stato condotto uno studio sugli aspetti motivazionali e comportamentali delle abitudini al fumo nei giovani iscritti al primo anno di Medicina e di Infermieristica negli AA 1999-2000 e 2002-2003. L’indagine è stata svolta somministrando questionari anonimi agli studenti in aula. Si è ottenuta così una percentuale di rispondenti pari all’ 87 e al 90% della popolazione studentesca iscritta. Risultati: la prevalenza di fumatori cronici o occasionali è andata incrementandosi negli ultimi due anni del 7% tra gli studenti di infermieristica e dell’8,8% tra quelli di medicina, sino a raggiungere rispettivamente il 42,4% e il 25,7%. Nel 2002 il 13,5% dei fumatori ha dichiarato di contemplare la possibilità di smettere entro la fine del corso di studi. Nonostante la giovane età, il 10% di loro erano recidivi da tentativi di disassuefazione falliti.

    Conclusioni: evidente il trend di aumento dell’abitudine al fumo nelle categorie considerate e la difficoltà, a volte notevole, di evitare ricadute nel tabagismo in assenza di adeguato sostegno. Da questi dati è emersa la necessità di impegnarsi per garantire agli studenti sia una più specifica preparazione (si è previsto nel curriculum studi un modulo elective sul tabagismo che una possibilità di disassuefazione precoce, grazie a un canale preferenziale presso il centro per la Disassuefazione dal Fumo di Tabacco dell’ Azienda S. Orsola Malpighi (ove operano docenti del modulo.

  19. Risk of upper limb complaints due to computer use in older persons: a randomized study

    Directory of Open Access Journals (Sweden)

    Jolles Jelle

    2007-08-01

    Full Text Available Abstract Background We studied whether the twelve-month use of a standard computer would induce complaints of upper limb pain or functional limitations in older novice computer users. Methods Participants between 64 and 76 of age were randomly assigned to an Intervention group (n = 62, whose members received a personal computer and fast Internet access at their homes, or a No Intervention control group (n = 61, whose members refrained from computer use during the twelve month study period. Results Difference scores between baseline and twelve months assessments on both complaint (SFS and functional health scales (SF-36 did not differ between groups (all p > .05. Conclusion Prolonged, self-paced use of a standard computer interface does not put older persons at a risk of upper limb complaints or reduce functional health in older adults.

  20. Meeting Summary of Kitchen Cabinet on Financial Due Diligence to Reduce Proliferation Risks

    Energy Technology Data Exchange (ETDEWEB)

    Hund, Gretchen [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Weise, Rachel A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Carr, Geoffrey A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2016-08-15

    The U.S. Department of Energy’s Pacific Northwest National Laboratory convened the Kitchen Cabinet (KC) to facilitate a candid discussion about the role of financial institutions (FIs) in antiproliferation efforts to reduce nuclear proliferation risks by identifying suspicious business transactions and exports when making lending or insurance decisions. The meeting brought together a group of export control specialists, largely representatives from the Nuclear Suppliers Group (NSG) Participating Governments (PGs) and finance experts representing banks and insurance companies. By assembling a KC of experts, the group could understand what suspicious transactions look like from each other’s perspectives and better inform each of their operations. The goal was to develop red flags FIs could use to identify suspicious proliferation-related transactions and to help governments gain a clearer picture of proliferation using financial information.

  1. Deficits in Top-Down Sensory Prediction in Infants At Risk due to Premature Birth.

    Science.gov (United States)

    Emberson, Lauren L; Boldin, Alex M; Riccio, Julie E; Guillet, Ronnie; Aslin, Richard N

    2017-02-06

    A prominent theoretical view is that the brain is inherently predictive [1, 2] and that prediction helps drive the engine of development [3, 4]. Although infants exhibit neural signatures of top-down sensory prediction [5, 6], in order to establish that prediction supports development, it must be established that deficits in early prediction abilities alter trajectories. We investigated prediction in infants born prematurely, a leading cause of neuro-cognitive impairment worldwide [7]. Prematurity, independent of medical complications, leads to developmental disturbances [8-12] and a broad range of developmental delays [13-17]. Is an alteration in early prediction abilities the common cause? Using functional near-infrared spectroscopy (fNIRS), we measured top-down sensory prediction in preterm infants (born identification of infants at risk and could guide early intervention regimens.

  2. Health risks in international container and bulk cargo transport due to volatile toxic compounds

    DEFF Research Database (Denmark)

    Baur, Xaver; Budnik, Lygia T; Zhao, Zhiwei

    2015-01-01

    on the toxic substance, its chemical reactivity, concentration, the temperature, the contaminated matrix (goods and packing materials), and the packing density in the transport units. Regulations on declaration and handling dangerous goods are mostly not followed. It is obvious that this hazardous situation...... shown to contain volatile toxic substances above the exposure limit values. Possible exposure to these toxic chemicals may occur not only for the applicators but also the receiver by off gassing from products, packing materials or transport units like containers. A number of intoxications, some...... with lethal outcome, occur not only during the fumigation, but also during freight transport (on bulk carriers and other transport vessels), as well as in the logistic lines during loading and unloading. Risk occupations include dock-workers, seafarers, inspectors, as well as the usually uninformed workers...

  3. Risk of secondary osteoporosis due to lobular cholestasis in non-cirrhotic primary biliary cholangitis.

    Science.gov (United States)

    Seki, Anna; Ikeda, Fusao; Miyatake, Hirokazu; Takaguchi, Koichi; Hayashi, Shosaku; Osawa, Toshiya; Fujioka, Shin-Ichi; Tanaka, Ryoji; Ando, Masaharu; Seki, Hiroyuki; Iwasaki, Yoshiaki; Yamamoto, Kazuhide; Okada, Hiroyuki

    2017-09-01

    It remains unclear whether primary biliary cholangitis (PBC) represents a risk factor for secondary osteoporosis. A case-control study was conducted to examine bone mineral density and bone turnover markers in middle-aged postmenopausal PBC patients without liver cirrhosis. We compared the incidence of low bone mineral density between propensity-score matched subgroups of PBC patients and healthy controls and investigated the mechanisms underlying unbalanced bone turnover in terms of the associations between bone turnover markers and PBC-specific histological findings. Our analysis included 128 consecutive PBC patients, all postmenopausal women aged in their 50s or 60s, without liver cirrhosis or fragility fracture at the time of PBC diagnosis. The prevalence of osteoporosis was significantly higher in the PBC group than in the control group (26% vs 10%, P = 0.015, the Fisher exact probability test). In most PBC patients (95%), the level of bone-specific alkaline phosphatase was above the normal range, indicating increased bone formation. On the other hand, the urine type I collagen-cross-linked N-telopeptide showed variable levels among our PBC patients, indicating unbalanced bone resorption. Advanced fibrosis was associated with low bone turnover. Lobular cholestasis, evaluated as aberrant keratin 7 expression in hepatocytes, showed significant negative correlations with bone formation and resorption, indicating low bone turnover. Our results show that, compared with healthy controls, even non-cirrhotic PBC patients have significantly higher risk of osteoporosis. Moreover, lobular cholestasis was associated with low bone turnover, suggesting this feature of PBC may itself cause secondary osteoporosis in PBC patients. © 2017 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.

  4. Climate change increases the risk of herbicide-resistant weeds due to enhanced detoxification.

    Science.gov (United States)

    Matzrafi, Maor; Seiwert, Bettina; Reemtsma, Thorsten; Rubin, Baruch; Peleg, Zvi

    2016-12-01

    Global warming will increase the incidence of metabolism-based reduced herbicide efficacy on weeds and, therefore, the risk for evolution of non-target site herbicide resistance. Climate changes affect food security both directly and indirectly. Weeds are the major biotic factor limiting crop production worldwide, and herbicides are the most cost-effective way for weed management. Processes associated with climatic changes, such as elevated temperatures, can strongly affect weed control efficiency. Responses of several grass weed populations to herbicides that inhibit acetyl-CoA carboxylase (ACCase) were examined under different temperature regimes. We characterized the mechanism of temperature-dependent sensitivity and the kinetics of pinoxaden detoxification. The products of pinoxaden detoxification were quantified. Decreased sensitivity to ACCase inhibitors was observed under elevated temperatures. Pre-treatment with the cytochrome-P450 inhibitor malathion supports a non-target site metabolism-based mechanism of herbicide resistance. The first 48 h after herbicide application were crucial for pinoxaden detoxification. The levels of the inactive glucose-conjugated pinoxaden product (M5) were found significantly higher under high- than low-temperature regime. Under high temperature, a rapid elevation in the level of the intermediate metabolite (M4) was found only in pinoxaden-resistant plants. Our results highlight the quantitative nature of non-target-site resistance. To the best of our knowledge, this is the first experimental evidence for temperature-dependent herbicide sensitivity based on metabolic detoxification. These findings suggest an increased risk for the evolution of herbicide-resistant weeds under predicted climatic conditions.

  5. Laser optics in space failure risk due to laser induced contamination

    Science.gov (United States)

    Kokkinos, D.; Schroeder, H.; Fleury-Frenette, K.; Georges, M. P.; Riede, W.; Tzeremes, G.; Rochus, P.

    2017-06-01

    In this paper, a study of the evolution and morphology of UV laser-induced contamination (LIC) on optical surfaces due to hydrocarbons will be presented. LIC is a major hazard for lasers that operate in vacuum conditions. Recent studies have shown that the manufacturing method and cleaning of optical components can significantly mitigate LIC growth but never stop it completely. To better understand and model the evolution of LIC the deposition rate and transmission decay were observed via a CCD camera that measured laser induced fluorescence (LIF) and energy detectors, respectively. The affected sites were observed using Atomic Force Microscopy (AFM) and Phase Shift Interferometry (PSI). The LIC affected area diameters obtained by different experimental conditions were then compared with the theoretical prediction derived by the model. Very good agreement between this empirical model and the experimental results was found for the relevant parameter regimes under investigation. A novel methodology to determine the possibility of permanent optical damage due to LIC produced thermal effects is also discussed.

  6. Risk assessment for cardiovascular and respiratory mortality due to air pollution and synoptic meteorology in 10 Canadian cities.

    Science.gov (United States)

    Vanos, Jennifer K; Hebbern, Christopher; Cakmak, Sabit

    2014-02-01

    Synoptic weather and ambient air quality synergistically influence human health. We report the relative risk of mortality from all non-accidental, respiratory-, and cardiovascular-related causes, associated with exposure to four air pollutants, by weather type and season, in 10 major Canadian cities for 1981 through 1999. We conducted this multi-city time-series study using Poisson generalized linear models stratified by season and each of six distinctive synoptic weather types. Statistically significant relationships of mortality due to short-term exposure to carbon monoxide, nitrogen dioxide, sulphur dioxide, and ozone were found, with significant modifications of risk by weather type, season, and mortality cause. In total, 61% of the respiratory-related mortality relative risk estimates were significantly higher than for cardiovascular-related mortality. The combined effect of weather and air pollution is greatest when tropical-type weather is present in the spring or summer.

  7. Estimation of the risks of thermal stress due to the microclimate for manual fruit and vegetable harvesters in central Italy.

    Science.gov (United States)

    Cecchini, M; Colantoni, A; Massantini, R; Monarca, D

    2010-07-01

    Agricultural workers are exposed to various risks, including chemical agents, noise, and many other factors. One of the most characteristic and least known risk factors is constituted by the microclimatic conditions in the different phases of work (in field, in greenhouse, etc). A typical condition is thermal stress due to high temperatures during harvesting operations in open fields or in greenhouses. In Italy, harvesting is carried out for many hours during the day, mainly in the summer, with temperatures often higher than 30 degrees C. According to ISO 7243, these conditions can be considered dangerous for workers' health. The aim of this study is to assess the risks of exposure to microclimatic conditions (heat) for fruit and vegetable harvesters in central Italy by applying methods established by international standards. In order to estimate the risk for workers, the air temperature, radiative temperature, and air speed were measured using instruments in conformity with ISO 7726. Thermodynamic parameters and two more subjective parameters, clothing and the metabolic heat production rate related to the worker's physical activity, were used to calculate the predicted heat strain (PHS) for the exposed workers in conformity with ISO 7933. Environmental and subjective parameters were also measured for greenhouse workers, according to ISO 7243, in order to calculate the wet-bulb globe temperature (WBGT). The results show a slight risk for workers during manual harvesting in the field. On the other hand, the data collected in the greenhouses show that the risk for workers must not be underestimated. The results of the study show that, for manual harvesting work in climates similar to central Italy, it is essential to provide plenty of drinking water and acclimatization for the workers in order to reduce health risks. Moreover, the study emphasizes that the possible health risks for greenhouse workers increase from the month of April through July.

  8. Heat stress and inadequate sanitary facilities at workplaces – an occupational health concern for women?

    Science.gov (United States)

    Venugopal, Vidhya; Rekha, Shanmugam; Manikandan, Krishnamoorthy; Latha, Perumal Kamalakkannan; Vennila, Viswanathan; Ganesan, Nalini; Kumaravel, Perumal; Chinnadurai, Stephen Jeremiah

    2016-01-01

    Background Health concerns unique to women are growing with the large number of women venturing into different trades that expose them to hot working environments and inadequate sanitation facilities, common in many Indian workplaces. Objective The study was carried out to investigate the health implications of exposures to hot work environments and inadequate sanitation facilities at their workplaces for women workers. Design A cross-sectional study was conducted with 312 women workers in three occupational sectors in 2014–2015. Quantitative data on heat exposures and physiological heat strain indicators such as core body temperature (CBT), sweat rate (SwR), and urine specific gravity (USG) were collected. A structured questionnaire captured workers perceptions about health impacts of heat stress and inadequate sanitary facilities at the workplace. Results Workplace heat exposures exceeded the threshold limit value for safe manual work for 71% women (Avg. wet bulb globe temperature=30°C±2.3°C) during the study period. Eighty-seven percent of the 200 women who had inadequate/no toilets at their workplaces reported experiencing genitourinary problems periodically. Above normal CBT, SwR, and USG in about 10% women workers indicated heat strain and moderate dehydration that corroborated well with their perceptions. Observed significant associations between high-heat exposures and SwR (t=−2.3879, p=0.0192), inadequate toilet facilities and self-reported adverse heat-related health symptoms (χ2=4.03, p=0.0444), and prevalence of genitourinary issues (χ2=42.92, p=0.0005×10−7) reemphasize that heat is a risk and lack of sanitation facilities is a major health concern for women workers. Conclusions The preliminary evidence suggests that health of women workers is at risk due to occupational heat exposures and inadequate sanitation facilities at many Indian workplaces. Intervention through strong labor policies with gender sensitivity is the need of the hour to

  9. Heat stress and inadequate sanitary facilities at workplaces – an occupational health concern for women?

    Directory of Open Access Journals (Sweden)

    Vidhya Venugopal

    2016-09-01

    Full Text Available Background: Health concerns unique to women are growing with the large number of women venturing into different trades that expose them to hot working environments and inadequate sanitation facilities, common in many Indian workplaces. Objective: The study was carried out to investigate the health implications of exposures to hot work environments and inadequate sanitation facilities at their workplaces for women workers. Design: A cross-sectional study was conducted with 312 women workers in three occupational sectors in 2014–2015. Quantitative data on heat exposures and physiological heat strain indicators such as core body temperature (CBT, sweat rate (SwR, and urine specific gravity (USG were collected. A structured questionnaire captured workers perceptions about health impacts of heat stress and inadequate sanitary facilities at the workplace. Results: Workplace heat exposures exceeded the threshold limit value for safe manual work for 71% women (Avg. wet bulb globe temperature=30°C±2.3°C during the study period. Eighty-seven percent of the 200 women who had inadequate/no toilets at their workplaces reported experiencing genitourinary problems periodically. Above normal CBT, SwR, and USG in about 10% women workers indicated heat strain and moderate dehydration that corroborated well with their perceptions. Observed significant associations between high-heat exposures and SwR (t=−2.3879, p=0.0192, inadequate toilet facilities and self-reported adverse heat-related health symptoms (χ2=4.03, p=0.0444, and prevalence of genitourinary issues (χ2=42.92, p=0.0005×10−7 reemphasize that heat is a risk and lack of sanitation facilities is a major health concern for women workers. Conclusions: The preliminary evidence suggests that health of women workers is at risk due to occupational heat exposures and inadequate sanitation facilities at many Indian workplaces. Intervention through strong labor policies with gender sensitivity is the

  10. Chicago Sanitary and Ship Canal (CSSC) Marine Safety Risk Assessment

    Science.gov (United States)

    2013-12-01

    identified the cargo and load for each barge and a “trips” data set that identified the nature of the trip in relation to the boundaries of Mile Marker...must not be a personal watercraft of any kind (e.g. jet-skis, wave runners, kayaks , etc.).” Authors omitted these two classes of vessels in the rule...boats, kayaks , and other small metal boats) include insertion of hand in the water, hand on conductive shaft of paddle in the water, Over seven

  11. An Automatic Framework for Assessing Breast Cancer Risk Due to Various Hormone Replacement Therapies (HRT)

    DEFF Research Database (Denmark)

    Karemore, Gopal Raghunath; Brandt, Sami; Nielsen, Mads

    features describing the local elongatedness or stripiness, especially trained to see the effect of HRT thereby providing a non-subjective and reproducible measure and compare it to the BIRADS and percentage density measure. Objective: 1) To provide a framework for obtaining more accurate and sensitive....... No treatment induced significant density changes measured by BI-RADS. Both treatments made the area percentage density increase and the estradiol significantly. Both treatments induced significant changes in E2-specific heterogeneity scoring (E2-HER) and the raloxifene treatment a significantly higher change....... Conclusion: The proposed methodology shows substantial merit as it qualify considerably better in consistency and ROC statistics than both BIRADS and percentage density method. This approach can be trained to detect changes due to HRT. From the experiment, we also conclude that, Low dose transdermal...

  12. Indicators for Tracking European Vulnerabilities to the Risks of Infectious Disease Transmission due to Climate Change

    Directory of Open Access Journals (Sweden)

    Jonathan E. Suk

    2014-02-01

    Full Text Available A wide range of infectious diseases may change their geographic range, seasonality and incidence due to climate change, but there is limited research exploring health vulnerabilities to climate change. In order to address this gap, pan-European vulnerability indices were developed for 2035 and 2055, based upon the definition vulnerability = impact/adaptive capacity. Future impacts were projected based upon changes in temperature and precipitation patterns, whilst adaptive capacity was developed from the results of a previous pan-European study. The results were plotted via ArcGISTM to EU regional (NUTS2 levels for 2035 and 2055 and ranked according to quintiles. The models demonstrate regional variations with respect to projected climate-related infectious disease challenges that they will face, and with respect to projected vulnerabilities after accounting for regional adaptive capacities. Regions with higher adaptive capacities, such as in Scandinavia and central Europe, will likely be better able to offset any climate change impacts and are thus generally less vulnerable than areas with lower adaptive capacities. The indices developed here provide public health planners with information to guide prioritisation of activities aimed at strengthening regional preparedness for the health impacts of climate change. There are, however, many limitations and uncertainties when modeling health vulnerabilities. To further advance the field, the importance of variables such as coping capacity and governance should be better accounted for, and there is the need to systematically collect and analyse the interlinkages between the numerous and ever-expanding environmental, socioeconomic, demographic and epidemiologic datasets so as to promote the public health capacity to detect, forecast, and prepare for the health threats due to climate change.

  13. [The prevention of risk due to the manual lifting of patients: the psychosocial component].

    Science.gov (United States)

    Camerino, D; Molteni, G; Finotti, S; Capietti, M; Molinari, M; Cotroneo, L; Morselli, G

    1999-01-01

    A high percentage of musculoskeletal disorders in nursing staff with the task of patient lifting is reported in the literature. These disorders are considered to be of multiple etiology and attempts have been made not only to assess the physical load but also to identify the direct or indirect influence of organisational and psychosocial factors so that preventive measures be more appropriate and effective (Law 626/94). In this context, in a recent publication NIOSH recalled that psychosocial factors can alter the relationship between exposure to physical loads and the development or the prognosis of these disorders, and stresses that understanding these relationships is the crucial factor in assessment of exposure that can be addressed with preventive and therapeutic measures. A study was carried out on the staff (113 subjects) of a large hospital in northern Italy with departments recognised by certified occupational physicians as at risk for the musculoskeletal apparatus. In order to quantify the working conditions and the disorders of the spine, a protocol proposed by the Ergonomics of Posture and Movement Research Unit of Milan University was further developed and validated. For assessment of psychosocial factors an Italian version of R. A. Karasek's "Job Content Questionnaire" was drawn up and validated by the Centre for Study and Research of Chronic Degenerative Diseases in Working Environments of Milan University. In addition, Borg's Scale was used for perception of physical load, Kurimori and Kakizaki's Scale for mental fatigue, Kjellberg and Iwanowski's Scale for states of stress, plus the Maslach burnout inventory. Nonparametric statistical analysis was applied to determine the influence of physical and organisational and psychosocial factors on disorders of the musculoskeletal apparatus. The results confirm a good agreement between the objective and subjective assessments of "manual patient handling" risk (Kendall p from 0.26 to 0.37, p > 0.001) and the

  14. On a Test of Hypothesis to Verify the Operating Risk Due to Accountancy Errors

    Directory of Open Access Journals (Sweden)

    Paola Maddalena Chiodini

    2014-12-01

    Full Text Available According to the Statement on Auditing Standards (SAS No. 39 (AU 350.01, audit sampling is defined as “the application of an audit procedure to less than 100 % of the items within an account balance or class of transactions for the purpose of evaluating some characteristic of the balance or class”. The audit system develops in different steps: some are not susceptible to sampling procedures, while others may be held using sampling techniques. The auditor may also be interested in two types of accounting error: the number of incorrect records in the sample that overcome a given threshold (natural error rate, which may be indicative of possible fraud, and the mean amount of monetary errors found in incorrect records. The aim of this study is to monitor jointly both types of errors through an appropriate system of hypotheses, with particular attention to the second type error that indicates the risk of non-reporting errors overcoming the upper precision limits.

  15. [Nuclear accidents and iodine prophylaxis. Part 1: Risks due to irradiation of the thyroid gland].

    Science.gov (United States)

    Smeesters, P; Frühling, J; Van Bladel, L; Wambersie, A

    1998-12-01

    In the frame of the emergency procedures in the case of an accident in a nuclear plant, this paper presents a survey of the information available on the risks related to the irradiation of the thyroid gland. Attention is focused on thyroid cancer resulting from an exposure to radioactive isotopes of iodine and especially and iodine-131. The consequences of the medical exposures as well as of the Hiroshima and Nagasaki irradiations are recalled first. Then the recently available informations on the effects on the populations exposed after the Tchernobyl accident are analysed more in details. Ten years after the accident, the most striking and the least questionable effects is a significant increase of the incidence of differentiated thyroid cancer in children, in the areas most exposed to the initial radioactive clouds. Young children are particularly vulnerable to this type of cancer which is of aggressive nature and shows a short latency period. These observations justify an iodine prophylaxis for the populations living in the vicinity of nuclear plants. Special attention should be paid to the protection of young children.

  16. Will climate change increase the risk for critical infrastructure failures in Europe due to extreme precipitation?

    Science.gov (United States)

    Nissen, Katrin; Ulbrich, Uwe

    2016-04-01

    An event based detection algorithm for extreme precipitation is applied to a multi-model ensemble of regional climate model simulations. The algorithm determines extent, location, duration and severity of extreme precipitation events. We assume that precipitation in excess of the local present-day 10-year return value will potentially exceed the capacity of the drainage systems that protect critical infrastructure elements. This assumption is based on legislation for the design of drainage systems which is in place in many European countries. Thus, events exceeding the local 10-year return value are detected. In this study we distinguish between sub-daily events (3 hourly) with high precipitation intensities and long-duration events (1-3 days) with high precipitation amounts. The climate change simulations investigated here were conducted within the EURO-CORDEX framework and exhibit a horizontal resolution of approximately 12.5 km. The period between 1971-2100 forced with observed and scenario (RCP 8.5 and RCP 4.5) greenhouse gas concentrations was analysed. Examined are changes in event frequency, event duration and size. The simulations show an increase in the number of extreme precipitation events for the future climate period over most of the area, which is strongest in Northern Europe. Strength and statistical significance of the signal increase with increasing greenhouse gas concentrations. This work has been conducted within the EU project RAIN (Risk Analysis of Infrastructure Networks in response to extreme weather).

  17. Systemic Losses Due to Counterparty Risk in a Stylized Banking System

    Science.gov (United States)

    Birch, Annika; Aste, Tomaso

    2014-09-01

    We report a study of a stylized banking cascade model investigating systemic risk caused by counterparty failure using liabilities and assets to define banks' balance sheet. In our stylized system, banks can be in two states: normally operating or distressed and the state of a bank changes from normally operating to distressed whenever its liabilities are larger than the banks' assets. The banks are connected through an interbank lending network and, whenever a bank is distressed, its creditor cannot expect the loan from the distressed bank to be repaid, potentially becoming distressed themselves. We solve the problem analytically for a homogeneous system and test the robustness and generality of the results with simulations of more complex systems. We investigate the parameter space and the corresponding distribution of operating banks mapping the conditions under which the whole system is stable or unstable. This allows us to determine how financial stability of a banking system is influenced by regulatory decisions, such as leverage; we discuss the effect of central bank actions, such as quantitative easing and we determine the cost of rescuing a distressed banking system using re-capitalisation. Finally, we estimate the stability of the UK and US banking systems comparing the years 2007 and 2012 by using real data.

  18. International training seminar: high training on sanitary landfills design, Madrid 7-11, April 1997

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-09-01

    The seminar on design of sanitary landfills was articulated in 5 sessions: 1.- Design of sanitary landfills depending on the quality of wastes. 2.- Legal, techniques and administrative aspects of management. 3.- Geotechniques studies 4.- Biogas 5.- Environmental impact of sanitary landfills.

  19. Conducting Sanitary Surveys of Water Supply Systems. Student Workbook.

    Science.gov (United States)

    1976

    This workbook is utilized in connection with a 40-hour course on sanitary surveys of water supply systems for biologists, chemists, and engineers with experience as a water supply evaluator. Practical training is provided in each of the 21 self-contained modules. Each module outlines the purpose, objectives and content for that section. The course…

  20. 30 CFR 75.1712-10 - Underground sanitary facilities; maintenance.

    Science.gov (United States)

    2010-07-01

    ... a clean and sanitary condition. Holding tanks shall be serviced and cleaned when full and in no case... recharging. Transfer tanks and transfer equipment used underground shall be equipped with suitable fittings to permit complete drainage of holding tanks without spillage and allow for the...

  1. [Ways of urban sanitary and epidemiological well-being management].

    Science.gov (United States)

    Kreĭmer, M A

    2010-01-01

    The scientific rationale for preventive measures based on sanitary-and-epidemiological surveillance on environmental objects is considered. The sizes of functional zones and space for various types of communal services and amenities and leisure are regulated to ensure good urban vital activities. Multistorey housing causes an increase in the number of negative factors per area units and in their impact on health. A proposal has been made for the standardization of the ranges of urban population upsurge and size, by using the sanitary-and-hygienic rules and norms rather than climatic parameters. A criterion system for assessing the data of statistical observations has been substantiated and 5 levels of analysis and managerial decision-making have been proposed. Cause-and-effect relations may be determined for the parameters of the second level; models of program-oriented studies for the third level, only sanitary-and-epidemiological surveillance is possible for the fourth and fifth levels. The space planning scheme must provide for water supply reserves, generation areas for pure air coming into the town, and waste disposal areas. The general layout may use statistical observation parameters characterizing the second level of occurrence of negative phenomena. The statistical observation parameters characterizing the third and fourth levels of occurrence of negative phenomena may be used for municipal improvements and sanitary maintenance. These characterizing the fourth and fifth level may be used for prevention in therapeutic-and-prophylactic institutions.

  2. Interim Sanitary Landfill Groundwater Monitoring Report (1998 Annual Report)

    Energy Technology Data Exchange (ETDEWEB)

    Wells, D.

    1999-03-18

    The SRS Interim Sanitary Landfill opened in Mid-1992 and operated until 1998 under Domestic Waste Permit No. 025500-1120. Several contaminants have been detected in the groundwater beneath the unit.The well sampling and analyses were conducted in accordance with Procedure 3Q5, Hydrogeologic Data Collection.

  3. 21 CFR 110.37 - Sanitary facilities and controls.

    Science.gov (United States)

    2010-04-01

    ...) FOOD FOR HUMAN CONSUMPTION CURRENT GOOD MANUFACTURING PRACTICE IN MANUFACTURING, PACKING, OR HOLDING HUMAN FOOD Buildings and Facilities § 110.37 Sanitary facilities and controls. Each plant shall be... water to required locations throughout the plant. (2) Properly convey sewage and liquid disposable waste...

  4. Risk of Crew Adverse Health Event Due to Altered Immune Response

    Science.gov (United States)

    Crucian, Brian; Kunz, Hawley; Sams, Clarence F.

    2015-01-01

    . Ground analog testing of humans and animals, as well as microgravity-analog cell culture, has demonstrated utility. However, in all cases, it is not known with certainty if these data would reflect similar testing during space travel. Given their ready availability, ground analogs may be extremely useful for assay development and the evaluation of potential countermeasures. In general, the evidence base suffers from widely disparate studies on small numbers of subjects that do not directly correlate well with each other or spaceflight itself. Also lacking are investigations of the effect of gender on adaption to spaceflight. This results in significant knowledge 'gaps' that must be filled by future studies to completely determine any clinical risk related to immunity for human exploration-class space missions. These gaps include a significant lack of in-flight data, particularly during long-duration space missions. The International Space Station represents an excellent science platform with which to address this knowledge gap. Other knowledge gaps include lack of a single validated ground analog for the phenomenon and a lack of flight-compatible laboratory equipment capable of monitoring astronauts (for either clinical or research purposes). However, enough significant data exist, as described in this manuscript, to warrant addressing this phenomenon during the utilization phase of the ISS. A recent Space Shuttle investigation has confirmed the 31 in-flight nature of immune dysregulation, demonstrating that it is not merely a post-flight phenomenon. Several current studies are ongoing onboard the ISS that should thoroughly characterize the phenomenon. NASA recognizes that if spaceflight-associated immune dysregulation persists during exploration flights in conjunction with other dangers, such as high-energy radiation, the result may be a significant clinical risk. This emphasizes the need for a continued integrated comprehensive approach to determining the effect of

  5. Deforestation risk due to commodity crop expansion in sub-Saharan Africa

    Science.gov (United States)

    Ordway, Elsa M.; Asner, Gregory P.; Lambin, Eric F.

    2017-04-01

    Rapid integration of global agricultural markets and subsequent cropland displacement in recent decades increased large-scale tropical deforestation in South America and Southeast Asia. Growing land scarcity and more stringent land use regulations in these regions could incentivize the offshoring of export-oriented commodity crops to sub-Saharan Africa (SSA). We assess the effects of domestic- and export-oriented agricultural expansion on deforestation in SSA in recent decades. Analyses were conducted at the global, regional and local scales. We found that commodity crops are expanding in SSA, increasing pressure on tropical forests. Four Congo Basin countries, Sierra Leone, Liberia, and Côte d’Ivoire were most at risk in terms of exposure, vulnerability and pressures from agricultural expansion. These countries averaged the highest percent forest cover (58% ± 17.93) and lowest proportions of potentially available cropland outside forest areas (1% ± 0.89). Foreign investment in these countries was concentrated in oil palm production (81%), with a median investment area of 41 582 thousand ha. Cocoa, the fastest expanding export-oriented crop across SSA, accounted for 57% of global expansion in 2000-2013 at a rate of 132 thousand ha yr-1. However, cocoa only amounted to 0.89% of foreign land investment. Commodity crop expansion in SSA appears largely driven by small- and medium-scale farmers rather than industrial plantations. Land-use changes associated with large-scale investments remain to be observed in many countries. Although domestic demand for commodity crops was associated with most agricultural expansion, we provide evidence of a growing influence of distant markets on land-use change in SSA.

  6. Selective sphincteroplasty of the papilla in cases at risk due to atypical anatomy

    Institute of Scientific and Technical Information of China (English)

    F Mugica; G Urdapilleta; A Castiella; A Berbiela; F Alzate; E Zapata; L Zubiaurre; P Lopez; JI Arenas

    2007-01-01

    AIM: To analyze the indications, efficacy and safety of sphincteroplasty in our centre.METHODS: A retrospective study of sphincteroplasty in 53 cases of papilla at high risk was performed in 2004-2006. The procedure consisted of duodenoscopy with Olympus TJF 145 Videoduodenoscope, approach to the biliary tract using a catheter with a guidewire, and dilatation of the papilla with a dilatation balloon catheter using a syringe with a manometer for control of the filling pressure.RESULTS: The indications included intradiverticular papilla in 26 patients (49%), stenosis of a previous sphincterotomy in 19 patients (35.8%), small size of the papilla in 4 patients (7.5%), Billroth Ⅱ gastrectomy in 3 patients (5.6%), and coagulopathy in one patient (1.9%). The efficacy was 97.8%, with all the calculi extracted from the common bile duct in 84.4% of the patients, even though 21 of the patients (39.6%) had calculi with a diameter equal to or greater than 10 mm. Seven patients (13.2%) presented complications: haemorrhage in 1 patient (1.9%) and mild pancreatitis in 6 patients (11.3%). The mean hospital stay in case of complications was of 3 ± 0.63 d.CONCLUSION: Sphincteroplasty is highly effective, with a complication rate similar to that of sphincterotomy, furthermore, the complications are of low clinical importance. The use of the 10 mm balloon makes it possible to extract calculi with a diameter of over 15 mm and to extract more than 3 calculi without increasing the rate of complications and reduces the need to resort to lithotripsy or rescue sphincterotomy.

  7. Radiation risk due to the presence of Cs-137 in fertilizers

    CERN Document Server

    Shweikani, R

    2003-01-01

    In this work radiation doses arising from using fertilizers containing Cs-137 with activity concentration equal to the exempted level set by IAEA (BSS-115) were studied. It was assumed that the amount of fertilizers are added yearly, for 50 sequence years and continues adding for unlimited years, to soil is about 16 kg/1000m sup 2 and this amount is mixed with the top 15 cm of the soil. Al-Gab area was considered for this study (area 900km sup 2 and about 600000 inhabitant). RESRAD a computer code, which was developed by the American Agency for Environmental Protection (EPA) to calculate individual radiation dose from contaminated sites, was used. The concerned population was divided into subgroups for better assessment for individual dose. The results showed that the maximum yearly dose could be received by individual who lives and eats from the products of his land does not exceed 11 mu Sv/y after 50 years of consecutive additions and 16 mu Sv/y after 250 years, and more than 90% of this dose is due to exte...

  8. Risks due to X-ray Flares during Astronaut Extravehicular Activity

    CERN Document Server

    Smith, David S; 10.1029/2006SW000300

    2009-01-01

    Solar hard X-ray flares can expose astronauts on lunar and deep space extravehicular activities (EVAs) to dangerous acute biological doses. We combine calculations of radiative transfer through shielding materials with subsequent transfer through tissue to show that hazardous doses, taken as >= 0.1 Gy, should occur with a probability of about 10% per 100 hours of accumulated EVA inside current spacesuits. The rapid onset and short duration of X-ray flares and the lack of viable precursor events require strategies for quick retreat, in contrast to solar proton events, which usually take hours to deliver significant fluence and can often be anticipated by flares or other light-speed precursors. Our results contrast with the view that only particle radiation poses dangers for human space exploration. Heavy-element shields provide the most efficient protection from X-ray flares, since X-rays produce no significant secondary radiation. We calculate doses due to X-ray flares behind aluminum shields and estimate the...

  9. Planning solutions of sanitary facilities in modern residential buildings

    Directory of Open Access Journals (Sweden)

    Orlov Evgeniy Vladimirovich

    2015-01-01

    Full Text Available In the article the short historical review on the design of sanitary rooms and their configurations is given. The main errors of the recent years, which led to the decrease in accommodation convenience because of the wrong approach from both the architect and engineers, are given. It is possible to use a small useful area for sanitary facilities, but it is connected with the lack of possibility of connecting washing and dishwashers. The author considers the options of engineering equipment placement in sanitary rooms taking into account the convenience of use, safety, and also resource-saving aspect. Various solutions on the organization of heating and ventilation are provided. The possible technical solutions allowing solving a flooding problem of the first floors in elite housing estates in case of accident are offered with the help of full waterproofing of sanitary rooms, and also the whole area of the apartment. The main attention was focused on the improvements of sanitary rooms for one-room and two-room apartments, which are the most demanded in the modern market of real estate. Layout solutions of the reduced bathrooms on the placement of the necessary equipment with choice justification are provided. The attention is paid to the layout solution for modern kitchens on order to increase their comfort by the use of special two-section sinks, and also a grinder of food waste in order to allow to lower the load of the systems of rubbish disposal of a building, by dumping the crushed garbage in an internal sewer network. Various options of evolutionary development of sanitary rooms for increasing the comfort degree are given. First of all, the development should happen in the direction of not only sanitation and hygiene, but also of the maintenance of the physical health of the people living in the building. It can be carried out by increase in a useful area of sanitary rooms, installation of exercise machines, medical bathtubs and a Jacuzzi

  10. Human health risk due to consumption of vegetables contaminated with carcinogenic polycyclic aromatic hydrocarbons

    Energy Technology Data Exchange (ETDEWEB)

    Khan, Sardar [Chinese Academy of Sciences, Xiamen (China). Inst. of Urban Environment; Peshawar Univ. (Pakistan). Dept. of Environmental Science; Cao, Qing [Chinese Academy of Sciences, Beijing (China). Research Center for Eco-Environemntal Sciences

    2012-02-15

    Polycyclic aromatic hydrocarbons (PAH) are persistent, toxic, and carcinogenic contaminants present in soil ecosystem globally. These pollutants are gradually accumulating in wastewater-irrigated soils and lead to the contamination of vegetables. Food chain contamination with PAH is considered as one of the major pathways for human exposure. This study was aimed to investigate the concentrations of PAH in soils and vegetables collected from wastewater-irrigated fields from metropolitan areas of Beijing, China. Origin of PAH, daily intake, and health risks of PAH through consumption of contaminated vegetables were studied. Soil samples were collected from the upper horizon (0-20 cm) of both wastewater-irrigated and reference sites and sieved (<2 mm mesh) and then followed by freeze-drying at -50 C and 123 {+-} 2 Pa. Standing vegetables were also collected from the same sites used for soil sampling and divided into roots and shoots, thoroughly washed with deionized water, and freeze-dried. PAH were extracted using the Soxhlet method with 200 mL DCM for 24 h, and the extracts were cleaned with silica adsorption chromatography prepared with silica gel, alumina, and capped with anhydrous sodium. The final concentrated extracts (soil and vegetable) were analyzed using gas chromatography-mass spectrometry (Agilent 6890). Bioaccumulation factors, daily intake of PAH, and carcinogenicity of PAH were calculated by different statistical equations. Results indicate that the soils and grown vegetables were contaminated with all possible carcinogenic PAH (declared by USEPA 2002) except indeno[1,2,3-c,d]pyrene. The highest concentration (242.9 {mu}g kg{sup -1}) was found for benzo(k)fluoranthene (BkF), while lowest (79.12 {mu}g kg{sup -1}) for benzo[a]pyrene (BaP). The emission sources of PAH were both pyrogenic and petrogenic in nature. However, the total concentrations of PAH were lower than the permissible limits set by different countries like Canada, Denmark and Germany

  11. Population-based screening for breast and ovarian cancer risk due to BRCA1 and BRCA2.

    Science.gov (United States)

    Gabai-Kapara, Efrat; Lahad, Amnon; Kaufman, Bella; Friedman, Eitan; Segev, Shlomo; Renbaum, Paul; Beeri, Rachel; Gal, Moran; Grinshpun-Cohen, Julia; Djemal, Karen; Mandell, Jessica B; Lee, Ming K; Beller, Uziel; Catane, Raphael; King, Mary-Claire; Levy-Lahad, Ephrat

    2014-09-30

    In the Ashkenazi Jewish (AJ) population of Israel, 11% of breast cancer and 40% of ovarian cancer are due to three inherited founder mutations in the cancer predisposition genes BRCA1 and BRCA2. For carriers of these mutations, risk-reducing salpingo-oophorectomy significantly reduces morbidity and mortality. Population screening for these mutations among AJ women may be justifiable if accurate estimates of cancer risk for mutation carriers can be obtained. We therefore undertook to determine risks of breast and ovarian cancer for BRCA1 and BRCA2 mutation carriers ascertained irrespective of personal or family history of cancer. Families harboring mutations in BRCA1 or BRCA2 were ascertained by identifying mutation carriers among healthy AJ males recruited from health screening centers and outpatient clinics. Female relatives of the carriers were then enrolled and genotyped. Among the female relatives with BRCA1 or BRCA2 mutations, cumulative risk of developing either breast or ovarian cancer by age 60 and 80, respectively, were 0.60 (± 0.07) and 0.83 (± 0.07) for BRCA1 carriers and 0.33 (± 0.09) and 0.76 (± 0.13) for BRCA2 carriers. Risks were higher in recent vs. earlier birth cohorts (P = 0.006). High cancer risks in BRCA1 or BRCA2 mutation carriers identified through healthy males provide an evidence base for initiating a general screening program in the AJ population. General screening would identify many carriers who are not evaluated by genetic testing based on family history criteria. Such a program could serve as a model to investigate implementation and outcomes of population screening for genetic predisposition to cancer in other populations.

  12. Assessment of health risk due to PM 10 using fuzzy linear membership kriging with particle swarm optimization

    Energy Technology Data Exchange (ETDEWEB)

    Singh, Jeetendra B.; Reddy, Vijay S.; Jana, Soumya [Indian Institute of Technology, Hyderabad (India). Dept. of Electrical Engineering; De, Swades [Indian Institute of Technology, Delhi (India). Dept. of Electrical Engineering

    2013-07-01

    Air quality is an important determinant of individual as well as broader well-being. Major pollutants include gasses as well as assorted suspended particulate matter (PM). In this paper, we focus on PM10, which are a collection of particles with median aerodynamic diameter less than 10 {mu}m that remains suspended in the air for long periods. PM10, usually consist of smoke, dirt and dust particles, as well as spores and pollen, could easily be inhaled deep into lung. As a result, high outdoor PM10 concentration poses significant health hazard, and accurate modeling and prediction of health risk due to PM10 assume importance in pollution and public health management. In this backdrop, we propose an improved health risk assessment technique, and demonstrate its efficacy using widely used California PM10 database. At the heart of the proposed method lies indicator kriging, a well-known risk estimation technique. However, improved assessment of subjective health risk is achieved by posing the problem in a fuzzy setting, and optimizing the associated membership functions. In particular, we employ particle swarm optimization (PSO) algorithm, which has been motivated by natural behavior of organisms such as fish-schooling and bird flocking, and proven effective in various optimization contexts. We apply the fuzzy PSO membership grade kriging technique to predict the PM10 spatial distribution over the entire California state. (orig.)

  13. Rule concerning sanitary protection against ionizing radiations: novelties; Reglamento de Proteccion Sanitaria contra Radiaciones Ionizantes aspectos novedosos

    Energy Technology Data Exchange (ETDEWEB)

    Bercedo, A.; Carmena, P.; Prieto, J. A.; Rubio, G.; Sollet, E.; Sustacha, D.

    2002-07-01

    Last July the a new legal Rule concerning Sanitary Protection against Ionising Radiation was published, as a transposition of the EU Directive about the Basic Norms related to the sanitary protection of workers and population against the risks resultant of the ionising radiation. The origin of this legislation goes back to the revision of the protection doctrine by the International Commission of Radiation Protection (ICRP) en the year 1990. El scope of the revised Rule is the regulation of the protection of population and workers against ionising radiation, the establishment of the national protection system with its exposition and dose limits and the correspondent penalty regime. It also modifies the maximum radiation dose limits and reinforces the application of the optimisation principle in the use of ionising radiation. In this article, the novelties introduced by the new Rule are commented in detail, ordered by the Titles I to IX in which the Rule is divided. (Author)

  14. Modeling the Risk of Fire/Explosion Due to Oxidizer/Fuel Leaks in the Ares I Interstage

    Science.gov (United States)

    Ring, Robert W.; Stott, James E.; Hales, Christy

    2008-01-01

    A significant flight hazard associated with liquid propellants, such as those used in the upper stage of NASA's new Ares I launch vehicle, is the possibility of leakage of hazardous fluids resulting in a catastrophic fire/explosion. The enclosed and vented interstage of the Ares I contains numerous oxidizer and fuel supply lines as well as ignition sources. The potential for fire/explosion due to leaks during ascent depends on the relative concentrations of hazardous and inert fluids within the interstage along with other variables such as pressure, temperature, leak rates, and fluid outgasing rates. This analysis improves on previous NASA Probabilistic Risk Assessment (PRA) estimates of the probability of deflagration, in which many of the variables pertinent to the problem were not explicitly modeled as a function of time. This paper presents the modeling methodology developed to analyze these risks.

  15. Do sanitary ceramic workers have a worse presentation of chest radiographs or pulmonary function tests than other ceramic workers?

    Science.gov (United States)

    Tsao, Yu-Chung; Liu, Su-Hsun; Tzeng, I-Shiang; Hsieh, Tsung-Han; Chen, Jau-Yuan; Luo, Jiin-Chyuan John

    2017-03-01

    Silicosis remains the most prevalent occupational disease worldwide. There have been no specific studies focusing on the association between exposure settings at work and the clinical severity in silicosis patients. In this study, we describe and compare the clinical characteristics and silicosis-associated exposure history at work among workers from several types of ceramic production facilities in Taiwan. We reviewed the medical records of 221 patients who were first diagnosed with silicosis at the Occupational Medicine Clinic of Northern Taiwan in 2012. For each patient, we collected data on demographic characteristics, smoking habits, working history, duration of exposure, and years on the first relevant job. We also retrieved clinical reports of the pulmonary function test and the baseline chest radiography used for silicosis staging. As compared to other ceramic workers, sanitary ceramic workers had a worse X-ray type (p=0.044), more advanced age (pceramic workers showed a comparable risk for worse X-ray findings to other ceramic workers (adjusted odds ratio=1.18, p=0.704). Results of multivariable regression models on individual lung function parameter also suggested comparably impaired lung function tests between sanitary and other ceramic workers (p>0.05). In this study, we found that sanitary ceramic workers were at a similar risk to other ceramic workers for moderate to severe silicosis when older age and longer working duration were accounted for. Copyright © 2016. Published by Elsevier B.V.

  16. Evaluation of the risk to underground mine personnel due to the rockmass response to continuous mining operations.

    CSIR Research Space (South Africa)

    Van Aswegen, G

    2001-11-01

    Full Text Available Final Project Report Evaluation of the risk to underground mine personnel due to the rockmass response to continuous mining operations G van Aswegen Research agency : ISS International Limited Project number : GAP 610 Project duration : January...th 18th 19th 20th 21st 22nd 23rd 24th Hour of Day 0 100 200 300 400 500 600 700 Average Daily Frequency Average Number of Personnel ....11 Figure 3.2. Personnel in Stopes and Event Frequency >1.0 for Time of Day Distributions for 11...

  17. Genetic and environmental influences on risk of death due to infections assessed in Danish twins, 1943-2001

    DEFF Research Database (Denmark)

    Obel, Niels; Christensen, Kaare; Petersen, Inge

    2010-01-01

    Genetic differences have been proposed to play a strong role in risk of death from infectious diseases. The study base of 44,005 included all same-sex twin pairs born in 1870-2001, with both twins alive on January 1, 1943, or those born thereafter. Cause of death was obtained from the Danish Cause...... of Death Register and was available for 18,359 deaths. The authors classified death due to infections by 3 definitions (narrow, broader, and broadest) and calculated concordance rates for same-sex monozygotic and dizygotic twin pairs. Heritability was estimated by using structural equation models. When...... the 3 definitions were applied, 211 (1.1%), 1,089 (5.9%), and 2,907 (15.8%) deaths, respectively, were due to infections. The probandwise concordance rates for monozygotic twin pairs were consistently higher than for dizygotic twin pairs regardless of the definition (9% vs. 0% (P = 0.04), 10% vs. 3% (P...

  18. Meta-analysis of feed intake and growth responses of growing pigs after a sanitary challenge.

    Science.gov (United States)

    Pastorelli, H; van Milgen, J; Lovatto, P; Montagne, L

    2012-06-01

    Sanitary challenges negatively affect feed intake and growth, leading to a negative impact on animal well-being and economic losses. The aim of this study was to carry out a meta-analysis to quantify the dynamic feed intake and growth responses of growing pigs after a sanitary challenge. A database was constructed using 122 published experiments reporting the average daily feed intake (ADFI) and the average daily gain (ADG) of pigs subjected to one of six sanitary challenges: digestive bacterial infections, poor housing conditions, lipopolysaccharide (LPS) challenges, mycotoxicoses, parasitic infections and respiratory diseases. The responses to experimental challenges were calculated relative to that of a control group. Statistical analyses were carried out for each challenge to quantify the mean and the dynamic responses in feed intake and growth and to identify the basis of the reduction in growth (i.e. reduction in feed intake or reduction in feed efficiency related to changes in maintenance requirements). All challenges resulted in a reduction in ADFI and ADG, with the strongest responses for mycotoxicoses, respiratory diseases and digestive bacterial infections (8% to 23% reduction in ADFI and 16% to 29% reduction in ADG). The reduction in ADG was linearly related to the reduction in ADFI for digestive bacterial infections, LPS challenge, parasitic infections and respiratory diseases. For poor housing conditions and mycotoxicoses, the relationship was curvilinear. A 10% reduction in ADFI resulted in a reduction in ADG varying from 10% for mycotoxicoses to 43% for digestive bacterial infections. More than 70% of the reduction in ADG could be explained by the reduction in ADFI for mycotoxicoses, LPS challenge and respiratory diseases. For challenges associated with the gastrointestinal tract, a large part of the reduction in ADG was due to an increase in maintenance requirements, suggesting digestive and metabolic changes. A dynamic pattern in the reduction in

  19. Evaluation of sanitary impact of the urban air pollution. Avignon area impact at short and long term; Evaluation de l'impact sanitaire de la pollution atmospherique urbaine. Zone d'Avignon impact a court et long terme

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-07-01

    An health impact assessment of air pollution based on the I.n.V.S. guidelines has been conducted in Avignon according to the Regional Plan for the quality of air in the region of Provence Alpes Cote d'Azur. Short term impact of atmospheric pollution has been estimated in term of mortality (total, cardiovascular and respiratory mortality) and hospital admissions (for respiratory, cardiovascular and cardiac reasons) attributable to air pollution. Long-term impact was also assessed by the number of deaths due to atmospheric pollution. The study has been carried out in seven cities homogeneously exposed belonging to Vaucluse (Avignon, Le Pontet, Morieres les Avignon, Sorgues and Vedene) and two cities of the Gard department (les Angles and Villeneuve les Avignon) representing a study population of 153,624 inhabitants. Two period of study have been defined: period 1999-2000 for short and long term evaluations on the mortality and the year 2001 for the morbidity analysis. This study rests on methodological principles of E.I.S. (evaluation of sanitary impact) of urban air pollution whom methodology is in four steps: identification of dangers, exposure estimation, choice of exposure-risk relationship and risk characterisation. The pollutions indicators are built from four pollutants nitrogen dioxide, ozone, sulfur dioxide and PM{sub 10}. The exposure-risk relationships used come from epidemiological studies realised in general population, by preferring the multi centers studies and European ones. The number of deaths by year due to air pollution is 23, whom 10 by cardiovascular diseases, 2 by respiratory diseases. The most efficient scenario are these ones corresponding to air pollution decreases of 25% in the considered pollutant. About the long term sanitary benefits, the different scenario show that the European norm forecasted for 2005 is respected. The respect of the European norm expected for 2010 should allow to avoid 10 deaths on the totality of registered

  20. Analysis of risk factors for rebleeding after splenectomy and pericardial devascularization in treatment of portal hypertension due to liver cirrhosis

    Directory of Open Access Journals (Sweden)

    ZHANG Lei

    2015-03-01

    Full Text Available ObjectiveTo investigate the possible risk factors for rebleeding after splenectomy and pericardial devascularization in the treatment of portal hypertension due to liver cirrhosis, and to provide a certain basis for reducing the incidence of digestive tract re-hemorrhage for these patients. MethodsA retrospective analysis was performed on 238 cirrhotic patients with portal hypertension who underwent splenectomy and pericardial devascularization in the First Hospital of Lanzhou University from December 2003 to December 2013. These patients were divided into postoperative rebleeding group (n=32 and non-bleeding group (n=206. Univariate analysis (t test or chi-square test and multivariate logistic regression analysis were performed to investigate the risk factors for rebleeding after splenectomy and pericardial devascularization. ResultsOf the 32 patients with postoperative rebleeding, 17 had esophagogastric variceal bleeding, 11 had bleeding due to portal hypertensive gastropathy, and 4 had stress ulcer bleeding. The univariate analysis showed that there were significant differences between the two groups in the following factors: Child-Pugh classification of liver function, degree of liver cirrhosis evaluated intraoperatively, pathological changes of the gastric mucosa, platelet count, prothrombin time (PT, activated partial thromboplastin time (APTT, and presence of diabetes (all P<0.05. The multivariate logistic regression analysis suggested that the significant independent influential factors for postoperative rebleeding were presence of diabetes, Child-Pugh classification of liver function, degree of liver cirrhosis evaluated intraoperatively, diffuse lesion of the gastric mucosa, PT, and APTT. ConclusionFor cirrhotic patients with portal hypertension, the appropriate methods for managing these risk factors are of great clinical significance for preventing rebleeding after splenectomy and pericardial devascularization.

  1. International Sanitary Conferences from the Ottoman perspective (1851–1938

    Directory of Open Access Journals (Sweden)

    Nermin Ersoy

    2011-01-01

    Full Text Available The search for international measures to prevent and control epidemics of cholera, the plague, yellow fever, malaria and typhus which ravaged the world throughout the 19th century, led to a series of International Sanitary Conferences and Conventions under the leadership of European states. Between 1851 and 1938 fourteen conferences - Paris (1851, Paris (1859, Istanbul (1866, Vienna (1874, Washington D.C. (1881, Rome (1885, Venice (1892, Dresden (1893, Paris (1894, Venice (1897, Paris (1903, (1911, (1926 and (1938 - and eight conventions - 1892, 1893, 1894, 1897, 1903, 1912, 1926, 1938 were held. Both conferences and conventions shaped social life, health policies, politics, laws, and transportation, economic, commercial rules of the European, Asian and also American countries. In this study we reviewed the reasons, process and the results of each international sanitary conference from the Ottoman social and health perspective.

  2. Physical and sanitary quality of soybean seeds produced in the state of Santa Catarina

    Directory of Open Access Journals (Sweden)

    Volmir Frandoloso

    2015-08-01

    Full Text Available Soybean production accounts for approximately 43% of Brazil’s grain produce, worth over 81 million tons for the 2012- 2013 cropping season. The use of quality seeds is essential for a high-yield agriculture, since low quality seeds compromise plant standing and increase production costs due to reseeding. This will in turn reduce yields through delays on the establishment dates. Seed quality is affected by relative humidity levels, mechanical damage during harvest and processing, thermal damage during the drying process and the environmental conditions during storage that could foster insect and fungi damage. The climate in the state of Santa Catarina favors soybean seed production, and seed companies in general work with high levels of technology. This work is aimed at characterizing the physical and sanitary quality of soybean seeds produced by different companies at different locations throughout the state of Santa Catarina (municipalities of Xanxerê, Abelardo Luz, Campos Novos and Canoinhas. The physical purity, moisture level, sanitary quality and mechanical damage of soybean seeds were studied at three stages, i.e. reception at the seed processing unit, at the end of the processing process and before being marketed. Results pointed out at mechanical injury and cultivar mixture as the main issues concerning seed lot quality, and that soybean seeds produced in Santa Catarina show pathogen contamination, which emphasizes the need for seed treatment.

  3. Conceptual model elaboration for the safety assessment of phosphogypsum use in sanitary landfills

    Energy Technology Data Exchange (ETDEWEB)

    Cota, Stela D.; Braga, Leticia T.P.; Jacomino, Vanusa F., E-mail: sdsc@cdtn.b, E-mail: letsteixeira@gmail.co, E-mail: vmfj@cdtn.b [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil)

    2009-07-01

    Phosphogypsum is a by-product of the phosphatic fertilizer production from the beneficiation of phosphate minerals (apatites). Produced in large quantities throughout the world and stored temporally in stacks, the final destination of this product is nowadays a subject of investigation. Due to the presence of radionuclides ({sup 226}Ra, {sup 232}Th and {sup 40}K, mainly), possible applications for the phosphogypsum must be verified for radiological safety. The goal of this paper was to elaborate a representative water flow conceptual model of a sanitary landfill for the safety assessment of the impact of using phosphogypsum as a cover material. For this, the ground water flow in variably saturated conditions and solute transport model HYDRUS-2D has been used for simulating the impact in the saturated zone of potential radionuclides leaching. The conceptual model was developed by collecting and analyzing the data from environmental license documentation of municipal sanitary landfills located on the State of Minas Gerais, Brazil. In order to fulfill the requirements of HDRUS-2D model in terms of the necessary parameters, the physical characteristics and typical configuration of the landfills, as well as the hydrogeological parameters of soils and aquifers related to the local of placement of the landfills, were taken in account for the formulation of the conceptual model. (author)

  4. Marketing Specialization in the Sanitary-Veterinary Field

    OpenAIRE

    Mihaela Cornelia Prejmerean

    2006-01-01

    Public health and food safety are main consumer rights in the European Union. Sanitary standards related to animal health, animal welfare, food production are developed and standardizEditura The objective is to detect, diagnose and control animal diseases and to have a safe food chain. Although the input of the animal health industry is low in the agricultural production, it allows European farmers to produce high quality meat and dairy products, minimise environmental impact. Romania as a fu...

  5. Interim Sanitary Landfill Groundwater Monitoring Report. 1997 Annual Report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-01-01

    Eight wells of the LFW series monitor groundwater quality in the Steed Pond Aquifer (Water Table) beneath the Interim Sanitary Landfill at the Savannah River Site (SRS). These wells are sampled semiannually to comply with the South Carolina Department of Health and Environmental Control Modified Municipal Solid Waste Permit 025500-1120 (formerly dWP-087A) and as part of the SRS Groundwater Monitoring Program.

  6. [The sanitary question in the modernity-postmodernity debate].

    Science.gov (United States)

    Iriart, C; Spinelli, H

    1994-12-01

    This work analyzes the sanitary question in the modernity-postmodernity debate. Such analyses are performed form a philosophical position that states the crisis of Modernity and questions the ideological twist that to itself propitiates postmodernity, shutting out questioning views or visions. It propitiates an alternative view of politics, thinking of it from the potency plane and giving a role to the subject in the decision of producing transformations.

  7. Intestinal adhesion due to previous uterine surgery as a risk factor for delayed diagnosis of uterine rupture: a case report

    Directory of Open Access Journals (Sweden)

    Usui Rie

    2011-10-01

    Full Text Available Abstract Introduction Uterine rupture is a life-threatening condition both to mothers and fetuses. Its early diagnosis and treatment may save their lives. Previous myomectomy is a high risk factor for uterine rupture. Intestinal adhesion due to previous myomectomy may also prevent early diagnosis of uterine rupture. Case presentation A 38-year-old primiparous non-laboring Japanese woman with a history of myomectomy was admitted in her 34th week due to lower abdominal pain. Although the pain was slight and her vital signs were stable, computed tomography revealed massive fluid collection in her abdominal cavity, which led us to perform a laparotomy. Uterine rupture had occurred at the site of the previous myomectomy; however, the small intestine was adhered tightly to the rupture, thus masking it. The baby was delivered through a low uterine segment transverse incision. The ruptured uterine wall was reconstructed. Conclusion Intestinal adhesion due to a prior myomectomy occluded a uterine rupture, possibly masking its symptoms and signs, which may have prevented early diagnosis.

  8. Study on the Natural Soil Properties Endau Rompin National Park (PETA as Compacted Soil Liner for Sanitary Landfill

    Directory of Open Access Journals (Sweden)

    Zulkifli Ahmad

    2013-11-01

    Full Text Available Abstract: This paper reviews and extends an understanding of a study on potential suitability of the natural soil in Endau Rompin National Park (PETA as a compacted soil liner for sanitary landfill. Since the demand for landfill system becomes obvious so that concerning construction and operation of landfills are increasing. A number of studies have been conducted for the liner system of landfill. Hence, study is required to choose the suitable type of material as liner barrier for the landfill system in term to achieve optimum long term performance. The sanitary landfill plays an important role in the framework of solid waste disposal. The compacted soil liner is a part of a liner structure for landfill to restrict leachate migration from facility into the environment. So that, if the landfill system is not well manage it will contaminate the soil and ground water, thus presenting a risk to human and environmental health. This study, natural soil will be taken from Endau Rompin National Park (PETA, Johor as soil sample for testing. Natural soil is an economy material as a liner system, and it does not decay easily from time to time. So it is an ideal material as a sanitary landfill liner system. In short, the purpose of this study is to compile and organize available information on the use of laboratory testing, as well as providing some guidance on the use of natural soil as barrier layer of landfill and also it suitability of physical and chemical properties natural soil as barrier layer of landfill. Based on the laboratory testing were conducted, found that soil sample taken form Endau Rompin National Park (PETA is suitable as compacted soil liner for sanitary landfill.

  9. Methodology of organizational learning in risk management : A method of organizational risk perception by the stakeholders

    OpenAIRE

    Van Wassenhove, Wim; Wybo, Jean-Luc

    2003-01-01

    International audience; This article presents the development of a risk perception and identification method and a risk analysis method for organizational risks applied to the management of sanitary alerts by the General Directorate for Food (DGAl) and the Departmental Veterinary Services (DDSV) within the framework of organizational learning in risk management. For this, organizational risks in the system of sanitary control are defined. Then, the formalism of the experience reflection metho...

  10. Evaluation of the productivity decrease risk due to a future increase in tropical cyclone intensity in Japan.

    Science.gov (United States)

    Esteban, Miguel; Longarte-Galnares, Gorka

    2010-12-01

    A number of scientists have recently conducted research that shows that tropical cyclone intensity is likely to increase in the future. This would result in an increase in the damage along with a decrease in economic productivity due to precautionary cessation of the economic activity of the affected areas during the passage of the cyclone. The economic effect of this stop in economic activity is a phenomenon that has not received much attention in the past, and the cumulative effect that it can have on the Japanese economy over the next 75 years has never been evaluated. The starting point for the evaluation of the economic risks is the change in the patterns of tropical cyclone intensity suggested by Knutson and Tuleya. The results obtained show how a significant decrease in the overall productivity of the country could be expected, which could lower GDP by between 6% and 13% by 2085.

  11. A procedure to identify and to assess risk parameters in a SCR (Steel Catenary Riser) due to the fatigue failure

    Energy Technology Data Exchange (ETDEWEB)

    Stefane, Wania [Universidade Estadual de Campinas (UNICAMP), Campinas, SP (Brazil). Faculdade de Engenharia Mecanica; Morooka, Celso K. [Universidade Estadual de Campinas (UNICAMP), Campinas, SP (Brazil). Dept. de Engenharia de Petroleo. Centro de Estudos de Petroleo; Pezzi Filho, Mario [PETROBRAS S.A., Rio de Janeiro, RJ (Brazil). E and P. ENGP/IPMI/ES; Matt, Cyntia G.C.; Franciss, Ricardo [PETROBRAS S.A., Rio de Janeiro, RJ (Brazil). Centro de Pesquisas (CENPES)

    2009-12-19

    The discovery of offshore fields in ultra deep water and the presence of reservoirs located in great depths below the seabed requires innovative solutions for offshore oil production systems. Many riser configurations have emerged as economically viable technological solutions for these scenarios. Therefore the study and the development of methodologies applied to riser design and procedures to calculate and to dimension production risers, taken into account the effects of mete ocean conditions, such as waves, current and platform motion in the fatigue failure is fundamental. The random nature of these conditions as well as the mechanical characteristics of the riser components are critical to a probabilistic treatment to ensure the greatest reliability for risers and minimum risks associated to different aspects of the operation like the safety of the installation, economical concerns and the environment. The current work presents a procedure of the identification and the assessment of main parameters of risk when considering fatigue failure. Static and dynamic behavior of Steel Catenary Riser (SCR) under the effects of mete ocean conditions and uncertainties related to total cumulative damage (Miner-Palmgren's rule) are taken into account. The methodology adopted is probabilistic and the approach is analytical. The procedure is based on the First Order Reliability Method (FORM) which usually presents low computational effort and acceptable accuracy. The procedure suggested is applied for two practical cases, one using data available from the literature and the second with data collected from an actual Brazilian offshore field operation. For both cases, results of the probability of failure due to fatigue were obtained for different locations along the SCR length connected to a semi-submersible platform. From these results, the sensitivity of the probability of failure due to fatigue for a SCR could be verified, and the most effective parameter could also be

  12. Comments on Environmental and Sanitary Aspects of the Scorpionism by Tityus trivittatus in Buenos Aires City, Argentina

    Directory of Open Access Journals (Sweden)

    Adolfo Rafael de Roodt

    2014-04-01

    Full Text Available Deaths by venomous animals are medical emergencies that can lead to death and thus constitute sanitary problems in some regions of the world. In the South of America, the accidents by these animals are a common sanitary problem especially in warm, tropical or subtropical regions, related with rural work in several countries. Argentina is located in the extreme South of South America and a minor part of the continental surface is in tropical or subtropical regions, where most of the accidents by venomous animals happen. However, in the big cities in the center and South of the country, with no relation to rural work, scorpionism, mostly due to the synanthropic and facultative parthenogenetic scorpion Tityus trivittatus, has become a sanitary problem in the last few decades. This scorpion is present in the biggest cities of Argentina and in the last decades has killed over 20 children in provinces of the center and north of the country, mostly in big cities. In addition, it seems that this species is growing and spreading in new regions of the cities. In this revision, some characteristics of this scorpion regarding its habitat, spreading in Buenos Aires city, combat measures and available treatments are discussed.

  13. Trend of cancer risk of Chinese inhabitants to dioxins due to changes in dietary patterns: 1980-2009

    Science.gov (United States)

    Huang, Tao; Jiang, Wanyanhan; Ling, Zaili; Zhao, Yuan; Gao, Hong; Ma, Jianmin

    2016-02-01

    Food ingestion is a major route for human exposure and body burden to dioxins. We estimated the potential influence of changes in dietary patterns in Chinese population on human health risk to 2,3,7,8-TCDD (2,3,7,8-tetrachlorodibenzo-p-dioxin) over the last three decades. We performed multiple modeling scenario investigations to discriminate the contribution of 2,3,7,8-TCDD emissions and changes in dietary patterns to the cancer risks (CR) to dioxins. Results showed that changes in dietary patterns, featured by decreasing consumption of total grain (including all unprocessed grains) and vegetables and increasing intake of animal-derived foodstuffs, caused increasing CR from 7.3 × 10-8 in 1980 to 1.1 × 10-7 in 2009. Varying dietary patterns contributed 17% to the CR of Chinese population in 2009 under the fixed emission in 1980. The CR to 2,3,7,8-TCDD in urban and eastern China residents was higher considerably than those who lived in rural area and western China, attributable to higher emissions, household income, and greater intake of animal-derived foodstuffs in urban and eastern China inhabitants. On the other hand, more rapid increasing trend of the CR was found in rural residents due to their more rapid increase in the consumption of fat-dominated foods as compared with urban residents.

  14. Penetrating head injuries in children due to BB and pellet guns: a poorly recognized public health risk.

    Science.gov (United States)

    Kumar, Ravi; Kumar, Ramesh; Mallory, Grant W; Jacob, Jeffrey T; Daniels, David J; Wetjen, Nicholas M; Foy, Andrew B; O'Neill, Brent R; Clarke, Michelle J

    2015-10-23

    OBJECT Nonpowder guns, defined as spring- or gas-powered BB or pellet guns, can be dangerous weapons that are often marketed to children. In recent decades, advances in compressed-gas technology have led to a significant increase in the power and muzzle velocity of these weapons. The risk of intracranial injury in children due to nonpowder weapons is poorly documented. METHODS A retrospective review was conducted at 3 institutions studying children 16 years or younger who had intracranial injuries secondary to nonpowder guns. RESULTS The authors reviewed 14 cases of intracranial injury in children from 3 institutions. Eleven (79%) of the 14 children were injured by BB guns, while 3 (21%) were injured by pellet guns. In 10 (71%) children, the injury was accidental. There was 1 recognized assault, but there were no suicide attempts; in the remaining 3 patients, the intention was indeterminate. There were no mortalities among the patients in this series. Ten (71%) of the children required operative intervention, and 6 (43%) were left with permanent neurological injuries, including epilepsy, cognitive deficits, hydrocephalus, diplopia, visual field cut, and blindness. CONCLUSIONS Nonpowder guns are weapons with the ability to penetrate a child's skull and brain. Awareness should be raised among parents, children, and policy makers as to the risk posed by these weapons.

  15. Your garden hose: a potential health risk due to Legionella spp. growth facilitated by free-living amoebae.

    Science.gov (United States)

    Thomas, Jacqueline M; Thomas, Torsten; Stuetz, Richard M; Ashbolt, Nicholas J

    2014-09-02

    Common garden hoses may generate aerosols of inhalable size (≤10 μm) during use. If humans inhale aerosols containing Legionella bacteria, Legionnaires' disease or Pontiac fever may result. Clinical cases of these illnesses have been linked to garden hose use. The hose environment is ideal for the growth and interaction of Legionella and free-living amoebae (FLA) due to biofilm formation, elevated temperatures, and stagnation of water. However, the microbial densities and hose conditions necessary to quantify the human health risks have not been reported. Here we present data on FLA and Legionella spp. detected in water and biofilm from two types of garden hoses over 18 months. By culturing and qPCR, two genera of FLA were introduced via the drinking water supply and reached mean densities of 2.5 log10 amoebae·mL(-1) in garden hose water. Legionella spp. densities (likely including pathogenic L. pneumophila) were significantly higher in one type of hose (3.8 log10 cells·mL(-1), p < 0.0001). A positive correlation existed between Vermamoebae vermiformis densities and Legionella spp. densities (r = 0.83, p < 0.028). The densities of Legionella spp. identified in the hoses were similar to those reported during legionellosis outbreaks in other situations. Therefore, we conclude that there is a health risk to susceptible users from the inhalation of garden hose aerosols.

  16. Evidence for higher tropical storm risks in Haiti due to increasing population density in hazard prone urban areas

    Science.gov (United States)

    Klose, Christian D.

    2011-10-01

    Since the 18th century, the Republic of Haiti has experienced numerous tropical cyclones. In 2011, the United Nations Global Assessment Report on Disaster Risk Reduction outlined that the worldwide physical exposure to natural hazards, which includes tropical storms and hurricanes in Haiti, increased by 192 per cent between 1970 and 2010. Now, it can be hypothesized that the increased physical exposure to cyclones that made landfall in Haiti has affected the country's development path. This study shows that tropical storm risks in Haiti increased due to more physical exposure of the population in urban areas rather than a higher cyclone frequency in the proximity of Hispaniola island. In fact, the population density accelerated since the second half of the 20th century in regions where historically more storms made landfall, such as in the departments Ouest, Artibonite, Nord and Nord-Ouest including Haiti's four largest cities: Port-au-Prince, Gonaïves, Cap-Haïtien and Port-de-Paix. Thus, urbanization in and migration into storm hazard prone areas could be considered as one of the major driving forces of Haiti's fragility.

  17. I rischi sanitari da ecomafia in Italia

    Directory of Open Access Journals (Sweden)

    A. Piccolella

    2003-05-01

    Full Text Available

    Obiettivi: l’interesse della criminalità organizzata per le discariche abusive, rende la gestione dei rifiuti in Italia ancor più problematica. Su questa, per altro, già pesano un quadro legislativo ridondante ed incerto, le inadempienze e le resistenze di produttori, di cittadini e di controllori ed, infine, la non applicazione od inadeguatezza di tecnologie avanzate. Obiettivo della presente ricerca è tracciare lo stato dell’arte del “Risk Waste Management” a partire dai dati disponibili ed evidenziare i conseguenti rischi per la salute e i territori interessati.

     Metodi: é stata realizzata una rassegna dell’attuale quadro normativo ed istituzionale in Europa ed Italia sui rifiuti, delineando le differenti modalità di impatto che il deposito/smaltimento incontrollato dei residui determina sull’ambiente e sulla salute umana, attraverso analisi dei dati relativi a fonti istituzionali e non istituzionali riguardanti il ciclo di produzione e smaltimento dei rifiuti. Risultati: nel 2001 gli illeciti ambientali rilevati sono stati 31.201 con 25.980 persone denunciate e 8.273 sequestri. L’illecito è particolarmente concentrato in Campania, Calabria, Puglia e Sicilia, dove nel 2001 è stato rilevato il 50,3% del totale nazionale con circa 5.000 milioni di euro di guadagno illecito. La raccolta legislativa ha confermato l’abbondanza ma, talora, anche le contraddizioni della produzione normativa con la conseguente impotenza operativa delle Forze dell’Ordine. Si consideri, ad esempio, come su 60,9 milioni di tonnellate di rifiuti speciali prodotti nel 2001, solo 46 siano stati smaltiti in maniera legale e certificata.

    Conclusioni: il fenomeno ecomafia determina effetti economici, istituzionali, psico-sociali, paesaggistici ed igienico–ambientali (oltre allo smaltimento abusivo, il nostro Paese è interessato da traffici di rifiuti radioattivi, con gravi

  18. Poor-quality water in swimming pools associated with a substantial risk of otitis externa due to Pseudomonas aeruginosa.

    Science.gov (United States)

    Hajjartabar, M

    2004-01-01

    There are many large and small public outdoor and indoor swimming pools in Tehran that hundreds of people use, especially on hot summer days. The bacteriological quality of the water of some of these pools was assayed over a period of about one year (2001-2002). To assess if these swimming pools were a health risk to users, eleven public swimming pools, in the east and northeast of the city, were examined, and the exposed people were monitored. Samples of swimming-pool waters were examined for colony counts, Escherichia coli and coliforms. In addition, Pseudomonas aeruginosa was isolated from nine (81.8%) of those pools. P. aeruginosa grew in seven (63.6%) of the swimming-pool water samples. In two (18.2%) other samples, in addition to P. aeruginosa, high rates of total bacterial count, total coliforms and faecal coliform counts were also found. At the same time, users of the swimming pools were asked to complete a questionnaire. Ear swabs were collected from 179 users with a history of ear problems during the previous two weeks. An adequate control group was chosen randomly from those who never used the investigated pools. P. aeruginosa was isolated from the ear swabs of 142 (79.3%) of the cases, as well as from 4% of the controls. Results were matched for age, sex, duration of time spent in the pools, place of occurrence and other useful information. Investigation of the contaminated swimming pools revealed that chlorination was often inadequate, especially when high numbers of people led to overuse of the pools. Although the results of this research showed that otitis externa was strongly associated with the swimming pools, due to P. aeruginosa, an extensive follow-up study is needed to determine the other possible health risks associated with public pools.

  19. The risk of river pollution due to washout from contaminated floodplain water bodies during periods of high magnitude floods

    Science.gov (United States)

    Lyubimova, T.; Lepikhin, A.; Parshakova, Ya.; Tiunov, A.

    2016-03-01

    The risk of river pollution due to washout (removal of pollutants) from contaminated floodplain water bodies (floodplain lakes and quarries whose origin is related to the large-scale mining of nonmetallic building materials in the floodplain zone) during high magnitude flood periods is analyzed using a combination of one-, two- and three-dimensional hydrodynamic modeling and in situ measurements. The modeling performed for the floodplain water bodies contaminated by N compounds shows that during large magnitude floods washout occurs. The washout process consists of two stages: an initial rapid stage lasting about two hours during which the upper (3-4 m thick) layer is washed out, followed by a second stage when the concentration of NH4-N in the floodplain water body remains nearly constant. The maximum contaminant concentration in the river in the vicinity of a water intake for drinking water located 21 km downstream is attained about 9 h from the beginning of the flood; concentration of NH4-N can reach values several times larger than acceptable concentration guidelines. The initial primary peak in contaminant concentration at the water intake is followed by a slight decrease in contaminant concentration; a second peak related to the contaminant transport through the inundated floodplain subsequently occurs, after which the concentration slowly decreases, reaching acceptable values after 30-40 h. Contaminated floodplain water bodies located near drinking water supply systems are not significant sources of contamination during small and moderate floods, but during high magnitude floods, they can become sources of water pollution. Operational measures that can decrease potential health risks are discussed.

  20. The gender specific risk factors for prolonged hospitalization due to acute pyelonephritis in a Japanese tertiary emergency center.

    Science.gov (United States)

    Muneishi, Risa; Tanimoto, Ryuta; Wada, Koichiro; Hsiao, Philip; Eguchi, Jun; Araki, Motoo; Watanabe, Toyohiko; Nasu, Yasutomo; Akebi, Naoki

    2016-02-01

    The aim of this study is to characterize the potential differences between male and female patients with acute pyelonephritis (AP) and to predict the severity of AP based on the length of hospital stay. We conducted a retrospective medical chart review of 172 consecutive adult patients who were hospitalized in Tsuyama Central Hospital due to AP from January 2007 through June 2012. We analyzed the length of hospital stay by the proportional hazard model. A total of 172 patients were identified who were admitted to our hospital with a diagnosis of AP. Of them, 62% (106/172) were female. Except for urological malignancy, there was no significant difference between men and women in underlying disease. Out of 26 variables, univariate analysis in male showed that only urolithiasis (OR 1.75, p = 0.0294) was significantly associated with longer hospital stay, while septic shock (OR 3.18, P = 0.003), urological malignancy (OR 2.94, P = 0.002), age over 65 (OR 1.66, p = 0.018) and neurogenic bladder (OR 1.92, p = 0.014) were all associated with longer hospital stay in female patients. This is the first report to identify the risk factors for prolonged hospital stay for the patients who were admitted with AP in the Japanese population. The risk factors causing prolonged hospital stay were totally different between males and females. Reviewing the medical history based on sex gender might enable a clinician to predict the severity of acute pyelonephritis during the initial evaluation. Copyright © 2015 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

  1. Characterization and toxicological evaluation of leachate from closed sanitary landfill.

    Science.gov (United States)

    Emenike, Chijioke U; Fauziah, Shahul H; Agamuthu, P

    2012-09-01

    Landfilling is a major option in waste management hierarchy in developing nations. It generates leachate, which has the potential of polluting watercourses. This study analysed the physico-chemical components of leachate from a closed sanitary landfill in Malaysia, in relation to evaluating the toxicological impact on fish species namely Pangasius sutchi S., 1878 and Clarias batrachus L., 1758. The leachate samples were taken from Air Hitam Sanitary Landfill (AHSL) and the static method of acute toxicity testing was experimented on both fish species at different leachate concentrations. Each fish had an average of 1.3 ± 0.2 g wet weight and length of 5.0 ± 0.1 cm. Histology of the fishes was examined by analysing the gills of the response (dead) group, using the Harris haemtoxylin and eosin (H&E) method. Finneys' Probit method was utilized as a statistical tool to evaluate the data from the fish test. The physico-chemical analysis of the leachate recorded pH 8.2 ± 0.3, biochemical oxygen demand 3500 ± 125 mg L(-1), COD 10 234 ± 175 mg L(-1), ammonical nitrogen of 880 ± 74 mg L(-1), benzene 0.22 ± 0.1 mg L(-1) and toluene 1.2 ± 0.4 mg L(-1). The 50% lethality concentration (LC(50)) values calculated after 96 h exposure were 3.2% (v/v) and 5.9% (v/v) of raw leachate on P. sutchi and C. batrachus, respectively. The H&E staining showed denaturation of the nucleus and cytoplasm of the gills of the response groups. Leachate from the sanitary landfill was toxic to both fish species. The P. sutchi and C. batrachus may be used as indicator organisms for leachate pollution in water.

  2. Evaluation and Mitigation of the Risk Due to Climate Change at the Department of Energy's Savannah River Site

    Science.gov (United States)

    Werth, D. W.

    2016-12-01

    The state of South Carolina, home to the Department of Energy's (DOE) Savannah River Site (SRS), has been identified as facing an `above average' risk due to extreme heat, and the threat due to wildfire is expected to nearly double by 2050. To comply with DOE requirements that each of its sites prepares for climate change, the Savannah River National Laboratory (SRNL) is involved in an ongoing process to evaluate the site vulnerability and establish policies to mitigate those effects. This requires close cooperation between the managers of various site facilities and on-site climate researchers. The Atmospheric Technologies Group at SRNL currently provides short-term weather forecasts to support outdoor activities on site, but is also now working with site decision-makers to achieve DOE's goals of climate change mitigation and adaptation. We will discuss the results of our climate vulnerability assessment, which includes the effects of climate change on the energy requirements for mission critical infrastructure, the health, safety and productivity of the outdoor workforce, the danger of fire in the SRS forest, and the levels of surface water impoundments. (The latter of which must be maintained to avoid the release of radioactive contaminants sequestered beneath them). For each of these, existing climate change projections were carefully studied and `translated' into numerical indices relevant to facility personnel at SRS, along with a vulnerability rating (also based on conversations with site workers) to estimate the most endangered `assets'. We will also explain the process we have developed to facilitate effective communication between researchers and managers - involving them both in the development of the climate vulnerability assessment and the next steps toward planning, resource allocation, actions to mitigate rising costs, and safety considerations as well as helping the site remain sustainable throughout the future of its missions.

  3. Methods of Sensing Land Pollution from Sanitary Landfills

    Science.gov (United States)

    Nosanov, Myron Ellis; Bowerman, Frank R.

    1971-01-01

    Major cities are congested and large sites suitable for landfill development are limited. Methane and other gases are produced at most sanitary landfills and dumps. These gases may migrate horizontally and vertically and have caused fatalities. Monitoring these gases provides data bases for design and construction of safe buildings on and adjacent to landfills. Methods of monitoring include: (1) a portable combustible gas indicator; and (2) glass flasks valved to allow simultaneous exhaust of the flask and aspiration of the sample into the flask. Samples are drawn through tubing from probes as deep as twenty-five feet below the surface.

  4. MATERIALS FOR THE FINAL COVER OF SANITARY LANDFILLS

    Directory of Open Access Journals (Sweden)

    Davorin Kovačić

    1994-12-01

    Full Text Available The paper deals with the selection of materials for the sea¬ling layer in the final cover of sanitary landfills. The sealing la¬yer is the most critical component of the final cover. Its role is to minimize percolation of water through the final cover. Ma¬terials used for the construction of the sealing layer are either of mineral origin (compacted clay or geosynthetic (geomem¬brane. They are most often used in combination creating com¬posite liners. Recently alternative materials are also used like paper mill sludge or discarded swelling clay.

  5. Sanitary-hygienic and ecological aspects of beryllium production

    Energy Technology Data Exchange (ETDEWEB)

    Dvinskykh, E.M.; Savchuk, V.V.; Sidorov, V.L.; Slobodin, D.B.; Tuzov, Y.V. [Ulba Metallurgical Plant, Ust-Kamenogorsk (Kazakhstan)

    1998-01-01

    The Report describes An organization of sanitary-hygienic and ecological control of beryllium production at Ulba metallurgical plant. It involves: (1) the consideration of main methods for protection of beryllium production personnel from unhealthy effect of beryllium, (2) main kinds of filters, used in gas purification systems at different process areas, (3) data on beryllium monitoring in water, soil, on equipment. This Report also outlines problems connected with designing devices for a rapid analysis of beryllium in air as well as problems of beryllium production on ecological situation in the town. (author)

  6. Modelization of Biogas production in Sanitary landfills; Modelizacion de la produccion de Biogas en vertederos controlados

    Energy Technology Data Exchange (ETDEWEB)

    Rodriguez-Iglesias, J.; Castrillon, L.; Maranon, E.; Sastre, H. [Universidad de Oviedo (Spain)

    2000-07-01

    Amongst all the different alternatives for the eliminator or treatment of MSW (Municipal Solid Waste), sanitary landfills is probably the one that is most widely employed to date, due to its economic advantages. With the coming into effect of the Spanish Containers and Packaging Law, alongside that of the Council Directive 1999/31/CE, concerning waste disposal, this situation will be substantially modified. At the same time, the application of said Directive will influence the amount of biogas generated in landfills. The present research work a study of the influence that the aforementioned Directive will have on the production of biogas in a sanitary landfill which currently disposes of around 400.000 Tm/year of MSW, 52% of which is easily biodegradable organic matter. The model proposed by Marticorena was applied and the kinetic parameters, MPO and d, were experimentally obtained by means of a pilot-plant study of MSW anaerobic degradation, the values employed being 173 Nm3 of biogas/Tm of the organic fraction of MSW for MPO, and 3 years for d. The results obtained in the model are compared with those obtained experimentally at the COGERSA landfill, Asturias, Spain. Twenty wells were chosen to analyse the production of biogas, giving an overall average yield of 70%. In 1999, around 4,100 m''3/h of biogas were extracted at the COGERSA landfill. Application of the model gave an estimation for 1999 of an average production of 5,369 m''3/h giving a maximum yield in the extraction of biogas of around 75%. The difference between the two average yields obtained may be due to the fact that the model only takes into account the easily biodegradable organic fraction, whilst in the landfill, given that more time has passed, other substances with a longer period of degradation, such as paper and cardboard, may also be degraded. (Author) 10 refs.

  7. A Thai family with hereditary pancreatitis and increased cancer risk due to a mutation in PRSS1 gene

    Institute of Scientific and Technical Information of China (English)

    Theeraphong Pho-Iam; Wanna Thongnoppakhun; Pa-Thai Yenchitsomanus; Chanin Limwongse

    2005-01-01

    AIM: To investigate mutation of serine protease 1-cationic trypsinogen (CT, PRSS1) gene in members of a Thai family with hereditary pancreatitis and pancreatic cancer.METHODS: Polymerase chain reaction and direct sequencing were performed to analyze the PRSS1 gene in two members of the family affected by pancreatitis.Allele specific amplification (ASA) method was then developed to detect the mutation of the PRSS1 gene in all available members of the family and normal control subjects.RESULTS: A cytosine (C) to thymine (T) mutation at position 2441 (g.2441C>T) of the PRSS1 gene, which results in a substitution of arginine by cysteine at position 116 (R116C) of CT, was identified by direct sequencing in both clinically affected members of the family but was not found in the unaffected member. This mutation, which might be arising from deamination of methylated cytosine in CpG dinucleotide of codon 116 (CGT>FGT), was also detected by the ASA method in the two affected members and a proband's brother but was not observed in unaffected members and 54 normal control subjects.CONCLUSION: Autosomal dominant pancreatitis with increased cancer risk in the studied Thai family is most likely due to missense (R116C) mutation in the PRSS1gene.

  8. Pipeline integrity management: integration of geotechnical and mechanical assessment to control potential risks due to external forces

    Energy Technology Data Exchange (ETDEWEB)

    Malpartida Moya, John E.; Sota, Giancarlo Massucco de la; Seri, Walter [Compania Operadora de Gas del Amazonas, Lima (Peru)

    2009-07-01

    Every pipeline integrity management system evaluates and controls various threats. On pipelines which have particular characteristics as it is the case of the Andean pipelines and pipelines crossing jungles, one of the main threats are the external forces. Even, this threat causes a greater number of failures than other threats like corrosion or the third part damage. Facing this situation, the pipeline integrity management system of TgP has achieved an important development in the use and suitable handling of the information provided by diverse techniques of pipeline mechanical inspection and geotechnical inspection of the right-of-way (ROW). This document presents our methodology, which interrelate information of the in-line inspection, information of geotechnical inspections of the ROW, instrumentation (Strain Gages), topographic monitoring, among others. All this information is supported in a Geographic Information System (GIS) which allows us to integrate the information. By means of the pipeline integrity management system we control potential risks due to external forces, we have been able to act before events become critical, with no occurrence of failures. This system allows us simultaneously to optimize efforts and preserve the mechanical integrity of our pipelines, not producing neither personal nor environmental nor economical affectation. (author)

  9. Environmental risk increase due to heavy metal contamination caused by a copper mining activity in Southern Brazil

    Directory of Open Access Journals (Sweden)

    EDISON D. BIDONE

    2001-06-01

    Full Text Available The Camaquã Copper Mines (CCM were the main sulphide deposit in Southern Brazil and have been in operation from last century to 1996. To evaluate water contamination and environmental risk increase by heavy metals from mining operations, two points on the João Dias Creek were sampled (Station 1, background area and Station 2, contaminated area. Mining activity increased the natural weakly heavy metal fluxes by approximately 5424 kg. ( ~ 60% of the total metal flux, 1542 kg. ( ~ 49% of dissolved and 3881 kg ( ~ 66% of particulate metal flux. Total metal flux of anthropic origin was mostly due to Fe followed by Cu > Zn > Mn whereas Cd, As and Pb fluxes were negligible. The potential human health hazards and risk assessment related to daily intake of water from João Dias Creek are mostly due to Mn and should be of concern for the contaminated area. The ingestion of water from station 2 represents incremental risks of 130% and 59% respectively, considering the non-carcinogenic and the carcinogenic effects. The real increase of human health hazards may be greater than those related to the total concentrations since Mn and As dissolved concentrations were 5.5 and 2.0 higher than acceptable, respectively.As Minas do Camaquã foram a principal jazida de cobre sulfetado do sul do Brasil. Sua explotação foi realizada desde o século passado até 1996. Para avaliar a contaminação da água e o incremento do risco ambiental por metais pesados, relacionados à atividade de mineração, foram amostrados dois diferentes pontos do Arroio João Dias (estação 1, nível de base natural da área e, estação 2, área contaminada. A atividade de mineração aumentou os fluxos semanais naturais de metais pesados em aproximadamente 5424 kg ( ~ 60% de fluxo total, 1542 kg ( ~ 49% de fluxo da fração dissolvida e 3881 kg ( ~ 66% de fluxo da fração particulada. O fluxo total de metais de origem antropogênica deve-se principalmente ao Fe, seguido por Cu > Zn

  10. Conformity assessment of multicomponent materials or objects: Risk of false decisions due to measurement uncertainty - A case study of denatured alcohols.

    Science.gov (United States)

    Kuselman, Ilya; Pennecchi, Francesca; da Silva, Ricardo J N B; Brynn Hibbert, D

    2017-03-01

    Risk of a false decision on conformity of a multicomponent material or object due to measurement uncertainty is discussed. Even if conformity assessment for each component of a material sample is successful, the total probability of a false decision (total consumer's risk or producer's risk) concerning the sample as a whole might still be significant. A model of the total probability of such false decisions is formulated based on the law (theorem) of total probability. It is shown that the total risk can be evaluated as a combination of the particular risks of conformity assessment of sample components. For a more complicated task, i.e. for a larger number of components of a sample under control, the total risk is greater. As a case study, the total probability of false conforming (total consumer's risk) is evaluated for customs control of completely denatured alcohols, where conformity assessment is performed by comparison of chemical analytical test results with the regulatory limits.

  11. Interim sanitary landfill groundwater monitoring report. 1996 Annual report

    Energy Technology Data Exchange (ETDEWEB)

    Bagwell, L.A.

    1997-01-01

    Eight wells of the LFW series monitor groundwater quality in the Steed Pond Aquifer (Water Table) beneath the Interim Sanitary Landfill at the Savannah River Site. These wells are sampled semiannually to comply with the South Carolina Department of Health and Environmental Control Modified Municipal Solid Waste Permit 025500-1120 and as part of the SRS Groundwater Monitoring Program. Trichlorofluoromethane and 1,1,1-trichloroethane were elevated in one sidegradient well and one downgradient well during 1996. Zinc was elevated in three downgradient wells and also was detected in the associated laboratory blanks for two of those wells. Specific conductance was elevated in one background well and one sidegradient well. Barium and copper exceeded standards in one sidegradient well, and dichloromethane (a common laboratory contaminant) was elevated in another sidegradient well. Barium, copper, and dichloromethane were detected in the associated blanks for these wells, also. The groundwater flow direction in the Steed Pond Acquifer (Water Table) beneath the Interim Sanitary Landfill was to the southeast (universal transverse Mercator coordinates). The flow rate in this unit was approximately 210 ft/year during first quarter 1996 and 180 ft/yr during third quarter 1996.

  12. Risk factors for vascular occlusive events and death due to bleeding in trauma patients; an analysis of the CRASH-2 cohort.

    Directory of Open Access Journals (Sweden)

    Louise Pealing

    Full Text Available Vascular occlusive events can complicate recovery following trauma. We examined risk factors for venous and arterial vascular occlusive events in trauma patients and the extent to which the risk of vascular occlusive events varies with the severity of bleeding.We conducted a cohort analysis using data from a large international, double-blind, randomised, placebo-controlled trial (The CRASH-2 trial [1]. We studied the association between patient demographic and physiological parameters at hospital admission and the risk of vascular occlusive events. To assess the extent to which risk of vascular occlusive events varies with severity of bleeding, we constructed a prognostic model for the risk of death due to bleeding and assessed the relationship between risk of death due to bleeding and risk of vascular occlusive events. There were 20,127 trauma patients with outcome data including 204 (1.01% patients with a venous event (pulmonary embolism or deep vein thrombosis and 200 (0.99% with an arterial event (myocardial infarction or stroke. There were 81 deaths due to vascular occlusive events. Increasing age, decreasing systolic blood pressure, increased respiratory rates, longer central capillary refill times, higher heart rates and lower Glasgow Coma Scores (all p<0.02 were strong risk factors for venous and arterial vascular occlusive events. Patients with more severe bleeding as assessed by predicted risk of haemorrhage death had a greatly increased risk for all types of vascular occlusive event (all p<0.001.Patients with severe traumatic bleeding are at greatly increased risk of venous and arterial vascular occlusive events. Older age and blunt trauma are also risk factors for vascular occlusive events. Effective treatment of bleeding may reduce venous and arterial vascular occlusive complications in trauma patients.

  13. 30 CFR 75.1712-8 - Application for waiver of location requirements for underground sanitary facilities.

    Science.gov (United States)

    2010-07-01

    ... underground sanitary facilities. Applications for waivers of the location requirements of § 75.1712-6 shall be... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Application for waiver of location requirements for underground sanitary facilities. 75.1712-8 Section 75.1712-8 Mineral Resources MINE SAFETY AND...

  14. [Scientific and practical substantiation of the methodology for sanitary-epidemiological auditing procedure for educational institutions].

    Science.gov (United States)

    Safonkina, S G; Ivanenko, A V; Kuchma, B R

    2012-01-01

    The implementation of sanitary and epidemiological auditing - a promising trend in the sanitary-epidemiological well-being of the population including children. Thus, it provides pupils' rights on the safety conditions of educational activities for their life and health without toughening of administrative influence.

  15. Mathematical numeric models for assessing the groundwater pollution from Sanitary landfills

    Science.gov (United States)

    Petrov, Vasil; Stoyanov, Nikolay; Sotinev, Petar

    2014-05-01

    barriers of the sanitary landfill, and the potential risk of contamination of the groundwater were evaluated. The migration of contaminants through the zone of aeration and the engineering barriers are modeled with 2D models, and their potential distribution in groundwater - with 3D models. The models simulate the behavior of highly mobile and less mobile contaminants by the example of chloride and ammonium ions (Cl-and NH4 +).The mechanism of mass transfer is set in its full form: convective transport, accompanied by reversible elimination (sorption), mechanical dispersion (longitudinal and transverse), molecular diffusion and dilution. The concentration of the infiltrating under the bottom of the dump unit pollutants is set to exponentially decreasing function, determined by data from the monitoring. Two-dimensional models are developed using the computer program VS2DTI - v.1.3, and three-dimensional models by Modflow and MT3D-MS.dimensional models by Modflow and MT3D-MS.

  16. No increased risk of hepatocellular carcinoma in cirrhosis due to Wilson disease during long-term follow-up

    NARCIS (Netherlands)

    van Meer, Suzanne; de Man, Robert A.; van den Berg, Aad P.; Houwen, Roderick H. J.; Linn, Francisca H. H.; van Oijen, Martijn G. H.; Siersema, Peter D.; van Erpecum, Karel J.

    2015-01-01

    Background and AimsData on risk of hepatocellular carcinoma (HCC) in patients with Wilson disease are scarce. We determine HCC risk in a well-defined cohort of Wilson patients. MethodsAll patients with a confirmed diagnosis of Wilson disease (Leipzig score4) in three Dutch university referral hospit

  17. [Results of health risk assessment due to exposure to contaminants in drinking water in Russia population (review of literature)].

    Science.gov (United States)

    Unguryanu, T N; Novikov, S M

    2014-01-01

    With the purpose of the analysis of general trends in the development of risk assessment methodology in Russia the results obtained with the her help, as well as existing methodological problems, there was performed a review of 68 published works concerning the assessment of the health risk for population under the exposure to chemicals in drinking water carried out in 42 cities and regions of the country. There was made the grouping of Russian cities on individual carcinogenic risk level and ranking on the values for the population carcinogenic risk. A list of prioritized carcinogens in tap water has been made. By the values of the risk indices to adverse effects of chemicals tap water there are exposed central nervous system, kidneys, liver, skin and mucous membranes, blood, bone, immune system, hormone homeostasis, blood circulation and digestion organs. There are identified methodological problems leading to an underestimation of the actual risk to public health under exposure of chemicals in drinking water: there are no used regional and age differences in exposure factors, virtually there is no assessed health risk for children population; there is ignored age sensitivity to carcinogens, there is rarely estimated exposure for all the real exposing routes of income and there are no carried out risk calculations at the upper limit (90- 95th percentile) of the exposure.

  18. No increased risk of hepatocellular carcinoma in cirrhosis due to Wilson disease during long-term follow-up

    NARCIS (Netherlands)

    Meer, S. Winters-Van Der; Man, R.A. de; Berg, A.P. van den; Houwen, R.H.; Linn, F.H.; Oijen, M.G. van; Siersema, P.D.; Erpecum, K.J. van

    2015-01-01

    BACKGROUND AND AIMS: Data on risk of hepatocellular carcinoma (HCC) in patients with Wilson disease are scarce. We determine HCC risk in a well-defined cohort of Wilson patients. METHODS: All patients with a confirmed diagnosis of Wilson disease (Leipzig score >/= 4) in three Dutch university ref

  19. Predicted risks of second malignant neoplasm incidence and mortality due to secondary neutrons in a girl and boy receiving proton craniospinal irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Taddei, Phillip J; Mirkovic, Dragan; Zhang Rui; Giebeler, Annelise; Harvey, Mark; Newhauser, Wayne D [Department of Radiation Physics, University of Texas M D Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030 (United States); Mahajan, Anita; Kornguth, David; Woo, Shiao, E-mail: ptaddei@mdanderson.or [Department of Radiation Oncology, University of Texas M D Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030 (United States)

    2010-12-07

    The purpose of this study was to compare the predicted risks of second malignant neoplasm (SMN) incidence and mortality from secondary neutrons for a 9-year-old girl and a 10-year-old boy who received proton craniospinal irradiation (CSI). SMN incidence and mortality from neutrons were predicted from equivalent doses to radiosensitive organs for cranial, spinal and intracranial boost fields. Therapeutic proton absorbed dose and equivalent dose from neutrons were calculated using Monte Carlo simulations. Risks of SMN incidence and mortality in most organs and tissues were predicted by applying risks models from the National Research Council of the National Academies to the equivalent dose from neutrons; for non-melanoma skin cancer, risk models from the International Commission on Radiological Protection were applied. The lifetime absolute risks of SMN incidence due to neutrons were 14.8% and 8.5%, for the girl and boy, respectively. The risks of a fatal SMN were 5.3% and 3.4% for the girl and boy, respectively. The girl had a greater risk for any SMN except colon and liver cancers, indicating that the girl's higher risks were not attributable solely to greater susceptibility to breast cancer. Lung cancer predominated the risk of SMN mortality for both patients. This study suggests that the risks of SMN incidence and mortality from neutrons may be greater for girls than for boys treated with proton CSI.

  20. Predicted risks of second malignant neoplasm incidence and mortality due to secondary neutrons in a girl and boy receiving proton craniospinal irradiation

    Science.gov (United States)

    Taddei, Phillip J.; Mahajan, Anita; Mirkovic, Dragan; Zhang, Rui; Giebeler, Annelise; Kornguth, David; Harvey, Mark; Woo, Shiao; Newhauser, Wayne D.

    2010-12-01

    The purpose of this study was to compare the predicted risks of second malignant neoplasm (SMN) incidence and mortality from secondary neutrons for a 9-year-old girl and a 10-year-old boy who received proton craniospinal irradiation (CSI). SMN incidence and mortality from neutrons were predicted from equivalent doses to radiosensitive organs for cranial, spinal and intracranial boost fields. Therapeutic proton absorbed dose and equivalent dose from neutrons were calculated using Monte Carlo simulations. Risks of SMN incidence and mortality in most organs and tissues were predicted by applying risks models from the National Research Council of the National Academies to the equivalent dose from neutrons; for non-melanoma skin cancer, risk models from the International Commission on Radiological Protection were applied. The lifetime absolute risks of SMN incidence due to neutrons were 14.8% and 8.5%, for the girl and boy, respectively. The risks of a fatal SMN were 5.3% and 3.4% for the girl and boy, respectively. The girl had a greater risk for any SMN except colon and liver cancers, indicating that the girl's higher risks were not attributable solely to greater susceptibility to breast cancer. Lung cancer predominated the risk of SMN mortality for both patients. This study suggests that the risks of SMN incidence and mortality from neutrons may be greater for girls than for boys treated with proton CSI.

  1. [Sanitary quality of water supply for human consumption in Campeche].

    Science.gov (United States)

    Isaac-Márquez, A P; Lezama-Dávila, C M; Ku-Pech, P P; Tamay-Segovia, P

    1994-01-01

    This paper presents data of a study undertaken to know the sanitary features of water supply (deep pools) for human consumption in the city of Campeche, Mexico. Levels of intestinal bacteria (total and fecal coliforms) were monitored, as well as heterotrophic plate counts and the surroundings of each deep pool were inspected. Each water supply was monitored three times from January to July, 1993 and presented unacceptable levels of heterotrophic plate counts and coliforms which is a strong evidence of fecal contamination of animal or human origin. These findings are a clear indication of unacceptable contamination of water supply for human consumption which requires an improvement and systematic inspection in order to provide good quality water to the population of Campeche.

  2. [Sanitary and nutritional control of the Catania school catering service].

    Science.gov (United States)

    Alonzo, Elena; Allegra, Antonio Dino; Cannizzaro, Virginia; Fardella, Maristella; La Carrubba, Rosanna

    2005-01-01

    Sanitary and nutritional control of meals distributed by school catering services is one of the institutional duties of the Food Hygiene and Nutrition Services (Servizi Igiene Alimenti e Nutrizione - SIAN) of the Local Health Units. In order to carry out this activity properly it is necessary to ask oneself beforehand what the main outcome of control activities should be. The answer to this question can only be that "proper nutrition is essential for healthy growth". Starting from this assumption, control activities performed along the entire chain of the scholastic catering service, starting from the final dish served at school up to the primary producer, were reviewed. The review was carried out by a team of multiprofessionals which included a physician, a prevention technician, a dietician, a biologist, an agronomist and a veterinarian. Preliminary results are extremely positive and show that the multidisciplinary integration of roles entrusted to the coordinators of SIAN is crucial to obtaining the best results.

  3. Sanitary Sewage Treatment with Jet Inner-loop Bioreactor

    Institute of Scientific and Technical Information of China (English)

    Wen Qin-xue; Chen Zhi-qiang; Lu Bing-nan; Wen Yan

    2004-01-01

    A jet inncr-loop bioreactor (JIBR) was used to treat synthetic sanitary sewage with low, medium and high COD load. The experimental resuhs show that it could meet discharge standard at 20-30 min of HRT (hydraulic retention time) for low COD concentration and 60-120 min of HRT for medium and high COD concentration. The maximal COD volume loading and COD sludye loading of 27kg·m-3·d-1 and 5 kg/d per kg MLSS were achieved respectively, that were 10-20 times higher than those of traditional wastewater treatment processes. The BOD5 removal efficiency was more than 90 % and NH1-N more than 85 %. The study on the activity showed that the oxygen consumption rate of the activated times higher than that of the SBR(Sequencing Batch Reactor)and thc dominant bacteria in jet inner-loop bioreactor was Pseudomonas species.

  4. Sanitary landfill groundwater quality assessment plan Savannah River Site

    Energy Technology Data Exchange (ETDEWEB)

    Wells, D.G.; Cook, J.W.

    1990-06-01

    This assessment monitoring plan has been prepared in accordance with the guidance provided by the SCDHEC in a letter dated December 7, 1989 from Pearson to Wright and a letter dated October 9, 1989 from Keisler to Lindler. The letters are included a Appendix A, for informational purposes. Included in the plan are all of the monitoring data from the landfill monitoring wells for 1989, and a description of the present monitoring well network. The plan proposes thirty-two new wells and an extensive coring project that includes eleven soil borings. Locations of the proposed wells attempt to follow the SCDHEC guidelines and are downgradient, sidegradient and in the heart of suspected contaminant plumes. Also included in the plan is the current Savannah River Site Sampling and Analysis Plan and the well construction records for all of the existing monitoring wells around the sanitary landfill.

  5. DOSE-RESPONSE MODELING FOR THE ASSESSMENT OF CUMULATIVE RISK DUE TO EXPOSURE TO N-METHYL CARBAMATE PESTICIDES

    Science.gov (United States)

    The US EPAs N-Methyl Carbamate Cumulative Risk Assessment (NMCRA) assesses the effect on acetylcholine esterase (AChE) activity of exposure to 10 N-methyl carbamate (NMC) pesticides through dietary, drinking water, and residential exposures.

  6. Assessment of Risk Due to Chemicals Transferred in a Watershed: A Case of an Aquifer Storage Transfer and Recovery Site

    Directory of Open Access Journals (Sweden)

    Hyon Wook Ji

    2016-06-01

    Full Text Available This paper presents an analysis of the potential risks of chemicals that can affect an aquifer storage transfer and recovery (ASTR site. ASTR is a water supply system that injects surface water into an aquifer and then extracts naturally filtered groundwater. The pilot site of the ASTR supplying drinking water is located downstream of the Nakdong River in South Korea. Hazard analysis and critical control points (HACCP was adopted to ensure suitable water quality in response to the deteriorated water quality of the Nakdong River. HACCP is a proactive management system for ensuring consistent confidence in food (or water. Hazard analysis, the first of the seven principles of HACCP, assesses physical, microbial, chemical, and radioactive hazards. This study focuses on the chemicals that are most likely to be involved in major hazardous events. Pollutant release and transfer register (PRTR data were used to analyze potential risks of chemicals. A PRTR is a national environmental database of potentially hazardous chemicals. Potential risk analysis considers the total amount of chemicals transferred off-site for treatment or disposal. Fifty-five cities and the top 10 chemicals released in the Nakdong River basin were investigated. Potential risk was defined as a function of total transfers, the relative distance, and toxicity. The top 10 cities with high potential risks were identified, and the city with the highest potential risk turned out to be Ulju.

  7. Early preterm delivery due to placenta previa is an independent risk factor for a subsequent spontaneous preterm birth.

    Science.gov (United States)

    Erez, Offer; Novack, Lena; Klaitman, Vered; Erez-Weiss, Idit; Beer-Weisel, Ruthy; Dukler, Doron; Mazor, Moshe

    2012-08-10

    To determine whether patients with placenta previa who delivered preterm have an increased risk for recurrent spontaneous preterm birth. This retrospective population based cohort study included patients who delivered after a primary cesarean section (n = 9983). The rate of placenta previa, its recurrence, and the risk for recurrent preterm birth were determined. Patients who had a placenta previa at the primary CS pregnancy had an increased risk for its recurrence [crude OR of 2.65 (95% CI 1.3-5.5)]. The rate of preterm birth in patients with placenta previa in the primary CS pregnancy was 55.9%; and these patients had a higher rate of recurrent preterm delivery than the rest of the study population (p placenta previa in the primary CS pregnancy, those who delivered preterm had a higher rate of recurrent spontaneous preterm birth regardless of the location of their placenta in the subsequent delivery [OR 3.09 (95% CI 2.1-4.6)]. In comparison to all patients with who had a primary cesarean section, patients who had placenta previa and delivered preterm had an independent increased risk for recurrent preterm birth [OR of 3.6 (95% CI 1.5-8.5)]. Women with placenta previa, who deliver preterm, especially before 34 weeks of gestation, are at increased risk for recurrent spontaneous preterm birth regardless to the site of placental implantation in the subsequent pregnancy. Thus, strict follow up by high risk pregnancies specialist is recommended.

  8. [Sanitary regulation as part of health policy in Brazil: gaps and challenges].

    Science.gov (United States)

    Maia, Christiane; Guilhem, Dirce

    2016-05-01

    Objective To outline and discuss the main challenges for sanitary regulation contained in the federal-level Brazilian health policy. Methods For the present qualitative study, based on the analysis of public policies, information was collected from documents and interviews. Document analysis provided a historical overview of the insertion of sanitary regulation into the Brazilian health policy between 1999 and 2009 (first decade of existence of the national health surveillance agency, Anvisa). In addition, 13 interviews were carried out with actors selected for their historical, technical, or academic role in the field. Content analysis was used to define themes emerging from the materials analyzed with a focus on the "content" category, which refers to strategic and operational guidelines of policy programs, projects, initiatives, and normative framework. Results Content analysis revealed five themes that reflect the challenges to sanitary regulation in Brazil: 1) objects under regulation treated as isolated cases; 2) a Brazilian-specific model of sanitary regulation that is different from other international models; 3) ignorance regarding the role of sanitary surveillance in health care; 4) absence of an information system; and 5) absence of performance indicators and assessment tools. Conclusions Sanitary surveillance must have a mission that is disentangled from inspection tasks to become an effective instrument of health protection. For that, an information system that brings the National Sanitary Surveillance System together toward major objectives is essential. The adoption of tools for assessment of action is also required, with the establishment of adequate indicators.

  9. Physical characterization and sanitary conditions of cheese type cabacinha market places in three municipalities of the Jequitinhonha Valley, MG, Brazil

    Directory of Open Access Journals (Sweden)

    Adair da Silva Santos Filho

    2017-09-01

    Full Text Available Cheese type cabacinha from Vale do Jequitinhonha is obtained by curd heating in a similar process made to Mozzarella, but the raw milk is unpasteurized and the final product is stored unpackaged and at room temperature. This milk derivative may contribute to the increase the income of the local population, especially the residents of the edges of roads, due to the flow of vehicles and possible buyers. The purpose of this work was to identify the physical and sanitary conditions of cheese type cabacinha market places present in three municipalities of the Vale do Jequitinhonha, MG, Brazil. Previously the investigation was detected the number of marketplaces that sell these cheese in the Medina, Cachoeira de Pajeú and Pedra Azul, municipalities of the state of Minas Gerais, Brazil, located on the surrounding area of the highways BR 251 and BR 116. Afterward as developed a physical and sanitary checklist and it were filled in loco. It was observed that most market places were not provided of masonry walls, piped water or toilet and sink. It is also common to the presence of possible contamination vectors in surroundings, such as dogs and insects. It is verified that most of these cheese is exposed in pairs held by string and unpackaged. This study demonstrated the precariousness of the physical structures and consequently the lack of adequate sanitary conditions in the cheese type cabacinha market places. Because it is an artisanal product from family farming, which generates income and employment in the field deserve more attention of competent state and municipal authorities.

  10. Impact of family planning programs in reducing high-risk births due to younger and older maternal age, short birth intervals, and high parity.

    Science.gov (United States)

    Brown, Win; Ahmed, Saifuddin; Roche, Neil; Sonneveldt, Emily; Darmstadt, Gary L

    2015-08-01

    Several studies show that maternal and neonatal/infant mortality risks increase with younger and older maternal age (34 years), high parity (birth order >3), and short birth intervals (Oaxaca decomposition technique, we then examine the contributions of family planning program, economic development (GDP per capita), and educational improvement (secondary school completion rate) on the progress of MCPR in order to link the net contribution of family planning program to the reduction of high-risk births mediated through contraceptive use. Countries that had the fastest progress in improving MCPR experienced the greatest declines in high-risk births due to short birth intervals (3), and older maternal age (>35 years). Births among younger women <18 years, however, did not decline significantly during this period. The decomposition analysis suggests that 63% of the increase in MCPR was due to family planning program efforts, 21% due to economic development, and 17% due to social advancement through women's education. Improvement in MCPR, predominately due to family planning programs, is a major driver of the decline in the burden of high-risk births due to high parity, shorter birth intervals, and older maternal age in developing countries. The lack of progress in the decline of births in younger women <18 years of age underscores the need for more attention to ensure that quality contraceptive methods are available to adolescent women in order to delay first births. This study substantiates the significance of family planning programming as a major health intervention for preventing high-risk births and associated maternal and child mortality, but it highlights the need for concerted efforts to strengthen service provision for adolescents.

  11. Spatial Analysis of Human Health Risk Due to Arsenic Exposure through Drinking Groundwater in Taiwan’s Pingtung Plain

    Directory of Open Access Journals (Sweden)

    Ching-Ping Liang

    2017-01-01

    Full Text Available Chronic arsenic (As exposure continues to be a public health problem of major concern worldwide, affecting hundreds of millions of people. A long-term groundwater quality survey has revealed that 20% of the groundwater in southern Taiwan’s Pingtung Plain is clearly contaminated with a measured As concentration in excess of the maximum level of 10 µg/L recommended by the World Health Organization. The situation is further complicated by the fact that more than half of the inhabitants in this area continue to use groundwater for drinking. Efforts to assess the health risk associated with the ingestion of As from the contaminated drinking water are required in order to determine the priorities for health risk management. The conventional approach to conducting a human health risk assessment may be insufficient for this purpose, so this study adopts a geostatistical Kriging method to perform a spatial analysis of the health risk associated with ingesting As through drinking groundwater in the Pingtung Plain. The health risk is assessed based on the hazard quotient (HQ and target cancer risk (TR established by the U.S. Environmental Protection Agency. The results show that most areas where the HQ exceeds 1 are in the southwestern part of the study area. In addition, the high-population density townships of Daliao, Linyuan, Donggang, Linbian, Jiadong, and Fangliao presently have exceedingly high TR values that are two orders of magnitude higher than the acceptable standard. Thus, the use of groundwater for drinking in these townships should be strictly avoided. A map that delineates areas with high TR values and high population densities is provided. The findings broaden the scope of the spatial analysis of human health risk and provide a basis for improving the decision-making process.

  12. Spatial Analysis of Human Health Risk Due to Arsenic Exposure through Drinking Groundwater in Taiwan’s Pingtung Plain

    Science.gov (United States)

    Liang, Ching-Ping; Chien, Yi-Chi; Jang, Cheng-Shin; Chen, Ching-Fang; Chen, Jui-Sheng

    2017-01-01

    Chronic arsenic (As) exposure continues to be a public health problem of major concern worldwide, affecting hundreds of millions of people. A long-term groundwater quality survey has revealed that 20% of the groundwater in southern Taiwan’s Pingtung Plain is clearly contaminated with a measured As concentration in excess of the maximum level of 10 µg/L recommended by the World Health Organization. The situation is further complicated by the fact that more than half of the inhabitants in this area continue to use groundwater for drinking. Efforts to assess the health risk associated with the ingestion of As from the contaminated drinking water are required in order to determine the priorities for health risk management. The conventional approach to conducting a human health risk assessment may be insufficient for this purpose, so this study adopts a geostatistical Kriging method to perform a spatial analysis of the health risk associated with ingesting As through drinking groundwater in the Pingtung Plain. The health risk is assessed based on the hazard quotient (HQ) and target cancer risk (TR) established by the U.S. Environmental Protection Agency. The results show that most areas where the HQ exceeds 1 are in the southwestern part of the study area. In addition, the high-population density townships of Daliao, Linyuan, Donggang, Linbian, Jiadong, and Fangliao presently have exceedingly high TR values that are two orders of magnitude higher than the acceptable standard. Thus, the use of groundwater for drinking in these townships should be strictly avoided. A map that delineates areas with high TR values and high population densities is provided. The findings broaden the scope of the spatial analysis of human health risk and provide a basis for improving the decision-making process. PMID:28098817

  13. Spatial Analysis of Human Health Risk Due to Arsenic Exposure through Drinking Groundwater in Taiwan's Pingtung Plain.

    Science.gov (United States)

    Liang, Ching-Ping; Chien, Yi-Chi; Jang, Cheng-Shin; Chen, Ching-Fang; Chen, Jui-Sheng

    2017-01-14

    Chronic arsenic (As) exposure continues to be a public health problem of major concern worldwide, affecting hundreds of millions of people. A long-term groundwater quality survey has revealed that 20% of the groundwater in southern Taiwan's Pingtung Plain is clearly contaminated with a measured As concentration in excess of the maximum level of 10 µg/L recommended by the World Health Organization. The situation is further complicated by the fact that more than half of the inhabitants in this area continue to use groundwater for drinking. Efforts to assess the health risk associated with the ingestion of As from the contaminated drinking water are required in order to determine the priorities for health risk management. The conventional approach to conducting a human health risk assessment may be insufficient for this purpose, so this study adopts a geostatistical Kriging method to perform a spatial analysis of the health risk associated with ingesting As through drinking groundwater in the Pingtung Plain. The health risk is assessed based on the hazard quotient (HQ) and target cancer risk (TR) established by the U.S. Environmental Protection Agency. The results show that most areas where the HQ exceeds 1 are in the southwestern part of the study area. In addition, the high-population density townships of Daliao, Linyuan, Donggang, Linbian, Jiadong, and Fangliao presently have exceedingly high TR values that are two orders of magnitude higher than the acceptable standard. Thus, the use of groundwater for drinking in these townships should be strictly avoided. A map that delineates areas with high TR values and high population densities is provided. The findings broaden the scope of the spatial analysis of human health risk and provide a basis for improving the decision-making process.

  14. Early preterm delivery due to placenta previa is an independent risk factor for a subsequent spontaneous preterm birth

    Directory of Open Access Journals (Sweden)

    Erez Offer

    2012-08-01

    Full Text Available Abstract Background To determine whether patients with placenta previa who delivered preterm have an increased risk for recurrent spontaneous preterm birth. Methods This retrospective population based cohort study included patients who delivered after a primary cesarean section (n = 9983. The rate of placenta previa, its recurrence, and the risk for recurrent preterm birth were determined. Results Patients who had a placenta previa at the primary CS pregnancy had an increased risk for its recurrence [crude OR of 2.65 (95% CI 1.3-5.5]. The rate of preterm birth in patients with placenta previa in the primary CS pregnancy was 55.9%; and these patients had a higher rate of recurrent preterm delivery than the rest of the study population (p Conclusions Women with placenta previa, who deliver preterm, especially before 34 weeks of gestation, are at increased risk for recurrent spontaneous preterm birth regardless to the site of placental implantation in the subsequent pregnancy. Thus, strict follow up by high risk pregnancies specialist is recommended.

  15. NASA space cancer risk model-2014: Uncertainties due to qualitative differences in biological effects of HZE particles

    Science.gov (United States)

    Cucinotta, Francis

    Uncertainties in estimating health risks from exposures to galactic cosmic rays (GCR) — comprised of protons and high-energy and charge (HZE) nuclei are an important limitation to long duration space travel. HZE nuclei produce both qualitative and quantitative differences in biological effects compared to terrestrial radiation leading to large uncertainties in predicting risks to humans. Our NASA Space Cancer Risk Model-2012 (NSCR-2012) for estimating lifetime cancer risks from space radiation included several new features compared to earlier models from the National Council on Radiation Protection and Measurements (NCRP) used at NASA. New features of NSCR-2012 included the introduction of NASA defined radiation quality factors based on track structure concepts, a Bayesian analysis of the dose and dose-rate reduction effectiveness factor (DDREF) and its uncertainty, and the use of a never-smoker population to represent astronauts. However, NSCR-2012 did not include estimates of the role of qualitative differences between HZE particles and low LET radiation. In this report we discuss evidence for non-targeted effects increasing cancer risks at space relevant HZE particle absorbed doses in tissue (Mars exploration will be described, and compared to those of our earlier NSCR-2012 model.

  16. Narratives of Public Health in Dickens's Journalism: The Trouble with Sanitary Reform.

    Science.gov (United States)

    Smith, Ralph F

    2015-01-01

    Although Dickens is still known as having been a highly visible supporter of England's well-known nineteenth-century sanitary movement, he became, in fact, deeply troubled by many of this movement's fundamental tenets, as evidenced by journal narratives on fever that he edited and wrote in the mid-nineteenth century. Rather than water and sewer engineering works and a sanitary regime policed by government agencies as envisaged by Edwin Chadwick and other sanitary reformers, Dickens's view by 1855 was that only a massive erasure of the existing social and political systems and their replacement by an utterly new infrastructure would suffice.

  17. Early identification in primary health care of people at risk for sick leave due to work-related stress - study protocol of a randomized controlled trial (RCT)

    NARCIS (Netherlands)

    Holmgren, Kristina; Sandheimer, Christine; Mardby, Ann-Charlotte; Larsson, Maria E. H.; Bultmann, Ute; Hange, Dominique; Hensing, Gunnel

    2016-01-01

    Background: Early identification of persons at risk of sickness absence due to work-related stress is a crucial problem for society in general, and primary health care in particular. Tho date, no established method to do this exists. This project's aim is to evaluate whether systematic early identif

  18. Risk factors for sickness absence due to low back pain and prognostic factors for return to work in a cohort of shipyard workers

    NARCIS (Netherlands)

    E.C. Alexopoulos (Evangelos); E.C. Konstantinou (Eleni); G. Bakoyannis (Giorgos); D. Tanagra (Dimitra); A. Burdorf (Alex)

    2008-01-01

    textabstractThe purpose of this study was to determine risk factors for the occurrence of sickness absence due to low back pain (LBP) and to evaluate prognostic factors for return to work. A longitudinal study with 1-year follow-up was conducted among 853 shipyard workers. The cohort was drawn aroun

  19. Risk factors associated with sick leave due to work-related injuries in Dutch farmers: an exploratory case-control study

    NARCIS (Netherlands)

    Hartman, E.; Frankena, K.; Oude Vrielink, H.H.E.; Nielen, M.; Metz, J.H.M.; Huirne, R.B.M.

    2004-01-01

    Using data from an insurance company, the occurrence of sick leave among Dutch farmers due to work-related injuries, and the epidemiological risk factors were investigated. In this case-control study the cases had filed a sick leave claim for work-related injury from 19982001 and the controls had no

  20. Organ-specific radiation-induced cancer risk estimates due to radiotherapy for benign pigmented villonodular synovitis

    Science.gov (United States)

    Mazonakis, Michalis; Tzedakis, Antonis; Lyraraki, Efrossyni; Damilakis, John

    2016-09-01

    Pigmented villonodular synovitis (PVNS) is a benign disease affecting synovial membranes of young and middle-aged adults. The aggressive treatment of this disorder often involves external-beam irradiation. This study was motivated by the lack of data relating to the radiation exposure of healthy tissues and radiotherapy-induced cancer risk. Monte Carlo methodology was employed to simulate a patient’s irradiation for PVNS in the knee and hip joints with a 6 MV photon beam. The average radiation dose received by twenty-two out-of-field critical organs of the human body was calculated. These calculations were combined with the appropriate organ-, age- and gender-specific risk coefficients of the BEIR-VII model to estimate the lifetime probability of cancer development. The risk for carcinogenesis to colon, which was partly included in the treatment fields used for hip irradiation, was determined with a non-linear mechanistic model and differential dose-volume histograms obtained by CT-based 3D radiotherapy planning. Risk assessments were compared with the nominal lifetime intrinsic risk (LIR) values. Knee irradiation to 36 Gy resulted in out-of-field organ doses of 0.2-24.6 mGy. The corresponding range from hip radiotherapy was 1.2-455.1 mGy whereas the organ equivalent dose for the colon was up to 654.9 mGy. The organ-specific cancer risks from knee irradiation for PVNS were found to be inconsequential since they were at least 161.5 times lower than the LIRs irrespective of the patient’s age and gender. The bladder and colon cancer risk from radiotherapy in the hip joint was up to 3.2 and 6.6 times smaller than the LIR, respectively. These cancer risks may slightly elevate the nominal incidence rates and they should not be ignored during the patient’s treatment planning and follow-up. The probabilities for developing any other solid tumor were more than 20 times lower than the LIRs and, therefore, they may be considered as small.

  1. Decreased carotenoid concentrations due to dietary sucrose polyesters do not affect possible markers of disease risk in humans

    NARCIS (Netherlands)

    Broekmans, W.M.R.; Klöpping-Ketelaars, I.A.A.; Weststrate, J.A.; Tijburg, L.B.M.; Poppel, G. van; Vink, A.A.; Berendschot, T.T.J.M.; Bots, M.L.; Castenmiller, W.A.M.; Kardinaal, A.F.M.

    2003-01-01

    Excessive consumption of energy and fat increases the risk for obesity. Snacks containing sucrose polyesters (SPE) as a dietary fat replacer are on the market in the United States. SPE products have been shown to lower concentrations of serum carotenoids in short-term studies. Experimental studies o

  2. Decreased carotenoid concentrations due to dietary sucrose polyesters do not affect possible markers of disease risk in humans

    NARCIS (Netherlands)

    Broekmans, W.M.R.; Klöpping-Ketelaars, I.A.A.; Weststrate, J.A.; Tijburg, L.B.M.; Poppel, G. van; Vink, A.A.; Berendschot, T.T.J.M.; Bots, M.L.; Castenmiller, W.A.M.; Kardinaal, A.F.M.

    2003-01-01

    Excessive consumption of energy and fat increases the risk for obesity. Snacks containing sucrose polyesters (SPE) as a dietary fat replacer are on the market in the United States. SPE products have been shown to lower concentrations of serum carotenoids in short-term studies. Experimental studies

  3. Bird Killer, Industrial Intruder or Clean Energy? Perceiving Risks to Ecosystem Services Due to an Offshore Wind Farm

    KAUST Repository

    Klain, Sarah C.

    2017-07-19

    Proposals to develop renewable energy technologies may threaten local values, which can generate opposition. Efforts to explain this opposition have focused on perceived negative aesthetic and environmental impact. Less attention has been paid to a fuller suite of the perceived risks and benefits associated with new energy technologies. This paper thus investigates impacts of an offshore wind farm pertaining to individual perceptions and judgments, and why risks to some ecosystem services might be cause for greater public concern than others. We find that this difference can be attributed to the affective and intuitive ways in which people perceive risk. Our mixed-methods design used interviews (n=27) that involved risk-benefit weighting tasks and an animated visualization to help people imagine an offshore wind farm in a familiar place. We found that affectively-loaded impacts (harm to charismatic wildlife and visual intrusion) were assigned greater weight than more easily quantifiable impacts (displacement of fishing, impact to tourism, cost of compliance with regulations). Interviewees identified increased regional energy self-sufficiency as the most valued potential benefit of an offshore wind farm. These results have implications for ecosystem service assessments generally and, more specifically, for our understanding of ‘affective’ dimensions of development proposals.

  4. [Desmopressin for nocturia in the old: an inappropriate treatment due to the high risk of side-effects?].

    NARCIS (Netherlands)

    Doesschate, T. ten; Reichert, L.J.M.; Claassen, J.A.H.R.

    2010-01-01

    Desmopressin, a synthetic analog of the antidiuretic hormone, is used in the treatment of enuresis nocturna in children and increasingly also in adults. Nocturia in the elderly causes sleeping disorders and is associated with a higher risk of falling and increased mortality. Desmopressin leads to a

  5. Assessment risk to children's health due to consumption of cow's milk in polluted areas in Puebla and Tlaxcala, Mexico.

    Science.gov (United States)

    Castro Gonzalez, Numa Pompilio; Moreno-Rojas, Rafael; Calderón Sánchez, Francisco; Moreno Ortega, Alicia; Juarez Meneses, Mayté

    2017-09-01

    This study aimed to determine the heavy metal content in cow's milk produced in areas irrigated with waste water and to evaluate the health risk with daily consumption of milk for children. The sample consisted of four zones in which small farmers were selected and the milk of 160 cows in two seasons of the year. On average, the metals in the milk in decreasing order were 0.36; 0.046; 0.035; 0.029; 0.015; 0.012, and 0.002 mg kg(-1) for Zn, Pb, As, Cu, Cr, Ni, and Cd, respectively. The Pb exceeded the limits allowed by Codex. The values shown in the hazard quotient for the As of more than 1 and HI were higher. On the other hand, the individual risk of cancer showed a descending order As> Cd> Cr> Pb, while the total risk indicated that the combined effect of metals put girls and boys at serious risk.

  6. Smoking as an independent risk factor for severe skin reactions due to adjuvant radiotherapy for breast cancer.

    Science.gov (United States)

    Sharp, Lena; Johansson, Hemming; Hatschek, Thomas; Bergenmar, Mia

    2013-10-01

    Risk factors for severe acute radiation skin reactions (ARSR) have been described with conflicting results. The aim of this study was to identify risk factors for the development of severe ARSR in women undergoing adjuvant radiotherapy (RT) for breast cancer. 390 women were assessed at the first and final RT sessions and at followup. ARSR were measured by the Radiation Therapy Oncology Group/The Organization for Research and Treatment of Cancer, Acute Radiation Morbidity Scoring Criteria (RTOG/EORTC scale). Patients reported symptoms using visual analogue scale (VAS). Health related quality of life was assessed by EORTC QLQ-C30 and sleep disturbances by the MOS-Sleep questionnaire. Clinical data included smoking status (carbon monoxide in expired air), body mass index (BMI) and treatment data. RT dose, ≥ 50 Gy (mean difference 1.9 CI: 1.0 to 3.5, p = 0.040), high BMI (mean difference 4.3 CI: 2.2 to 8.3, p < 0.001) and smoking (mean difference 2.5 CI. 1.1 to 5.7, p = 0.027) were the factors strongest related to severe ARSR. Patients' with severe ARSR reported higher levels of pain and increased sleeping problems. To stop smoking during RT is the best decision patients can make to reduce the risk for severe ARSR since smoking is an independent risk factor. Copyright © 2013 Elsevier Ltd. All rights reserved.

  7. The Potentially Modifiable Burden of Incident Heart Failure Due to Obesity: The Atherosclerosis Risk in Communities Study

    OpenAIRE

    Loehr, Laura R; Rosamond, Wayne D.; Poole, Charles; McNeill, Ann Marie; Chang, Patricia P.; Deswal, Anita; Aaron R. Folsom; Heiss, Gerardo

    2010-01-01

    The authors estimated the generalized impact fraction (GIF) for heart failure (HF) related to obesity, representing the proportion of incident HF events that could be prevented from reductions in obesity and/or overweight. The Atherosclerosis Risk in Communities Study is a biracial population-based cohort study of persons aged 45–64 years from 4 US communities with a median 14 ye...

  8. Comparison of SCORE-predicted risk of death due to cardiovascular events in women before and after menopause

    Directory of Open Access Journals (Sweden)

    Anna Piskorz

    2015-09-01

    Full Text Available Introduction : Approximately 55% of women in Europe die from cardiovascular events, mostly as a result of coronary diseases and cerebral stroke. There is a 10-year shift in the cardiovascular risk between women and men. The risk in a 55-year-old female patient is similar to that of a 45-year-old man, thus the risk among women increases rapidly around the age of 50, when menopause prevails to occur. The purpose of the study was to assess and compare the SCORE-predicted risk of a fatal cardiovascular incident in pre- and postmenopausal women. Material and methods : The cross-sectional study was conducted as part of community nursing practice. It covered 219 women – inhabitants of Krakow, aged from 30 to 65, without clinically validated cardiovascular diseases of arteriosclerotic and/or diabetic origin, who volunteered to take part in the study. The group was divided into three subgroups: K1 – menstruating women (n = 113, K2a – women after natural menopause (n = 88, and K2b – women after surgical menopause (n = 18. The study made use of a lifestyle questionnaire, which concerned the social and economic status, and lifestyle habits including tobacco smoking. Arterial blood pressure was measured, and total cholesterol concentration in blood (mmol/l was recorded. Results : A high (≥ 5% level of the SCORE risk was discovered in 14.3% of postmenopausal women, as compared to 0.9% in the group of menstruating women. An average risk of a fatal cardiovascular incident during the following 10 years was significantly higher among women from groups K2a (2.61% and K2b (2.32% as compared to K1 – menstruating women (0.38%. No difference was, however, discovered between groups of naturally (K2a and surgically menopausal women (K2b. Conclusions : A significantly higher risk of SCORE-predicted death caused by a cardiovascular incident, as compared to the group of women in the premenopausal period, is characteristic of women in the postmenopausal period.

  9. Definition of sanitary boundaries to prevent ISAv spread between salmon farms in southern Chile based on numerical simulations of currents

    Science.gov (United States)

    Olivares, Gonzalo; Sepúlveda, H. H.; Yannicelli, B.

    2015-06-01

    The infectious Salmon Anemia virus (ISAv) is a pathogen that mainly affects the Atlantic Salmon (Salmo salar). It was detected in Norway in 1984 and in June 2007 appeared in Chile, producing a drop of more than 30% in the country's production level. It is expected that with certain regularity, outbreaks will continue to appear in Chile without the need of reintroducing the virus from foreign countries. We present a numerical study of the influence of winds and tides in the dispersion of lagrangian particles to simulate the transport of ISAv in the Aysen region, in southern Chile. This study combines the use of numerical models of the ocean and atmosphere, lagrangian tracking and biological aspects of ISAv infections. As in previous results, a wider dispersion of ISAv was observed during spring tides. Temporal changes in wind significantly modified the transport of viral particles from an infected center. Under similar forcing conditions, the areas of risk associated to culture sites separated by a few kilometers could be very different. Our main results remark the importance of the use of a detailed knowledge of hydrographic and atmospheric circulation in the definition of boundaries for sanitary management areas. We suggest that a methodology similar to the one presented in this study should be considered to define sanitary strategies to minimize the occurrence of native outbreaks of ISAv.

  10. Multiculturalità, “diritti” e differenziazioni giuridiche: il caso dei trattamenti sanitari

    Directory of Open Access Journals (Sweden)

    Giancarlo Anello

    2013-05-01

    Full Text Available Contributo sottoposto a valutazione SOMMARIO: 1. Premessa - 2. Multiculturalità, “diritti” e trattamenti sanitari - 3. Alcune problematiche del cd. testamento biologico in una prospettiva interculturale - 4. Conclusioni.

  11. Human health risk due to variations in PM10-PM2.5 and associated PAHs levels

    Science.gov (United States)

    Sosa, Beatriz S.; Porta, Andrés; Colman Lerner, Jorge Esteban; Banda Noriega, Roxana; Massolo, Laura

    2017-07-01

    WHO (2012) reports that chronic exposure to air pollutants, including particulate matter (PM), causes the death of 7 million people, constituting the most important environmental risk for health in the world. IARC classifies contaminated outdoor air as carcinogenic, Group 1 category. However, in our countries there are few studies regarding air pollution levels and possible associated effects on public health. The current study determined PM and associated polycyclic aromatic hydrocarbons (PAHs) levels in outdoor air, identified their possible emission sources and analysed health risks in the city of Tandil (Argentina). PM10 and PM2.5 samples were collected using a low volume sampler (MiniVol TAS) in three areas: city centre, industrial and residential. Concentrations were determined by gravimetric methods and the content of the US EPA 16 priority PAHs was found by high performance liquid chromatography (HPLC). Description of the main emission sources and selection of monitoring sites resulted from spatial analysis and the IVE (International Vehicle Emissions) model was used in the characterisation of the traffic flow. Median values of 35.7 μgm-3 and 9.6 μgm-3 in PM10 and PM2.5 respectively and characteristic profiles were found for each area. Local values PAHs associated to PM10 and PM2.5, in general, were lower than 10ngm-3. The estimated Unit Risk for the three areas exceeds US EPA standards (9 × 10-5). The number of deaths attributable to short term exposure to outdoor PM10 was 4 cases in children under 5 years of age, and 21 cases in total population, for a relative risk of 1.037.

  12. Risk of spontaneous pneumothorax due to air travel and diving in patients with Birt-Hogg-Dube syndrome

    NARCIS (Netherlands)

    Johannesma, P.C.; Beek, I. van de; Wel, J.W. van der; Paul, M.A.; Houweling, A.C.; Jonker, M.A.; Waesberghe, J.H. van; Reinhard, R.; Starink, T.M.; Moorselaar, R.J. van; Menko, F.H.; Postmus, P.E.

    2016-01-01

    BACKGROUND AND OBJECTIVES: Birt-Hogg-Dube syndrome is an autosomal dominant disorder characterized by skin fibrofolliculomas, lung cysts, spontaneous pneumothorax and renal cell cancer due to germline folliculin (FLCN) mutations (Menko et al. in Lancet Oncol 10(12):1199-1206, 2009). The aim of this

  13. Climate Change Impacts on Flood risk in Urban Areas due to Combined Effects of Extreme Precipitation and Sea Surges

    DEFF Research Database (Denmark)

    Larsen, A. N.; Mikkelsen, Peter Steen; Arnbjerg-Nielsen, Karsten

    Climate change will impact the hydrological cycle greatly and lead to increases in flood hazards due to both pluvial and fluvial floods as well as sea surges in many regions. The impacts of the individual effects are analysed for a catchment in Greater Copenhagen. Based on both the present...

  14. Urinary Tract Infections due to Multidrug-Resistant Enterobacteriaceae: Prevalence and Risk Factors in a Chicago Emergency Department

    Directory of Open Access Journals (Sweden)

    Thana Khawcharoenporn

    2013-01-01

    Full Text Available Background. Selection of empiric antibiotics for urinary tract infections (UTIs has become more challenging because of the increasing rates of multidrug-resistant Enterobacteriaceae (MDRE infections. Methods. This retrospective study was conducted to determine antibiotic resistance patterns, risk factors, and appropriate empiric antibiotic selection for MDRE UTIs. Adult patients seen in the Emergency Department (ED with Enterobacteriaceae UTIs during 2008-2009 were identified from review of microbiology records. MDRE were defined as organisms resistant to at least 3 categories of antibiotics. Results. There were 431 eligible patients; 83 (19% had MDRE UTIs. Resistance rates for individual antibiotics among MDRE UTIs were significantly greater than non-MDRE UTIs: levofloxacin, 72% versus 14%; TMP-SMX, 77% versus 12%; amoxicillin-clavulanate, 35% versus 4%; nitrofurantoin, 21% versus 12%, and ceftriaxone, 20% versus 0%. All Enterobacteriaceae isolates were susceptible to ertapenem (MIC ≤ 2 mg/L. Independent risk factors for MDRE UTI were prior fluoroquinolone use within 3 months (adjusted odds ratio (aOR 3.64; , healthcare-associated risks (aOR 2.32; , and obstructive uropathy (aOR 2.22; . Conclusion. Our study suggests that once-daily intravenous or intramuscular ertapenem may be appropriate for outpatient treatment of ED patients with MDRE UTI.

  15. Estimation of Secondary Skin Cancer Risk Due To Electron Contamination in 18-MV LINAC-Based Prostate Radiotherapy

    Directory of Open Access Journals (Sweden)

    Seyed Mostafa Ghavami

    2016-12-01

    Full Text Available Introduction Accurate estimation of the skin-absorbed dose in external radiation therapy is essential to estimating the probability of secondary carcinogenesis induction Materials and Methods Electron contamination in prostate radiotherapy was investigated using the Monte Carlo (MC code calculation. In addition, field size dependence of the skin dose was assessed. Excess cancer risk induced by electron contamination was determined for the skin, surface dose, and prostate dose-volume histogram (DVH using MC calculation and analytical methods. Results MC calculations indicated that up to 80% of total electron contamination fluence was produced in the linear accelerator. At 5 mm below the skin surface, surface dose was estimated at 6%, 13%, 27%, and 38% for 5×5 cm2, 10×10 cm2, 20×20 cm2, and 40×40 cm2 field sizes, respectively. Relative dose at Dmax was calculated at 0.92% and 5.42% of the maximum dose for 5×5 cm2 and 40×40 cm2 field sizes, respectively. Excess absolute skin cancer risk was obtained at 2.96×10-4 (PY -1 for total 72 Gy. Differences in prostate and skin DVHs were 1.01% and 1.38%, respectively. Conclusion According to the results of this study, non-negligible doses are absorbed from contaminant electrons by the skin, which is associated with an excess risk of cancer induction.

  16. Elevated bladder cancer risk due to colorants--a statewide case-control study in North Rhine-Westphalia, Germany.

    Science.gov (United States)

    Golka, Klaus; Heitmann, Peter; Gieseler, Frank; Hodzic, Jasmin; Masche, Nicolas; Bolt, Hermann M; Geller, Frank

    2008-01-01

    Occupational exposure to aromatic amines is a known bladder cancer risk factor, whereas the impact of exposure to azo dyes, which may release aromatic amines in humans, is at present controversial. Therefore, the impact of occupational exposures to colorants was investigated in 156 bladder cancer cases and 336 controls in the state of North Rhine-Westphalia. All bladder cancer cases and controls (diagnosed with prostate cancer) requested after-care treatment. The subjects were investigated using a questionnaire for all occupations ever performed for more than 6 mo and for exposures to several possible occupational and nonoccupational bladder carcinogens. The relative bladder cancer risk was adjusted for age and smoking. The adjusted odds ratio (OR) for bladder cancer was elevated in 7 painters (OR 1.98, 95% CI 0.64-6.11), 4 hairdressers (OR 4.9, 95% CI 0.85-28.39), and 16 cases who reported a wood processing occupation (OR 1.19, 95% CI 0.58-2.41). Ten of these 16 cases reported chronic exposure to colorants (OR 1.84, 95% CI 0.68-4.95). The results of this epidemiological study confirm the hypothesis that individuals exposed to colorants show an elevated bladder cancer risk.

  17. Human Exposure Risk Assessment Due to Heavy Metals in Groundwater by Pollution Index and Multivariate Statistical Methods: A Case Study from South Africa

    Directory of Open Access Journals (Sweden)

    Vetrimurugan Elumalai

    2017-04-01

    Full Text Available Heavy metals in surface and groundwater were analysed and their sources were identified using multivariate statistical tools for two towns in South Africa. Human exposure risk through the drinking water pathway was also assessed. Electrical conductivity values showed that groundwater is desirable to permissible for drinking except for six locations. Concentration of aluminium, lead and nickel were above the permissible limit for drinking at all locations. Boron, cadmium, iron and manganese exceeded the limit at few locations. Heavy metal pollution index based on ten heavy metals indicated that 85% of the area had good quality water, but 15% was unsuitable. Human exposure dose through the drinking water pathway indicated no risk due to boron, nickel and zinc, moderate risk due to cadmium and lithium and high risk due to silver, copper, manganese and lead. Hazard quotients were high in all sampling locations for humans of all age groups, indicating that groundwater is unsuitable for drinking purposes. Highly polluted areas were located near the coast, close to industrial operations and at a landfill site representing human-induced pollution. Factor analysis identified the four major pollution sources as: (1 industries; (2 mining and related activities; (3 mixed sources- geogenic and anthropogenic and (4 fertilizer application.

  18. Evaluating present and future fire risk due to climate change in the Mediterranean: a case study for Greece

    Science.gov (United States)

    Giannakopoulos, C. A.; Hatzaki, M.; Karali, A.; Roussos, A.; Xanthopoulos, G.; Kaoukis, K.

    2011-12-01

    The current climate change trend in the Mediterranean causes longer summer droughts and intensification of these droughts even out of season. Extreme weather events, such as periods of high temperatures, prolonged dry spells and very strong winds, as well as sudden storms with heavy rainfall are becoming more frequent. As a result, the frequency of large-scale forest fires is on the rise and the same holds true about soil erosion which is aggravated when such fires are followed by heavy rains a few days later. When a period of drought and high temperatures is followed by a day of peak temperatures, low relative humidity and very strong winds, fire danger reaches extreme levels and multiple fires can easily get out of control creating havoc. In order to investigate the future changes in fire risk in relation to the meteorological conditions in the Mediterranean, the Canadian Fire Weather Index (FWI) is applied. FWI is a daily meteorologically-based index designed in Canada and used worldwide to estimate fire danger in a generalized fuel type. The FWI system provides numerical ratings of relative fire potential based on weather observations. FWI components depend solely on daily noon measurements of dry-bulb temperature, air relative humidity, 10 m open wind speed and 24 h accumulated precipitation. The scope of this study is to investigate the impacts of climate change on fire risk for the Mediterranean, for two future time periods, 2021-2050 and 2071-2100, compared to the control run period 1961-1990. Subsequently, several regional climate models from EU-Project ENSEMBLES (www.ensembles-eu.org) are used to provide input for the FWI system. Moreover, an evaluation of the index is performed using current 7-year fire and meteorological data for Greece, in order to examine whether FWI values can adequately reflect fire risk as judged by actual fire occurrence and area burnt, with particular emphasis on the most vulnerable region of Southern Greece. FWI is confirmed to

  19. The SWOT Analysis of a Romanian Post-Sanitary Institution in Romania

    Directory of Open Access Journals (Sweden)

    Cristina Iorga

    2016-01-01

    Starting from a comprehensive research (literature review, the paper proposes the realization of aSWOT analysis within a post-sanitary school, which aims at emphasizing the main advantages of apost-secondary schools perceived by students and discovering major development opportunities forthe quality of services offered by it, as a premise of the improvement of the sanitary schools, andthus, the health system in Romania.

  20. Unpleasantness and physiological responses in using sanitary napkins.

    Science.gov (United States)

    Park, Mi-Kyong; Watanuki, Shigeki

    2005-01-01

    This study investigated the physiological and psychological effects of sanitary napkins (SN) on women in hemorrhage treatment during the menstrual phase. Mesh and non-woven napkins were employed, and the effects were studied during the follicular and menstrual phases; mesh SN presented a higher textural surface-roughness. In both phases, the increases in systolic and diastolic blood pressure were significantly dependent on the application intervals. The low-frequency component of systolic blood pressure variability significantly increased, while the salivary secretion rate decreased with the use of mesh SN during the follicular phase compared with non-woven SN. In addition, the heart rate during the menstrual phase significantly increased in subjects after the replacement of mesh SN compared with non-woven SN. In cases of wearing the unpleasant mesh SN, electroencephalography (EEG) manifested bilateral enhancements in beta and alpha2 waves in the frontal areas increased arousal level during both phases. From the above findings, napkin use increased physiological loading and wearing napkins with higher textural surface-roughness tended to increase activities of the autonomic nervous system and brain arousal level.

  1. Evaluation of excessive lifetime cancer risk due to natural radioactivity in the rivers sediments of Northern Pakistan

    Directory of Open Access Journals (Sweden)

    Aziz Ahmed Qureshi

    2014-10-01

    Full Text Available Naturally occurring radionuclides 226Ra, 232Th and 40K present in the rivers sediments of Northern Pakistan were measured using HPGe γ-ray spectrometer to evaluate the radiation health hazard indices and excess lifetime cancer risk (ELCR. Average concentrations of 226Ra, 232Th and 40K in the sediments were found to be 50.66 ± 1.29, 70.15 ± 1.45 and 531.70 ± 5.45 Bq kg−1 respectively. Radium equivalent activity (190.89 Bq kg−1, outdoor external dose (87.47 nGy h−1, indoor external dose (165.39 nGy h−1, and total average annual effective dose (0.92 mSv were calculated. The hazard indices are higher than the world's average values. Total excess lifetime cancer risk (ELCR was found to be 3.21 × 10−3 which is relatively higher. Numerous cancer deaths are annually reported from the Northern areas of Pakistan, which may be related to high radioactivity in the area.

  2. Levels of trace elements in green turtle eggs collected from Hong Kong: Evidence of risks due to selenium and nickel

    Energy Technology Data Exchange (ETDEWEB)

    Lam, James C.W. [Center for Coastal Pollution and Conservation, Department of Biology and Chemistry, City University of Hong Kong, Kowloon, Hong Kong (China); Tanabe, Shinsuke [Center for Marine Environmental Studies, Ehime University, Tarumi 3-5-7, Matsuyama 790-8556 (Japan); Chan, Simon K.F. [Agriculture, Fisheries and Conservation Department, Hong Kong SAR Government, Hong Kong, (China); Lam, Michael H.W. [Center for Coastal Pollution and Conservation, Department of Biology and Chemistry, City University of Hong Kong, Kowloon, Hong Kong (China); Martin, Michael [Center for Coastal Pollution and Conservation, Department of Biology and Chemistry, City University of Hong Kong, Kowloon, Hong Kong (China); Lam, Paul K.S. [Center for Coastal Pollution and Conservation, Department of Biology and Chemistry, City University of Hong Kong, Kowloon, Hong Kong (China)]. E-mail: bhpksl@cityu.edu.hk

    2006-12-15

    Concentrations of 22 trace elements were determined in green turtle (Chelonia mydas) eggs collected from Hong Kong. Concentrations of selenium, lead and nickel in these eggs were generally higher than those reported in other studies. The predicted no effect concentrations (PNEC; ng/g wet weight) of Pb (1000), Se (340 and 6000 for the worst-case and best-case scenarios, respectively) and Ni (17) in the green turtle eggs were estimated. Hazard quotients (HQs) estimate that Se (HQs: 0.2-24.5) and Ni (HQs: 4.0-26.4) may pose some risks to the turtles. Our study also found that concentrations of Ag, Se, Zn, Hg and Pb in the shell of the turtle eggs were significantly correlated with levels in the whole egg contents (yolk + albumen). Once the precise relationships of specific elements are established, egg-shell concentrations may be used as a non-lethal, non-invasive, surrogate for predicting whole egg burden of certain contaminants in marine turtles. - Concentrations of selenium and nickel in green turtle eggs from Hong Kong might pose some risks to the turtles.

  3. Risk of infection and associated influenza-like disease among abattoir workers due to two Leptospira species.

    Science.gov (United States)

    Dreyfus, A; Heuer, C; Wilson, P; Collins-Emerson, J; Baker, M G; Benschop, J

    2015-07-01

    The aims of this study were to determine the annual incidence of infection with Leptospira interrogans serovar Pomona and/or Leptospira borgpetersenii serovar Hardjo and its association with influenza-like illness (ILI) in meat workers in New Zealand. Sera were collected twice, 50-61 weeks apart, from 592 workers at eight abattoirs slaughtering sheep (n = 4), cattle (n = 2) and deer (n = 2), and tested by the microscopic agglutination test for Hardjo and Pomona. Forty-nine (8·3%) participants either seroconverted or had at least a twofold increased serological titre against either serovar. The worker infection risk was higher in sheep abattoirs (11·9%) than in abattoirs processing deer (0%) or cattle (1·2%) (P Leptospira serovars was 2·7%. This study has demonstrated that meat workers are at substantial risk of infection and clinical disease, suggesting further investigation of infection sources and preventive measures are warranted.

  4. Increased Risk of Mortality Due to Interpersonal Violence in Foreign-Born Women of Reproductive Age: A Swedish Register-Based Study.

    Science.gov (United States)

    Fernbrant, Cecilia; Essén, Birgitta; Esscher, Annika; Östergren, Per-Olof; Cantor-Graae, Elizabeth

    2016-10-01

    Violence against women is an increasing public health concern, with assault leading to death as the most extreme outcome. Previous findings indicate that foreign-born women living in Sweden are more exposed to interpersonal violence than Swedish-born women. The current study investigates mortality due to interpersonal violence in comparison with other external causes of death among women of reproductive age in Sweden, with focus on country of birth. Foreign-born women and especially those from countries with low and very low gender equity levels had increased risk of mortality due to interpersonal violence, thus implicating lack of empowerment as a contributing factor.

  5. Risk of Adverse Health Outcomes & Decrements in Performance due to Inflight Medical Conditions: ExMC Pharmacy Research Plan

    Science.gov (United States)

    Antonsen, Erik

    2016-01-01

    The Exploration Medical Capabilities (ExMC) Element of NASA's Human Research Program is charged with identifying medical capabilities that can address the challenges of prevention, diagnosis, and treatment of disease and injuries that could occur during exploration missions beyond Earth's orbit. Faced with the obstacle of access to in-flight medical care, and limitations of vehicle space, time, and communications; it is necessary to prioritize what medical consumables are manifested for the flight, and which medical conditions are addressed. Studies of astronaut health establish the incidence of common and high risk medical conditions that require medical intervention during long-duration exploration missions. In 2000, the Institute of Medicine (IOM) convened a committee of experts, Committee on Creating a Vision for Space Medicine during Travel beyond Earth Orbit, to examine the issues surrounding astronaut health and safety for long duration space missions. Two themes run throughout the committee's final report: (1) that not enough is known about the risks to human health during long-duration missions beyond Earth's orbit or about what can effectively mitigate those risks to enable humans to travel and work safely in the environment of deep space and (2) that everything reasonable should be done to gain the necessary information before humans are sent on missions of space exploration (IOM, 2001). Although several spaceflight focused pharmaceutical research studies have been conducted, few have provided sufficient data regarding medication usage or potency changes during spaceflight. The Du pharmaceutical stability study assessed medications flown on space shuttles to and from the International Space Station (ISS) from 2006 until 2008; of which some medications were still viable beyond their expiration dates (Du et al, 2011). However, as with many spaceflight studies, the small 'n' associated with this study limits the ability to draw strong conclusions from it

  6. Descriptive epidemiology and risk factors for eliminations from Fédération Equestre Internationale endurance rides due to lameness and metabolic reasons (2008-2011).

    Science.gov (United States)

    Nagy, A; Murray, J K; Dyson, S J

    2014-01-01

    There is limited information on international endurance rides and on risk factors for eliminations. To describe and compare the frequency of occurrence of elimination due to lameness and metabolic reasons from Fédération Equestre Internationale (FEI) endurance rides (≥100 km) during 2008-2011 in all countries and to assess risk factors for elimination due to lameness and metabolic reasons. Retrospective unmatched case-control study. Data collected from the FEI website included the following: the country where the ride was held; the year; the result for each horse-rider combination; the number of entries in each class; whether the class was restricted to young riders; and the winning speed. Descriptive data were summarised, and univariable and multivariable logistic regression analyses were performed to assess risk factors for eliminations due to lameness and metabolic reasons. Between 2008 and 2011, there were 30,741 horse starts at FEI endurance rides of 100-160 km distance in 47 countries. Of all started horses, 30% were eliminated for lameness. Eliminations for metabolic reasons were recorded for 8.7% of all started horses. There was a large range of winning speeds amongst countries (10.2-29.5 km/h). Multivariable analysis revealed that the risk of elimination due to lameness was significantly associated with the country where the ride was held, the year, the distance of the ride and the number of entries. Elimination for metabolic reasons was significantly associated with the country where the ride was held, the year and the number of entries. Differences existed among elimination rates at FEI endurance rides in different countries (2008-2011). Lameness was the most common reason for elimination globally. These results provide objective global data on endurance riding that can replace anecdotal information, which has been the base of opinions, decisions and regulations. The Summary is available in Chinese - see Supporting information. © 2013 EVJ Ltd.

  7. [Obesity and high health risk due to beberages consumption and obesity among high school students in méxico].

    Science.gov (United States)

    Caravalí-Meza, NurisYohana; Jiménez-Cruz, Arturo; Bacardí-Gascón, Montserrat; Gómez-Miranda, Luis Mario

    2015-05-01

    The purpose of this study was to identify the consumption of beverages among high school Mexican students and to determine obesity (OB) and abdominal obesity (AB). Differences in range and calorie beverage consumption between gender and BMI categories were calculated with the Mann-Whitney test. We assessed 1,677 students 15 to 17 yo. The prevalence of OB and AO was 15% and 53% in men and 12% and 47% in women. The consumption of energy, sugary drinks, and alcohol in milliliters and kilocalories per week, was higher in men (p = 0.001). More than 70% of students consumed per day more than 25 g/day of sugar from beverages, and more than 38% consumed more than 50 g/day of sugar. This high risk food consumption warrants immediate intervention.

  8. Investigation of the radiation risk due to environmental contamination by 241Am from lightning rods disposed at uncontrolled garbage dumps.

    Science.gov (United States)

    Marumo, Júlio T; Isiki, Vera L K; Miyamoto, Hissae; Ferreira, Rafael V P; Bellini, Maria H; de Lima, Luis F C P

    2008-02-01

    Radioactive lightning rods were manufactured in Brazil until 1989, when the licenses for using radioactive sources in these products were lifted by the national nuclear authority. Since then, these rods have been replaced by the Franklin type and collected as radioactive waste. However, only 20% of the estimated total number of installed rods has been delivered to the Brazilian Nuclear Commission. This situation causes concern, since there is the possibility of the rods to be disposed as domestic waste. In Brazil, 64% of the municipal solid waste is disposed at garbage dumps without sufficient control. In addition, (241)Am, the radionuclide most commonly employed, is classified as a high-toxicity element, when incorporated. In the present study, (241)Am migration experiments were performed by means of a lysimeter system, in order to evaluate the risk of contamination caused by radioactive lightning rods disposed as common solid waste. (241)Am sources removed from lightning rods were placed inside lysimeters filled with organic waste that was collected at the restaurant of the Instituto de Pesquisas Energéticas e Nucleares. The generated leachate was periodically analyzed, and characteristics such as pH, redox potential, solid content and the concentration of the radioactive material were determined. The equivalent dose for members of the public was calculated considering ingestion of contaminated drinking water as the major path of exposure. Estimated doses were about 20-times below the effective dose limit of 1 mSv year(-1) for members of the public as recommended by the International Commission on Radiological Protection. This suggests the radiation risk caused by lightning rods disposed at uncontrolled garbage dumps to be low. It should be noted, however, that the number of investigated lightning rods was quite small. The results of this study might therefore not be entirely representative and should be interpreted with care. They provide, however, a very first

  9. Is the effect of job strain on myocardial infarction risk due to interaction between high psychological demands and low decision latitude?

    DEFF Research Database (Denmark)

    Hallqvist, J; Diderichsen, Finn; Theorell, T;

    1998-01-01

    referents were included in the analysis. Exposure categories of job strain were formed from self reported questionnaire information. The results show that high demands and low decision latitude interact with a synergy index of 7.5 (95% C.I.: 1.8-30.6) providing empirical support for the core mechanism......The objectives are to examine if the excess risk of myocardial infarction from exposure to job strain is due to interaction between high demands and low control and to analyse what role such an interaction has regarding socioeconomic differences in risk of myocardial infarction. The material...... of the job strain model. Manual workers are more susceptible when exposed to job strain and its components and this increased susceptibility explains about 25-50% of the relative excess risk among manual workers. Low decision latitude may also, as a causal link, explain about 30% of the socioeconomic...

  10. RiskDiff: a web tool for the analysis of the difference due to risk and demographic factors for incidence or mortality data

    Science.gov (United States)

    2009-01-01

    Background Analysing the observed differences for incidence or mortality of a particular disease between two different situations (such as time points, geographical areas, gender or other social characteristics) can be useful both for scientific or administrative purposes. From an epidemiological and public health point of view, it is of great interest to assess the effect of demographic factors in these observed differences in order to elucidate the effect of the risk of developing a disease or dying from it. The method proposed by Bashir and Estève, which splits the observed variation into three components: risk, population structure and population size is a common choice at practice. Results A web-based application, called RiskDiff has been implemented (available at http://rht.iconcologia.net/riskdiff.htm), to perform this kind of statistical analyses, providing text and graphical summaries. Code from the implemented functions in R is also provided. An application to cancer mortality data from Catalonia is used for illustration. Conclusions Combining epidemiological with demographical factors is crucial for analysing incidence or mortality from a disease, especially if the population pyramids show substantial differences. The tool implemented may serve to promote and divulgate the use of this method to give advice for epidemiologic interpretation and decision making in public health. PMID:20021655

  11. Nitrogen removal optimization in a sequencing batch reactor treating sanitary landfill leachate.

    Science.gov (United States)

    Spagni, Alessandro; Lavagnolo, M Cristina; Scarpa, Carlotta; Vendrame, Paola; Rizzo, Andrea; Luccarini, Luca

    2007-05-01

    Biological nitrogen removal via nitrite may represent a promising process for the optimization of nitrogen removal, in particular in the presence of a low biodegradable COD/TKN ratio. In the present study a lab-scale sequencing batch reactor (SBR) was monitored for approximately 2 years to evaluate the use of dissolved oxygen (DO), pH and oxidation-reduction potential (ORP) as monitoring parameters in order to optimize nitrogen removal via nitrite from leachate generated in old sanitary landfills. The SBR manifested a nitrification efficiency exceeding 99% whereas, due to the low biodegradability of the organic matter presents in the leachates, COD removal reached approximately 40% and the addition of external COD was required to accomplish denitrification process. Moreover, the results demonstrate that DO, pH and ORP are reliable parameters for use in the monitoring of nitritation and denitritation processes in SBRs treating landfill leachates. Through manual modification of the length of the SBR phases to achieve nitrogen removal via nitrite, the nitritation and denitritation processes were rendered unstable leading to the saving of 20% in addition of external COD, almost half the theoretically achievable value. Furthermore, the low dissolved oxygen concentration applied during the oxic phases in an attempt to increase the nitritation process would appear to cause the settling characteristics of the activated sludge to deteriorate.

  12. Palytoxin-Containing Aquarium Soft Corals as an Emerging Sanitary Problem

    Directory of Open Access Journals (Sweden)

    Marco Pelin

    2016-02-01

    Full Text Available Palytoxin (PLTX, one the most potent marine toxins, and/or its analogs, have been identified in different marine organisms, such as Palythoa soft corals, Ostreopsis dinoflagellates, and Trichodesmium cyanobacteria. Although the main concern for human health is PLTXs entrance in the human food chain, there is growing evidence of adverse effects associated with inhalational, cutaneous, and/or ocular exposure to aquarium soft corals contaminated by PLTXs or aquaria waters. Indeed, the number of case reports describing human poisonings after handling these cnidarians is continuously increasing. In general, the signs and symptoms involve mainly the respiratory (rhinorrhea and coughing, skeletomuscular (myalgia, weakness, spasms, cardiovascular (electrocardiogram alterations, gastrointestinal (nausea, and nervous (paresthesia, ataxia, tremors systems or apparates. The widespread phenomenon, the entity of the signs and symptoms of poisoning and the lack of control in the trade of corals as aquaria decorative elements led to consider these poisonings an emerging sanitary problem. This review summarizes literature data on human poisonings due to, or ascribed to, PLTX-containing soft corals, focusing on the different PLTX congeners identified in these organisms and their toxic potential.

  13. Risk of Performance and Behavioral Health Decrements Due to Inadequate Cooperation, Coordination, Communication, and Psychosocial Adaptation within a Team

    Science.gov (United States)

    Landon, Lauren Blackwell; Vessey, William B.; Barrett, Jamie D.

    2015-01-01

    A team is defined as: "two or more individuals who interact socially and adaptively, have shared or common goals, and hold meaningful task interdependences; it is hierarchically structured and has a limited life span; in it expertise and roles are distributed; and it is embedded within an organization/environmental context that influences and is influenced by ongoing processes and performance outcomes" (Salas, Stagl, Burke, & Goodwin, 2007, p. 189). From the NASA perspective, a team is commonly understood to be a collection of individuals that is assigned to support and achieve a particular mission. Thus, depending on context, this definition can encompass both the spaceflight crew and the individuals and teams in the larger multi-team system who are assigned to support that crew during a mission. The Team Risk outcomes of interest are predominantly performance related, with a secondary emphasis on long-term health; this is somewhat unique in the NASA HRP in that most Risk areas are medically related and primarily focused on long-term health consequences. In many operational environments (e.g., aviation), performance is assessed as the avoidance of errors. However, the research on performance errors is ambiguous. It implies that actions may be dichotomized into "correct" or "incorrect" responses, where incorrect responses or errors are always undesirable. Researchers have argued that this dichotomy is a harmful oversimplification, and it would be more productive to focus on the variability of human performance and how organizations can manage that variability (Hollnagel, Woods, & Leveson, 2006) (Category III1). Two problems occur when focusing on performance errors: 1) the errors are infrequent and, therefore, difficult to observe and record; and 2) the errors do not directly correspond to failure. Research reveals that humans are fairly adept at correcting or compensating for performance errors before such errors result in recognizable or recordable failures

  14. Study of medicine 2.0 due to Web 2.0?! -- risks and opportunities for the curriculum in Leipzig.

    Science.gov (United States)

    Hempel, Gunther; Neef, Martin; Rotzoll, Daisy; Heinke, Wolfgang

    2013-01-01

    Web 2.0 is changing the study of medicine by opening up totally new ways of learning and teaching in an ongoing process. Global social networking services like Facebook, YouTube, Flickr, Google Drive and Xing already play an important part in communication both among students and between students and teaching staff. Moreover, local portals (such as the platform [http://www.leipzig-medizin.de] established in 2003) have also caught on and in some cases eclipsed the use of the well-known location-independent social media. The many possibilities and rapid changes brought about by social networks need to be publicized within medical faculties. Therefore, an E-learning and New Media Working Group was set up at the Faculty of Medicine of Universität Leipzig in order to harness the opportunities of Web 2.0, analyse the resulting processes of change in the study of medicine, and curb the risks of the Internet. With Web 2.0 and the social web already influencing the study of medicine, the opportunities of the Internet now need to be utilized to improve the teaching of medicine.

  15. Condensation Risk Due to Variations in Airtightness and Thermal Insulation of an Office Building in Warm and Wet Climate

    Directory of Open Access Journals (Sweden)

    Wanghee Cho

    2016-10-01

    Full Text Available Condensation in a building encourages microbial growth, which can have an adverse effect on the health of occupants. Furthermore, it induces the deterioration of the building. To prevent problems caused by condensation, from the design step of a building, predictions of the spatial, temporal and causation for condensation occurrences are necessary. By using TRNSYS simulation coupled with TRNFLOW, condensation assessment of an entire office building in Tokyo, Japan, was conducted throughout the year, including when the air-conditioning system was not operated, by considering the absorption-desorption properties of the building materials and papers in the office and the airflow within the entire building. It was found that most of the condensation occurred during winter and was observed mainly in the non-air-conditioned core parts, especially the topmost floor. Additional analyses, which identified the effect of variations in the thermal insulation of the external walls, roof and windows and the airtightness of the windows on condensation, showed that the lower airtightness of windows resulted in decreased condensation risks, and condensation within the building was suppressed completely when the thermal insulation material thickness of the external walls was greater than 75 mm, that of the roof was greater than 105 mm and the windows had triple float glass.

  16. Adverse local tissue reactions in metal-on-polyethylene total hip arthroplasty due to trunnion corrosion: the risk of misdiagnosis.

    Science.gov (United States)

    Whitehouse, M R; Endo, M; Zachara, S; Nielsen, T O; Greidanus, N V; Masri, B A; Garbuz, D S; Duncan, C P

    2015-08-01

    Adverse reaction to wear and corrosion debris is a cause for concern in total hip arthroplasty (THA). Modular junctions are a potential source of such wear products and are associated with secondary pseudotumour formation. We present a consecutive series of 17 patients treated at our unit for this complication following metal-on-highly cross-linked polyethylene (MoP) THA. We emphasise the risk of misdiagnosis as infection, and present the aggregate laboratory results and pathological findings in this series. The clinical presentation was pain, swelling or instability. Solid, cystic and mixed soft-tissue lesions were noted on imaging and confirmed intra-operatively. Corrosion at the head-neck junction was noted in all cases. No bacteria were isolated on multiple pre- and intra-operative samples yet the mean erythrocyte sedimentation rate was 49 (9 to 100) and C-reactive protein 32 (0.6 to 106) and stromal polymorphonuclear cell counts were noted in nine cases. Adverse soft-tissue reactions can occur in MoP THA owing to corrosion products released from the head-neck junction. The diagnosis should be carefully considered when investigating pain after THA. This may avoid the misdiagnosis of periprosthetic infection with an unidentified organism and mitigate the unnecessary management of these cases with complete single- or two-stage exchange. ©2015 The British Editorial Society of Bone & Joint Surgery.

  17. A Polymorphism in the Chitotriosidase Gene Associated with Risk of Mycetoma Due to Madurella mycetomatis Mycetoma–A Retrospective Study

    Science.gov (United States)

    Verwer, Patricia E. B.; Notenboom, Charlotte C.; Eadie, Kimberly; Fahal, Ahmed H.; Verbrugh, Henri A.; van de Sande, Wendy W. J.

    2015-01-01

    Background Madurella mycetomatis is the most prevalent causative agent of eumycetoma in Sudan, an infection characterized by the formation of grains. Many patients are exposed to the causative agent, however only a small number develop infection. M. mycetomatis contains chitin in its cell wall, which can trigger the human immune system. Polymorphisms in the genes encoding for the chitin-degrading enzymes chitotriosidase and AMCase were described, resulting in altered chitinase activity. We investigated the association between 4 of these polymorphisms and the incidence of M. mycetomatis mycetoma in a Sudanese population. Methodology Polymorphisms studied in 112 eumycetoma patients and 103 matched controls included a 24-bp insertion in the chitotriosidase gene (rs3831317), resulting in impaired chitinase activity and single nucleotide polymorphism (SNP) in the AMCase gene (rs61756687), resulting in decreased AMCase activity. Also, a SNP (rs41282492) and a 10-bp insertion in the 5’UTR region of the AMCase gene (rs143789088) were studied, both resulting in increased AMCase activity. DNA was isolated from blood and genotypes were determined using PCR-RFLP. Principal Findings Histological staining proved the presence of chitin in the fungal grain. The polymorphism resulting in decreased chitotriosidase activity was associated with increased odds of eumycetoma (odds ratio 2.9; p = 0.004). No association was found for the polymorphisms in the genes for AMCase (all p>0.05). Conclusion Decreased chitotriosidase activity was associated with increased risk of M. mycetomatis mycetoma. PMID:26332238

  18. A Polymorphism in the Chitotriosidase Gene Associated with Risk of Mycetoma Due to Madurella mycetomatis Mycetoma--A Retrospective Study.

    Science.gov (United States)

    Verwer, Patricia E B; Notenboom, Charlotte C; Eadie, Kimberly; Fahal, Ahmed H; Verbrugh, Henri A; van de Sande, Wendy W J

    2015-01-01

    Madurella mycetomatis is the most prevalent causative agent of eumycetoma in Sudan, an infection characterized by the formation of grains. Many patients are exposed to the causative agent, however only a small number develop infection. M. mycetomatis contains chitin in its cell wall, which can trigger the human immune system. Polymorphisms in the genes encoding for the chitin-degrading enzymes chitotriosidase and AMCase were described, resulting in altered chitinase activity. We investigated the association between 4 of these polymorphisms and the incidence of M. mycetomatis mycetoma in a Sudanese population. Polymorphisms studied in 112 eumycetoma patients and 103 matched controls included a 24-bp insertion in the chitotriosidase gene (rs3831317), resulting in impaired chitinase activity and single nucleotide polymorphism (SNP) in the AMCase gene (rs61756687), resulting in decreased AMCase activity. Also, a SNP (rs41282492) and a 10-bp insertion in the 5'UTR region of the AMCase gene (rs143789088) were studied, both resulting in increased AMCase activity. DNA was isolated from blood and genotypes were determined using PCR-RFLP. Histological staining proved the presence of chitin in the fungal grain. The polymorphism resulting in decreased chitotriosidase activity was associated with increased odds of eumycetoma (odds ratio 2.9; p = 0.004). No association was found for the polymorphisms in the genes for AMCase (all p>0.05). Decreased chitotriosidase activity was associated with increased risk of M. mycetomatis mycetoma.

  19. A Polymorphism in the Chitotriosidase Gene Associated with Risk of Mycetoma Due to Madurella mycetomatis Mycetoma--A Retrospective Study.

    Directory of Open Access Journals (Sweden)

    Patricia E B Verwer

    Full Text Available Madurella mycetomatis is the most prevalent causative agent of eumycetoma in Sudan, an infection characterized by the formation of grains. Many patients are exposed to the causative agent, however only a small number develop infection. M. mycetomatis contains chitin in its cell wall, which can trigger the human immune system. Polymorphisms in the genes encoding for the chitin-degrading enzymes chitotriosidase and AMCase were described, resulting in altered chitinase activity. We investigated the association between 4 of these polymorphisms and the incidence of M. mycetomatis mycetoma in a Sudanese population.Polymorphisms studied in 112 eumycetoma patients and 103 matched controls included a 24-bp insertion in the chitotriosidase gene (rs3831317, resulting in impaired chitinase activity and single nucleotide polymorphism (SNP in the AMCase gene (rs61756687, resulting in decreased AMCase activity. Also, a SNP (rs41282492 and a 10-bp insertion in the 5'UTR region of the AMCase gene (rs143789088 were studied, both resulting in increased AMCase activity. DNA was isolated from blood and genotypes were determined using PCR-RFLP.Histological staining proved the presence of chitin in the fungal grain. The polymorphism resulting in decreased chitotriosidase activity was associated with increased odds of eumycetoma (odds ratio 2.9; p = 0.004. No association was found for the polymorphisms in the genes for AMCase (all p>0.05.Decreased chitotriosidase activity was associated with increased risk of M. mycetomatis mycetoma.

  20. [Design of software and hardware complex of automated systems for the management of the State Sanitary and Epidemiological Surveillance].

    Science.gov (United States)

    Mel'nichenko, P I; Muzychenko, F V; Malinovskiĭ, A A; Leont'ev, L Iu; Ustiukhin, N V

    2005-05-01

    A new information system (IS) - the software and hardware complex for controlling the state sanitary-and-epidemiological inspection (SSEI) was created. The system represents the aggregate of automated working places of RF MD chief state sanitary physician arid specialists from the department of state sanitary-and-epidemiological inspection of the Main Military Medical Headquarters. They interact through communications with working places of specialists from SSEI Main Center, chief state sanitary physicians from the Armed Forces, military districts (fleets) and RFAF CSSEI. The special software provides automation of the following technological processes: operative sanitary-and epidemiological and epidemiological monitoring; the epidemiological analysis of infectious diseases; the evaluation of quality and efficiency of sanitary-and epidemiological work. At present the complex works in the regime of experimental exploitation when the adjustment of communications and special software is performed.

  1. Environmental and Sanitary Conditions of Guanabara Bay, Rio de Janeiro

    Science.gov (United States)

    Fistarol, Giovana O.; Coutinho, Felipe H.; Moreira, Ana Paula B.; Venas, Tainá; Cánovas, Alba; de Paula, Sérgio E. M.; Coutinho, Ricardo; de Moura, Rodrigo L.; Valentin, Jean Louis; Tenenbaum, Denise R.; Paranhos, Rodolfo; do Valle, Rogério de A. B.; Vicente, Ana Carolina P.; Amado Filho, Gilberto M.; Pereira, Renato Crespo; Kruger, Ricardo; Rezende, Carlos E.; Thompson, Cristiane C.; Salomon, Paulo S.; Thompson, Fabiano L.

    2015-01-01

    Guanabara Bay is the second largest bay in the coast of Brazil, with an area of 384 km2. In its surroundings live circa 16 million inhabitants, out of which 6 million live in Rio de Janeiro city, one of the largest cities of the country, and the host of the 2016 Olympic Games. Anthropogenic interference in Guanabara Bay area started early in the XVI century, but environmental impacts escalated from 1930, when this region underwent an industrialization process. Herein we present an overview of the current environmental and sanitary conditions of Guanabara Bay, a consequence of all these decades of impacts. We will focus on microbial communities, how they may affect higher trophic levels of the aquatic community and also human health. The anthropogenic impacts in the bay are flagged by heavy eutrophication and by the emergence of pathogenic microorganisms that are either carried by domestic and/or hospital waste (e.g., virus, KPC-producing bacteria, and fecal coliforms), or that proliferate in such conditions (e.g., vibrios). Antibiotic resistance genes are commonly found in metagenomes of Guanabara Bay planktonic microorganisms. Furthermore, eutrophication results in recurrent algal blooms, with signs of a shift toward flagellated, mixotrophic groups, including several potentially harmful species. A recent large-scale fish kill episode, and a long trend decrease in fish stocks also reflects the bay’s degraded water quality. Although pollution of Guanabara Bay is not a recent problem, the hosting of the 2016 Olympic Games propelled the government to launch a series of plans to restore the bay’s water quality. If all plans are fully implemented, the restoration of Guanabara Bay and its shores may be one of the best legacies of the Olympic Games in Rio de Janeiro. PMID:26635734

  2. Environmental and sanitary conditions of Guanabara Bay, Rio de Janeiro

    Directory of Open Access Journals (Sweden)

    Giovana De Oliveira Fistarol

    2015-11-01

    Full Text Available Guanabara Bay is the second largest bay in the coast of Brazil, with an area of 384 km2. In its surroundings live circa 16 million inhabitants, out of which 6 million live in Rio de Janeiro city, one of the largest cities of the country, and the host of the 2016 Olympic Games. Anthropogenic interference in Guanabara Bay area started early in the XVI century, but environmental impacts escalated from 1930, when this region underwent an industrialization process. Herein we present an overview of the current environmental and sanitary conditions of Guanabara Bay, a consequence of all these decades of impacts. We will focus on microbial communities, how they may affect higher trophic levels of the aquatic community and also human health. The anthropogenic impacts in the bay are flagged by heavy eutrophication and by the emergence of pathogenic microorganisms that are either carried by domestic and/or hospital waste (e.g. virus, KPC-producing bacteria, and fecal coliforms, or that proliferate in such conditions (e.g. vibrios. Antibiotic resistance genes are commonly found in metagenomes of Guanabara Bay planktonic microorganisms. Furthermore, eutrophication results in recurrent algal blooms, with signs of a shift towards flagellated, mixotrophic groups, including several potentially harmful species. A recent large-scale fish kill episode, and a long trend decrease in fish stocks also reflects the bay’s degraded water quality. Although pollution of Guanabara Bay is not a recent problem, the hosting of the 2016 Olympic Games propelled the government to launch a series plans to restore the bay’s water quality. If all plans are fully implemented, the restoration of Guanabara Bay and its shores may be one of the best legacies of the Olympic Games in Rio de Janeiro.

  3. Investigation of levels in ambient air near sources of Polychlorinated Biphenyls (PCBs) in Kanpur, India, and risk assessment due to inhalation.

    Science.gov (United States)

    Goel, Anubha; Upadhyay, Kritika; Chakraborty, Mrinmoy

    2016-05-01

    Polychlorinated biphenyls (PCBs) are a class of organic compounds listed as persistent organic pollutant and have been banned for use under Stockholm Convention (1972). They were used primarily in transformers and capacitors, paint, flame retardants, plasticizers, and lubricants. PCBs can be emitted through the primary and secondary sources into the atmosphere, undergo long-range atmospheric transport, and hence have been detected worldwide. Reported levels in ambient air are generally higher in urban areas. Active sampling of ambient air was conducted in Kanpur, a densely populated and industrialized city in the Indo-Gangetic Plain, for detection of 32 priority PCBs, with the aim to determine the concentration in gas/particle phase and assess exposure risk. More than 50 % of PCBs were detected in air. Occurrence in particles was dominated by heavier congeners, and levels in gas phase were below detection. Levels determined in this study are lower than the levels in Coastal areas of India but are at par with other Asian countries where majority of sites chosen for sampling were urban industrial areas. Human health risk estimates through air inhalation pathway were made in terms of lifetime average daily dose (LADD) and incremental lifetime cancer risks (ILCR). The study found lower concentrations of PCBs than guideline values and low health risk estimates through inhalation within acceptable levels, indicating a minimum risk to the adults due to exposure to PCBs present in ambient air in Kanpur.

  4. Application of discriminant analysis-based model for prediction of risk of low back disorders due to workplace design in industrial jobs.

    Science.gov (United States)

    Ganga, G M D; Esposto, K F; Braatz, D

    2012-01-01

    The occupational exposure limits of different risk factors for development of low back disorders (LBDs) have not yet been established. One of the main problems in setting such guidelines is the limited understanding of how different risk factors for LBDs interact in causing injury, since the nature and mechanism of these disorders are relatively unknown phenomena. Industrial ergonomists' role becomes further complicated because the potential risk factors that may contribute towards the onset of LBDs interact in a complex manner, which makes it difficult to discriminate in detail among the jobs that place workers at high or low risk of LBDs. The purpose of this paper was to develop a comparative study between predictions based on the neural network-based model proposed by Zurada, Karwowski & Marras (1997) and a linear discriminant analysis model, for making predictions about industrial jobs according to their potential risk of low back disorders due to workplace design. The results obtained through applying the discriminant analysis-based model proved that it is as effective as the neural network-based model. Moreover, the discriminant analysis-based model proved to be more advantageous regarding cost and time savings for future data gathering.

  5. Disability due to maternal common mental disorders (CMDs as a risk factor for chronic childhood malnutrition: cross-sectional study

    Directory of Open Access Journals (Sweden)

    Jorge Lopes Cavalcante-Neto

    Full Text Available ABSTRACT: CONTEXT AND OBJECTIVE: The disability associated with maternal common mental disorders (CMDs is among the possible explanations for the association between chronic childhood malnutrition and CMDs. CMDs may impair the mother's ability to perform her role, particularly in deprived environments. The present study aimed to evaluate whether disability relating to CMDs could be part of the pathway of the association between childhood malnutrition and maternal CMDs. DESIGN AND SETTING: Cross-sectional study conducted in two institutions: one for malnourished children and another for eutrophic children living in a low-income community in the state of Alagoas, Brazil. METHOD: The cases consisted of 55 malnourished children aged from 12 to 60 months who were attending a nutritional rehabilitation center, with height-for-age z-scores < 2. The controls were 70 eutrophic children of the same age who were attending a day care center in the same area as the cases. The Self-Report Questionnaire made it possible to identify likely cases of maternal CMD. The Sheehan Disability Scale enabled evaluation of the associated disability. RESULTS: Chronic childhood malnutrition was significantly associated with maternal disability relating to CMDs (OR = 2.28; 95% CI: 1.02-5.1. The best logistic regression model using chronic childhood malnutrition as the dependent variable included the following independent variables: higher number of people living in the household; absence of the biological father from the household; and maternal disability relating to CMDs. CONCLUSIONS: If confirmed, the association between chronic childhood malnutrition and maternal disability relating to CMDs may be useful in helping to identify the causal chain between childhood malnutrition and maternal CMDs and to indicate environmental risk factors associated with chronic childhood malnutrition.

  6. High risk of fistula formation in vacuum-assisted closure therapy in patients with open abdomen due to secondary peritonitis-a retrospective analysis.

    Science.gov (United States)

    Mintziras, Ioannis; Miligkos, Michael; Bartsch, Detlef Klaus

    2016-08-01

    The aim of this study was to evaluate the efficacy of vacuum-assisted closure therapy in patients with open abdomen due to secondary peritonitis and to identify possible risk factors of fistula formation. The hospital OPS-database (time period 2005-2014) was searched to identify patients treated with an open abdomen due to secondary peritonitis, who underwent vacuum-assisted closure therapy. Medical records were retrospectively analyzed for patients' characteristics, cause of peritonitis, duration of vacuum therapy, number of relaparotomies, fascial closure rates, and risk factors of fistula formation. Forty-three patients (19 male, 24 female) with a median age of 65 years (range 24-90 years) were identified. The major cause of secondary peritonitis was anastomotic leakage after intestinal anastomosis or bowel perforation, the median APACHE II score was 11. Median duration of VAC treatment was 12 days (range 3-88 days). Twenty of 43 (47 %) patients died from septic complications. Delayed fascial closure was obtained by suturing in 20 of 43 patients (47 %). Overall 16 of 43 (37 %) patients developed enteroatmospheric fistulas. Re-explorations after starting VAC treatment and duration of VAC therapy were significantly associated with the occurrence of enteroatmospheric fistulas (p analysis determined the optimal duration of VAC therapy to reduce the risk of fistula formation at 13 days. Long-term VAC treatment of patients with an open abdomen due to secondary peritonitis results in a relatively low fascial closure rate and a high risk of fistula formation.

  7. Analysis of the risk factors for early death due to disease recurrence or progression within 1 year after hepatectomy in patients with hepatocellular carcinoma

    Directory of Open Access Journals (Sweden)

    Kamiyama Toshiya

    2012-06-01

    Full Text Available Abstract Background Liver resection for hepatocellular carcinoma (HCC has the highest local controllability among all local treatments and results in a good survival rate. However, the recurrence rates of HCC continue to remain high even after curative hepatectomy Moreover, it has been reported that some patients with HCC have an early death due to recurrence. We analyzed the preoperative risk factors for early cancer death. Methods Between 1997 and 2009, 521 consecutive patients who underwent hepatectomy for HCC at our center were assigned to group ED (death due to HCC recurrence or progression within 1 year after hepatectomy and group NED (alive over 1 year after hepatectomy. Risk factors for early cancer death were analyzed. Results Group ED included 48 patients, and group NED included 473 patients. The cause of death included cancer progression (150; 78.1%, operation-related (1; 0.5%, hepatic failure (15; 7.8%, and other (26; 13.5%. Between the ED and NED groups, there were significant differences in albumin levels, Child-Pugh classifications, anatomical resections, curability, tumor numbers, tumor sizes, macroscopic vascular invasion (portal vein and hepatic vein, alpha-fetoprotein (AFP levels, AFP-L3 levels, protein induced by vitamin K absence or antagonism factor II (PIVKA-II levels, differentiation, microscopic portal vein invasion, microscopic hepatic vein invasion, and distant metastasis by univariate analysis. Multivariate analysis identified specific risk factors, such as AFP level > 1,000 ng/ml, tumor number ≥ 4, tumor size ≥ 5 cm, poor differentiation, and portal vein invasion. With respect to the preoperative risk factors such as AFP level, tumor number, and tumor size, 3 (1.1% of 280 patients with no risk factors, 12 (7.8% of 153 patients with 1 risk factor, 24 (32.9% of 73 patients with 2 factors, and 9 (60.0% of 15 patients with 3 risk factors died within 1 year of hepatectomy (p  Conclusions Hepatectomy

  8. Trends in lifetime risk and years of life lost due to diabetes in the USA, 1985-2011: a modelling study.

    Science.gov (United States)

    Gregg, Edward W; Zhuo, Xiaohui; Cheng, Yiling J; Albright, Ann L; Narayan, K M Venkat; Thompson, Theodore J

    2014-11-01

    Diabetes incidence has increased and mortality has decreased greatly in the USA, potentially leading to substantial changes in the lifetime risk of diabetes. We aimed to provide updated estimates for the lifetime risk of development of diabetes and to assess the effect of changes in incidence and mortality on lifetime risk and life-years lost to diabetes in the USA. We incorporated data about diabetes incidence from the National Health Interview Survey, and linked data about mortality from 1985 to 2011 for 598 216 adults, into a Markov chain model to estimate remaining lifetime diabetes risk, years spent with and without diagnosed diabetes, and life-years lost due to diabetes in three cohorts: 1985-89, 1990-99, and 2000-11. Diabetes was determined by self-report and was classified as any diabetes, excluding gestational diabetes. We used logistic regression to estimate the incidence of diabetes and Poisson regression to estimate mortality. On the basis of 2000-11 data, lifetime risk of diagnosed diabetes from age 20 years was 40·2% (95% CI 39·2-41·3) for men and 39·6% (38·6-40·5) for women, representing increases of 20 percentage points and 13 percentage points, respectively, since 1985-89. The highest lifetime risks were in Hispanic men and women, and non-Hispanic black women, for whom lifetime risk now exceeds 50%. The number of life-years lost to diabetes when diagnosed at age 40 years decreased from 7·7 years (95% CI 6·5-9·0) in 1990-99 to 5·8 years (4·6-7·1) in 2000-11 in men, and from 8·7 years (8·4-8·9) to 6·8 years (6·7-7·0) in women over the same period. Because of the increasing diabetes prevalence, the average number of years lost due to diabetes for the population as a whole increased by 46% in men and 44% in women. Years spent with diabetes increased by 156% in men and 70% in women. Continued increases in the incidence of diagnosed diabetes combined with declining mortality have led to an acceleration of lifetime risk and more years

  9. Risk of tuberculosis in patients treated with tumor necrosis factor antagonists due to incomplete prevention of reactivation of latent infection.

    Science.gov (United States)

    Gómez-Reino, Juan J; Carmona, Loreto; Angel Descalzo, Miguel

    2007-06-15

    To evaluate the causes of new cases of active tuberculosis (ATB) in patients treated with tumor necrosis factor (TNF) antagonists included in the national registry BIOBADASER (Base de Datos de Productos Biológicos de la Sociedad Española de Reumatología) after the dissemination of recommendations to prevent reactivation of latent tuberculosis infection (LTBI). Incidence rate of ATB per 100,000 patient-years and 95% confidence intervals (95% CIs) were calculated in patients entering BIOBADASER after March 2002 and were stratified by compliance with recommendations (complete or incomplete). ATB rates in BIOBADASER were compared with the background rate and the rate in the rheumatoid arthritis cohort EMECAR (Estudio de la Morbilidad y Expresión Clínica de la Artritis Reumatoide) not treated with TNF antagonists. In addition, rates of ATB among patients treated with adalimumab, etanercept, and infliximab were estimated and compared only for treatments started after September 2003, when all 3 drugs became fully available. Following March 2002, a total of 5,198 patients treated with a TNF antagonist were registered in BIOBADASER. Fifteen ATB cases were noted (rate 172 per 100,000 patient-years, 95% CI 103-285). Recommendations were fully followed in 2,655 treatments. The probability of developing ATB was 7 times higher when recommendations were not followed (incidence rate ratio 7.09, 95% CI 1.60-64.69). Two-step tuberculosis skin test for LTBI was the major failure in complying with recommendations. New cases of ATB still occur in patients treated with all available TNF antagonists due to lack of compliance with recommendations to prevent reactivation of LTBI. Continuous evaluation of recommendations is required to improve clinical practice.

  10. [Activity of sanitary surveillances/offices in Warsaw at the time of the second republic of Poland].

    Science.gov (United States)

    Berner, Włodzimierz

    2006-01-01

    At the time of the Second Republic of Poland, Warsaw, the capital of the rebirth country, was a neglected town as regards sanitary conditions. The genesis of this situation dates back to the period of the national bondage by the Russian partitioner, and since 1915 by the German invader who did not care about the problems associated with public health. The sanitary and hygienic conditions worsened significantly in 1916, after incorporating into Warsaw large out-of-town regions whose housing was of the rural character with numerous wooden cottages, field roads, without any sanitary sewage system. Poor municipal sanitary-maintenance conditions and infectious diseases spreading in Warsaw made the Town Authorities implement preventive action and entrust sanitary surveillances with this difficult task. These surveillances were set up at the time of the First World War, and after 1920 were changed into sanitary offices. Their duties included control of acute infectious diseases, sanitary inspection of living quarters, sites of production and selling of food articles, plants, service outlets, shops of a different character, as well as surveillance of food purchased by the inhabitants. In each sanitary office a doctor was employed who supervised the work of one, two or three sanitary inspectors.

  11. Estimation of the collective sanitary impact of the land contamination by the radioactivity found at Gif sur Yvette; Estimation de l'impact sanitaire collectif de la contamination des terrains par la radioactivite presente a Gif sur Yvette

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-06-01

    The company 'Societe Nouvelle du Radium' extracted radium and produced radium needles in Gif-sur-Yvette (Essonne) from 1904 to 1957. In 1959, this site was converted into a habitable zone. Since then, this district called the 'Petite Coudraie' has been going through several radioactivity measurements and decontamination works. In 2000, the detection of very high levels of radon above sanitary recommendations in one house encouraged the local authorities to launch a systematic investigation and risk analysis in order to take the necessary measures against radiological risks for the whole concerned district. The 'Direction Departementale des Affaires Sanitaires et Sociales' (D.D.A.S.S.), the French Institute of Public Health (InVS) and the Institute of Nuclear Protection and Security (I.P.S.N.) conducted a health impact assessment of the pollution in this area. The Office for the Protection against Ionizing Radiations (O.P.R.I.) and the I.P.S.N. first measured the radioactivity found on the surface area. The I.P.S.N. then conducted a dosimetric study based on the measurement results and realistic exposure scenarios of adults and children present in the area. Finally, on the base of these results, the InVs did a quantitative risk assessment of cancer due to exposure to the radioactive residuals from the past industrial activities which is the subject of this report. This assessment allows to estimate the extent of this potential health impact due to the contamination of the area with the current scientific knowledge. It assesses the contribution of the various sources ways of exposure to risk and therefore directs the measures of management priority. Finally, it also allows to appreciate the relevance of an epidemiological study on the population who was present in this area. (author)

  12. Increased ecological risk due to the hyperaccumulation of As in Pteris cretica during the phytoremediation of an As-contaminated site.

    Science.gov (United States)

    Jeong, Seulki; Moon, Hee Sun; Nam, Kyoungphile

    2015-03-01

    Ecological risk due to the hyperaccumulation of As in Pteris cretica during phytoremediation was evaluated at an abandoned As-contaminated site. Five receptor groups representing terrestrial invertebrates, avian insectivores, small mammals, herbivores, and omnivores were selected as potentially affected ecological receptors. Soil and food ingestion were considered as major exposure pathways. Phytoremediation was performed with P.cretica only and with both P.cretica and siderophores to enhance plant uptake of As. Ecological hazard index (EHI) values for the small mammal greatly exceeded 1.0 even after three weeks of growth regardless of siderophore application, probably due to its limited home range. For the mammalian herbivore, which mainly consumes plant foliage, the EHI values were greater than 5.73 after seven weeks without siderophore application, but the value increased sharply to 29.3 at seven weeks when siderophores were applied. This increased risk could be attributed to the facilitated translocation of As from roots to stems and leaves in P.cretica. Our results suggest that, when a phytoremediation strategy is considered for metals remediation, its ecological consequences should be taken into account to prevent the spread of hyperaccumulated heavy metals throughout the food chain of ecological receptors. Uncertainties involved in the ecological risk assessment process were also discussed. Copyright © 2014 Elsevier Ltd. All rights reserved.

  13. Long-term exposure to combination antiretroviral therapy and risk of death from specific causes: no evidence for any previously unidentified increased risk due to antiretroviral therapy

    DEFF Research Database (Denmark)

    Kowalska, Justyna D; Reekie, Joanne; Mocroft, Amanda

    2012-01-01

    BACKGROUND:: Despite the known substantial benefits of combination antiretroviral therapy (cART), cumulative adverse effects could still limit the overall long-term treatment benefit. Therefore we investigated changes in the rate of death with increasing exposure to cART. METHODS:: 12069 patients...... were followed from baseline, which was defined as the time of starting cART or enrolment into EuroSIDA whichever occurred later, until death or six months after last follow-up visit. Incidence rates (IR) of death were calculated per 1000 person-years of follow-up (PYFU) and stratified by time...... of exposure to cART (=3 antiretrovirals): 8 years. Duration of cART exposure was the cumulative time actually receiving cART. Poisson regression models were fitted for each cause of death separately. RESULTS:: 1297 patients died during 70613 PYFU (IR 18.3 per 1000 PYFU, 95%CI: 17.4-19.4), 413 due to AIDS (5...

  14. [The experience of managing the risk due to the manual lifting of patients in the hospital reality of Local Health Screening Unit Enterprise 18, the Veneto region].

    Science.gov (United States)

    Torri, P; Liboni, D; Milan, F; Piccoli, R

    1999-01-01

    The possibility of accidents and diseases connected with manual handling of patients can be considered as one of the major risks in hospital environments for nursing, non-nursing and technical staff. Health surveillance of exposed workers has revealed numerous cases of back disorders with consequent temporary or permanent limitations of working activity. This involves not only heavy costs for the hospital but also a reduction in the quality of the assistance due to the difficulty in replacing or increasing staff. For these reasons the hospitals of the Local Health and Social Services Unit 18 of the Regione Veneto drew up a plan of interventions in order to address this problem and reduce exposure to manual handling of patients. Details of the costs borne by the hospital due to this risk factor are reported; after the implementation of the improvement plan (health surveillance, introduction of aids, training of staff) it is shown how a reduction in costs was achieved, thus demonstrating the efficacy of the measures taken (reduction of 39.2% in days of staff absence due to back disorders).

  15. Analysis and determination of susceptibility Risk from slope instability at Colima State Mexico due to the accelerators factors of rain and seismicity

    Science.gov (United States)

    Ramirez-Ruiz, J. J.

    2016-12-01

    Slope instability is presented each year in the mountain region of the Colima State, Mexico. It occurs due to the combination of different factors existing in this area as: Precipitation, topography contrast, type and mechanical properties of deposits that constitute the rocks and soils of the region and the erosion due to the elimination of vegetation deck to develop and grow urban areas. To these geological factors we can extend the tectonic activity of the Western part of Mexico that originate high seismicity by the interaction of Cocos plate and North America plate forming the region of Graben de Colima, were is located our study area. Here we will present a Zonification and determination of the Susceptibility maps of slope instability due to the rain and seismicity accelerators factors. The North part of the State Colima is covered by deposits of the Volcan de Colima with an elevation of 3860 masl. It is the area of major precipitation yearly with more than 1200 mm in comparison to the average precipitation of about 900 mm of the State of Colima. Using a SIG system and the mapping of more than 30 sites we realize a zonification and analysis of the Risk using a methodology developed by CENAPRED. The susceptibility map developed in this area in combination with erosion factors permit us to determine an approximation of the Risk considering some limitations that will be present in this study.

  16. Effect of chlorine and temperature on free-living protozoa in operational man-made water systems (cooling towers and hot sanitary water systems) in Catalonia.

    Science.gov (United States)

    Canals, Oriol; Serrano-Suárez, Alejandra; Salvadó, Humbert; Méndez, Javier; Cervero-Aragó, Sílvia; Ruiz de Porras, Vicenç; Dellundé, Jordi; Araujo, Rosa

    2015-05-01

    In recent decades, free-living protozoa (FLP) have gained prominence as the focus of research studies due to their pathogenicity to humans and their close relationship with the survival and growth of pathogenic amoeba-resisting bacteria. In the present work, we studied the presence of FLP in operational man-made water systems, i.e. cooling towers (CT) and hot sanitary water systems (HSWS), related to a high risk of Legionella spp. outbreaks, as well as the effect of the biocides used, i.e. chlorine in CT and high temperature in HSWS, on FLP. In CT samples, high-chlorine concentrations (7.5 ± 1.5 mg chlorine L(-1)) reduced the presence of FLP by 63.8 % compared to samples with low-chlorine concentrations (0.04 ± 0.08 mg chlorine L(-1)). Flagellates and amoebae were observed in samples collected with a level of 8 mg chlorine L(-1), which would indicate that some FLP, including the free-living amoeba (FLA) Acanthamoeba spp., are resistant to the discontinuous chlorine disinfection method used in the CT studied. Regarding HSWS samples, the amount of FLP detected in high-temperatures samples (53.1 ± 5.7 °C) was 38 % lower than in low-temperature samples (27.8 ± 5.8 °C). The effect of high temperature on FLP was chiefly observed in the results obtained by the culture method, in which there was a clear reduction in the presence of FLP at temperatures higher than 50 °C, but not in those obtained by PCR. The findings presented here show that the presence of FLP in operational man-made water systems should be taken into account in future regulations.

  17. Is the effect of job strain on myocardial infarction risk due to interaction between high psychological demands and low decision latitude? Results from Stockholm Heart Epidemiology Program (SHEEP).

    Science.gov (United States)

    Hallqvist, J; Diderichsen, F; Theorell, T; Reuterwall, C; Ahlbom, A

    1998-06-01

    The objectives are to examine if the excess risk of myocardial infarction from exposure to job strain is due to interaction between high demands and low control and to analyse what role such an interaction has regarding socioeconomic differences in risk of myocardial infarction. The material is a population-based case-referent study having incident first events of myocardial infarction as outcome (SHEEP: Stockholm Heart Epidemiology Program). The analysis is restricted to males 45-64 yr of age with a more detailed analysis confined to those still working at inclusion. In total, 1047 cases and 1450 referents were included in the analysis. Exposure categories of job strain were formed from self reported questionnaire information. The results show that high demands and low decision latitude interact with a synergy index of 7.5 (95% C.I.: 1.8-30.6) providing empirical support for the core mechanism of the job strain model. Manual workers are more susceptible when exposed to job strain and its components and this increased susceptibility explains about 25-50% of the relative excess risk among manual workers. Low decision latitude may also, as a causal link, explain about 30% of the socioeconomic difference in risk of myocardial infarction. The distinction between the interaction and the causal link mechanisms identifies new etiologic questions and intervention alternatives. The specific causes of the increased susceptibility among manual workers to job strain and its components seem to be an interesting and important research question.

  18. Persisting arthralgia due to Mayaro virus infection in a traveler from Brazil: is there a risk for attendants to the 2014 FIFA World Cup?

    Science.gov (United States)

    Slegers, C A D; Keuter, M; Günther, S; Schmidt-Chanasit, J; van der Ven, A J; de Mast, Q

    2014-07-01

    The 2014 FIFA World Cup and the 2016 Olympic Games will attract large groups of visitors to Brazil. These visitors will be at risk for different arboviral infections, some of which not well known outside endemic areas. We report a case of a 52-year-old Dutch woman who presented with persistent arthralgia due to a Mayaro virus (MAYV) infection which she contracted in the Amazon basin in Brazil. MAYV is a mosquito-borne alphavirus which primarily circulates in humid tropical forests of South America. Infections are rarely reported in travelers and are characterized by an acute febrile illness which is often followed by a prolonged and sometimes incapacitating polyarthralgia. Both travelers and physicians should be aware of the risk of these arboviral infections and the importance of mosquito bite prevention should be stressed.

  19. Risk markers of all-cause and diagnosis-specific disability pension--a prospective cohort study of individuals sickness absent due to stress-related mental disorders

    DEFF Research Database (Denmark)

    Ishtiak-Ahmed, Kazi; Perski, Aleksander; Mittendorfer-Rutz, Ellenor

    2014-01-01

    : A cohort of 36304 non-retired individuals aged 16-64 years at 31.12.2004 with at-least one sickness absence spell due to stress-related mental disorders (SRMD) initiated in 2005 in Sweden was followed-up with regard to disability pension (2006-2010) by linkage of registers. Uni- and multivariate Hazard...... somatic disorders were found to be predictive of granting disability pension. Some different patterns emerged for risk factors related to diagnosis-specific disability pension and for younger and older individuals. CONCLUSIONS: Several predictors could be identified as risk markers for disability pension......BACKGROUND: Stress-related mental disorders rank among the leading causes of sickness absence in several European countries. The aim of this study was to investigate predictors of all-cause and diagnosis-specific disability pension in sickness absentees with stress-related mental disorders. METHODS...

  20. Lenalidomide: a review of its use in patients with transfusion-dependent anaemia due to low- or intermediate-1-risk myelodysplastic syndrome associated with 5q chromosome deletion.

    Science.gov (United States)

    Syed, Yahiya Y; Scott, Lesley J

    2013-07-01

    Lenalidomide (Revlimid(®)), a thalidomide analogue, is an orally administered second generation immunomodulator with anti-angiogenic, antineoplastic, anti-inflammatory and pro-erythropoietic properties. It is approved for the treatment of patients with transfusion-dependent anaemia due to International Prognostic Scoring System low- or intermediate-1-risk myelodysplastic syndrome (MDS) associated with either chromosome 5q deletion [del(5q)] with or without additional cytogenetic abnormalities (US, Japan and Switzerland etc.), or with an isolated del(5q) cytogenetic abnormality when other therapeutic options are insufficient or inadequate (EU) [featured indication]. In a randomized, double-blind, multicentre, registrational trial (MDS-004; n = 205) in this patient population, a significantly higher proportion of lenalidomide recipients than placebo recipients achieved red blood cell transfusion independence for ≥26 consecutive weeks (primary endpoint for efficacy) and cytogenetic responses. The erythroid response to lenalidomide was accompanied by an increase in the haemoglobin levels. These efficacy outcomes are generally consistent with those seen in an earlier noncomparative registrational trial (MDS-003; n = 148). In MDS-004, lenalidomide also significantly improved health-related quality of life compared with placebo at 12 weeks. Retrospective analyses that compared outcomes between lenalidomide-treated patients with low- or intermediate-1-risk del(5q) MDS and multicentre registry cohorts showed that lenalidomide treatment did not appear to increase the risk of progression to acute myeloid leukaemia. Lenalidomide had a manageable safety profile in the registrational trials, with ≤20 % of patients discontinuing treatment because of adverse events. The most common adverse events (incidence ≥20 %) occurring in lenalidomide recipients were thrombocytopenia and neutropenia, which were generally managed by dosage reductions and/or interruptions, and

  1. RADIATION RISKS ASSESSMENT DUE TO CONSUMPTION OF THE FAR EAST FOOD FISH AFTER THE ACCIDENT ON “FUKUSHIMA-1” NPP

    OpenAIRE

    G. G. Onishсhenko; V. S. Repin; I. K. Romanovich

    2015-01-01

    The paper presents a review of the data on radioactivity releases to thePacific Oceanlevels after the Fukushima NPP accident. It is shown that the potential risk of of the seafood contamination with the long-living radionuclides 134Cs and 137Cs, which continue to be released to the Pacific Ocean up to the present time. Contribution of 90Sr to the total radioactive contamination does not exceed 3%. Review of the literature data on the modeling of radioactivity spot diffusion showed that due to...

  2. Assessment of the Risk to Public Health due to Use of Antimicrobials in Pigs—An Example of Pleuromutilins in Denmark

    Science.gov (United States)

    Alban, Lis; Ellis-Iversen, Johanne; Andreasen, Margit; Dahl, Jan; Sönksen, Ute W.

    2017-01-01

    Antibiotic consumption in pigs can be optimized by developing treatment guidelines, which encourage veterinarians to use effective drugs with low probability of developing resistance of importance for human health. In Denmark, treatment guidelines for use in swine production are currently under review at the Danish Veterinary and Food Administration. Use of pleuromutilins in swine has previously been associated with a very low risk for human health. However, recent international data and sporadic findings of novel resistance genes suggest a change of risk. Consequently, a reassessment was undertaken inspired by a risk assessment framework developed by the European Medicines Agency. Livestock-associated methicillin-resistant Staphylococcus aureus of clonal complex 398 (MRSA CC398) and enterococci were identified as relevant hazards. The release assessment showed that the probability of development of pleuromutilin resistance was high in MRSA CC398 (medium uncertainty) and low in enterococci (high uncertainty). A relatively small proportion of Danes has an occupational exposure to pigs, and foodborne transmission was only considered of relevance for enterococci, resulting in an altogether low exposure risk. The human consequences of infection with pleuromutilin-resistant MRSA CC398 or enterococci were assessed as low for the public in general but high for vulnerable groups such as hospitalized and immunocompromised persons. For MRSA CC398, the total risk was estimated as low (low uncertainty), among other due to the current guidelines on prevention of MRSA in place at Danish hospitals, which include screening of patients with daily contact to pigs on admittance. Moreover, MRSA CC398 has a medium human–human transmission potential. For enterococci, the total risk was estimated as low due to low prevalence of resistance, low probability of spread to humans, low virulence, but no screening of hospitalized patients, high ability of acquiring resistance genes, and a

  3. Assessment of the Risk to Public Health due to Use of Antimicrobials in Pigs-An Example of Pleuromutilins in Denmark.

    Science.gov (United States)

    Alban, Lis; Ellis-Iversen, Johanne; Andreasen, Margit; Dahl, Jan; Sönksen, Ute W

    2017-01-01

    Antibiotic consumption in pigs can be optimized by developing treatment guidelines, which encourage veterinarians to use effective drugs with low probability of developing resistance of importance for human health. In Denmark, treatment guidelines for use in swine production are currently under review at the Danish Veterinary and Food Administration. Use of pleuromutilins in swine has previously been associated with a very low risk for human health. However, recent international data and sporadic findings of novel resistance genes suggest a change of risk. Consequently, a reassessment was undertaken inspired by a risk assessment framework developed by the European Medicines Agency. Livestock-associated methicillin-resistant Staphylococcus aureus of clonal complex 398 (MRSA CC398) and enterococci were identified as relevant hazards. The release assessment showed that the probability of development of pleuromutilin resistance was high in MRSA CC398 (medium uncertainty) and low in enterococci (high uncertainty). A relatively small proportion of Danes has an occupational exposure to pigs, and foodborne transmission was only considered of relevance for enterococci, resulting in an altogether low exposure risk. The human consequences of infection with pleuromutilin-resistant MRSA CC398 or enterococci were assessed as low for the public in general but high for vulnerable groups such as hospitalized and immunocompromised persons. For MRSA CC398, the total risk was estimated as low (low uncertainty), among other due to the current guidelines on prevention of MRSA in place at Danish hospitals, which include screening of patients with daily contact to pigs on admittance. Moreover, MRSA CC398 has a medium human-human transmission potential. For enterococci, the total risk was estimated as low due to low prevalence of resistance, low probability of spread to humans, low virulence, but no screening of hospitalized patients, high ability of acquiring resistance genes, and a

  4. Sanitary survey af produktionsområder i Løgstør Bredning

    DEFF Research Database (Denmark)

    Larsen, Martin Mørk; Jakobsen, Hans Henrik; Göke, Cordula

    According to the Regulation for food products of animal origin (Europa Parlamentets og Rådets Forordning (EF) Nr. 854), microbiological classification of production areas for live bivalve mollusks etc.3 and the associated sampling plan are required to be based on a so-called ‘sanitary surveys......’. A sanitary survey is an assessment of the interactions between potential sources of microbial pollution, climate conditions and oceanography in the area. The EU Commission guidance for making a sanitary survey formed the basis for this report. However, in certain cases, the Danish practice...... the past 10 years (2007-2016). Within this data set, 99.2 % of a total of 908 samples contain E. coli A level (survey of Løgstør Broads identifies an area that in general is a microbial homogeneous, stable...

  5. Creation of Integrated System of Cosmonauts Sanitary-Hygienic Supply: Researches, Problems and Prospects

    Science.gov (United States)

    Shumilina, I.; Krivobok, S.; Shumilina, G.

    The necessity of Integrated System creation for cosmonauts Sanitary - Hygienic Supply has appeared at realization of joint flights on the International Space Station (ISS). Russian hygiene means manufactured and tested in the long space flights conditions and personal hygiene means of foreign manufacture, which were developed without chamber experiments conditions, are mean to use for Integrated System. The realization of Sanitary - Hygienic Water (SHW) regeneration is supposed for water circulation. The researches directed on equipment creation for clothing washing and clothing drying were carried out for the purposes of goods turnover optimization on ISS The variants of possible realization of water procedures (shower-bath, face washing) are studied. New and essentially date are received for an estimation of efficiency of various ways of cosmonauts Sanitary - Hygienic Supply, including results of tests for new generation regeneration SHW systems with Nanofiltration unit on various kinds real SHW. The improvement of washing-up liquids, individual selection of a complex of personal hygiene means with the man skin condition registration allows to raise of preventive measures use efficiency directed on prevention of adverse skin changes and skin diseases. The analysis of the equipment and methods for clothing washing and clothing drying for conditions of long space flight are carried out. The experimental data on textile materials drying are received. The investigations covered a wide range of issues associated with Sanitary - Hygienic Supply Integrated System including Personal Hygiene complex (items and techniques), ways of Sanitary - Hygienic Supply realization, methods of wastewater regeneration. The results of researches are especially urgent for cosmonauts Sanitary - Hygienic Supply System creation for long space flights, in particular, "Mars" flights at impossibility of updating of water stock, clothing stock etc.

  6. Risks due to UPS malfunctioning

    CERN Document Server

    Thiesen, H

    2009-01-01

    To ensure the safety of the LHC in case of partial or general electrical power failure, all components of the machine protection system are powered by an Uninterruptable Power Supply (UPS). However, just as for other systems of the machine, the UPS itself is not immune to malfunction. This presentation will evaluate the impact of a UPS malfunction on the operation of the machine protection system and the consequences for the protection of the machine.

  7. THE INTERNATIONALIZATION PROCESS OF THE SALES OPERATIONS OF THE PRODUCTS OF A SANITARY WARE INDUSTRY

    Directory of Open Access Journals (Sweden)

    Emerson Antonio Maccari

    2010-11-01

    Full Text Available Internationalization consists of extending an organization's operations abroad. It involves decisions based on objective criteria and on an evaluation of strategies for entering the foreign market. The problem addressed in this study concerns a Brazilian firm’s difficulties developing its operations abroad. Thus, the purpose of this study was to identify the internationalization process of an industry in the sanitary ware segment in the development of its operations in another country. The research method employed was the single case study and data was collected by means of a semi-structured research script applied to company executives. The results showed that the internationalization process is characterized by the dynamic learning model (Uppsala Model, according to which an organization develops its activities abroad gradually, as it acquires experience and expertise in the market. The company is attempting to overcome cultural barriers and psychic distance in a slow internationalization process, aligned with the differentiation strategy and focus that it uses in the Brazilian market. This strategy comprises a sequence of planned and deliberate steps, with low investment exposure and risk. It was found that the firm adopts a strategy of exporting through distributors, this being a critical success factor, but that the distributor approval and development process lacks robust and formalized structuring. There are opportunities for improvement in the process of competitive intelligence in order to systematize the search and interpretation of information about the markets in which the company wants to operate.  Key-words: Internationalization of companies. Uppsala Model. Strategy. Competitive intelligence. 

  8. Hygienic-sanitary evaluation of sushi and sashimi sold in Messina and Catania, Italy

    Directory of Open Access Journals (Sweden)

    Daniele Muscolino

    2014-06-01

    Full Text Available Sushi and sashimi are traditional Japanese food, mostly consisting of raw seafood alone or in combination with rice. Eating sushi and sashimi has become popular in many countries even outside Japan. This food is not free from health risks such as ingestion of pathogenic bacteria or parasite. The aim of this study was to investigate on hygienic-sanitary quality of sushi and sashimi sold in the cities of Messina and Catania, Southern Italy. Fifty samples (38 sushi and 12 sashimi were analysed to determinate the aerobic mesophilic bacteria (AMB, psycrophilic bacteria (PB, Enterobacteriaceae, specific spoilage organisms (SSOs, Pseudomonas spp., coagulase-positive staphylococci, micrococci, Vibrio spp., Bacillus cereus, Salmonella spp. and Listeria monocytogenes. In sushi, AMB ranged from 5.00 to 8.18 log CFU/g, PB from 4.70 to 7.13 log CFU/g, Enterobacteriaceae from 1.41 to 6.67 log CFU/g, while SSOs and Pseudomonas spp. from 3.49 to 7.72 and from 3.36 to 8.00 log CFU/g, respectively. Micrococci ranged from 3.53 to 5.03 log CFU/g and coagulase positive staphylococci were found in 16 samples (2.00 to 3.60 log CFU/g. Bacillus cereus was found in 3 samples (1.70 to 4.00 log CFU/g, while Vibrio spp. was found in 15 of the sushi samples (1.70 to 3.70 log CFU/g. In sashimi, the AMB, PB and SSOs values were higher than 7.00 log CFU/g, Pseudomonas spp. and Enterobacteriaceae were from 6.00 to 8.00 log CFU/g, while Vibrio spp. were found in six samples with means of 2.00 log CFU/g. No Salmonella spp. and Listeria monocytogenes were detected in all sushi and sashimi samples.

  9. Hygienic-Sanitary Evaluation of Sushi and Sashimi Sold in Messina and Catania, Italy

    Science.gov (United States)

    Muscolino, Daniele; Giarratana, Filippo; Beninati, Chiara; Tornambene, Agata; Panebianco, Antonio

    2014-01-01

    Sushi and sashimi are traditional Japanese food, mostly consisting of raw seafood alone or in combination with rice. Eating sushi and sashimi has become popular in many countries even outside Japan. This food is not free from health risks such as ingestion of pathogenic bacteria or parasite. The aim of this study was to investigate on hygienic-sanitary quality of sushi and sashimi sold in the cities of Messina and Catania, Southern Italy. Fifty samples (38 sushi and 12 sashimi) were analysed to determinate the aerobic mesophilic bacteria (AMB), psycrophilic bacteria (PB), Enterobacteriaceae, specific spoilage organisms (SSOs), Pseudomonas spp., coagulase-positive staphylococci, micrococci, Vibrio spp., Bacillus cereus, Salmonella spp. and Listeria monocytogenes. In sushi, AMB ranged from 5.00 to 8.18 log CFU/g, PB from 4.70 to 7.13 log CFU/g, Enterobacteriaceae from 1.41 to 6.67 log CFU/g, while SSOs and Pseudomonas spp. from 3.49 to 7.72 and from 3.36 to 8.00 log CFU/g, respectively. Micrococci ranged from 3.53 to 5.03 log CFU/g and coagulase positive staphylococci were found in 16 samples (2.00 to 3.60 log CFU/g). Bacillus cereus was found in 3 samples (1.70 to 4.00 log CFU/g), while Vibrio spp. was found in 15 of the sushi samples (1.70 to 3.70 log CFU/g). In sashimi, the AMB, PB and SSOs values were higher than 7.00 log CFU/g, Pseudomonas spp. and Enterobacteriaceae were from 6.00 to 8.00 log CFU/g, while Vibrio spp. were found in six samples with means of 2.00 log CFU/g. No Salmonella spp. and Listeria monocytogenes were detected in all sushi and sashimi samples. PMID:27800343

  10. DEVELOPMENT OF MULTI-PHASE AND MULTI-COMPONENT FLOW MODEL WITH REACTION IN POROUS MEDIA FOR RISK ASSESSMENT ON SOIL CONTAMINATION DUE TO MINERAL OIL

    Science.gov (United States)

    Sakamoto, Yasuhide; Nishiwaki, Junko; Hara, Junko; Kawabe, Yoshishige; Sugai, Yuichi; Komai, Takeshi

    In late years, soil contamination due to mineral oil in vacant lots of oil factory and oil field has become obvious. Measure for soil contamina tion and risk assessment are neces sary for sustainable development of industrial activity. Especially, in addition to contaminated sites, various exposure paths for human body such as well water, soil and farm crop are supposed. So it is very important to comprehend the transport phenomena of contaminated material under the environments of soil and ground water. In this study, mineral oil as c ontaminated material consisting of mu lti-component such as aliphatic and aromatic series was modeled. Then numerical mode l for transport phenomena in surface soil and aquifer was constructed. On the basis of modeling for mineral oil, our numerical model consists of three-phase (oil, water and gas) forty three-component. This numerical model becomes base program for risk assessment system on soil contamination due to mineral oil. Using this numerical model, we carried out some numerical simulation for a laboratory-scale experiment on oil-water multi-phase flow. Relative permeability that dominate flow behavior in multi-phase condition was formulated and the validity of the numerical model developed in this study was considered.

  11. [Actual sanitary, epidemiological and hygienic aspects of a dietitian's activities in stationary medical institutions].

    Science.gov (United States)

    Sukhanov, B P; Kerimoval, M G; Elizarova, E V; Petrenko, A S

    2015-01-01

    The article shows the relevance of the main areas of dietitians' training to sanitary and epidemiological and hygienic issues of organization of clinical nutrition in stationary medical institutions (MIs) at training and refresher courses on dietetics. The attention is focused on the new legislative, policy and regulatory instruments, sanitary and epidemiological and hygienic requirements, providing high quality, safety and efficacy of nutritional therapy in MIs. The role of dietitian in the organization of clinical nutrition is highlighted. There were set out rights and responsibilities of a dietitian as a representative of MI under inspections by Rospotrebnadzor bodies; the demands, put forward by these bodies to the tested object, and actions, taken by them.

  12. Is there a risk for the aquatic environment due to the existence of emerging organic contaminants in treated domestic wastewater? Greece as a case-study.

    Science.gov (United States)

    Thomaidi, Vasiliki S; Stasinakis, Athanasios S; Borova, Viola L; Thomaidis, Nikolaos S

    2015-01-01

    The ecological threat associated with emerging pollutants detected in wastewater was estimated in country level. Treated wastewater was analyzed for pharmaceuticals and illicit drugs; whereas the concentrations of all emerging contaminants determined in Greek Sewage Treatment Plants were recorded through literature review. Toxicity data was collected after literature review or using ECOSAR and risk quotients (RQs) were calculated for treated wastewater and 25 Greek rivers, for 3 different aquatic organisms (fish, daphnia magna, algae). According to the results, monitoring data was available for 207 micropollutants belonging to 8 different classes. RQ>1 was calculated for 30 compounds in secondary treated wastewater. Triclosan presented RQ>1 (in algae) for all studied rivers; decamethylcyclopentasilane (in daphnia magna), caffeine (in algae) and nonylphenol (in fish) presented RQ>1 in rivers with dilution factors (DF) equal or lower to 1910, 913 and 824, respectively. The class of emerging contaminants that present the greatest threat due to single or mixture toxicity was endocrine disrupters. The mixture of microcontaminants seems to pose significant ecological risk, even in rivers with DF equal to 2388. Future national monitoring programs should include specific microcontaminants that seem to possess environment risk to surface water.

  13. Apolipoprotein E3/E3 genotype decreases the risk of pituitary dysfunction after traumatic brain injury due to various causes: preliminary data.

    Science.gov (United States)

    Tanriverdi, Fatih; Taheri, Serpil; Ulutabanca, Halil; Caglayan, Ahmet Okay; Ozkul, Yusuf; Dundar, Munis; Selcuklu, Ahmet; Unluhizarci, Kursad; Casanueva, Felipe F; Kelestimur, Fahrettin

    2008-09-01

    Traumatic brain injury (TBI) is a devastating public health problem which may result in hypopituitarism. However, the mechanisms and the risk factors responsible for hypothalamo-pituitary dysfunction due to TBI are still unclear. Although APO E is one of the most abundant protein in hypothalamo-pituitary region, there is no study investigating the relation between APO E polymorphism and TBI-induced hypopituitarism. This study was undertaken to determine whether APO E genotypes modulate the pituitary dysfunction risk after TBI due to various causes, including traffic accident, boxing, and kickboxing. Ninety-three patients with TBI (mean age, 30.61 +/- 1.25 years) and 27 healthy controls (mean age, 29.03 +/- 1.70 years) were included in the study. Pituitary functions were evaluated, and APO E genotypes (E2/E2; E3/E3; E4/E4; E2/E3; E2/E4; E3/E4) were screened. Twenty-four of 93 subjects (25.8%) had pituitary dysfunction after TBI. The ratio of pituitary dysfunction was significantly lower in subjects with APO E3/E3 (17.7%) than the subjects without APO E3/E3 genotype (41.9%; p = 0.01), and the corresponding odds ratio was 0.29 (95% confidence interval [CI], 0.11-0.78). In conclusion, this study provides strong evidence for the first time that APO E polymorphism is associated with the development of TBI-induced pituitary dysfunction. Present data demonstrated that APO E3/E3 genotype decreases the risk of hypopituitarism after TBI. The demonstration of the association between the APO E polymorphism and TBI may provide a new point of view in this field and promote further studies.

  14. Human health risk assessment of pharmaceuticals and personal care products in plant tissue due to biosolids and manure amendments, and wastewater irrigation.

    Science.gov (United States)

    Prosser, R S; Sibley, P K

    2015-02-01

    Amending soil with biosolids or livestock manure provides essential nutrients in agriculture. Irrigation with wastewater allows for agriculture in regions where water resources are limited. However, biosolids, manure and wastewater have all been shown to contain pharmaceuticals and personal care products (PPCPs). Studies have shown that PPCPs can accumulate in the tissues of plants but the risk that accumulated residues may pose to humans via consumption of edible portions is not well documented. This study reviewed the literature for studies that reported residues of PPCPs in the edible tissue of plants grown in biosolids- or manure-amended soils or irrigated with wastewater. These residues were used to determine the estimated daily intake of PPCPs for an adult and toddler. Estimated daily intake values were compared to acceptable daily intakes to determine whether PPCPs in plant tissue pose a hazard to human health. For all three amendment practices, the majority of reported residues resulted in hazard quotients <0.1. Amendment with biosolids or manure resulted in hazard quotients ≥0.1 for carbamazepine, diphenhydramine, salbutamol, triclosan, and sulfamethazine. Irrigation with wastewater resulted in hazard quotients of ≥0.1 for ambrettolid, carbamazepine, diclofenac, flunixin, lamotrigine, metoprolol, naproxen, sildenafil and tonalide. [corrected]. Many of the residues that resulted in hazard quotients ≥0.1 were due to exposing plants to concentrations of PPCPs that would not be considered relevant based on concentrations reported in biosolids and manure or unrealistic methods of exposure, which lead to artificially elevated plant residues. Our assessment indicates that the majority of individual PPCPs in the edible tissue of plants due to biosolids or manure amendment or wastewater irrigation represent a de minimis risk to human health. Assuming additivity, the mixture of PPCPs could potentially present a hazard. Further work needs to be done to assess

  15. Morbid obesity as a risk factor for hospitalization and death due to 2009 pandemic influenza A(H1N1 disease.

    Directory of Open Access Journals (Sweden)

    Oliver W Morgan

    Full Text Available BACKGROUND: Severe illness due to 2009 pandemic A(H1N1 infection has been reported among persons who are obese or morbidly obese. We assessed whether obesity is a risk factor for hospitalization and death due to 2009 pandemic influenza A(H1N1, independent of chronic medical conditions considered by the Advisory Committee on Immunization Practices (ACIP to increase the risk of influenza-related complications. METHODOLOGY/PRINCIPAL FINDINGS: We used a case-cohort design to compare cases of hospitalizations and deaths from 2009 pandemic A(H1N1 influenza occurring between April-July, 2009, with a cohort of the U.S. population estimated from the 2003-2006 National Health and Nutrition Examination Survey (NHANES; pregnant women and children or=20 year olds, hospitalization was associated with being morbidly obese (BMI>or=40 for individuals with ACIP-recognized chronic conditions (OR = 4.9, 95% CI 2.4-9.9 and without ACIP-recognized chronic conditions (OR = 4.7, 95%CI 1.3-17.2. Among 2-19 year olds, hospitalization was associated with being underweight (BMIor=20 years without ACIP-recognized chronic medical conditions death was associated with obesity (OR = 3.1, 95%CI: 1.5-6.6 and morbid obesity (OR = 7.6, 95%CI 2.1-27.9. CONCLUSIONS/SIGNIFICANCE: Our findings support observations that morbid obesity may be associated with hospitalization and possibly death due to 2009 pandemic H1N1 infection. These complications could be prevented by early antiviral therapy and vaccination.

  16. RADIATION RISKS ASSESSMENT DUE TO CONSUMPTION OF THE FAR EAST FOOD FISH AFTER THE ACCIDENT ON “FUKUSHIMA-1” NPP

    Directory of Open Access Journals (Sweden)

    G. G. Onishсhenko

    2015-01-01

    Full Text Available The paper presents a review of the data on radioactivity releases to thePacific Oceanlevels after the Fukushima NPP accident. It is shown that the potential risk of of the seafood contamination with the long-living radionuclides 134Cs and 137Cs, which continue to be released to the Pacific Ocean up to the present time. Contribution of 90Sr to the total radioactive contamination does not exceed 3%. Review of the literature data on the modeling of radioactivity spot diffusion showed that due to the flows in the Pacific Ocean the radioactivity transfer toKamchatka Peninsula, the Kuril Islands, and the ingress into theOkhotskSeawas expected in 2014. It is expected a slight increase of the cesium concentration in water and sea biota in the area of Russia fishing zone FAO 61, but not higher than the concentrations in the Black Sea and Baltic Sea after the Chernobyl accident. Data on measurements of the pollution of fish caught in the Pacific Ocean,JapanandOkhotskSeasin 2011–2014 years during the sea expeditions organized by the Russian Geographical Society, yet showed that the total content of cesium isotopes in any fish sample have not eceeded the value of 0.7 Bq/kg. The prognose risk assessment carried out for the conservative scenario of water contamination in fishing zones ofRussiaand seafood consumption characteristic for the region showed that this risk is minimal according to the WHO scale and does not exceed the risk from fish caughed in Black Sea and Baltic Sea, contaminated after theChernobylaccident, consumption. 

  17. Potential Environment and Public Health Risk Due to Contamination of Heavy Metals from Industrial Waste Water in Lam Thao, Phu Tho, Vietnam

    Directory of Open Access Journals (Sweden)

    Nguyen C. Vinh

    2012-01-01

    Full Text Available Problem statement: In Vietnam, rice cultivation plays an important role in national economic development and food security. However, rice production is facing many problems associated with rapid industrialization and urbanization in the country. Resultant emissions of solid and liquid wastes are often untreated and discharged directly to agricultural land. These practices have potential impacts on the environment and human health. Approach: The research was carried out within the frame of the collaborative research project “Towards the mitigation of environment and public health risks due to heavy metal contamination in irrigated rice-based systems of Vietnam” in 2006-2010. The study was implemented in the Lam Thao district, Phu Tho province with the aim to assess the effects of wastewater and other contamination sources on the environment and public health. Results: Surface water and soil in the field showed signs of significant contamination by wastewater from the industrial zones. Bio-indicators (DO, COD, BOD5 in the surface water were also strongly affected by waste. Paddy fields around the industrial zones had an elevated risk of heavy metal contamination (Cu, Zn, As, Cd and Pb, with concentrations exceeding Vietnamese Maximum Acceptable Concentrations (MACs for Cu, Zn, Cd and Pb. Soil contamination with heavy metals was resulting in elevated concentrations in rice grain. Where consumption of locally-produced food was high, exposure of individuals to heavy metals could present a public health risk. The partial Hazard Quotient (HQ; a ratio derived from comparing estimated exposure to heavy metals, i.e., Cd, (with toxicologically-derived„ safe’ daily doses for rice and vegetables (water spinach and the integrated Hazard Quotient of rice and vegetables (HQi was consistently greater in areas with soil contamination than in the reference area using Red River water for irrigation. The HQi for Cd was particularly high for children below the

  18. Sanitary professional’s attention on gender violence seen from battered women perception

    Directory of Open Access Journals (Sweden)

    Sara Sánchez Castro

    2009-03-01

    Full Text Available Qualitative study whose objective is to know battered women perception regarding sanitary professional’s attention on gender violence in Madrid Community. The results were validated by a triangulation process. Women identified sanitary assistance with those given when there exist physical injuries. However, if we keep questioning about it, they do express to look for something else from the professionals who attended them, although they are not able to say it before them.Somatizations that ill-treatment produces are treated by sanitary professionals without attending to the cause that caused them, and, when it is identified ill-treatment as the cause, rarely sanitary professionals send them to psychologies or psychiatrics. However, this is not identified as a bad practice, because women establish a very defined and rigid function for each professional, where, as they understand, Primary Care doctor will not be required to worry about psychic health and wellbeing of people who attend to their offices.We think, therefore, that it would be recommended that Madrid Community should create a specific health program to attend these women in order to guarantee, this way, a proper attention to people who may be in this situation as well as a minimum quality on the attention they received.

  19. 75 FR 22713 - Implementation of Sanitary Food Transportation Act of 2005

    Science.gov (United States)

    2010-04-30

    ... sickened dogs, involved corn gluten used in dog food. The corn gluten was determined to have been... ranging up to 28,000 parts per million. A Class I recall was issued for the dog food and other food for... HUMAN SERVICES Food and Drug Administration 21 CFR Part 1 RIN 0910-AG52 Implementation of Sanitary Food...

  20. Sanitary Landfill Groundwater Monitoring Report - Fourth Quarter 1998 and 1998 Summary

    Energy Technology Data Exchange (ETDEWEB)

    Chase, J.

    1999-04-09

    A maximum of fifty-three wells of the LFW series monitor groundwater quality in the Steed Pond Aquifer (Water Table) beneath the Sanitary Landfill at the Savannah River Site (SRS). These wells are sampled quarterly to comply with the South Carolina Department of Health and Environmental Control Domestic Water permit and as part of the SRS Groundwater Monitoring Program.

  1. 40 CFR 141.401 - Sanitary surveys for ground water systems.

    Science.gov (United States)

    2010-07-01

    ...) WATER PROGRAMS (CONTINUED) NATIONAL PRIMARY DRINKING WATER REGULATIONS Ground Water Rule § 141.401..., maintenance, and monitoring compliance of a public water system to evaluate the adequacy of the system, its sources and operations and the distribution of safe drinking water. (c) The sanitary survey must include...

  2. Sanitary Survey Training. The Need-to-Know Material. Student's Text.

    Science.gov (United States)

    Gardner, Anne, Ed.

    A sanitary survey is an onsite inspection of a public water system by competent personnel who use a standard form, procedure, and method to survey the effectiveness and maintenance of the system and to determine its ability to provide continuously safe water to the consuming public. This text, developed as an aid to providing instruction on how to…

  3. Food Safety and Plant Health in Ghana - Analysis of the Sanitary and Phytosanitary

    NARCIS (Netherlands)

    Maden, van der E.C.L.J.; Tay, J.G.; Koomen, I.

    2014-01-01

    Ghana is a signatory of the WTO agreement on Sanitary and Phytosanitary (SPS) measures. This international agreement sets out a framework for food safety as well as plant health. While food safety is important for both national as well as international trade, phytosanitary compliance can especially

  4. Sanitary Landfill Groundwater Monitoring Report - Fourth Quarter 1998 and 1998 Summary

    Energy Technology Data Exchange (ETDEWEB)

    Chase, J.

    1999-04-09

    A maximum of fifty-three wells of the LFW series monitor groundwater quality in the Steed Pond Aquifer (Water Table) beneath the Sanitary Landfill at the Savannah River Site (SRS). These wells are sampled quarterly to comply with the South Carolina Department of Health and Environmental Control Domestic Water permit and as part of the SRS Groundwater Monitoring Program.

  5. [The sanitary microbiological and biochemical characteristics of the soils under the conditions of urbanization].

    Science.gov (United States)

    Naprasnikova, E V; Makarova, A P

    1999-01-01

    The study of soils under technogenesis and urbanization has shown that their biogenic properties are preserved. Sanitary assessment of urban soils has demonstrated their moderate and severe pollution, bean plants being found to have self-purifying capacities in the soils.

  6. Attitudes towards the Use of the Medical and Sanitary Services in Iran

    Science.gov (United States)

    Mohseni, Manouchehr

    1977-01-01

    Describes research methodology and findings of a survey in Iran to determine relationships between educational level, age, residence, and other variables involved in attitudes regarding the use of medical and sanitary services. Public health education is seen to be needed. For journal availability, see SO 506 019. (Author/AV)

  7. Performance of pigs kept under different sanitary conditions affected by protein intake and amino acid supplementation

    NARCIS (Netherlands)

    Meer, van der Y.; Lammers, A.; Jansman, A.J.M.; Rijnen, M.M.J.A.; Hendriks, W.H.; Gerrits, W.J.J.

    2016-01-01

    There is growing evidence that requirements for particular AA increase when pigs are kept under low sanitary conditions. The extent towhich reduction in growth performance is related to these increased requirements is unclear. To evaluate this relationship, an experiment (2 × 2 × 2 factorial arra

  8. Analysis of Risk of Huangshan Pine Due to Lightning%黄山名松雷电灾害风险分析

    Institute of Scientific and Technical Information of China (English)

    程向阳; 王凯; 杨仲江

    2011-01-01

    雷电是威胁自然和文化遗产安全的主要自然灾害之一.正确的雷电灾害风险评估可以有效防止或降低风险,减少损失.使用统计软件对黄山闪电数据进行统计分析,研究与黄山地质地貌、雷电环境等相关的雷电活动规律及其可能对黄山松和游客的影响,利用IEC的方法并进行改进,以龙爪松为例,给出相关风险分析值.研究表明:龙爪松引起的人身伤亡风险较大,超过允许值.风险原因主要为若雷电直接击中龙爪松,由于旁络闪击及雷击的机械作用导致树木爆裂伤人,同时还有雷击引起接触和跨步电压导致人员伤亡事故发生的风险.而龙爪松遭雷击起火或爆裂引起的损毁风险较小,将会达到数百年一遇的几率.评估结果对黄山游客雷电安全管理具有重要意义,对国内外类似风景区的防雷工作具有指导意义.%Huangshan pine is a kind of invaluable resource in Huangshan, so loss on such unrecoverable cultural heritage caused by lightning strike should be prevented. In this paper, lightning activities associated with geological landform and its effect on Huangshan pine as well as tourists are studied and analyzed. Some relevant values of the risk analysis are listed by taking Longzhao pine for example. According to the research, the risk of personal injury and death for Longzhao pine exceeds the permissible risk value. The main reason is that the lightning stroke (from trunk or crown to people) and burst wounding of tree due to the lightning direct strike to Longzhao pine. Meanwhile, the risk caused by contact and step voltage wounding should also be taken into account. However, the risk of damage to Longzhao pine caused by fire and burst is much smaller, and it will likely happen once in hundreds of years.

  9. Performance of pigs kept under different sanitary conditions affected by protein intake and amino acid supplementation.

    Science.gov (United States)

    van der Meer, Y; Lammers, A; Jansman, A J M; Rijnen, M M J A; Hendriks, W H; Gerrits, W J J

    2016-11-01

    There is growing evidence that requirements for particular AA increase when pigs are kept under low sanitary conditions. The extent to which reduction in growth performance is related to these increased requirements is unclear. To evaluate this relationship, an experiment (2 × 2 × 2 factorial arrangement) was performed with 612 male pigs (9 per pen) kept under low sanitary conditions (LSC) or high sanitary conditions (HSC) and offered ad libitum access to either a normal CP concentration diet (NP; 17, 15, and 15% CP for the starter, grower, and finisher phase, respectively) or a low CP concentration diet (LP; 20% CP reduced relative to NP for each phase), each of which containing a basal AA profile (AA-B) or a supplemented AA profile (AA-S). The supplemented diet type contained 20% more Met, Thr, and Trp relative to Lys on an apparent ileal digestible basis compared with the basal diet type. Pigs were followed for a complete fattening period and slaughtered at a targeted pen weight of 110 kg. Haptoglobin concentrations in serum (0.92 g/L for LSC and 0.78 g/L for HSC) and IgG antibody titers against keyhole limpet hemocyanin (3.53 for LSC and 3.08 for HSC) collected in the starter, grower, and finisher phases and pleuritis scores at slaughter (0.51 for LSC and 0.20 for HSC) were greater for LSC pigs compared with HSC pigs ( ≤ 0.01), illustrating that sanitary conditions affected health conditions. The ADG and G:F were greater for HSC pigs compared with LSC pigs ( ≤ 0.01). The number of white blood cells (WBC) was higher in (AA-S)-fed pigs compared with (AA-B)-fed pigs when kept at LSC but not at HSC [SS (sanitary conditions) × AA interaction, = 0.04]. Pigs fed NP had a lower number of WBC compared with pigs fed LP ( = 0.02). The number of platelets in pigs fed AA-S diets was higher compared with pigs fed AA-B diets ( ≤ 0.01). A 20% reduction in dietary supplementation of Met, Thr, and Trp relative to Lys decreased G:F more in LSC pigs than in HSC pigs

  10. Early identification in primary health care of people at risk for sick leave due to work-related stress - study protocol of a randomized controlled trial (RCT).

    Science.gov (United States)

    Holmgren, Kristina; Sandheimer, Christine; Mårdby, Ann-Charlotte; Larsson, Maria E H; Bültmann, Ute; Hange, Dominique; Hensing, Gunnel

    2016-11-25

    Early identification of persons at risk of sickness absence due to work-related stress is a crucial problem for society in general, and primary health care in particular. Tho date, no established method to do this exists. This project's aim is to evaluate whether systematic early identification of work-related stress can prevent sickness absence. This paper presents the study design, procedure and outcome measurements, as well as allocation and baseline characteristics of the study population. The study is a two-armed randomized controlled trial with follow-up at 3, 6 and 12 months. Non-sick-listed employed women and men, aged 18 to 64 years, who had mental and physical health complaints and sought care at primary health care centers (PHCC) were eligible to participate. At baseline work-related stress was measured by the Work Stress Questionnaire (WSQ), combined with feedback at consultation, at PHCC. The preventive intervention included early identification of work-related stress by the WSQ, GP training in the use of WSQ, GP feedback at consultation and finding suitable preventive measures. A process evaluation was used to explore how to facilitate future implementation and structural use of the WSQ at the PHCC. The primary outcome to compare the preventive sick leave intervention by the general practitioner (GP) versus treatment as usual is sick leave data obtained from the Swedish Social Insurance Agency register. Early screening for sick leave due to work-related stress makes it possible not only to identify those at risk for sick leave, but also to put focus on the patient's specific work-related stress problems, which can be helpful in finding suitable preventive measures. This study investigates if use of the WSQ by GPs at PHCCs, combined with feedback at consultation, prevents future sickness absence. ClinicalTrials.gov. Identifier: NCT02480855 . Registered 20 May 2015.

  11. Thyroid exposure of Belarusian and Ukrainian children due to the Chernobyl accident and resulting thyroid cancer risk. Final report of BfS project StSch 4240

    Energy Technology Data Exchange (ETDEWEB)

    Jacob, P.; Meckbach, R.; Ulanovski, A.; Schotola, C.; Proehl, G. [GSF-Institute of Radiation Protection, Neuherberg (Germany); Kenigsberg, J.; Buglova, E.; Kruk, J. [Institute of Radiation Medicine and Endocrinology, Minsk (Belarus); Likhtarev, I.; Kovgan, L.; Vavilov, S.; Chepurniy, M. [Ukrainian Radiation Protection Inst., Kyiv (Ukraine); Tronko, M.; Bogdanova, T. [Institute of Endocrinolgoy and Metabolism of the Academy of Medical Sciences of Ukraine, Kyiv (Ukraine); Shinkarev, S.; Gavrilin, Y. [All-Russian Public Organization of Invalids ' Chernobylets' , Scientific Center ' FENIX' , Moscow (Russian Federation); Demidchik, Y. [Thyroid Cancer Center, Minsk (Belarus)

    2005-07-01

    Main objectives of the BfS Project StSch4240 Thyroid Exposure of Belarusian and Ukrainian Children due to the Chernobyl Accident and Resulting Thyroid Cancer Risk were: to establish improved estimates of average thyroid dose for both genders and for each birth-year cohort of the period 1968 - 1985 in Ukrainian and Belarusian settlements, in which more than 10 measurements of the {sup 131}I activity in the human thyroid have been performed in May/June 1986, to explore, whether this dosimetric database can be extended to neighboring settlements, to establish improved estimates of average thyroid dose for both genders and for each birth-year cohort of the period 1968 - 1985 in Ukrainian and Belarusian oblasts (regions) and larger cities, to document the thyroid cancer incidence for the period 1986 - 2001 in Ukraine and Belarus and describe morphological characteristics of the cancer cases, to assess the contribution of the baseline incidence to the total thyroid cancer incidence in the two countries and identify regional and temporal dependencies, to perform analyses of excess risks in settlements with more than 10 measurements of the {sup 131}I activity in the human thyroid. The project has been conducted in the period 6 December 1999 to 31 March 2004. (orig.)

  12. Injury hospitalizations due to unintentional falls among the Aboriginal population of British Columbia, Canada: incidence, changes over time, and ecological analysis of risk markers, 1991-2010.

    Science.gov (United States)

    Jin, Andrew; Lalonde, Christopher E; Brussoni, Mariana; McCormick, Rod; George, M Anne

    2015-01-01

    Aboriginal people in British Columbia (BC) have higher injury incidence than the general population. Our project describes variability among injury categories, time periods, and geographic, demographic and socio-economic groups. This report focuses on unintentional falls. We used BC's universal health care insurance plan as a population registry, linked to hospital separation and vital statistics databases. We identified Aboriginal people by insurance premium group and birth and death record notations. We identified residents of specific Aboriginal communities by postal code. We calculated crude incidence and Standardized Relative Risk (SRR) of hospitalization for unintentional fall injury, standardized for age, gender and Health Service Delivery Area (HSDA), relative to the total population of BC. We tested hypothesized associations of geographic, socio-economic, and employment-related characteristics with community SRR of injury by linear regression. During 1991 through 2010, the crude rate of hospitalization for unintentional fall injury in BC was 33.6 per 10,000 person-years. The Aboriginal rate was 49.9 per 10,000 and SRR was 1.89 (95% confidence interval 1.85-1.94). Among those living on reserves SRR was 2.00 (95% CI 1.93-2.07). Northern and non-urban HSDAs had higher SRRs, within both total and Aboriginal populations. In every age and gender category, the HSDA-standardized SRR was higher among the Aboriginal than among the total population. Between 1991 and 2010, crude rates and SRRs declined substantially, but proportionally more among the Aboriginal population, so the gap between the Aboriginal and total population is narrowing, particularly among females and older adults. These community characteristics were associated with higher risk: lower income, lower educational level, worse housing conditions, and more hazardous types of employment. Over the years, as socio-economic conditions improve, risk of hospitalization due to unintentional fall injury has

  13. The prevalence and risk factors of school absenteeism due to premenstrual disorders in Japanese high school students-a school-based cross-sectional study.

    Science.gov (United States)

    Tadakawa, Mari; Takeda, Takashi; Monma, Yasutake; Koga, Shoko; Yaegashi, Nobuo

    2016-01-01

    Premenstrual disorders such as premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) interfere with the daily lives of adolescents. The causes of PMS and PMDD are unknown, but lifestyle habits, such as regular exercise and taste preference are known to be associated. This study was conducted to investigate how premenstrual symptoms affect the school life in Japanese high school students and whether there was a risk factor for school absenteeism that is dependent on the types of premenstrual symptoms or lifestyle habits. A school-based survey was conducted in Sendai, an industrial city in Japan. A total of 901 girls aged 15-19 with regular menstrual cycles were assessed using the self-reporting premenstrual symptoms questionnaire (PSQ) and questions regarding school absence, taste preference, and exercise. We classified the girls into 'no/mild PMS', 'moderate-to-severe PMS' and 'PMDD' according to the PSQ. The girls were classified into the 'absent' group if they were absent for more than 1 day per month. We used multivariate logistic analysis to examine the risk factors for school absenteeism. The rates of 'moderate-to-severe PMS' and 'PMDD' were 9.9 and 3.1 %, respectively. A total of 107 girls (11.9 %) were classified into the 'absent' group. Significant differences were observed in the prevalence of all premenstrual symptoms (p absenteeism. One in nine Japanese female high school students were absent from school due to premenstrual symptoms. Physical premenstrual symptoms and lifestyles, such as a preference for salty food and a lack of regular exercise, were identified as risk factors for school absenteeism.

  14. Size-resolved culturable airborne bacteria sampled in rice field, sanitary landfill, and waste incineration sites.

    Science.gov (United States)

    Heo, Yongju; Park, Jiyeon; Lim, Sung-Il; Hur, Hor-Gil; Kim, Daesung; Park, Kihong

    2010-08-01

    Size-resolved bacterial concentrations in atmospheric aerosols sampled by using a six stage viable impactor at rice field, sanitary landfill, and waste incinerator sites were determined. Culture-based and Polymerase Chain Reaction (PCR) methods were used to identify the airborne bacteria. The culturable bacteria concentration in total suspended particles (TSP) was found to be the highest (848 Colony Forming Unit (CFU)/m(3)) at the sanitary landfill sampling site, while the rice field sampling site has the lowest (125 CFU/m(3)). The closed landfill would be the main source of the observed bacteria concentration at the sanitary landfill. The rice field sampling site was fully covered by rice grain with wetted conditions before harvest and had no significant contribution to the airborne bacteria concentration. This might occur because the dry conditions favor suspension of soil particles and this area had limited personnel and vehicle flow. The respirable fraction calculated by particles less than 3.3 mum was highest (26%) at the sanitary landfill sampling site followed by waste incinerator (19%) and rice field (10%), which showed a lower level of respiratory fraction compared to previous literature values. We identified 58 species in 23 genera of culturable bacteria, and the Microbacterium, Staphylococcus, and Micrococcus were the most abundant genera at the sanitary landfill, waste incinerator, and rice field sites, respectively. An antibiotic resistant test for the above bacteria (Micrococcus sp., Microbacterium sp., and Staphylococcus sp.) showed that the Staphylococcus sp. had the strongest resistance to both antibiotics (25.0% resistance for 32 microg ml(-1) of Chloramphenicol and 62.5% resistance for 4 microg ml(-1) of Gentamicin).

  15. Human Health Risk Assessment due to Global Warming – A Case Study of the Gulf Countries

    Directory of Open Access Journals (Sweden)

    Junaid Rafi Chaudhary

    2008-11-01

    Full Text Available Accelerated global warming is predicted by the Intergovernmental Panel on Climatic Change (IPCC due to increasing anthropogenic greenhouse gas emissions. The climate changes are anticipated to have a long-term impact on human health, marine and terrestrial ecosystems, water resources and vegetation. Due to rising sea levels, low lying coastal regions will be flooded, farmlands will be threatened and scarcity of fresh water resources will be aggravated. This will in turn cause increased human suffering in different parts of the world. Spread of disease vectors will contribute towards high mortality, along with the heat related deaths. Arid and hot climatic regions will face devastating effects risking survival of the fragile plant species, wild animals, and other desert ecosystems. The paper presents future changes in temperature, precipitation and humidity and their direct and indirect potential impacts on human health in the coastal regions of the Gulf countries including Yemen, Oman, United Arab Emirates, Qatar, and Bahrain. The analysis is based on the long-term changes in the values of temperature, precipitation and humidity as predicted by the global climatic simulation models under different scenarios of GHG emission levels. Monthly data on temperature, precipitation, and humidity were retrieved from IPCC databases for longitude 41.25°E to 61.875°E and latitude 9.278°N to 27.833°N. Using an average of 1970 to 2000 values as baseline, the changes in the humidity, temperature and precipitation were predicted for the period 2020 to 2050 and 2070 to 2099. Based on epidemiological studies on various diseases associated with the change in temperature, humidity and precipitation in arid and hot regions, empirical models were developed to assess human health risk in the Gulf region to predict elevated levels of diseases and mortality rates under different emission scenarios as developed by the IPCC.The preliminary

  16. Experimental valuation of specific hospital waste production in sanitary departments and surgeries; Valutazione sperimenatle della produzione specifica di rifiuti sanitari a rischio infettivo da reparti e gruppi operatori di una struttura ospedaliera

    Energy Technology Data Exchange (ETDEWEB)

    Serra, R.

    1999-10-01

    Experimental measures of hospital waste production in sanitary departments and surgeries at highly specialised hospital have been carried out. The salient differences in waste specific production in several departments explain relevantly the variability of hospital waste production reported in technical literature. [Italian] Sono state effettuate rilevazioni sperimentali della produzione di rifiuti speciali sanitari a rischio infettivo dai reparti digenza, di terapia intensiva e dalle sale operatorie di una struttura opsedaliera ad alta specializzazione. Le differenze significative riscontrate tra reparti o sale operatorie afferenti a unita' funzionali diverse, rendono conto della variabilita' dei valori di produzione di rifiuti speciali sanitari a rischio infettivo da strutture ospedaliere riscontrate nella letteratura.

  17. Association of Sanitary Conditions and Bacteriological Quality of Tube Ice in Ice Plants in Metropolitan Bangkok, Thailand

    Directory of Open Access Journals (Sweden)

    Kraichat Tantrakarnapa

    2010-01-01

    Full Text Available This investigation aimed at studying the correlation between ice plant sanitary conditions and bacteriological quality of ice. The sanitary conditions in accordance with GMP regulations, the bacteriological quality of tube ice, and the processing water in 20 plants in Bangkok were studied. A modified inspection form from the Office of Food and Drug Administration was used for sanitary condition surveys. Ice and processing water samples were collected 2 times per plant with 3 samples each time. All 120 samples were analyzed for bacteriological quality by means of Standard Plate Count technique (Pour plate method and Most Probable Number technique (MPN method. The results indicated that forty percent (8 Tube plants failed and the remaining passed sanitary condition criteria. 23% of Tube Ice samples were acceptable in the standard permission level in terms of Total coliform bacteria and Fecal coliform bacteria. All Tube Ice plant processing water samples were acceptable in comparison with the standard permission level. Ice plant sanitary conditions were significantly correlated to bacteriological quality of the ice (p<0.05. Ice plant manufacturers should develop and implement Sanitary Standard and Operational Procedures (S.S.O.P. in accordance with all GMP requirements to improve Ice plant sanitary conditions.

  18. Sanitary landfill local-scale flow and transport modeling in support of alternative concentrations limit demonstrations, Savannah River Site

    Energy Technology Data Exchange (ETDEWEB)

    Kelly, V.A.; Beach, J.A.; Statham, W.H.; Pickens, J.F. [INTERA, Inc., Austin, TX (United States)

    1993-02-19

    The Savannah River Site (SRS) is a Department of Energy (DOE) facility located near Aiken, South Carolina which is currently operated and managed by Westinghouse Savannah River Company (WSRC). The Sanitary Landfill (Sanitary Landfill) at the SRS is located approximately 2,000 feet Northwest of Upper Three Runs Creek (UTRC) on an approximately 70 acre site located south of Road C between the SRS B-Area and UTRC. The Sanitary Landfill has been receiving wastes since 1974 and operates as an unlined trench and fill operation. The original landfill site was 32 acres. This area reached its capacity around 1987 and a Northern Expansion of 16 acres and a Southern Expansion of 22 acres were added in 1987. The Northern Expansion has not been used for waste disposal to date and the Southern Expansion is expected to reach capacity in 1992 or 1993. The waste received at the Sanitary Landfill is predominantly paper, plastics, rubber, wood, metal, cardboard, rags saturated with degreasing solvents, pesticide bags, empty cans, and asbestos in bags. The landfill is not supposed to receive any radioactive wastes. However, tritium has been detected in the groundwater at the site. Gross alpha and gross beta are also evaluated at the landfill. The objectives of this modeling study are twofold: (1) to create a local scale Sanitary Landfill flow model to study hydraulic effects resulting from capping the Sanitary Landfill; and (2) to create a Sanitary Landfill local scale transport model to support ACL Demonstrations for a RCRA Part B Permit Renewal.

  19. Clinical features and risk factors of patients with presumed ocular toxoplasmosis

    Directory of Open Access Journals (Sweden)

    Ukamaka Celestina Fuh

    2016-01-01

    Conclusion: Patients with POT were rather old and some risk factors were modifiable, therefore health education for preventing the transmission of toxoplasmosis and provision of sanitary water may help reduce the incidence of ocular toxoplasmosis.

  20. High prevalence of malaria in Zambezia, Mozambique: the protective effect of IRS versus increased risks due to pig-keeping and house construction.

    Directory of Open Access Journals (Sweden)

    Emmanuel A Temu

    Full Text Available BACKGROUND: African countries are scaling up malaria interventions, especially insecticide treated nets (ITN and indoor residual spraying (IRS, for which ambitious coverage targets have been set. In spite of these efforts infection prevalence remains high in many parts of the continent. This study investigated risk factors for malaria infection in children using three malaria indicator surveys from Zambezia province, Mozambique. The impact of IRS and ITNs, the effects of keeping farm animals and of the construction material of roofs of houses and other potential risk factors associated with malaria infection in children were assessed. METHODS: Cross-sectional community-based surveys were conducted in October of 2006, 2007 and 2008. A total of 8338 children (ages 1-15 years from 2748 households were included in the study. All children were screened for malaria by rapid diagnostic tests. Caregiver interviews were used to assess household demographic and wealth characteristics and ITN and IRS coverage. Associations between malaria infection, vector control interventions and potential risk factors were assessed. RESULTS: Overall, the prevalence of malaria infection was 47.8% (95%CI: 38.7%-57.1% in children 1-15 years of age, less than a quarter of children (23.1%, 95%CI: 19.1%-27.6% were sleeping under ITN and almost two thirds were living in IRS treated houses (coverage 65.4%, 95%CI: 51.5%-77.0%. Protective factors that were independently associated with malaria infection were: sleeping in an IRS house without sleeping under ITN (Odds Ratio (OR= 0.6; 95%CI: 0.4-0.9; additional protection due to sleeping under ITN in an IRS treated house (OR = 0.5; 95%CI: 0.3-0.7 versus sleeping in an unsprayed house without a ITN; and parental education (primary/secondary: OR = 0.6; 95%CI: 0.5-0.7 versus parents with no education. Increased risk of infection was associated with: current fever (OR = 1.2; 95%CI: 1.0-1.5 versus no fever; pig keeping (OR

  1. A Model of Clean Water Supply and Improvement of Enviromental Sanitary Conditions in Residential Clusters in The Mekong Delta, Vietnam

    Directory of Open Access Journals (Sweden)

    Chi Nguyen Thuy Lan

    2015-12-01

    Full Text Available In accordance with Decision 99/TTg dated 9/2/1996 and Decision 173/TTg dated 6/11/2001 of the Prime Minister regarding the construction program of residential clusters (residential flood free areas, these residential areas as constructed would be fully equipped with critical infrastructures and services such as water supply and drainage works, toilets with sanitary appropriateness, etc. to ensure environmental sanitary conditions in the residential clusters. However, the actual surveys done in residential clusters in the Mekong Delta show that many arising problems must be addressed to enable the local communities to have better living conditions and ensure the sanitary conditions and environmental safety.

  2. Risk of Illness with Salmonella due to Consumption of Raw Unwashed Vegetables Irrigated with Water from the Bogotá River.

    Science.gov (United States)

    Henao-Herreño, Laura X; López-Tamayo, Ana M; Ramos-Bonilla, Juan P; Haas, Charles N; Husserl, Johana

    2016-06-27

    The Bogotá River receives untreated wastewater from the city of Bogotá and many other towns. Downstream from Bogotá, water from the river is used for irrigation of crops. Concentrations of indicator organisms in the river are high, which is consistent with fecal contamination. To investigate the probability of illness due to exposure to enteric pathogens from the river, specifically Salmonella, we took water samples from the Bogotá River at six sampling locations in an area where untreated water from the river is used for irrigation of lettuce, broccoli, and cabbage. Salmonella concentrations were quantified by direct isolation and qPCR. Concentrations differed, depending on the quantification technique used, ranging between 10(7.7) and 10(9.9) number of copies of gene invA per L and 10(5.3) and 10(8.4) CFU/L, for qPCR and direct isolation, respectively. A quantitative microbial risk assessment model that estimates the daily risk of illness with Salmonella resulting from consuming raw unwashed vegetables irrigated with water from the Bogotá River was constructed using the Salmonella concentration data. The daily probability of illness from eating raw unwashed vegetables ranged between 0.62 and 0.85, 0.64 and 0.86, and 0.64 and 0.85 based on concentrations estimated by qPCR (0.47-0.85, 0.47-0.86, and 0.41-0.85 based on concentrations estimated by direct isolation) for lettuce, cabbage, and broccoli, respectively, which are all above the commonly propounded benchmark of 10(-4) per year. Results obtained in this study highlight the necessity for appropriate wastewater treatment in the region, and emphasize the importance of postharvest practices, such as washing, disinfecting, and cooking.

  3. [Operational aspects of risk perception in the electromagnetic fields exposition].

    Science.gov (United States)

    Pennarola, E; Barletta, R; Quarto, E; Pennarola, R

    2007-01-01

    The increase of electromagnetic fields exposition is being associated with the increase of risk perception in the people exposed due to the uncertainty of the biological and sanitary effects. Research is being carried out on the symptomatology shown by the 45 people living near power-lines in the Benevento area and consequently exposed to electromagnetic fields. The measure of the magnetic and electric field was in the normal range while the people showed most symptoms in the subjective and behavioural sphere. The research findings suggest that risk assessement should take into account the subjectivity of the people exposed as shown in the special questionnaires with the aim of reducing the subjective and behavioural symptomatology for developing a new environmental medicine.

  4. Chernobyl: what sanitary consequences?; Tchernobyl: quelles consequences sanitaires?

    Energy Technology Data Exchange (ETDEWEB)

    Aurengo, A. [Assistance Publique, Hopitaux de Parix (AP-HP), 75 - Paris (France)

    2001-11-01

    Because of its public health, ecological and industrial consequences, the Chernobyl accident has become a myth which serves as the focus of many fears, justified or not. no one can question the seriousness of the event, but after fifteen years there is still no agreement about the effect it has had or will have on public health. For example, the total number of deaths attributed to Chernobyl varies from less than a hundred to several millions and congenital malformations from negligible to cataclysmic. Effects on public health may be calculated from data on contamination, from the dose received and from the risk, all three of which are likely to be very roughly known; or they may be evaluated on the spot, either by epidemiological studies or by examining medical registers. This report makes an inventory of the different risks and takes stock on them. (N.C.)

  5. Construção do Sistema Brasileiro de Vigilância Sanitária: argumentos para debate Construction of the Brazilian Sanitary Surveillance System: arguments to debate

    Directory of Open Access Journals (Sweden)

    Marismary Horsth De Seta

    2010-11-01

    Full Text Available Este artigo analisa a construção do Sistema Nacional de Vigilância Sanitária, um arranjo voltado à regulação e redução dos riscos sanitários decorrentes do consumo de produtos, da prestação de serviços de saúde e do ambiente no Brasil. Consideraram-se aspectos históricos, políticos, fiscais e a conjuntura atual para cotejar seu desenvolvimento com o do Sistema Nacional de Vigilância em Saúde, que tem recebido intensa cooperação internacional. O cotejamento se baseou na trajetória de seus sistemas nacionais e respectivos serviços federais, bem como nos critérios para descentralização. A análise teve como categoria central a coordenação federativa e se baseou no referencial do federalismo e das relações intergovernamentais. O contexto institucional da saúde e da vigilância sanitária apresenta forte competição política, instabilidade no projeto e provável redução da capacidade de coordenação federativa após o Pacto pela Saúde. O Sistema Nacional de Vigilância Sanitária, em razão da sua natureza de bem público e da alta externalidade de seu campo de ação, requer coordenação federativa para incremento da cooperação regional e local e também pela heterogeneidade estrutural dos municípios brasileiros.This paper analyzes the Brazilian Sanitary Surveillance System as an arrangement aimed at regulating and reducing health risks associated with consumption of products, use of health services and the environment. Historical, political and tax aspects were considered and their development compared with the National Health Surveillance System, which has received strong international cooperation. The comparison was based on the trajectory of their national systems and related federal agencies, as well as on criteria adopted for decentralization. The central category of analysis is federative coordination and was based on the framework of federalism and intergovernmental relations. The institutional context

  6. [Interaction of the bodies and institutions of the Russian Inspectorate for the protection of consumer rights and human welfare on sanitary-and-epidemiological examinations and issuing sanitary-and-epidemiological opinions].

    Science.gov (United States)

    Safonkina, S G

    2009-01-01

    The paper describes problems in the organization of the interaction of the Russian Inspectorate for the Protection of Consumer Rights and Human Welfare in Moscow and the Center for Hygiene and Epidemiology in Moscow to perform sanitary-and-epidemiological examinations and to issue sanitary-and-epidemiological opinions. The goals of setting up a one-window service and measures required for its effective work are defined. Positive results of one-window activities are shown.

  7. [A 38-year-old Woman with a Legal and Voluntary Interruption of Pregnancy due to Mental Health Risk. An Unexpected Outcome].

    Science.gov (United States)

    Restrepo, Diana; Duque, Marle; Montoya, Laura; Hoyos, Catalina

    To describe a case of legal and voluntary interruption of pregnancy due to a mental health risk in the mother. However, the foetus survived and the mother decided to care for the child. Description of the case and a non-systematic review of the relevant literature. A multiparous woman of 38 years with unknown gestational age who requests legal and voluntary interruption of pregnancy. After abortion a male child born of 1050 grams was born, intubated and admitted to intensive care. Subsequently, the mother, without the mental problems that led to abortion, gradually assumed the care of the child. To address this complex case, several aspects are analysed: first, the change of mind of a woman in her desire to be a mother. Second, the disappearance of mental symptoms in the immediate postpartum. Third, the need to review the clinical, ethical and legal foundations of the legal ruling that allows therapeutic abortion in Colombia. Copyright © 2016 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

  8. Spatial response surface modelling in the presence of data paucity for the evaluation of potential human health risk due to the contamination of potable water resources.

    Science.gov (United States)

    Liu, Shen; McGree, James; Hayes, John F; Goonetilleke, Ashantha

    2016-10-01

    Potential human health risk from waterborne diseases arising from unsatisfactory performance of on-site wastewater treatment systems is driven by landscape factors such as topography, soil characteristics, depth to water table, drainage characteristics and the presence of surface water bodies. These factors are present as random variables which are spatially distributed across a region. A methodological framework is presented that can be applied to model and evaluate the influence of various factors on waterborne disease potential. This framework is informed by spatial data and expert knowledge. For prediction at unsampled sites, interpolation methods were used to derive a spatially smoothed surface of disease potential which takes into account the uncertainty due to spatial variation at any pre-determined level of significance. This surface was constructed by accounting for the influence of multiple variables which appear to contribute to disease potential. The framework developed in this work strengthens the understanding of the characteristics of disease potential and provides predictions of this potential across a region. The study outcomes presented constitutes an innovative approach to environmental monitoring and management in the face of data paucity. Copyright © 2016 Elsevier B.V. All rights reserved.

  9. Poliomyelitis outbreaks in Angola genetically linked to India: risk factors and implications for prevention of outbreaks due to wild poliovirus importations.

    Science.gov (United States)

    Kidd, Sarah; Goodson, James L; Aramburu, Javier; Morais, Alda; Gaye, Abou; Wannemuehler, Kathleen; Buffington, Joanna; Gerber, Sue; Wassilak, Steven; Uzicanin, Amra

    2011-05-12

    We conducted an investigation of two outbreaks of poliomyelitis in Angola during 2007-2008 due to wild poliovirus (WPV) genetically linked to India. A case-control study including 27 case-patients and 76 age- and neighborhood-matched control-subjects was conducted to assess risk factors associated with paralytic poliomyelitis, and epidemiologic links to India were explored through in-depth case-patient interviews. In multivariable analysis, case-patients were more likely than control-subjects to be undervaccinated with fewer than four routine doses of oral poliovirus vaccine (adjusted matched odds ratio [aMOR], 4.1; 95% confidence interval [CI], 1.2-13.6) and have an adult household member who traveled outside the province of residence in the 2 months preceding onset of paralysis (aMOR, 3.2; 95% CI, 1.2-8.6). No epidemiologic link with India was identified. These findings underscore the importance of routine immunization to prevent outbreaks following WPV importations and suggest a possible role of adults in sustaining WPV transmission.

  10. Ruolo dell’accesso ai Servizi Sanitari nelle disuguaglianze sociali nello stato di salute

    Directory of Open Access Journals (Sweden)

    E. Versino

    2003-05-01

    Full Text Available

    Obiettivo: misurare la quota di differenza sociale nella salute generata dall’accesso al sistema di cure, attraverso un follow-up dei pazienti ricoverati presso il principale ospedale di Torino.

    Metodi: tutti i primi ricoveri per infarto del miocardio (patologia acuta - AD e per tumori del coloretto (patologia cronica - CD dal 2000 al 2001 erano arruolabili. A questi è stato proposto un questionario sulle modalità di accesso ai servizi sanitari. È stata inoltre analizzata la cartella clinica per la valutazione degli interventi intra-ospedalieri. Indicatore di categoria sociale: titolo di studio.

    Risultati: analizzati 268 pazienti. Il 99% con AD ed il 97.5% di quelli con CD hanno aderito. Arruolati maggiormente uomini pensionati (circa 67%, condizione dovuta al tipo di patologia in studio. Sintomatologia di esordio: tipica della patologia infartuale e del colon-retto. Per questa ultima la lievità, quando unico sintomo, risulta elemento fuorviante. I pazienti con AD si sono rivolti direttamente all’ospedale (87.4%; i pazienti con CD hanno scelto il medico di famiglia (MMG per l’iter diagnostico, una piccola percentuale lo specialista privato (8.6%.

    Il numero di medici consultati in caso di CD è mediamente
    due (prevalentemente soggetti a bassa scolarità.
    Il ritardo diagnostico risulta per la CD nettamente
    più elevato nelle prime tappe della storia dell’accesso
    per le categorie sociali più svantaggiate, con brevissimo
    tempo fra la diagnosi e il ricovero.

    Conclusioni: per le categorie sociali più basse in caso di CD, il tempo fra primo sintomo e contatto con il medico è più lungo (minore sensibilità ai primi segni e sintomi di malattia rispetto agli strati sociali più alti; cosicché il paziente giunge al ricovero con prognosi peggiore; tuttavia, a questo ritardo si contrappone una

  11. Nutrizione e condizioni igienico-sanitarie dell'alimentazione in villaggi rurali indiani

    Directory of Open Access Journals (Sweden)

    A. Viganò

    2003-05-01

    Full Text Available

    Premesse. la malnutrizione ed una carente sicurezza alimentare impattano negativamente sulle popolazioni dei PVS (paesi in via di sviluppo, inducendo gli stati patologici di Marasma e Kwashiorkor durante l’infanzia con effetti debilitanti a medio-lungo termine.

    Obiettivi e metodi: é stata svolta un’indagine (2001, stagione monsonica per valutare: - lo stato nutrizionale della popolazione infantile (0- 59 mesi, effettuando misurazioni antropometriche; - le abitudini alimentari familiari, basandosi sul modello semiquantitativo di frequenza alimentare; - gli aspetti igienico-sanitari dell’alimentazione. Tramite due questionari rivolti alle donne intervistate presso i presidi ambulatoriali dell’IIMC (na= 281 o presso il domicilio (nb= 116.

    Risultati: la prevalenza dello stato malnutrizionale “grave” è la seguente: WAZ (wasting, crescita ponderale 59,3%; HAZ (stunting, crescita lineare 89,2%; la fascia d’età più colpita è quella dei 6-24 mesi. A livello familiare il regime dietetico pro capite corrisponde a 1433 74 kcal/die ed è in gran parte definito da pasti a base di riso e ortaggi; poco frequente è il consumo settimanale di fonti proteiche animali e di frutta. L’acqua per consumo diretto è attinta da pompe idriche manuali (95%; una consistente quota di acque stagnanti superficiali (36% è impiegata per cucinare: questa sorgente idrica è inoltre serbatoio di rifiuti domestici (54% e scarichi di servizi igienici (28%.

    Conclusioni: in un contesto socio-economico insufficiente a garantire l’apporto dietetico e la salubrità alimentare adeguati, risultano particolarmente mirati ed efficaci interventi quali: - ND (Nutritional Diet: formulazione dietetica prodotta partendo da materie prime locali, per combattere la malnutrizione materno-infantile; - HEALTH PROMOTION: educazione igienico-sanitaria, specie nel campo alimentare, articolata in

  12. Phyto cover for Sanitary Landfill Sites: A brief review

    Directory of Open Access Journals (Sweden)

    Bhavya D. Shah

    2017-03-01

    Full Text Available Landfill gases (LFG are produced due to biodegradation of organic fraction of municipal solid waste (MSW when water comes in contact with buried wastes. The conventional clay cover is still practiced to mitigate the percolation of water in landfills in India. Gas extraction systems in landfill for gas collection are used but are much expensive. Thus, “Phytocapping” technique can be one of the alternatives to mitigate landfill gases and to minimize percolation of water into the landfill. Indian plants with locally available soil and municipal solid waste can be tested for the purpose of methane mitigation, heavy metals remediation from leachate. Methane oxidation due to vegetation can be observed compared to non-vegetated landfill. Root zone methane concentrations can be monitored for the plant species.

  13. INVESTIGATION OF SANITARY-HYGIENIC CHARACTERISTICS OF MULTILAYER POLYMER FILMS USED FOR VACUUM PACKAGING MODIFIED BY NATIVE ANTIMICROBIAL COMPONENTS

    Directory of Open Access Journals (Sweden)

    O. B. Fedotova

    2016-01-01

    Full Text Available The results of the research works related to investigation of sanitary-hygienic characteristics of multilayer polymer film materials where the inner layer contacting directly with food product is modified by native antimicrobial components.

  14. Sanitary Sewer Systems and Association with Gastrointestinal Illness: A case crossover analysis of Massachusetts Data, 2006-2008

    Science.gov (United States)

    Sanitary sewer overflows (SSOs) occur when untreated sewage is discharged into water sources before reaching the treatment facility potentially contaminating them with gastrointestinal pathogens. Causes of SSOs include heavy rainfall and rupture/blockage of sewer lines. Few studi...

  15. Sanitary Landfill Groundwater Monitoring Report. Fourth Quarter 1997 and 1997 Summary

    Energy Technology Data Exchange (ETDEWEB)

    Chase, J. [Westinghouse Savannah River Company, AIKEN, SC (United States)

    1998-02-01

    A maximum of forty-eight wells of the LFW series monitor groundwater quality in the Steed Pond Aquifer (Water Table) beneath the Sanitary Landfill at the Savannah River Site (SRS). These wells are sampled quarterly to comply with the South Carolina Department of Health and Environmental Control Domestic Water Permit DWP-087A and as part of the SRS Groundwater Monitoring Program. Chloroethene (vinyl chloride) and trichloroethylene were the most widespread constituents exceeding standards during 1997. Lead (total recoverable), 1,4-dichlorobenzene, mercury, benzene, dichloromethane (methylene chloride), a common laboratory contaminant, tetrachloroethylene, 1,2-dichloroethane, gross alpha, tritium, and 1.2-dichloropropane also exceeded standards in one or more wells. The groundwater flow direction in the Steed Pond Aquifer (Water Table) beneath the Sanitary Landfill was to the southeast (universal transverse Mercator coordinates). The flow rate in this unit was approximately 139 ft/year during first quarter 1997 and 132 ft/year during fourth quarter.

  16. The process of biosorption of heavy metals in bioreactors loaded with sanitary sewage sludge

    Directory of Open Access Journals (Sweden)

    A. J. Morais Barros

    2006-06-01

    Full Text Available This work on the process of biosorption of nickel and chromium in an ascendant continuous-flow, fixed packed-bed bioreactor of sanitary sewage sludge was conducted in a search for solutions to the environmental problem caused by heavy metals. Analysis of the results demonstrated that the absorbent had an extraordinary capacity for biosorption of the heavy metals studied at about 9.0 pH of the effluent, with a removal percentage of over 90.0% for the two metals. Chemometric study results demonstrated that 20 days of the experimental system function were sufficient for achieving the maximum efficiency of sorption of the heavy metals studied by the sanitary sewage sludge employed.

  17. Hygienic assessment of habitat adverse social and sanitary factors in the Altai Krai

    Directory of Open Access Journals (Sweden)

    A.A. Ushakov

    2015-12-01

    Full Text Available The materials on health status, socio-economic, sanitary living conditions of the population of the Altai Krai have been analyzed. The comparative analysis of the conditions of life and health outcomes in urban and rural settlements’ population has been performed. The estimation of health indicators’ correlation has been carried out in children of age group 0-1 years, children of age group 0-14 years, teens of age group 15-17 years and adults of age group over 18 years, depending on the type (urban or rural of settlement with indicators of social and sanitary environmental factors. Regression equations for the health outcomes of different age groups on the level of hygiene and social environmental factors are set, regional critical (reference values are justified. The hygienic assessment of unfavorable social, health and sanitation of the environment on the health of the population in the Altai Krai is provided.

  18. Design and Materials Selection: analysis of similar sanitary pads for daily use

    Directory of Open Access Journals (Sweden)

    M Pohlmann

    2016-11-01

    Full Text Available Hygiene practices have effects on vulvovaginal microbiota. Specific products for intimate female hygiene are available in the market, such as the sanitary pads. Since these pads were introduced in the market , they became the focus of research that seek to improve their shape, manufacturing processes and the properties of materials used in order to provide more benefits to users. Thus, the present study aimed to characterize the fabrics used in daily sanitary pads, focusing on the development of future products. The spectra generated by FTIR/ATR suggest that the samples were composed of polypropylene. The photomicrographs showed that the polymeric outer layer was made of nonwoven fabric manufactured by spunbond and point bonding processes.

  19. Risk of Impaired Control of Spacecraft/Associated Systems and Decreased Mobility Due to Vestibular/Sensorimotor Alterations Associated with Space Flight

    Science.gov (United States)

    Bloomberg, Jacob J.; Reschke, Millard F.; Clément, Gilles R.; Mulavara, Ajitkumar P.; Taylor, Laura C.

    2016-01-01

    We examine the various dimensions of the Risk of Impaired Control of Spacecraft/Associated Systems and Decreased Mobility Due to Vestibular/Sensorimotor Alterations Associated with Space flight by reviewing the research and operational evidence demonstrating sensorimotor performance decrements during and after space flight. These sensorimotor performance decrements might affect vehicle and complex system control, including decreased visual acuity, eye-hand coordination, spatial and geographic orientation perception, and cognitive function. Sensorimotor performance decrements might also affect the ability to egress and walk away from the vehicle in case of an emergency or an extravehicular activity on a planetary surface. We also review the countermeasures that have been tested, including medication, prevention techniques and training exercises, physical rehabilitation, and mechanical devices. Furthermore, we identify the current knowledge and mitigation gaps that must be filled through further research and/or data mining efforts before the risk can be fully mitigated. We conclude that the true operational risks associated with the impacts of adaptive sensorimotor changes on mobility and crew abilities to control vehicles and other complex systems will only be estimable after the gaps have been filled and we have been able to accurately assess integrated performance in off-nominal operational settings. A large body of sensorimotor research data obtained from space flight experiments over the past half-century demonstrates significant decrements in oculomotor control, eye-hand coordination, spatial orientation, posture\\locomotor control and cognition during space flight missions. While these changes are most severe during and after G-transitions, the most crucial time for many critical operational tasks (e.g., landing and egress), only limited information is available to assess the operational impacts of these changes. Some of the operational observations are

  20. [The restructuring of national sanitary inspectorate with regard to environmental hazards and health needs of the population].

    Science.gov (United States)

    Grabowski, Marek L

    2002-01-01

    The article presents the history of Polish sanitary and epidemiological services from 1918 until contemporary times. Emphasizing many achievements of National Sanitary Inspectorate, which are responsible for the low sick-rate of infectious diseases in Poland, the article also points to the increasing number and growing severity of environmental hazards in recent years. The article discusses problems caused by the "old" infectious diseases, which, though until recently regarded as passed, are posing threats to the society nowadays (e.g. TB, pestis, cholera). Equally, the article highlights problems caused by the "new" highly infectious diseases (e.g. Ebola fever, AIDS). Moreover, the article focuses on the particularly relevant subject of tackling biological weapons, the use of which can be traced past the recent events after September 11 and back to the Middle Ages. Finally, the article stresses the role of sanitary and epidemiological services in fighting recent animal epidemics, such as foot-and-mouth disease and mad cow disease. Discussing particular cases of the environmental hazards mentioned above, recorded in Poland, the article emphasizes the importance of the proper staff selection for National Sanitary Inspectorate. In the past decade in Poland, Sanitary Inspectors were selected mostly with regard to their political orientation, rather than their professional background. The author of the article hopes that human life and health will be treated with more respect in Poland in the neart future and the positions of Sanitary Inspectors will be given to professionals with proper epidemiological preparation. Radical changes in the policy of staff selection, modernization of training programs, as well as creation of a more practical structure of National Sanitary Inspectorate are the necessary conditions for transforming sanitary and epidemiological services in Poland into reliable and prestigious institutions, capable of dealing with the environmental hazards

  1. KNOWLEDGE AND ATTITUDE OF VILLAGERS REGARDING PRACTICE OF UTILISATION OF SANITARY LATRINES PROVIDED BY TOTAL SANITATION CAMPAIGN

    Directory of Open Access Journals (Sweden)

    Herschel

    2015-10-01

    Full Text Available BACKGROUND: Diarrhoea is main cause of deaths in under fire age group, this can be prevent by just using sanitary latrines which were provided to villagers under T.S.C. By which provision of Rs. 8500 to every household to build a sanitary latrine in their respective house.(1 AIMS: The aim of this cross sectional study is to find out the knowledge attitude and practice of utility of sanitary latrines and its effect on the life of villager on their health and behaviour. MATERIAL & METHOD: This cross sectional study was carried out on 400 households of Khurdi village of Indore district Data was collected by using a semi structured questionnaire which ask information regarding the knowledge of villagers about diseases transmitted by or faecal route, prevention of Diarrhoea, source of infection of diarrhoea, causative organism of Diarrhoea, water borne diseases, food borne diseases, vector borne diseases and how fly transmit the diseases. RESULT: Out of 400 household interviewed 86% were literate, 100% were from low socioeconomic group 344 household knew the methods of transmission of disease and that can be prevent by using sanitary latrines and by hand washing practice after defecation and before taking any meals. It was also observed that 56 households have no knowledge of disease transmission by food, fingers, fluid, fomites or by fly. The health services providers like Asha, Usha, ANMs, LHVs. are the main source of information to the villagers. A.D.O.'s, Panchayat Sachiv are the main source of information for construction of sanitary latrines. Under Samagra Swachhata Abhiyaan(2. Additional information's they received by Radio and T.V. advertisement campaign of Govt. of India. CONCLUSION: The knowledge about utilisation of sanitary latrines to prevent faecal borne disease was found to be inadequate in this study. More efforts needed to create awareness better utilisation of sanitary latrines and make villagers aware regarding health aspect of

  2. Eco-efficient concretes: the effects of using recycled ceramic material from sanitary installations on the mechanical properties of concrete.

    Science.gov (United States)

    Guerra, I; Vivar, I; Llamas, B; Juan, A; Moran, J

    2009-02-01

    The aim of this research was to investigate some of the physical and mechanical properties of concrete mixed under laboratory conditions, where different proportions of coarse aggregate materials were substituted by porcelain from sanitary installations. The results of the tests show that the concrete produced has the same mechanical characteristics as conventional concrete, thus opening a door to selective recycling of sanitary porcelain and its use in the production of concrete.

  3. [Sanitary and epidemiological evaluation of the ventilation and air-conditioning systems of public buildings].

    Science.gov (United States)

    Dvorianov, V V

    2012-01-01

    The microbial contamination of ventilation and air conditioning systems was examined in the administrative buildings. The author proposes a set of indicators, methods for determining the scope of investigations, as well as sampling tactics and criteria for evaluating the microbial contamination of the ventilation and air-conditioning systems. The content of yeasts and molds in the delivered air has been found to be of importance for evaluating the sanitary-and epidemiological state of ventilation systems.

  4. 76 FR 34145 - Safety Zone, Barrier Testing Operations, Chicago Sanitary and Ship Canal, Romeoville, IL

    Science.gov (United States)

    2011-06-13

    ...The Coast Guard is establishing a temporary safety zone on the Chicago Sanitary and Ship Canal (CSSC) near Romeoville, IL. This temporary final rule is intended to restrict all vessels from transiting the navigable waters of the CSSC. This safety zone is necessary to protect the waters, waterway users, and vessels from the hazards associated with U.S. Army Corps of Engineers (USACE) temporary......

  5. The Application Of Biofilter System For Reduction Of Methane Emissions From Modern Sanitary Landfills

    Science.gov (United States)

    Sung, K.; Park, S.

    2007-12-01

    Increased atmospheric concentrations of greenhouse gases (GHG) caused by anthropogenic activities has been related to global climate change. Methane, the second most important GHG after CO2, is 21 times more effective at trapping heat than CO2. Therefore, methane emission control is of utmost importance for global warming reduction. To minimize leachate production and protect groundwater resources, modern sanitary landfills are equipped with composite covers and gas collection systems. Methane from modern sanitary landfills is vented directly to the atmosphere, except for some of the largest landfills where it is recovered as energy and burned at the site. However, the efficiency of energy recovery systems in larger landfills is reduced as the amount of CH4 generated from landfill begins to decrease. In this study, the performance of a lab-scale model biofilter system was investigated to treat CH4 gas emitted from modern sanitary landfills by conducting batch and column experiments using landfill cover soil amended with earthworm cast as the filter bed medium. From the batch experiments to measure the influence of moisture content and temperature of the filter medium on CH4 removal capacity of a biofilter system, the optimum moisture content and temperature were found to be 10-15% by weight and 25-35°C, respectively. The column experiment was conducted to measure the influence of inlet CH4 concentration and CH4 loading rate on CH4 removal capacity of a biofilter system. As the inlet CH4 concentration decreased, the percentage of CH4 oxidized increased. Up to a CH4 loading rate of 2785 g CH4 m3 h- 1 (EBRT = 7.7 min), the CH4 removal efficiency of the biofilter was able to reach 100%. Based on the results of the study, the installation of a properly managed biofilter system should be capable of achieving a reduction in atmospheric CH4 emissions from modern sanitary landfills at low CH4 generation stage.

  6. Is Biomedical Waste Management Knowledge Adequate in Paramedics AND Sanitary Workers in Hospitals of Ujjain City?

    Directory of Open Access Journals (Sweden)

    Anand Rajput

    2016-03-01

    Full Text Available "Background: Hospitals produce a byproduct which is wasteful and causes contamination of the environment, with its antecedent complications. Inadequate and inappropriate knowledge of handling may have serious health consequences. Objectives: Present study was conducted to find out the current level of knowledge among paramedics (Lab Technicians, nursing staff and sanitary workers in hospitals of Ujjain city regarding biomedical waste management. Methods: A Cross-sectional study was conducted on 400 study participants in the Government and private hospital of Ujjain city from 1st January 2013 to 30 November 2013.Statistical analysis was done by SPSS 16.0 and chi-square test. Results: Mean age of the total 400 study participants was 31.36 (SD=11.62 years, among them 68.5% were female, majority (64.5% were the nurses and majority (64.7% were working in the concerned hospital since more than 2 years. Nursing staff has adequate knowledge (36.8% as compared to lab technician and sanitary staff (30.3%. Staff who had received medical waste management training had significantly (p<0.05 higher knowledge. Conclusion: On the basis of findings we conclude that the knowledge regarding biomedical waste management is not adequate among nursing staff, lab teqnicians and sanitary workers. " [Natl J Community Med 2016; 7(3.000: 151-154

  7. EU Sanitary Regulation on Livestock Disposal: Implications for the Diet of Wolves

    Science.gov (United States)

    Lagos, Laura; Bárcena, Felipe

    2015-10-01

    Sanitary and environmental regulations may have indirect effects on the wildlife and ecosystem services beyond their regulatory scope. To illustrate such effects, this paper examines how EU sanitary measures, in conjunction with additional regulations and socio-economic changes, have caused wolf diet to shift in Galicia, northwestern Spain. Prior to the bovine spongiform encephalopathy (BSE) crisis in Europe in 2000, livestock carcasses used to be left on the field and were eaten by scavengers and carnivores. As a result of the BSE crisis, sanitary regulations regarding the disposal of livestock carcasses were introduced. These regulations affected the populations of avian scavengers. We hypothesize that wolf ecology has also been affected by the aforementioned regulations. We analysed wolf diet for the period 2003-2006 and compared the results with those of a previously published study (1974-1978). We found a shift in wolf feeding habits following the implementation of these EU regulations. A decrease in carrion consumption was registered, and wolves increased their feeding on the rising population of wild ungulates, especially on roe deer, and on wild pony. Future regulations should assess their potential indirect effects in the early stages of drafting to allow for the design of proper mitigation measures.

  8. Sanitary Landfill Groundwater Monitoring Report - Third and Fourth Quarters 2000 and 2000 Summary

    Energy Technology Data Exchange (ETDEWEB)

    Chase, J.A.

    2001-03-07

    A maximum of forty wells of the LFW series monitor groundwater quality in the Steed Pond Aquifer (Water Table) beneath the Sanitary Landfill Area at the Savannah River Site (SRS). These wells are sampled quarterly to comply with the South Carolina Department of Health and Environmental Control Domestic Waste Permit DWP-087A and as part of the Sanitary Landfill Groundwater Quality Assessment Plan. Chloroethene (vinyl chloride) and trichloroethylene were the most widespread constituent exceeding the Final Primary Drinking Water Standards during the calendar year 2000. 1,4-Dichlorobenzene, benzene, dichloromethane (methylene chloride), gross alpha, lead (total recoverable) mercury (total recoverable), thallium (total recoverable), and tritium also exceeded standards in one or more wells. The groundwater flow direction in the Steed Pond Aquifer (Water Table) beneath the Sanitary Landfill is to the southeast (universal transverse Mercator coordinates). The flow rate at this unit was approximately 122.64 ft/year during first quarter 2000 and 132.28 ft/year during fourth quarter 2000.

  9. Sanitary Landfill Groundwater Monitoring Report - Third and Fourth Quarters 2000 and 2000 Summary

    Energy Technology Data Exchange (ETDEWEB)

    Chase, J.A.

    2001-03-07

    A maximum of forty wells of the LFW series monitor groundwater quality in the Steed Pond Aquifer (Water Table) beneath the Sanitary Landfill Area at the Savannah River Site (SRS). These wells are sampled quarterly to comply with the South Carolina Department of Health and Environmental Control Domestic Waste Permit DWP-087A and as part of the Sanitary Landfill Groundwater Quality Assessment Plan. Chloroethene (vinyl chloride) and trichloroethylene were the most widespread constituent exceeding the Final Primary Drinking Water Standards during the calendar year 2000. 1,4-Dichlorobenzene, benzene, dichloromethane (methylene chloride), gross alpha, lead (total recoverable) mercury (total recoverable), thallium (total recoverable), and tritium also exceeded standards in one or more wells. The groundwater flow direction in the Steed Pond Aquifer (Water Table) beneath the Sanitary Landfill is to the southeast (universal transverse Mercator coordinates). The flow rate at this unit was approximately 122.64 ft/year during first quarter 2000 and 132.28 ft/year during fourth quarter 2000.

  10. Phase and Micro-Structural Characterization of Sanitary-Ware Fired at Different Temperature

    Directory of Open Access Journals (Sweden)

    ATHER HASSAN

    2017-07-01

    Full Text Available The three main ingredients of sanitary-ware are clay, feldspar and quartz. This ware is being widely used and has therefore, attracted the attention of researchers from time to time. Consequently, it has been extensively investigated. The present study describes the phase and micro-structural analysis of sanitary-ware samples collected from local (Durr Ceramics Peshawar industry. XRD (X-Ray Diffraction of samples fired at 1100oC reveals the presence of ? ? ? ? ?-quartz and primary mullite only. In addition to a-quartz and primary mullite, elongated needles of secondary mullite were also present in samples fired at 1200 and 1300oC. Unlike typical vitreous ceramics bodies, regions containing elongated secondary mullite originating from the clay relict and growing into the feldspar relict were few in number which is consistent with the high clay content in the starting body ingredients of the investigated samples. Another sample investigated for comparison purposes, contained all the phases mentioned above along with some corundum grains which indicated that the composition of sanitary ware varied from manufacturer to manufacturer. EDS (Energy Dispersive Spectroscopy detected high concentration of Fe in some regions in the bulk but the glaze did not contain any Fe.

  11. Diptera of sanitary importance associated with composting of biosolids in Argentina

    Directory of Open Access Journals (Sweden)

    Valeria Alejandra Labud

    2003-12-01

    Full Text Available OBJECTIVE: Odorous compounds produced at the biosolids composting plant in Bariloche (NW Patagonia attract a variety of insects, mainly belonging to the order Diptera. In order to characterize these flies, collected specimens were taxonomically identified, their community characteristics were described and their sanitary and synanthropic importance and autochthonous or introduced character were determined. METHODS: Sampling was performed from October 1999 until March 2000. Adults were collected using an entomological net, and larvae and puparia were obtained from the composting material and incubated to obtain adults. Richness, abundance and sex ratio were calculated. RESULTS: A total of 9 taxa of Diptera were identified: Sarconesia chlorogaster, Phaenicia sericata, Calliphora vicina, Cochliomya macellaria, Ophyra sp, Muscina stabulans, Musca domestica, Sarcophaga sp and Fannia sp. Specimens of Anthomyiidae, Acaliptratae and one larva of Eristalis tenax were also found. Ophyra sp. was the most abundant taxa. All the captured Diptera belonged to introduced taxa. Most of them are considered to be eusynanthropic and/or hemisynanthropic and have sanitary importance as they may cause myiasis and pseudomyiasis. The high number of females registered and the finding of immature stages indicated that flies can develop their complete life cycle on biosolid composting windrows. CONCLUSIONS: The characterization of flies obtained in this study may be useful for defining locations of urban or semi-urban composting facilities. It also highlights the importance of sanitary precautions at such plants.

  12. Risk of Impaired Control of Spacecraft/Associated Systems and Decreased Mobility Due to Vestibular/Sensorimotor Alterations Associated with Space flight

    Science.gov (United States)

    Bloomberg, Jacob J.; Reschke, Millard F.; Clement, Gilles R.; Mulavara, Ajitkumar P.; Taylor, Laura C..

    2015-01-01

    Control of vehicles and other complex systems is a high-level integrative function of the central nervous system (CNS). It requires well-functioning subsystem performance, including good visual acuity, eye-hand coordination, spatial and geographic orientation perception, and cognitive function. Evidence from space flight research demonstrates that the function of each of these subsystems is altered by removing gravity, a fundamental orientation reference, which is sensed by vestibular, proprioceptive, and haptic receptors and used by the CNS for spatial orientation, posture, navigation, and coordination of movements. The available evidence also shows that the degree of alteration of each subsystem depends on a number of crew- and mission-related factors. There is only limited operational evidence that these alterations cause functional impacts on mission-critical vehicle (or complex system) control capabilities. Furthermore, while much of the operational performance data collected during space flight has not been available for independent analysis, those that have been reviewed are somewhat equivocal owing to uncontrolled (and/or unmeasured) environmental and/or engineering factors. Whether this can be improved by further analysis of previously inaccessible operational data or by development of new operational research protocols remains to be seen. The true operational risks will be estimable only after we have filled the knowledge gaps and when we can accurately assess integrated performance in off-nominal operational settings (Paloski et al. 2008). Thus, our current understanding of the Risk of Impaired Control of Spacecraft/Associated Systems and Decreased Mobility Due to Vestibular/Sensorimotor Alterations Associated with Space flight is limited primarily to extrapolation of scientific research findings, and, since there are limited ground-based analogs of the sensorimotor and vestibular changes associated with space flight, observation of their functional

  13. Effects of tow transit on the efficacy of the Chicago Sanitary and Ship Canal Electric Dispersal Barrier System

    Science.gov (United States)

    Davis, Jeremiah J.; LeRoy, Jessica Z.; Shanks, Matthew R.; Jackson, Patrick Ryan; Engel, Frank; Murphy, Elizabeth; Baxter, Carey L.; McInerney, Michael K.; Barkowski, Nicholas A.

    2017-01-01

    In 2016, the U.S. Fish and Wildlife Service, U.S. Geological Survey, and U.S. Army Corps of Engineers undertook a field study in the Chicago Sanitary and Ship Canal near Romeoville, Illinois to determine the influence of tow transit on the efficacy of the Electric Dispersal Barrier System (EDBS) in preventing the passage of juvenile fish (total length return current of water flowing between the tow and the canal wall that typically travels opposite the direction of tow movement, and cause a decrease in the voltage gradient of the barrier of up to 88%. Return currents and decreases in voltage gradients induced by tow passage likely contributed to the observed fish passage through the EDBS. The efficacy of the EDBS in preventing the passage of small, wild fish is compromised while tows are moving across the barrier system. In particular, downbound tows moving through the EDBS create a pathway for the upstream movement of small fish, and therefore may increase the risk of transfer of invasive fishes from the Mississippi River Basin to the Great Lakes Basin.

  14. Sanitary and Phytosanitary Measures in China:Efficiency and Challenge:A Case Study of Swine Industry

    Institute of Scientific and Technical Information of China (English)

    Yinguo DONG; Yehong LU

    2015-01-01

    The Sanitary and Phytosanitary( SPS) measures are technical regulations,standards,and requirements closely related to food safety,plant and animal health,and environmental safety,aiming to prevent disease,pests,pathogens and other alien risk from entering China.Pork is favorite meat for Chinese consumers; its safety directly concerns the safety of whole food supply chain with rapid increasing of pork import. This paper analyzed SPS management system of swine and pork import,and evaluated SPS efficiency of swine industry in China from SPS notification number,swine health situation,and pork import standard. The study found that as for SPS notification number and chemical residue control standard,China’s SPS protection level is relatively high,while the control level of swine diseases is still low. In China,SPS management system has the problem of involving multiple authorities and poor coordination among them,leading to some standards lacking scientific basis and low enforcement.

  15. A Model to Assess the Risk of Ice Accretion Due to Ice Crystal Ingestion in a Turbofan Engine and its Effects on Performance

    Science.gov (United States)

    Jorgenson, Philip C. E.; Veres, Joseph P.; Wright, William B.; Struk, Peter M.

    2013-01-01

    The occurrence of ice accretion within commercial high bypass aircraft turbine engines has been reported under certain atmospheric conditions. Engine anomalies have taken place at high altitudes that were attributed to ice crystal ingestion, partially melting, and ice accretion on the compression system components. The result was one or more of the following anomalies: degraded engine performance, engine roll back, compressor surge and stall, and flameout of the combustor. The main focus of this research is the development of a computational tool that can estimate whether there is a risk of ice accretion by tracking key parameters through the compression system blade rows at all engine operating points within the flight trajectory. The tool has an engine system thermodynamic cycle code, coupled with a compressor flow analysis code, and an ice particle melt code that has the capability of determining the rate of sublimation, melting, and evaporation through the compressor blade rows. Assumptions are made to predict the complex physics involved in engine icing. Specifically, the code does not directly estimate ice accretion and does not have models for particle breakup or erosion. Two key parameters have been suggested as conditions that must be met at the same location for ice accretion to occur: the local wet-bulb temperature to be near freezing or below and the local melt ratio must be above 10%. These parameters were deduced from analyzing laboratory icing test data and are the criteria used to predict the possibility of ice accretion within an engine including the specific blade row where it could occur. Once the possibility of accretion is determined from these parameters, the degree of blockage due to ice accretion on the local stator vane can be estimated from an empirical model of ice growth rate and time spent at that operating point in the flight trajectory. The computational tool can be used to assess specific turbine engines to their susceptibility to

  16. Partial nitrification for nitrogen removal from sanitary landfill leachate.

    Science.gov (United States)

    Spagni, Alessandro; Psaila, Giuliana; Rizzo, Andrea

    2014-09-19

    Biological nitrogen removal using nitrite as a shortcut has recently been proposed for the treatment of high strength landfill leachate. The aim of this study was to assess the application of the SHARON (Single reactor High activity Ammonium Removal Over Nitrite) process for the partial nitrification of leachate generated in old landfills. Particular attention was given to the start-up phase of the process. This study demonstrated that partial nitrification can be obtained when treating raw leachate after biomass acclimation. Only a fraction (50-70%) of the ammonia present in the leachate can be oxidised due to a limited amount of alkalinity available. Stable nitritation was obtained by applying a hydraulic retention time (HRT) of 4-5 d, which is higher than the values proposed for the effluent of anaerobic digesters. This higher HRT could probably be allowed by the high concentration of free ammonia present in the leachate, which could severely inhibit the growth of nitrite-oxidising bacteria.

  17. THE MICROBIOLOGICAL AND SANITARY STATE OF SAND IN THE MUNICIPAL BATHING BEACH IN SZCZECIN

    Directory of Open Access Journals (Sweden)

    Kinga Zatoń

    2015-11-01

    Full Text Available Artificial beaches, i.e. places in the public sphere, are usually intended for recreation, located at water reservoirs, rivers, and their surface is naturally occurring or applied sand. The urban bathing beach located in Szczecin by the Deep lake has sand purchased and distributed on the beach by the Municipal Services Office in Szczecin (a few hundred ton. The beach is divided into sectors, a volleyball court is in one part, in the next section catering and sanitary facilities are located, and the remaining area is a place intended for sunbathing and playing games. The aim of the experiment was to assess the effects of different ways of using the beach on changes of microbiological properties of the sand. The tests were taken from the beach sand in May 2013 (first term examinations, and in September, after several months of use (the second term of examinations. The sand was collected near catering and sanitary sector (the first object and from the area of the volleyball court (the second object, as well as the playground for children (the third object. The facilities were distanced from the shoreline of the lake by approx. 8 metres. The comparison included the number of heterotrophic bacteria, fungi and the detected presence of coliform bacteria, including Escherichia coli, bacteria of the genus Salmonella and eggs of intestinal parasites. In any of the objects, or the periods of time, eggs of intestinal parasites and bacteria of the genus Salmonella were detected. The presence of coliform bacteria including E. coli was found in the sand collected from a catering-sanitary zone, there was also the biggest number of bacteria and fungi. The number of heterotrophic bacteria and fungi was similar in samples of sand taken from the volleyball court and from the playground, in this sand there was no bacteria belonging to the E. coli species, although in several samples from the playground other bacteria belonging to the coliform genus were detected. To

  18. SANITARY-EPIDEMIOLOGICAL ASSESSMENT OF THE PRODUCTS FOR WHICH STANDARDS REGULATING CONTENT OF NATURAL RADIONUCLIDES ARE NOT STATED

    Directory of Open Access Journals (Sweden)

    I. P. Stamat

    2015-01-01

    Full Text Available In the recent years, products that are produced using natural minerals with a high content of natural radionuclides have become widely used by households. The natural background radiation level can vary by tens and hundred times even for similar products, while areas of their application can differ from jewelry to medicine. However, normative documents (guidelines on the content of natural radionuclides in such products have not been yet created. To ensure radiation safety in the use of these products, the dose limit is set: the effective annual dose due to direct use of these products must not exceed 0.1 mSv. This article discusses issues related to the application of the dedicated sections of the documents OSPORB-99/2010 and SanPiN 2.6.1.2800-10 during sanitary-epidemiological assessment of the products, for which regulations on the content of natural radionuclide’s are not created. Possible scenarios of humanexposure when using these products with the primary purpose are considered. Based on the limit of 0.1 mSv annual effective dose, the criteria for a rapid compliance assessment of the radiological characteristics of the individual groups of these products are proposed.

  19. Environmental impact assessment on the construction and operation of municipal solid waste sanitary landfills in developing countries: China case study.

    Science.gov (United States)

    Yang, Na; Damgaard, Anders; Lü, Fan; Shao, Li-Ming; Brogaard, Line Kai-Sørensen; He, Pin-Jing

    2014-05-01

    An inventory of material and energy consumption during the construction and operation (C&O) of a typical sanitary landfill site in China was calculated based on Chinese industrial standards for landfill management and design reports. The environmental impacts of landfill C&O were evaluated through life cycle assessment (LCA). The amounts of materials and energy used during this type of undertaking in China are comparable to those in developed countries, except that the consumption of concrete and asphalt is significantly higher in China. A comparison of the normalized impact potential between landfill C&O and the total landfilling technology implies that the contribution of C&O to overall landfill emissions is not negligible. The non-toxic impacts induced by C&O can be attributed mainly to the consumption of diesel used for daily operation, while the toxic impacts are primarily due to the use of mineral materials. To test the influences of different landfill C&O approaches on environmental impacts, six baseline alternatives were assessed through sensitivity analysis. If geomembranes and geonets were utilized to replace daily and intermediate soil covers and gravel drainage systems, respectively, the environmental burdens of C&O could be mitigated by between 2% and 27%. During the LCA of landfill C&O, the research scope or system boundary has to be declared when referring to material consumption values taken from the literature; for example, the misapplication of data could lead to an underestimation of diesel consumption by 60-80%.

  20. Switching to nevirapine-based regimens after undetectable viral load is not associated with increased risk of discontinuation due to toxicity

    Directory of Open Access Journals (Sweden)

    Patricia Patterson

    2014-11-01

    Full Text Available Introduction: Due to its good tolerability, favourable cardiovascular risk-profile, low-pill burden and cost, nevirapine-based regimens are an attractive simplification strategy for patients with suppressed viral load (VL. However, current guidelines recommend caution if nevirapine (NVP is prescribed in males and females with CD4 counts above 400 or 250 cells/µL, respectively. The aim of this study is to determine the prevalence and risk factors associated with development of toxicity or treatment discontinuation in patients switching to NVP-based regimens. Materials and Methods: Retrospective chart review of HIV-infected patients with suppressed VL who switched from a PI-based regimen to a NVP-based regimen in four HIV clinics in Argentina, between 1997 and 2013. Bivariate and multivariate analyses were performed to explore factors associated with treatment discontinuation. High CD4 count was defined as CD4-cell count ≥400 or 250 cells/µL in males and females, respectively. Results: Of 218 patients included, 165 (75.7% were male; 21 (9.6% were co-infected with HCV and/or HBV. Median baseline (BSL CD4 count: 138 cells/µL (IQR: 64–276. At switch, patients had a median age of 38 years (IQR: 33.4–43.8 and had been suppressed for a median of 1.4 years (IQR: 0.6–2.2; 138 patients (63.3% had high CD4-cell counts: among females, median CD4 count at switch was 462 (IQR: 330–709 cells/µL; among males, 433 (IQR: 305–595 cells/µL. Thirty-six patients (13.5% presented NVP-related toxicity (30 skin toxicity, 6 hepatic toxicity, 29 (13.3% discontinued NVP. Median time to development to toxicity: 32 days (IQR: 15–75. In bivariate analysis, chronic hepatitis was the only variable associated with development of toxicity (OR: 2.90, 95% CI 1.08–7.78. In multivariate analysis, no statistical significant associations were observed between either development of toxicity or treatment discontinuation and gender, chronic hepatitis, age or CD4-cell

  1. EFSA BIOHAZ Panel (EFSA Panel on Biological Hazards), 2014. Scientific Opinion on the public health risks of table eggs due to deterioration and development of pathogens

    DEFF Research Database (Denmark)

    Hald, Tine; Baggesen, Dorte Lau

    Salmonella Enteritidis is considered the only pathogen currently posing a major risk of egg-borne diseases in the European Union (EU). The possible impact of extending the shelf-life of eggs on the risk to consumers posed by S. Enteritidis was estimated by applying a quantitative model...

  2. Methodological issues of optimization the sanitary-educational assistance for children with asthma during the health care reform of Ukraine

    Directory of Open Access Journals (Sweden)

    S. N. Nedelskaya

    2013-08-01

    Full Text Available Entry. Asthma remains the medical, social, economic issue of the day of modern society and industry of health protection. Research works on questions asthma are sanctified to mainly the improvement of diagnostics and treatment of asthma and a sanitary-educational help is underestimated. In the modern terms of structural alteration of network of establishments of health care in Ukraine a sanitary-educational help must be an effective complex in strategy of therapy of patients with asthma. Research aim. To ground importance, modern forms and methods of sanitary -educational help in providing of control above asthma on the stage of structural reorganization of establishments of health care in Ukraine. Materials and research methods. Scientifically-methodical literature was analyzed on general questions of organization and realization of sanitary-educational work in asthma. Long-term of own experience of realization of this work is generalized in the conditions of stationary treatment of patients with asthma. Research results. Sanitary-educational work in a form of education in the program "Asthma school". General practitioner, as a key figure of establishments of primary medical and sanitary help, must own the psychological methods including medical-psychology programs of before- and after graduation medical education. Conclusions. In providing of effective control above bronchial asthma in children a sanitary-educational help must be logical continuation and addition of curative help. Application of the educational programs and volume of work of doctors at their implementation must be legislatively lighted up in "Protocols of diagnostics and treatment of bronchial asthma for children".

  3. Impact of climate change and population growth on a risk assessment for endocrine disruption in fish due to steroid estrogens in England and Wales.

    Science.gov (United States)

    Keller, V D J; Lloyd, P; Terry, J A; Williams, R J

    2015-02-01

    In England and Wales, steroid estrogens: estrone, estradiol and ethinylestradiol have previously been identified as the main chemicals causing endocrine disruption in male fish. A national risk assessment is already available for intersex in fish arising from estrogens under current flow conditions. This study presents, to our knowledge, the first set of national catchment-based risk assessments for steroid estrogen under future scenarios. The river flows and temperatures were perturbed using three climate change scenarios (ranging from relatively dry to wet). The effects of demographic changes on estrogen consumption and human population served by sewage treatment works were also included. Compared to the current situation, the results indicated increased future risk:the percentage of high risk category sites, where endocrine disruption is more likely to occur, increased. These increases were mainly caused by changes in human population. This study provides regulators with valuable information to prepare for this potential increased risk.

  4. Assessment of the Risk to Public Health due to Use of Antimicrobials in Pigs—An Example of Pleuromutilins in Denmark

    DEFF Research Database (Denmark)

    Alban, Lis; Ellis-Iversen, Johanne; Andreasen, Margit

    2017-01-01

    review at the Danish Veterinary and Food Administration. Use of pleuromutilins in swine has previously been associated with a very low risk for human health. However, recent international data and sporadic findings of novel resistance genes suggest a change of risk. Consequently, a reassessment...... was undertaken inspired by a risk assessment framework developed by the European Medicines Agency. Livestock-associated methicillin-resistant Staphylococcus aureus of clonal complex 398 (MRSA CC398) and enterococci were identified as relevant hazards. The release assessment showed that the probability...... low exposure risk. The human consequences of infection with pleuromutilin-resistant MRSA CC398 or enterococci were assessed as low for the public in general but high for vulnerable groups such as hospitalized and immunocompromised persons. For MRSA CC398, the total risk was estimated as low (low...

  5. [Sanitary and epidemiological well-being in children and adolescents: state-of-the-art and ways of solving the problem].

    Science.gov (United States)

    Onishchenko, G G

    2007-01-01

    In the children and adolescents of the Russian Federation, there is an increase in the incidence of a number of nosological entities, a significant prevalence of chronic diseases, and a reduction in health quality in children. According to the statistical data, in the past 5 years, the overall incidence has increased by 16% in children (aged 0-14 years) (171268 per 100,000 children in 2005) by 18% in adolescents. The incidence of diseases of blood and blood-forming organs, anemias, as well diseases of the respiratory, urogenital, and nervous systems, and congenital anomalies continues to increase. Along with socioeconomic causes, this is all due to the negative influence of environmental factors, dietary defects, and, in some cases, poor upbringing and teaching conditions, which do not comply with the hygienic standards and sanitary rules. Under the established conditions, the maintenance and improvement of children's health is the most important state task, the provision of their sanitary and epidemiological welfare being one of the major constituents in its accomplishment. In the past 3 years, the principal state sanitary inspector has issued 17 regulations on different aspects of the sanitary and epidemiological well-being of children and adolescents. The preparation of the draft "National Program for the Prevention of Adverse Health Influence of Environmental Factors for the Sake of the Future of Children and Adolescents for 2007-2010" has been currently completed. The Group of Eight Summit has noted that resolute opposition to threats of infectious diseases, the leading cause of death in the world, is vital to the global development and welfare of mankind. It has adopted the resolution that it is essential to make specific achievements in the strengthening international cooperation in the surveillance and monitoring of infectious diseases; to intensify researches; to second the efforts of appropriate international organizations, which are aimed at effectively

  6. Reflexões sobre segurança sanitária em reprocessamento de produtos para saúde / Thoughts regarding sanitary safety in medical device reprocessing

    Directory of Open Access Journals (Sweden)

    Eliana Auxiliadora Magalhães Costa

    2014-02-01

    Full Text Available Trata-se de um artigo de revisão bibliográfica sobre a segurança sanitária do repro-cessamento de produtos para saúde. Aborda a complexidade da assistência hospitalar possibilitada pelo avanço das tecnologias de saúde, especificamente dos produtos para saúde, que trazem benefícios e riscos, principalmente quando na condição de reúso e de reprocessamento. Ressalta a responsabilidade crescente do Estado, especificamente da Vigilância Sanitária e dos serviços de saúde, para prevenir danos aos pacientes usuários desses dispositivos. Introduz o conceito de risco residual, como elemento sinalizador da possibilidade da ocorrência de eventos adversos relacionados com o reprocessamento de produtos. Finaliza com as possíveis perspectivas futuras para o reprocessamento de produtos para saúde. --------------------------------------------------------------------------------- Medical products used in health services are highly complex. Despite their contribution to hospital assistance, those products are also the bearers of several risk factors, and give rise to concerns regarding safety and effectiveness of the processes related to their reprocessing and re-utilization. This descriptive-reflexive study was performed with ob-jective to present thoughts regarding sanitary safety in medical device reprocessing, and point out that there is immediate need to implement a risk management system in these hospitals, and need for greater sanitary control by the State in order to protect the health of patients. This study finish with possibles perspectives about the medical devices reprocessing.

  7. Increased risk for vascular complications due to GP IIb/IIIa-antagonists in patients with cardiogenic shock supported by intraaortic balloon pump (IABP

    Directory of Open Access Journals (Sweden)

    Jens Röther

    2015-08-01

    Conclusion: Vascular events with the use of IABP are common but in our study, not significantly associated with a higher mortality. Treatment with GP IIb/IIIa-antagonists is associated with a higher risk of vascular events.

  8. Is modification of the VVI backup mode in implantable cardioverter-defibrillators from St Jude medical required due to increased risk of inappropriate shocks?

    DEFF Research Database (Denmark)

    Philbert, Berit T; Tfelt-Hansen, Jacob; Jacobsen, Peter K

    2017-01-01

    a ventricular fibrillation (VF) zone starting at 146 b.p.m., with shock therapy only and changes in sensitivity settings making the ICD more sensitive. In all cases, the reason for the multiple inappropriate shocks was that the VF zone was reached due to exercise-induced sinus tachycardia or due to oversensing...

  9. Concentrations and composition profiles of parabens in currency bills and paper products including sanitary wipes.

    Science.gov (United States)

    Liao, Chunyang; Kannan, Kurunthachalam

    2014-03-15

    Parabens (alkyl esters of p-hydroxybenzoic acid) are widely used as antimicrobial preservatives in personal care products, pharmaceuticals, and foodstuffs. Although parabens have been reported to be used as antimicrobials in certain types of papers (e.g., wet sanitary or hygiene wipes), little is known about the occurrence of these compounds in paper products. In this study, we determined the concentrations of six paraben analogs, methyl (MeP), ethyl (EtP), propyl (PrP), butyl (BuP), benzyl (BzP), and heptyl parabens (HepP), in 253 paper products divided into 18 categories, using liquid chromatography-tandem mass spectrometry (LC-MS/MS). At least one of the six parabens was detected in almost all (detection rate: 98%) paper samples, and the total concentrations (∑PBs; sum of six parabens) ranged from 1.85 to 3,220,000 ng/g (geometric mean (GM): 103; median: 55.1 ng/g). Sanitary wipes contained very high concentrations of ∑PBs (GM: 8300 ng/g). Paper currencies, tickets, business cards, food cartons, flyers, and newspapers contained notable concentrations of ∑PBs, and the GM concentrations in these paper categories were on the order of a few tens to thousands of nanograms per gram. One source of parabens in paper products is the use of these chemicals as antifungal agents. MeP and PrP were the predominant analogs, accounting for approximately 62% and 16% of the total concentrations of parabens, respectively. On the basis of measured concentrations and frequency of handling of paper products, we estimated the daily intake (EDI) of parabens through dermal absorption. The GM and 95th percentile EDI values were 6.31 and 2050 ng/day, respectively, for the general population. Among the paper categories analyzed, sanitary wipes contributed to the majority (>90%) of the exposures.

  10. US EPA record of decision review for landfills: Sanitary landfill (740-G), Savannah River Site

    Energy Technology Data Exchange (ETDEWEB)

    1993-06-01

    This report presents the results of a review of the US Environmental Protection Agency (EPA) Record of Decision System (RODS) database search conducted to identify Superfund landfill sites where a Record of Decision (ROD) has been prepared by EPA, the States or the US Army Corps of Engineers describing the selected remedy at the site. ROD abstracts from the database were reviewed to identify site information including site type, contaminants of concern, components of the selected remedy, and cleanup goals. Only RODs from landfill sites were evaluated so that the results of the analysis can be used to support the remedy selection process for the Sanitary Landfill at the Savannah River Site (SRS).

  11. Sanitary impact of the particulate atmospheric urban pollution; Impact sanitaire de la pollution atmospherique urbaine particulaire

    Energy Technology Data Exchange (ETDEWEB)

    Sentissi, M.

    1999-03-22

    The pollution of particulates origin is one of the principle actual problem relative to air quality. In France, the fine particulates come from industry and automobile traffic, especially, the diesel vehicles. The most worrying characteristic is their fineness, that allow them to stay in suspension during a long time and penetrate into pulmonary alveoli, with toxic elements at their surface such metals, acids, polycyclic aromatic hydrocarbons. The objective of this work is to take stock of epidemiology and toxicology studies evaluating the sanitary impact of particulates in suspension. (N.C.)

  12. Preliminary site selection report for the new sanitary landfill at the Savannah River Site

    Energy Technology Data Exchange (ETDEWEB)

    1992-12-01

    The Savannah River Site (SRS) has proposed a new sanitary landfill (NSL) for solid waste. A site selection team, comprised of representatives from Westinghouse Savannah River Company (WSRC) evaluated potential landfill sites. The site selection team conducted an initial screening of SRS to eliminate unsuitable areas. The screening was based on criteria that were principally environmental factors; however, the criteria also included avoiding areas with unacceptable features for construction or operation of the facility. This initial screening identified seven candidate sites for further evaluation.

  13. Sanitary landfills. (Latest citations from the EI Compendex*plus database). Published Search

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-04-01

    This bibliography contains citations concerning refuse disposal in sanitary landfills. Among the topics reviewed are site selection criteria, leachate analysis and treatment, and economic and management aspects. Hydrologic studies pertaining to contaminant transport, and the use of liners and covers are discussed. Considerable attention is given to gas generation and recovery, and specific operations are described. Citations pertaining specifically to hazardous and industrial waste materials are excluded. (Contains 50-250 citations and includes a subject term index and title list.) (Copyright NERAC, Inc. 1995)

  14. 2015 Sensorimotor Risk Standing Review Panel Evidence and Status Review For: the Risk of Impaired Control of Spacecraft/Associated Systems and Decreased Mobility Due to Vestibular/Sensorimotor Alterations Associated with Spaceflight

    Science.gov (United States)

    Steinberg, Susan

    2015-01-01

    The 2015 Sensorimotor Risk Standing Review Panel (from here on referred to as the SRP) participated in a WebEx/teleconference with members of the Human Health Countermeasures (HHC) Element, representatives from the Human Research Program (HRP), NASA Headquarters, and NASA Research and Education Support Services (NRESS) on December 17, 2015 (list of participants is in Section VI of this report). The SRP reviewed the new Evidence Report for the Risk of Impaired Control of Spacecraft/Associated Systems and Decreased Mobility Due to Vestibular/Sensorimotor Alterations Associated with Spaceflight (from here on referred to as the 2015 Sensorimotor Evidence Report), and also received a status review of the Risk. The opening section of the 2015 Sensorimotor Evidence Report provides written descriptions of various incidents that have occurred during space missions. In most of these incidents, the main underlying contributing factors are not easy to identify unambiguously. For example, in section 1.9, a number of falls occurred while astronauts were walking on the moon. It is not clear to the SRP, however, why they fell. It is only possible to extrapolate from likely specific psychophysical or physiological abnormalities, but how these abnormalities were determined, and how they were directly responsible for the falls is unclear to the SRP. Section 2.1.2 on proprioception is very interesting, but the functional significance of the abnormalities detected is not clear. The SRP sees this as a problem throughout the report: a mapping between the component abnormalities identified and the holistic behaviors that are most relevant, for example, controlling the vehicle, and locomotion during egress, is generally lacking. The SRP thinks the cognitive section is too strongly focused on vestibular functioning. The SRP questions the notion that the main cognitive effects are mainly attributable to reversible vestibular changes induced by spaceflight. The SRP thinks that there can also

  15. A test on within-individual changes in risk-taking behaviour due to experience to predation in the Collared Flycatcher (Ficedula albicollis

    Directory of Open Access Journals (Sweden)

    Krenhardt Katalin

    2016-06-01

    Full Text Available Different experiences from the past may have influence on individual’s behaviour through feedback mechanisms that can weaken or preserve the within-individual consistency of behavioural traits. Here, we aimed to find evidence for such feedback mechanisms that may operate on risk-taking behaviour via the effect of former experience to potential predation events in male Collared Flycatchers (Ficedula albicollis. We predicted that risk-taking of males would decrease after experiencing a predator’s attack in previous breeding seasons (negative feedback. We assessed risk-taking by flight initiation distance (FID that is the distance at which an individual flees from an approaching predator, which was estimated for 234 individuals from different breeding seasons. Information on predation experience (i.e. occurrence of nest predation, the incidence of capture by human observers was available from our long-term database on individual life histories. In a horizontal approach, we found no difference in FID when comparing males with former experience to predation with males naive to predators. A longitudinal approach relying on the repeated tests of the same individuals from different years yielded analogous results, we could not show a significant change in the risk-taking behaviour of the males as a consequence of experience to predation in past years. However, we found that individuals systematically took less risk over the years, which might be a consequence of acquiring general experience with age.

  16. Comparison of second cancer risk due to out-of-field doses from 6-MV IMRT and proton therapy based on 6 pediatric patient treatment plans

    Science.gov (United States)

    Athar, Basit S.; Paganetti, Harald

    2010-01-01

    Background and Purpose This study compared 6-MV IMRT and proton therapy in terms of organ specific second cancer lifetime attributable risks (LARs) caused by scattered and secondary out-of-field radiation. Material and Methods Based on simulated organ doses, excess relative and excess absolute risk models were applied to assess organ-specific LARs. Two treatment sites (cranium and central spine) were considered involving 6 treatment volumes and 6 patient ages (9-month, 4-year, 8-year, 11-year, 14-year, and adult). Results The LARs for thyroid cancer from a 6 cm diameter field treating a brain lesion in a 4-year old patient were estimated to be 1.1% and 0.3% in passive proton therapy and IMRT, respectively. However, estimated LARs for bladder cancer, more than 25 cm from the field edge for the same patient and treatment field, were estimated to be 0.2% and 0.02% from IMRT and proton therapy, respectively. Risks for proton beam scanning was found to be an order of magnitude smaller compared to passive proton therapy. Conclusion In terms of out-of-field risks, IMRT offers advantage close to the primary field and an increasing advantage for passive proton therapy is noticed with increasing distance to the field. Scanning proton beam therapy shows the lowest risks. PMID:21159398

  17. [The necessity of new approaches to the elaboration of the projects for the sanitary (mountainous sanitary) protection districts around the therapeutic and health-promotion facilities, health resorts and their natural medical resources].

    Science.gov (United States)

    Razumov, A N; Adilov, V B

    2015-01-01

    The international experience gained during the past two centuries indicates that the most efficient and rational way to ensure the protection of the territories occupied by the therapeutic and health-promotion facilities, spa centres, and health resorts together with their natural medical resources is to set up sanitary (mountainous sanitary) protection districts or zones along the perimeter of these territories. Beginning from 2000, numerous changes and amendments have been annually introduced in the Russian legislation intended to ensure efficacious control over the rational exploitation of the territories of therapeutic and health-promotion value and their natural medical resources. These initiatives have negative effect on the activities of these organizations and the quality of the services they are expected to provide. Taken together these effects lead to the degradation of the spa and health resort business. Bearing in mind the current conditions for economic activities, it is proposed, in contrast to the former global approach, to envisage in the aforementioned projects the establishment of the sanitary (mountainous sanitary) protection districts or zones and determine their borders based on the results of the assessment of their potential for the protection of therapeutic factors and other valuable resources. Equally important is the maximum reduction of the areas of the second and third zones taking into account their relevant objective characteristics. In certain cases, the protective district may coincide with the second zone. As far as the federal health resorts and large territories of special health-promotion value are concerned, some of them may have two or more sanitary (mountainous sanitary) protection districts. Both the owners and the users of these territories should be provided the necessary and sufficient possibilities for the rational nature use at the grounds and in the adjacent water areas suitable for the development of health resort

  18. Apparently conclusive meta-analyses may be inconclusive--Trial sequential analysis adjustment of random error risk due to repetitive testing of accumulating data in apparently conclusive neonatal meta-analyses

    DEFF Research Database (Denmark)

    Brok, Jesper; Thorlund, Kristian; Wetterslev, Jørn;

    2008-01-01

    BACKGROUND: Random error may cause misleading evidence in meta-analyses. The required number of participants in a meta-analysis (i.e. information size) should be at least as large as an adequately powered single trial. Trial sequential analysis (TSA) may reduce risk of random errors due...

  19. Are specific antiretrovirals associated with an increased risk of discontinuation due to toxicities or patient/physician choice in patients with hepatitis C virus coinfection?

    DEFF Research Database (Denmark)

    Mocroft, A; Rockstroh, J; Soriano, V

    2005-01-01

    in the rate of discontinuation due to TOXPC in those with HCV compared with those without for any nucleoside pairs or third drugs. Similar results were seen when concentrating on discontinuation due to toxicities alone. CONCLUSIONS: Although patients with HCV generally had higher rates of discontinuation due......BACKGROUND: Liver damage associated with hepatitis C (HCV) may influence the likelihood of experiencing discontinuation due to toxicities or patient/physician choice (TOXPC) in patients taking combination antiretroviral therapy (cART). Little information to address this concern is available from...... nucleoside pair (zidovudine/lamivudine, didanosine/stavudine, stavudine/lamivudine, or other) with a third drug (abacavir, nelfinavir, indinavir, nevirapine, efavirenz, lopinavir/ritonavir or other boosted-protease inhibitor (PI)-containing regimen) and with known HCV serostatus were studied...

  20. Evaluation of excess life time cancer risk due to natural radioactivity of the Lignite samples of the Nichahoma, lignite belt, North Kashmir, India

    Energy Technology Data Exchange (ETDEWEB)

    Ashraf, Mudasir [VIT Univ., Vellore, Tamil Nadu (India). Photonic, Nuclear and Medical Physics Div.; Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar (India). Dept. of Radiological Physics and Bio-engineering; Radha, C. Anu; Ramasubramanian, V. [VIT Univ., Vellore, Tamil Nadu (India). Photonic, Nuclear and Medical Physics Div.; Ahmad, Shakeel; Masood, Sajad [Kashmir Univ., Srinagar (India). Dept. of Physics; Dar, Rayees Ahmad [Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar (India). Div. of Biostatistics

    2016-11-01

    Naturally occurring radionuclides of the {sup 226}Ra, {sup 232}Th, and {sup 40}K present in the lignite samples was measured by using a low-background Pb-shielded gamma spectroscopic counting assembly utilizing NaI(Tl) detector for the measurement and to evaluation the radiation hazard indices and excess life time cancer risk. The average values of specific activity concentrations in the investigated lignite samples was found to be 45.36 Bq kg{sup -1} for {sup 226}Ra, 21.42 Bq kg{sup -1} for {sup 232}Th, 40.51 Bq kg{sup -1} for {sup 40}K and 79.11 Bq kg{sup -1} for Ra{sub eq} respectively. The average value excess life time cancer risk was found to be relatively higher than the world average. Moreover, the correlation analysis shows the strong dependence of excess lifetime cancer risk on measured dose and the radium equivalent activity.

  1. Risk of discontinuation of nevirapine due to toxicities in antiretroviral-naive and -experienced HIV-infected patients with high and low CD4+ T-cell counts

    DEFF Research Database (Denmark)

    Mocroft, Amanda; Staszewski, Schlomo; Weber, Rainer;

    2007-01-01

    It is unknown whether the increased risk of toxicities in antiretroviral-naive HIV-infected patients initiating nevirapine-based (NVPc) combination antiretroviral therapy (cART) with high CD4+ T-cell counts is also observed when NVPc is initiated in cARTexperienced patients.......It is unknown whether the increased risk of toxicities in antiretroviral-naive HIV-infected patients initiating nevirapine-based (NVPc) combination antiretroviral therapy (cART) with high CD4+ T-cell counts is also observed when NVPc is initiated in cARTexperienced patients....

  2. [Problems in the further development of postgraduate training in industrial sanitary chemistry for the laboratory physicians of epidemiological health stations].

    Science.gov (United States)

    Makeeva, E P; Soldatenkova, N A

    1991-01-01

    The article narrates on the domain of the sanitary inspection medical laboratory workers' supervision in the field of industrial chemistry and their experience in handling different physical and chemical analysis techniques. It is indicated that sanitary inspection medical laboratory personnel requires constant postgraduate training. Proposed is the respective training programme adopted at the Institute for Postgraduate Training of Physicians, Moscow, which includes samples' selection, physical and chemical analysis testing and application in specific conditions, statistical assessment of the results obtained. The programme also includes the hygienic aspects, e. i. current sanitary control, labour hygiene in different gas discharge-related conditions. Practical training is performed in small groups of 2 or 3 persons, thus facilitating adoption of skills in using various analysis techniques. Initial, current and intermediate control, tests and situational analysis are used in the training process.

  3. Population health risk related to increased content of benzpyrene in soil

    Directory of Open Access Journals (Sweden)

    V.V. Suchkov

    2017-06-01

    Full Text Available The article deals with the problem of soil contamination with benzpyrene within sanitary-hygienic zone of an oil refinery plant. We proved that benzpyrene penetrated into soils due to oil-containing wastes and sedimentation of polycyclic aromatic hydrocarbons from powder-gas discharges on soil surface. Benzpyrene concentration detection at the boundary of a sanitary-hygienic zone provides guidelines for determining discharges spread into the atmosphere from stationary sources; it also serves as an indirect parameter characterizing soil self-purification intensity. We treated benzpyrene content in soils as an informative indicator showing soil horizon contamination with polycyclic aromatic hydrocarbons and heavy oil fractions. Over 2015–2016 66 soil samples were taken and analyzed. We detected benzpyrene concentration with Agilent Technologies 7820A GC System «Maestro» gas chromatograph with mass-selective detector Agilent Technologies 5975 Series MSD in full conformity with ISO 18287: 2006. We compared actual benzpyrene concentrations with maximum permissible concentration (MPC = 0.02 mg/kg, confirmed by Hygienic Standard 2.1.7.2041-06. The results of analyzing the samples as per benzpyrene content revealed that it was higher than maximum permissible concentration (MPC in all of them. Share of samples with benzpyrene content higher than 1.5 MPC varied from 54.5 % to 90.9 % in different seasons. Some places within sanitary-hygienic zone had high benzpyrene concentration in soils reaching 9.85 MPC. High benzpyrene content in soils proves there is persistent soil horizon contamination with polycyclic aromatic hydrocarbons and soil self-purification slows down. And this, in its turn, causes carcinogenic health risk occurrence (1.0810–3 – 6.5510–3.

  4. Persisting arthralgia due to Mayaro virus infection in a traveler from Brazil: Is there a risk for attendants to the 2014 FIFA World Cup?

    NARCIS (Netherlands)

    Slegers, C.A.; Keuter, M.; Gunther, S.; Schmidt-Chanasit, J.; Ven, A.J.A.M. van der; Mast, Q. de

    2014-01-01

    The 2014 FIFA World Cup and the 2016 Olympic Games will attract large groups of visitors to Brazil. These visitors will be at risk for different arboviral infections, some of which not well known outside endemic areas. We report a case of a 52-year-old Dutch woman who presented with persistent arthr

  5. Mental health symptoms identify workers at risk of long-term sickness absence due to mental disorders : prospective cohort study with 2-year follow-up

    NARCIS (Netherlands)

    van Hoffen, Marieke F. A.; Joling, Catelijne I.; Heymans, Martijn W.; Twisk, Jos W. R.; Roelen, Corne A. M.

    2015-01-01

    Background: Mental health problems are a leading cause of long-term sickness absence (LTSA). Workers at risk of mental LTSA should preferably be identified before they report sick. The objective of this study was to examine mental health symptoms as predictors of future mental LTSA in non-sicklisted

  6. Optimising drug prescribing and dispensing in subjects at risk for drug errors due to renal impairment : improving drug safety in primary healthcare by low eGFR alerts

    NARCIS (Netherlands)

    Joosten, Hanneke; Drion, Iefke; Boogerd, Kees J.; van der Pijl, Emiel V.; Slingerland, Robbert J.; Slaets, Joris P. J.; Jansen, Tiele J.; Schwantje, Olof; Gans, Reinold O. B.; Bilo, Henk J. G.

    2013-01-01

    Objectives: To assess the risk of medication errors in subjects with renal impairment (defined as an estimated glomerular filtration rate (eGFR) Design: Clinical survey. Setting: The city of Zwolle, The Netherlands, in a primary care setting including 22 community pharmacists and 65 general practiti

  7. Mental health symptoms identify workers at risk of long-term sickness absence due to mental disorders : prospective cohort study with 2-year follow-up

    NARCIS (Netherlands)

    van Hoffen, Marieke F. A.; Joling, Catelijne I.; Heymans, Martijn W.; Twisk, Jos W. R.; Roelen, Corne A. M.

    2015-01-01

    Background: Mental health problems are a leading cause of long-term sickness absence (LTSA). Workers at risk of mental LTSA should preferably be identified before they report sick. The objective of this study was to examine mental health symptoms as predictors of future mental LTSA in non-sicklisted

  8. Impact of climate change, seedling type and provenance on the risk of damage to Norway spruce (Picea abies (L.) Karst.) seedlings in Sweden due to early summer frosts

    Energy Technology Data Exchange (ETDEWEB)

    Langvall, Ola (Swedish Univ. of Agricultural Sciences, Unit for Field-based Forest Research, Asa Forest Research Station, Lammhult (Sweden))

    2011-04-15

    A model including site-specific microclimate-affecting properties of a forest regeneration area together with seedling characteristics was used to evaluate the accumulated risk of frost damage to Norway spruce (Picea abies (L.) Karst.) seedlings. Climate change in Sweden was simulated on the basis of the regional climate model RCA3. The daily average temperature, the driving factor for bud burst in the model, was adjusted using the difference between the mean of the climate model data for the years 1961-1990 and 2036-2065. The model was run for a highly frost prone, clear-cut site in which bare-rooted Norway spruce seedlings of mid-Swedish provenance were planted. Alternate runs were conducted with data for containerized seedlings and seedlings of Belarusian origin. The study showed that bud burst will occur at earlier dates throughout Sweden in the period 2036-2065 if the climate changes according to either of the climate scenarios examined, compared to the reference period 1961-1990. Furthermore, the risk of damage to Norway spruce seedlings as a result of frost events during summer will increase in southern Sweden and be unaffected or decrease in northern Sweden. The risk of frost damage was exacerbated in containerized seedlings, while the risk was lower for the seedlings of Belarusian provenance when compared with bare-rooted seedlings or seedlings of mid-Swedish origin

  9. Potential risk of esophageal squamous cell carcinoma due to nucleotide excision repair XPA and XPC gene variants and their interaction among themselves and with environmental factors.

    Science.gov (United States)

    Rafiq, Rumaisa; Bhat, Gulzar Ahmad; Lone, Mohd Maqbool; Masood, Akbar; Dar, Nazir Ahmad

    2016-08-01

    The association of nucleotide excision repair (NER) gene polymorphisms with esophageal squamous cell carcinoma (ESCC) is inconclusive. The aim of the current study was to assess the association of repair gene xeroderma pigmentosum A (XPA) (rs-1800975) and xeroderma pigmentosum C (XPC) (rs-2228000) polymorphisms with ESCC risk as well as modifying effects of environmental factors. The genotyping was done in 450 confirmed ESCC cases and equal number of individually matched controls by the polymerase chain reaction and restriction fragment length polymorphism (PCR-RFLP) and direct sequencing methods. Conditional logistic regression models were used to assess the genotypic associations and interactions. A high ESCC risk was found in subjects who carried the homozygous minor allele of XPA (odds ratio (OR) = 3.57; 95 % confidence interval (CI) = 1.76-7.23), and the risk was higher when analysis was limited to participants who were ever smokers (OR = 4.22; 95 % CI = 2.01-8.88), lived in adobe houses (OR = 8.42; 95 % CI = 3.74-18.95), consumed large volumes of salt tea (OR = 7.42; 95 % CI = 3.30-16.69), or had a positive family history of cancer (FHC) (OR = 9.47; 95 % CI = 4.67-19.20). In case of XPC, a homozygous minor allele also showed strong association with ESCC risk (OR = 4.43; 95 % CI = 2.41-8.16). We again observed a very strong effect of the above environmental factors in elevating the risk of ESCC. Further, the variant genotypes of both genes in combination showed an increased risk towards ESCC (OR = 7.01; 95 % CI = 3.14-15.64) and such association was synergistically significant. Salt tea consumption showed an interaction with genotypes of XPA and XPC. However, an interaction with FHC was significant in the case of XPA genotype only. XPA and XPC genotypes are associated with an increased risk of ESCC, and such association was reasonably modulated by different exposures.

  10. Evaluation of new location of Isfahan′s sanitary landfill site with Oleckno method

    Directory of Open Access Journals (Sweden)

    Maryam Salimi

    2013-01-01

    Full Text Available Aims: The objective of present study was to evaluate the new location of Isfahan solid waste sanitary landfill using Geographical Information System (GIS based on the Oleckno index method (OIM. Materials and Methods: This study was on the field- and library-based data collection and surveys of relevant data. Assessment parameters included average annual rainfall, soil type and ground water beneath and adjucent to the landfill site. To analyze data, ArcGIS version 9.3 was used. Results: In 2010 the total rainfall in the landfill location was less than 150 mm/year. The soil type was clay loam, and the average distance from the floor of the landfill to the groundwater level was 3-9 meters. As calculated results showed that, the Oleckno index (OI score in the study area was 40. Conclusion: The new Isfahan′s sanitary solid waste landfill site had a good OI and the possibility of contamination of groundwater by leachate production based on this method also was low.

  11. PHYSIOLOGICAL AND SANITARY QUALITY OF DESICCATED AND STORED AZUKI BEAN SEEDS

    Directory of Open Access Journals (Sweden)

    CÁSSIO JARDIM TAVARES

    2016-01-01

    Full Text Available The objective of this research was to evaluate the effects of using different herbicides as desiccants in pre - harvest and the effects of storage on the physiological and sanitary quality of azuki bean seeds ( Vigna angularis Willd. The experiment was arranged in a randomized complete block design in a split plot scheme, with four replications. Four herbicides were tested: paraquat (400 g a.i. ha - 1 , glufosinate ammonium (400 g a.i. ha - 1 , glyphosate (720 g a.i. ha - 1 , flumioxazin (30 g a.i. ha - 1 and a control without herbicide application. In the subplots seed quality was tested in two evaluation periods: at harvest and six months after harvest. Desiccant was applied when the azuki beans were physiologically mature. We assessed the physiological and sanitary quality of the seeds using a vigour and seed health test. The use of glyphosate resulted in a higher incidence of abnormal seedlings and reduced size and weight of the seedlings. With paraquat and flumioxazin the physiological quality was maintained and there was reduced pathogen infestation in the seeds six months after harvest. Storage affected the physiological quality of the azuki bean seeds.

  12. Ecotoxicological evaluation of leachate from the Limeira sanitary landfill with a view to identifying acute toxicity

    Directory of Open Access Journals (Sweden)

    José Euclides Stipp Paterniani

    2007-12-01

    Full Text Available Final disposal of solid waste is still a cause for serious impacts on the environment. In sanitary landfills, waste undergoes physical, chemical, and biological decomposition, generating biogas and leachate. Leachate is a highly toxic liquid with a very high pollution potential. The purpose of this work is to evaluate toxicity of in natura leachate samples collected from Limeira Sanitary Landfill, in Limeira, SP. The ecotoxicological evaluation comprised acute toxicity assays using as test organisms Daphnia Similis, seeds of Eruca sativa (arugula, and Allium cepa roots (onion. Analyses of color, pH, turbidity, conductivity, hardness, nitrogen, total organic carbon (TOC, adsorbable organic halogen (AOX, and metals were also carried out. The main results for Eruca sativa (arugula and Allium cepa (onion indicated that the diluted leachate 50% presented similar toxicity to the phenol solution of 1000 mg.L-1 for arugula and 2000 mg.L-1 for onion. With the solution of Cr+6 concentrations of 3000 mg.L-1 for arugula and 2000 mg.L-1 for onion were found. For analyses with Daphnia Similis the EC50 was 9.3% on average. This way it was possible to observe that biological tests are necessary to evaluate the pollution in the effluents or water bodies. These tests serve to determine the toxic potential of a chemical agent or complex mixture.

  13. Allergic contact dermatitis from methyldibromo glutaronitrile in a sanitary pad and review of Australian clinic data.

    Science.gov (United States)

    Williams, Jason D; Frowen, Kathryn E; Nixon, Rosemary L

    2007-03-01

    Methyldibromo glutaronitrile (MDBGN) has rarely been reported as an allergen in adhesives but is recognized as a common allergen in skin care products in Europe. It has been banned for use in leave-on products by the European Union. In this study, we present a case with an unusual source of this common allergen and review all cases of allergy to MDBGN from our clinics over a 12-year period. A 49-year-old nurse presented with dermatitis affecting the vulva caused by MDBGN present in her sanitary pad. All other cases of allergy to MDBGN in patients attending the occupational dermatology or contact dermatitis clinics at the Skin and Cancer Foundation, Victoria, between January 1993 and December 2004, were reviewed. Patch testing was positive to her sanitary pad, the adhesive and MDBGN, which were used as a biocide in the pad adhesive. Only 20 cases of allergy to MDBGN have been diagnosed in 2837 patients tested during this period (0.7%). To conclude, this study highlights the importance of considering allergic contact dermatitis in the differential diagnosis of vulval rashes and the emergence of MDBGN as an important sensitizer. However, our review suggests that MDBGN remains an infrequent cause of allergy in Australia.

  14. Ampelographic Description and Sanitary Analysis of Four Istrian Grapevine Varieties (Vitis vinifera L.

    Directory of Open Access Journals (Sweden)

    Djordano Persuric

    2014-02-01

    Full Text Available Istrian Peninsula, one of the five districts within viticultural region of Coastal Croatia, provides great geological-reliefal and climatic diversity and various production conditions. This research studied the autochthonous varieties and their sanitary status in old vineyards. Considering the age of vineyard, ten locations were chosen where four autochthonous varieties ‘Malvasia istarska’, ‘Teran’, ‘Borgonja’, and ‘Pergola velika’ were identified using ampelographic description according to OIV descriptors. Morphological characteristics of chosen varieties were described using OIV parameters and must was chemically analysed (pH value, sugar content, titratable acidity. High intra cultivar variability was found for weight of a single bunch especially for ‘Teran’. There were also differences in sugar content of must particularly for ‘Pergola velika’. Must pH was low for all varieties with predominantly low acidity value. Sanitary status of vines was determined by testing the plant samples for the presence of three grapevine viruses (GLRaV-1, GLRaV-3 and GFLV using DAS-ELISA. The percentage of infection for GFLV was 55.6% while for GLRaV-1 and GLRaV-3 it was 61.1%. Results showed that some morphological characteristics differ from characteristics described in literature. With purpose of preserving the biodiversity of autochthonous varieties and for future researches, healthy propagation material will be collected and planted in collection field of autochthonous varieties at the Institute of Agriculture and Tourism, Poreč.

  15. Sanitary landfill groundwater monitoring report. Fourth quarter 1996 and 1996 summary

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-02-01

    A maximum of eighty-nine wells of the LFW series monitor groundwater quality in the Steed Pond Aquifer (Water Table) beneath the Sanitary Landfill at the Savannah River Site (SRS). These wells are sampled quarterly to comply with the South Carolina Department of Health and Environmental Control Domestic Waste Permit DWP-087A and as part of the SRS Groundwater Monitoring Program. Dichloromethane, a common laboratory contaminant, and chloroethene (vinyl chloride) were the most widespread constituents exceeding standards during 1996. Benzene, trichloroethylene, 1,4-dichlorobenzene, 1,1-dichloroethylene, lead (total recoverable), gross alpha, mercury (total recoverable), tetrachloroethylene, fluoride, thallium, radium-226, radium-228, and tritium also exceeded standards in one or more wells. The groundwater flow direction in the Steed Pond Aquifer (Water Table) beneath the Sanitary Landfill was to the southeast (universal transverse Mercator coordinates). The flow rate in this unit was approximately 141 ft/year during first quarter 1996 and 132 ft/year during fourth quarter 1996

  16. Sanitary Landfill Groundwater Monitoring Report, Fourth Quarter 1999 and 1999 Summary

    Energy Technology Data Exchange (ETDEWEB)

    Chase, J.

    2000-03-13

    A maximum of thirty eight-wells of the LFW series monitor groundwater quality in the Steed Pond Aquifer (Water Table) beneath the Sanitary Landfill Area at the Savannah River Site (SRS). These wells are sampled quarterly to comply with the South Carolina Department of Health and Environmental Control Domestic Water Permit DWP-087A and as part of the SRS Groundwater Monitoring Program. Iron (Total Recoverable), Chloroethene (Vinyl Chloride) and 1,1-Dichloroethane were the most widespread constituents exceeding the Final Primary Drinking Water Standards during 1999. Trichloroethylene, 1,1-Dichloroethylene, 1,2-Dichloroethane, 1,4-Dichlorobenzene, Aluminum (Total Recoverable), Benzene, cis-1,2-Dichloroethylene, Dichlorodifluoromethane, Dichloromethane (Methylene Chloride), Gross Alpha, Mercury (Total Recoverable), Nonvolatile Beta, Tetrachloroethylene, Total Organic Halogens, Trichlorofluoromethane, Tritium also exceeded standards in one or more wells. The groundwater flow direction in the Steed Pond Aquifer (Water Table) beneath the Sanitary Landfill is to the southeast (universal transverse Mercator coordinates). The flow rate in this unit was approximately 144.175 ft/year during first quarter 1999 and 145.27 ft/year during fourth quarter 1999.

  17. Cutaneous and sensory effects of two types of sanitary pads with different surfaces in the Shanghai, Chinese population.

    Science.gov (United States)

    Xuemin, Wang; Sato, Noriko; Chao, Yuan; Na, Liu; Fujimura, Tsutomu; Takagi, Yutaka; Nojiri, Hirosh; Kitahara, Takashi; Takema, Yoshinori

    2011-09-01

    Regional differences in practices, ethnicity, and climate may influence the skin compatibility of sanitary pads. Although several clinical trials have been performed in North America, Mexico, Western Europe, Eastern Europe, and Africa, there is no clinical study reported for Asia. The purpose of this study was to examine the skin compatibility of two types of modern sanitary pads in Chinese women along with a dermatological assessment and their satisfaction and preference. The self-feeling and safety of a new sanitary pad with a non-woven top specially-shaped surface sheet was tested and compared with a conventional sanitary pad with a perforated film top sheet. The subjects studied were 22 Chinese women (age: 20-50 years) with a history of mild and occasional sanitary pad dermatitis residing in Shanghai. One subject wished to discontinue the trial for personal reasons, thus 21 subjects completed the trial. These subjects were randomly assigned to two types of sanitary pads, and used one type during their next menstrual period, and another type during their following menstrual period. After each menstrual period, a dermatologist examined the objective and subjective skin symptoms and determined a score. The subjects were asked to rate their level of satisfaction with respect to overall usability, softness, stickiness, dryness, and absorbency, and to choose which pad they had preferred. No adverse effect was observed for either type of pad. Edema, erythema, burning, and stinging were not obvious symptoms for either type of pad. For itching, 30-65% of the subjects scored slight or mild for both types of pads. A comprehensive evaluation showed that several symptoms were observed on both type of pads at slight and mild levels, but minimal and insignificant differences were found between them. The majority of subjects were highly satisfied with both types, but preferred the new sanitary pad with a non-woven specially-shaped surface top sheet for its softness and

  18. Remaining Sites Verification Package for the 1607-F3 Sanitary Sewer System, Waste Site Reclassification Form 2006-047

    Energy Technology Data Exchange (ETDEWEB)

    L. M. Dittmer

    2007-04-26

    The 1607-F3 waste site is the former location of the sanitary sewer system that supported the 182-F Pump Station, the 183-F Water Treatment Plant, and the 151-F Substation. The sanitary sewer system included a septic tank, drain field, and associated pipeline, all in use between 1944 and 1965. In accordance with this evaluation, the verification sampling results support a reclassification of this site to Interim Closed Out. The results of verification sampling demonstrated that residual contaminant concentrations do not preclude any future uses and allow for unrestricted use of shallow zone soils. The results also showed that residual contaminant concentrations are protective of groundwater and the Columbia River.

  19. Selective Photocatalytic Oxidation of Steroid Estrogens in the Presence of Copollutants in the Sanitary Fraction of Domestic Sewage

    Directory of Open Access Journals (Sweden)

    Tatyana Karpova

    2007-01-01

    Full Text Available The photocatalytic oxidation (PCO of the steroid estrogens (SEs, β-estradiol, and 17α-ethynylestradiol, competitive with some constituent compounds of the sanitary fraction of domestic sewage, was studied. The copollutants, urea, and saccharose, present in concentrations exceeding those of the SEs by a factor of a hundred to thousands, appeared to exert a weaker influence to the photocatalytic degradation of the SEs than was expected. The removal of the SEs from diluted urine proceeded, selectively, demonstrating the potential of PCO in the treatment of the separate sanitary fraction of domestic sewage.

  20. RESULTS AND PROSPECTS OF SANITARY AND EPIDEMIOLOGICAL WELL-BEING ENSURING FOR THE POPULATION OF RUSSIAN FEDERATION

    Directory of Open Access Journals (Sweden)

    G. G. Onischenko

    2008-01-01

    Full Text Available The report states priority goals of sanitary and epidemiological service and shows the analysis of the Service's administrative reforms and structural changes from 1991 to 2007. It considers the existing regulatory and legal background on all aspects of hygiene and epidemiology as well as the Concept of the Federal Service Development. It analyses the work of Rospotrebnadzor  bodies in ensuring of sanitary and epidemiological well-being of the population, including current state of population radiation protection in Russian Federation.

  1. [Coordination of governmental and public control in providing sanitary epidemiologic well-being of population and consumers' rights protection].

    Science.gov (United States)

    Rakitin, I A; Zel'din, A L

    2015-01-01

    The article covers features of govenmental and public control in providing sanitary epidemiologic well-being of population and consumers' rights protection. Based on analysis of contemporary legislation, the authors evaluated terms "control" and "supervision", having different legal nature. The authors determined specific traits and define subjects and objects for public control in relationships aimed to provide sanitary epidemiologic well-being of population, evaluated legislative basis of citizens' claims to Rospotrebnadzor, pointed at difficulties in implementation of public control in connection with necessity to create new organizational and legal mechanisms widening control possibilities.

  2. Public Health Risk Conditioned by Chemical Composition of Ground Water

    Science.gov (United States)

    Yankovich, E.; Osipova, N.; Yankovich, K.; Matveenko, I.

    2016-03-01

    The article studies the public health potential risk originated from water consumption and estimated on the basis of the groundwater chemical composition. We have processed the results of chemical groundwater analysis in different aquifers of Tomsk district (Tomsk Oblast, Russia). More than 8400 samples of chemical groundwater analyses were taken during long-term observation period. Human health risk assessment of exposure to contaminants in drinking water was performed in accordance with the risk assessment guidance for public health concerning chemical pollution of the environment (Russian reference number: 2.1.10.1920-04-M, 2004). Identified potential risks were estimated for consuming water of each aquifer. The comparative analysis of water quality of different aquifers was performed on the basis of the risk coefficient of the total non-carcinogenic effects. The non-carcinogenic risk for the health of the Tomsk district population due to groundwater consumption without prior sanitary treatment was admitted acceptable. A rather similar picture is observed for all aquifers, although deeper aquifers show lower hazard coefficients.

  3. [Development of sanitary microbiology researches at the A. N. Marzeyev Institute for Hygiene and Medical Ecology, Academy of Medical Sciences of Ukraine (Kiev)].

    Science.gov (United States)

    Serdiuk, A M; Surmasheva, E V; Korchak, G I

    2011-01-01

    The paper describes the main stages of development of sanitary bacteriological studies at the leading hygiene research institute of Ukraine--the A. N Marzeyev Institute for Hygiene and Medical Ecology. These researches have made a substantial contribution to the formation and development of hygiene science in the former Soviet Union. The current and promising areas in sanitary microbiology in Ukraine are considered.

  4. An application of an ecological framework to understand risk factors of PTSD due to prolonged conflict exposure: Israeli and Palestinian adolescents in the line of fire.

    Science.gov (United States)

    Rosshandler, Yasmin; Hall, Brian J; Canetti, Daphna

    2016-09-01

    Adolescents living in Israel and the Palestinian authority are exposed to political violence. This review examines psychosocial risk factors for posttraumatic stress disorder (PTSD) organized within an ecological framework. Relevant articles were identified through PubMed and PsycINFO. Studies measuring risk and/or protective factors for PTSD in the Palestinian and/or Israeli adolescent populations because of conflict exposure from 1990 to present were included. A total of 20 studies met inclusion criteria. Greater violence exposure, poor economic resources, living in rural compared with urban areas, poor family and peer relations, and poor coping skills were associated with PTSD symptoms. The ecological framework is a useful approach to understanding factors affecting adolescent PTSD. Future research should focus on socioecological levels that have received limited attention. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  5. Long-Term Stroke Risk Due to Partial White-Coat or Masked Hypertension Based on Home and Ambulatory Blood Pressure Measurements: The Ohasama Study.

    Science.gov (United States)

    Satoh, Michihiro; Asayama, Kei; Kikuya, Masahiro; Inoue, Ryusuke; Metoki, Hirohito; Hosaka, Miki; Tsubota-Utsugi, Megumi; Obara, Taku; Ishiguro, Aya; Murakami, Keiko; Matsuda, Ayako; Yasui, Daisaku; Murakami, Takahisa; Mano, Nariyasu; Imai, Yutaka; Ohkubo, Takayoshi

    2016-01-01

    The prognostic significance of white-coat hypertension (WCHT) is controversial, and different findings on self-measured home measurements and 24-h ambulatory monitoring make identifying WCHT difficult. We examined whether individuals with partially or completely defined WCHT, as well as masked hypertension, as determined by different out-of-office blood pressure measurements, have a distinct long-term stroke risk. We followed 1464 participants (31.8% men; mean age, 60.6±10.8 years) in the general population of Ohasama, Japan, for a median of 17.1 years. A first stroke occurred in 212 subjects. Using sustained normal blood pressure (events/n=61/776) as a reference, adjusted hazard ratios for stroke (95% confidence intervals; events/n) were 1.38 (0.82-2.32; 19/137) for complete WCHT (isolated office hypertension), 2.16 (1.36-3.43; 29/117) for partial WCHT (either home or ambulatory normotension with office hypertension), 2.05 (1.24-3.41; 23/100) for complete masked hypertension (both home and ambulatory hypertension with office normotension), 2.08 (1.37-3.16; 38/180) for partial masked hypertension (either home or ambulatory hypertension with office normotension), and 2.46 (1.61-3.77; 42/154) for sustained hypertension. When partial WCHT and partial masked hypertension groups were further divided into participants only with home hypertension and those only with ambulatory hypertension, all subgroups had a significantly higher stroke risk (adjusted hazard ratio ≥1.84, P≤0.04). In conclusion, impacts of partial WCHT as well as partial masked hypertension for long-term stroke risk were comparable to those of complete masked hypertension or sustained hypertension. We need both home and 24-h ambulatory blood pressure measurements to evaluate stroke risk accurately.

  6. Oxidative damage-related genes AKR1C3 and OGG1 modulate risks for lung cancer due to exposure to PAH-rich coal combustion emissions

    Energy Technology Data Exchange (ETDEWEB)

    Lan, Q.; Mumford, J.L.; Shen, M.; DeMarini, D.M.; Bonner, M.R.; He, X.Z.; Yeager, M.; Welch, R.; Chanock, S.; Tian, L.W.; Chapman, R.S.; Zheng, T.Z.; Keohavong, P.; Caporaso, N.; Rothman, N. [NCI, Bethesda, MD (US). Division of Epidemiology and Genetics

    2004-11-01

    Lung cancer rates among men and particularly among women, almost all of whom are non-smokers, in Xuan Wei County, China are among the highest in China and have been causally associated with exposure to indoor smoky coal emissions that contain very high levels of polycyclic aromatic hydrocarbons (PAHs). As such, this population provides a unique opportunity to study the pathogenesis of PAH-induced lung cancer that is not substantially influenced by the large number of other carcinogenic constituents of tobacco smoke. Aldo-keto reductases (AKRs) activate PAH dihydrodiols to yield their corresponding reactive and redox-active o-quinones, which can then generate reactive oxygen species that cause oxidative DNA damage. We therefore examined the association between single nucleotide polymorphisms (SNPs) in four genes (AKR1C3-Gln5His, NQO1-Pro187Ser, MnSOD-Val16Ala and OGG1-Ser326Cys) that play a role in the generation, prevention or repair of oxidative damage and lung cancer risk in a population-based, case-control study of 119 cases and 113 controls in Xuan Wei, China. The AKR1C3-Gln/Gln genotype was associated with a 1.84-fold increased risk and the combined OGG1-Cys/Cys and Ser/Cys genotypes were associated with a 1.93-fold increased risk of lung cancer. Subgroup analysis revealed that the effects were particularly elevated among women who had relatively high cumulative exposure to smoky coal. SNPs in MnSOD and NQO1 were not associated with lung cancer risk. These results suggest that SNPs in the oxidative stress related-genes AKR1C3 and OGG1 may play a role in the pathogenesis of lung cancer in this population, particularly among heavily exposed women.

  7. Quantitative risk assessment of listeriosis-associated deaths due to Listeria monocytogenes contamination of deli meats originating from manufacture and retail.

    Science.gov (United States)

    Pradhan, Abani K; Ivanek, Renata; Gröhn, Yrjö T; Bukowski, Robert; Geornaras, Ifigenia; Sofos, John N; Wiedmann, Martin

    2010-04-01

    The objective of this study was to estimate the relative risk of listeriosis-associated deaths attributable to Listeria monocytogenes contamination in ham and turkey formulated without and with growth inhibitors (GIs). Two contamination scenarios were investigated: (i) prepackaged deli meats with contamination originating solely from manufacture at a frequency of 0.4% (based on reported data) and (ii) retail-sliced deli meats with contamination originating solely from retail at a frequency of 2.3% (based on reported data). Using a manufacture-to-consumption risk assessment with product-specific growth kinetic parameters (i.e., lag phase and exponential growth rate), reformulation with GIs was estimated to reduce human listeriosis deaths linked to ham and turkey by 2.8- and 9-fold, respectively, when contamination originated at manufacture and by 1.9- and 2.8-fold, respectively, for products contaminated at retail. Contamination originating at retail was estimated to account for 76 and 63% of listeriosis deaths caused by ham and turkey, respectively, when all products were formulated without GIs and for 83 and 84% of listeriosis deaths caused by ham and turkey, respectively, when all products were formulated with GIs. Sensitivity analyses indicated that storage temperature was the most important factor affecting the estimation of per annum relative risk. Scenario analyses suggested that reducing storage temperature in home refrigerators to consistently below 7 degrees C would greatly reduce the risk of human listeriosis deaths, whereas reducing storage time appeared to be less effective. Overall, our data indicate a critical need for further development and implementation of effective control strategies to reduce L. monocytogenes contamination at the retail level.

  8. Prevalence of anal infection due to high-risk human papillomavirus and analysis of E2 gene integrity among women with cervical abnormalities.

    Science.gov (United States)

    Gonzalez-Losa, María Del Refugio; Puerto-Solís, Marylin; Ayora-Talavera, Guadalupe; Gómez-Carvallo, Jesús; Euán-López, Alejandra; Cisneros-Cutz, José I; Rosado-López, Ariel; Echeverría Salazar, Jesúa; Conde-Ferráez, Laura

    2017-01-06

    High-risk human papillomaviruses (HR-HPV) infection has been associated with 90% of anal cancer cases. Women with abnormal cytology are a high-risk group to develop anal neoplasia. The aim of this study is to describe the prevalence and epidemiology of HR-HPV 16, 18, 45, and 58 anal infections in women with cervical abnormalities, as well as to assess E2 gene integrity. A cross-sectional study was performed on 311 cervical and 311 anal samples from patients with abnormal cytology in two colposcopy clinics in Yucatan, Mexico. A specific PCR for oncogenes was performed in order to identify HVP 16, 18, 45 and 58. Real time PCR was used to amplify the whole HPV 16, 18, and 58 E2 gene to verify its integrity in anal samples. High risk HPV 16, 18, 58, and/or 45 were found in 41.47% (129/311) of cervical samples, and in 30.8% (96/331) of anal samples, with 18% (57/311) of the patients being positive in both samples. The same genotypes in both anatomical sites were observed in 11.25% (35/311). The E2 gene was disrupted in 82% of all tested samples. The frequency of genome disruption viral integration in anal samples by genotype was: HPV 58 (97.2%); HPV 16 (72.4%), and HPV 18 (0%). Women with cervical disease have HR-HPV anal infections, and most of them have the E2 gene disrupted, which represents a risk to develop anal cancer. Copyright © 2016 Elsevier España, S.L.U. and Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. All rights reserved.

  9. Risk factors for colonization due to carbapenem-resistant Enterobacteriaceae among patients exposed to long-term acute care and acute care facilities.

    Science.gov (United States)

    Bhargava, Ashish; Hayakawa, Kayoko; Silverman, Ethan; Haider, Samran; Alluri, Krishna Chaitanya; Datla, Satya; Diviti, Sreelatha; Kuchipudi, Vamsi; Muppavarapu, Kalyan Srinivas; Lephart, Paul R; Marchaim, Dror; Kaye, Keith S

    2014-04-01

    This study aimed to identify risk factors associated with carbapenem-resistant Enterobacteriaceae (CRE) colonization among patients screened with rectal cultures upon admission to a hospital or long-term acute care (LTAC) center and to compare risk factors among patients who were screen positive for CRE at the time of hospital admission with those screen positive prior to LTAC admission. A retrospective nested matched case-control study was conducted from June 2009 to December 2011. Patients with recent LTAC exposure were screened for CRE carriage at the time of hospital admission, and patients admitted to a regional LTAC facility were screened prior to LTAC admission. Cases were patients with a positive CRE screening culture, and controls (matched in a 3∶1 ratio to cases) were patients with negative screening cultures. Nine hundred five cultures were performed on 679 patients. Forty-eight (7.1%) cases were matched to 144 controls. One hundred fifty-eight patients were screened upon hospital admission and 521 prior to LTAC admission. Independent predictors for CRE colonization included Charlson's score greater than 3 (odds ratio [OR], 4.85 [95% confidence interval (CI), 1.64-14.41]), immunosuppression (OR, 3.92 [95% CI, 1.08-1.28]), presence of indwelling devices (OR, 5.21 [95% CI, 1.09-2.96]), and prior antimicrobial exposures (OR, 3.89 [95% CI, 0.71-21.47]). Risk factors among patients screened upon hospital admission were similar to the entire cohort. Among patients screened prior to LTAC admission, the characteristics of the CRE-colonized and noncolonized patients were similar. These results can be used to identify patients at increased risk for CRE colonization and to help target active surveillance programs in healthcare settings.

  10. [Risk of pharmacological interactions due to the co-administration of statins and cytochrome P450 isoenzyme 3A4-metabolized drugs: multicentre, crossover study].

    Science.gov (United States)

    Mostaza, José María; Lahoz, Carlos; Morales-Olivas, Francisco; Pinto, Xavier; Tranche, Salvador; Suarez-Tembra, Manuel; Mantilla, Teresa; Rius, Joan

    2014-11-18

    Statins are safe but have a significant potential for pharmacological interactions. The objective of the study was to evaluate the prevalence of potential interactions throughout the cytochrome P450 isoenzyme 3A4 (CYP3A4) system in a large sample of statin-treated subjects and to determine which factors, from the patient and the physician, were associated with a higher risk of interactions. This is an observational, cross-over, population study that included 7,880 subjects treated with statins. Both data from patients and from the1,681 participating physicians were recorded and analyzed. Fifty-nine percent of the participants were receiving a statin metabolized by the CYP3A4, and 21.5% of all participants received a drug, different from a statin, metabolized by the CYP3A4. There were no differences in the frequency of utilization of statins metabolized or not by the CYP3A4 in relation to the simultaneous prescription of drugs metabolized by the same pathway (22 vs. 21%, respectively). Globally, 12.9% of all participants were at risk of an interaction. These patients were older, received a higher number of drugs and had more comorbidity. Sixty percent of the physicians mentioned that the possibility of an interaction greatly conditioned their selection of a particular statin. Likewise, 56% of them had software that alerted of possible interactions. These aspects, however, did not influence the number of patients at risk of interactions. The proportion of statin-treated patients at risk of interaction is elevated. Physicians do not usually pay attention to this possibility despite having available alert software and therapeutic alternatives. Copyright © 2013 Elsevier España, S.L.U. All rights reserved.

  11. Are specific antiretrovirals associated with an increased risk of discontinuation due to toxicities or patient/physician choice in patients with hepatitis C virus coinfection?

    DEFF Research Database (Denmark)

    Mocroft, A; Rockstroh, J; Soriano, V

    2005-01-01

    clinical trials as patients with HCV are often excluded. AIMS: To compare incidence rates of discontinuation due to TOXPC associated with specific antiretrovial drugs in patients with or without HCV. PATIENTS/METHODS: A total of 4929 patients from EuroSIDA under follow-up from January 1999 on a specific...

  12. Are specific antiretrovirals associated with an increased risk of discontinuation due to toxicities or patient/physician choice in patients with hepatitis C virus coinfection?

    DEFF Research Database (Denmark)

    Mocroft, A; Rockstroh, J; Soriano, V;

    2005-01-01

    BACKGROUND: Liver damage associated with hepatitis C (HCV) may influence the likelihood of experiencing discontinuation due to toxicities or patient/physician choice (TOXPC) in patients taking combination antiretroviral therapy (cART). Little information to address this concern is available from ...

  13. Risk factors for suicidal behaviour in individuals on disability pension due to common mental disorders - a nationwide register-based prospective cohort study in Sweden.

    Directory of Open Access Journals (Sweden)

    Syed Rahman

    Full Text Available BACKGROUND: Common mental disorders (CMD have become one of the leading causes for disability pension (DP. Studies on predictors of adverse health outcome following DP are sparse. This study aimed to examine the association of different socio-demographic factors and health care consumption with subsequent suicidal behaviour among individuals on DP due to CMD. METHOD: This is a population-based prospective cohort study based on register data. All individuals aged 18-64 years, living in Sweden on 31-Dec-2004 who in 2005 were on DP due to CMD (N = 46 745 were followed regarding suicide attempt and suicide (2006-10. Univariate and multivariate hazard ratios (HR and 95% confidence intervals (CI for suicidal behaviour were estimated by Cox regression. RESULTS: During the five-year follow-up, 1 046 (2.2% and 210 (0.4% individuals attempted and committed suicide, respectively. Multivariate analyses showed that young age (18-24 years and low education predicted suicide attempt, while living alone was associated with both higher suicide attempt and suicide (range of HRs 1.23 to 1.68. Combined prescription of antidepressants with anxiolytics during 2005 and inpatient care due to mental diagnoses or suicide attempt (2001-05 were strongly associated with suicide attempt and suicide (range of HRs 1.3 to 4.9, while inpatient care due to somatic diagnoses and specialized outpatient care due to mental diagnoses during 2001-05 only predicted suicide attempt (HR 1.45; 95% CI: 1.3-1.7; HR 1.30; 95% CI: 1.1-1.7. CONCLUSIONS: Along with socio-demographic factors, it is very important to consider type of previous healthcare use and medication history when designing further research or intervention aiming at individuals on DP due to CMD. Further research is warranted to investigate both characteristics of disability pension due to CMD, like duration, diagnoses and grade as well as mechanisms to subsequent suicidal behavior, taking potential gender differences into

  14. Research on compatibility mechanism of recycled poly(vinyl chloride) materials coming from flexible sheet with styrenic by-product, for application on hydro-sanitary sector

    Science.gov (United States)

    Garcia Sanoguera, David

    The treatment of waste is a topic that has grown in interest, due especially to the problem about location as a result of the fast growth of plastic waste during the last years. The PVC substitution by PET in packing sector has originated the disappearance of a residual source of excellent quality characterized by a good stiffness and used by other industries, like hydro-sanitary sector, main consumer of recycled PVC. The use of PVC coming from flexible sheets arises as alternative; however, in front of the residual coming from the packing industry, the PVC coming from credit cards presents a lower stiffness, since the origin product possesses high flexibility. For this reason, this material is not appropriate for hydro-sanitary sector which has a strict normative. The aim of this work is about the improvement of performance of recycled PVC coming from credit cards by means of mixing with different styrenic materials (SAN and ABS virgin and recycled), characterized by their high thermal stability. Previous degradation has been quantified in the recycled materials used by means of infrared analysis (FTIR), as well as miscibility has been determined in the different blends by means of Differential Scan Calorimetry (DSC). Also, the influence of styrenic materials on thermal stability of recycled PVC has been analyzed. Finally it has been carried out the study of mechanical properties of the different blends. On the other hand, different additives have been introduced in the blends, with the purpose of evaluating their influence in thermal and mechanical properties. It is necessary to take into account the low cost of recycled materials, as a consequence the additives cost will be a restrictive factor to consider for reaching some requirements, and also obtain an industrial application.

  15. Risk markers of all-cause and diagnosis-specific disability pension--a prospective cohort study of individuals sickness absent due to stress-related mental disorders

    DEFF Research Database (Denmark)

    Ishtiak-Ahmed, Kazi; Perski, Aleksander; Mittendorfer-Rutz, Ellenor

    2014-01-01

    BACKGROUND: Stress-related mental disorders rank among the leading causes of sickness absence in several European countries. The aim of this study was to investigate predictors of all-cause and diagnosis-specific disability pension in sickness absentees with stress-related mental disorders. METHODS......: A cohort of 36304 non-retired individuals aged 16-64 years at 31.12.2004 with at-least one sickness absence spell due to stress-related mental disorders (SRMD) initiated in 2005 in Sweden was followed-up with regard to disability pension (2006-2010) by linkage of registers. Uni- and multivariate Hazard......, age exceeding 35 years, low educational level, being born in a country outside EU25 and Northern Europe, residing outside big cities, living alone, having had a long duration of the first spell due to SRMD (>90 days); mental disorders necessitating frequent specialised health care as well as comorbid...

  16. On the Health Risk of the Lumbar Spine due to Whole-Body VIBRATION—THEORETICAL Approach, Experimental Data and Evaluation of Whole-Body Vibration

    Science.gov (United States)

    Seidel, H.; Blüthner, R.; Hinz, B.; Schust, M.

    1998-08-01

    The guidance on the effects of vibration on health in standards for whole-body vibration (WBV) does not provide quantitative relationships between WBV and health risk. The paper aims at the elucidation of exposure-response relationships. An analysis of published data on the static and dynamic strength of vertebrae and bone, loaded with various frequencies under different conditions, provided the basis for a theoretical approach to evaluate repetitive loads on the lumbar spine (“internal loads”). The approach enabled the calculation of “equivalent”—with respect to cumulative fatigue failure—combinations of amplitudes and numbers of internal cyclic stress. In order to discover the relation between external peak accelerations at the seat and internal peak loads, biodynamic data of experiments (36 subjects, three somatotypes, two different postures—relaxed and bent forward; random WBV,aw, r.m.s. 1·4 ms-2, containing high transients) were used as input to a biomechanical model. Internal pressure changes were calculated using individual areas of vertebral endplates. The assessment of WBV was based on the quantitative relations between peak accelerations at the seat and pressures predicted for the disk L5/S1. For identical exposures clearly higher rates of pressure rise in the bent forward compared to the relaxed posture were predicted. The risk assessment for internal forces considered the combined internal static and dynamic loads, in relation to the predicted individual strength, and Miner's hypothesis. For exposure durations between 1 min and 8 h, energy equivalent vibration magnitudes (formula B.1, ISO 2631-1, 1997) and equivalent vibration magnitudes according to formula B.2 (time dependence over-energetic) were compared with equivalent combinations of upward peak accelerations and exposure durations according to predicted cumulative fatigue failures of lumbar vertebrae. Formula B.1 seems to underestimate the health risk caused by high magnitudes

  17. Urinary Tract Infections in Kidney Transplant Patients Due to Escherichia coli and Klebsiella pneumoniae-Producing Extended-Spectrum β-Lactamases: Risk Factors and Molecular Epidemiology.

    Directory of Open Access Journals (Sweden)

    Maria José Espinar

    Full Text Available Urinary tract infection (UTI is a common complication after kidney transplantation, often associated to graft loss and increased healthcare costs. Kidney transplant patients (KTPs are particularly susceptible to infection by Enterobacteriaceae-producing extended-spectrum β-lactamases (ESBLs. A retrospective case-control study was conducted to identify independent risk factors for ESBL-producing Escherichia coli and Klebsiella pneumoniae in non-hospitalized KTPs with UTI. Forty-nine patients suffering from UTI by ESBL-producing bacteria (ESBL-P as case group and the same number of patients with UTI by ESBL negative (ESBL-N as control-group were compared. Clinical data, renal function parameters during UTI episodes, UTI recurrence and relapsing rate, as well as risk factors for recurrence, molecular characterization of isolates and the respective antimicrobial susceptibility profile were evaluated. Diabetes mellitus (p <0.007, previous antibiotic prophylaxis (p=0.017 or therapy (p<0.001, previous UTI (p=0.01, relapsing infection (p=0.019 and patients with delayed graft function after transplant (p=0.001 represented risk factors for infection by ESBL positive Enterobacteriaceae in KTPs. Interestingly, the period of time between data of transplantation and data of UTI was shorter in case of ESBL-P case-group (28.8 months compared with ESBL-N control-group (50.9 months. ESBL-producing bacteria exhibited higher resistance to fluoroquinolones (p=0.002, trimethoprim-sulfamethoxazole (p<0.001 and gentamicin (p<0.001. Molecular analysis showed that blaCTX-M was the most common ESBL encoding gene (65.3%, although in 55.1% of the cases more than one ESBL gene was found. In 29.4% of K. pneumoniae isolates, three bla-genes (blaCTX-M-blaTEM-blaSHV were simultaneously detected. Low estimated glomerular filtration rate (p=0.009 was found to be risk factor for UTI recurrence. Over 60% of recurrent UTI episodes were caused by genetically similar strains. UTI by

  18. Urinary Tract Infections in Kidney Transplant Patients Due to Escherichia coli and Klebsiella pneumoniae-Producing Extended-Spectrum β-Lactamases: Risk Factors and Molecular Epidemiology.

    Science.gov (United States)

    Espinar, Maria José; Miranda, Isabel M; Costa-de-Oliveira, Sofia; Rocha, Rita; Rodrigues, Acácio G; Pina-Vaz, Cidália

    2015-01-01

    Urinary tract infection (UTI) is a common complication after kidney transplantation, often associated to graft loss and increased healthcare costs. Kidney transplant patients (KTPs) are particularly susceptible to infection by Enterobacteriaceae-producing extended-spectrum β-lactamases (ESBLs). A retrospective case-control study was conducted to identify independent risk factors for ESBL-producing Escherichia coli and Klebsiella pneumoniae in non-hospitalized KTPs with UTI. Forty-nine patients suffering from UTI by ESBL-producing bacteria (ESBL-P) as case group and the same number of patients with UTI by ESBL negative (ESBL-N) as control-group were compared. Clinical data, renal function parameters during UTI episodes, UTI recurrence and relapsing rate, as well as risk factors for recurrence, molecular characterization of isolates and the respective antimicrobial susceptibility profile were evaluated. Diabetes mellitus (p infection (p=0.019) and patients with delayed graft function after transplant (p=0.001) represented risk factors for infection by ESBL positive Enterobacteriaceae in KTPs. Interestingly, the period of time between data of transplantation and data of UTI was shorter in case of ESBL-P case-group (28.8 months) compared with ESBL-N control-group (50.9 months). ESBL-producing bacteria exhibited higher resistance to fluoroquinolones (p=0.002), trimethoprim-sulfamethoxazole (p<0.001) and gentamicin (p<0.001). Molecular analysis showed that blaCTX-M was the most common ESBL encoding gene (65.3%), although in 55.1% of the cases more than one ESBL gene was found. In 29.4% of K. pneumoniae isolates, three bla-genes (blaCTX-M-blaTEM-blaSHV) were simultaneously detected. Low estimated glomerular filtration rate (p=0.009) was found to be risk factor for UTI recurrence. Over 60% of recurrent UTI episodes were caused by genetically similar strains. UTI by ESBL-producing Enterobacteriaceae in KTPs represent an important clinical challenge regarding not only

  19. Risk

    Science.gov (United States)

    Barshi, Immanuel

    2016-01-01

    Speaking up, i.e. expressing ones concerns, is a critical piece of effective communication. Yet, we see many situations in which crew members have concerns and still remain silent. Why would that be the case? And how can we assess the risks of speaking up vs. the risks of keeping silent? And once we do make up our minds to speak up, how should we go about it? Our workshop aims to answer these questions, and to provide us all with practical tools for effective risk assessment and effective speaking-up strategies..

  20. Considering the sanitary aspects in regional plans for air quality. Situation of sanitary impacts of urban air pollution studies; Prise en compte des aspects sanitaires dans les Plans regionaux pour la qualite de l'air. Bilan des etudes d'impact sanitaires de la pollution atmospherique urbaine realisees

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-12-15

    The law on air and the rational use of energy of the 30. september 1996 forecasts the setting up of regional planning for the air quality that have to rely on the support of an evaluation of sanitary effects of air pollution. To help the local sanitary authorities in this mission, the National Institute of Sanitary Surveillance and the C.I.R.E. have realised a methodological guide on evaluation of sanitary impact of urban air pollution in different contexts. (N.C.)