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Treated wood preservatives linked to aquatic damage, human illness, and death--a societal problem.

On February 12, 2002, the US Environmental Protection Agency (EPA) announced a voluntary decision by industry to move consumer use of treated lumber products away from a variety of pressure-treated wood that contains arsenate (As) by December 31, 2003, in favor of new alternative wood preservatives. Chromated copper arsenate (CCA) is a chemical mixture consisting of three pesticidal compounds (As, chromium, and copper) registered for wood preservative uses. CCA is injected into wood by a process that uses high pressure to saturate wood products with the chemical. Only people who have received the proper safety training should use CCA to treat wood products. Around the home, CCA-treated wood is commonly used for decks, walkways, fences, gazebos, boat docks, and playground equipment. Other common uses of CCA-treated wood include highway noise barriers, sign posts, utility posts, and retaining walls. As of January 1, 2004, the EPA is no longer allowing CCA products to be used to treat wood intended for any of these residential uses. This decision will facilitate the voluntary transition to new alternative wood preservatives that do not contain As in both the manufacturing and retail sectors. To its credit, the EPA has developed consumer safety information sheets, hanging signs, end signs, and bin stickers that provide comprehensive information about the dangers of CCA-treated wood, use-site, and handling precautions. The EPA has not concluded that CCA-treated wood poses any unreasonable risk to the public or the environment. Nevertheless, As is a known human carcinogen and, thus, the EPA believes that any reduction in the levels of potential exposure to As is desirable. The toxicologic manifestations have been primarily related to the effects of As exposure from drinking water sources and include the following: acute poisoning incidents, cardiovascular effects, diabetes mellitus, and cancer. Understanding the biomethylation of As is central to elucidating its action as a toxin and a carcinogen. In humans as in many other species, inorganic As is enzymatically converted to the methylated products methyl As (MAs) and dimethyl As (DMAs). The aforementioned voluntary agreement to reduce the uses of CCA-treated wood does not include a ban on the use of CCA for residential roofing. A major reason that this wood product should be banned from residential roofing is that it does not provide a Class "A" fire-rated roof system, which markedly reduce the frequency of residential roof fires.

Arsenic Poisoning↗

Integrated modelling for river basin management: the influence of temporal and spatial scale in economic models of water allocation.

The increasing use of integrated optimization or simulation models to guide river basin management has placed greater attention on the roles that the temporal and spatial scale of each model play in determining a model's suitability and effectiveness. This is especially the case in "economic" models that incorporate monetary incentives and the optimizing behaviour of economic agents to address decisions about the sources and levels of consumptive and non-consumptive water usage within the basin. With respect to spatial scale, models that aggregate behaviour over entire river basins may prove useful for examining inter-sectoral allocations of water, but are unlikely to provide useful information about how these water allocations influence-and are influenced by-choices of crops or of technologies in irrigation, for example. With respect to temporal scale, very short-run models can illustrate options for water management within an irrigation season should unforeseen water surpluses or deficits arise. Conversely, long-run models can allow adjustment time for investments in machinery, infrastructure and changes in land uses and cropping patterns. The basin management alternatives and choices generated by models on each scale are likely to vary considerably. The paper provides specific illustrative examples from recent models of Alberta's Bow River Basin.

Alberta↗

Severely and persistently mentally ill in Hawaii: profile and implications.

This study examines the characteristics, treatment, and care of severely and persistently mentally ill clients at Hawaii's largest public-sector psychiatric facility, Hawaii State Hospital. The implications of this information are discussed in terms of treatment and care. As was found in previous studies, the 88 participants included in this study were mostly male, less than 40 years of age, with a high school education or less, and hospitalized under a penal code. More remarkable variations were revealed, however, when clients were grouped according to ethnicity and racial origin. For example, clients from marginalized groups had a significantly higher likelihood of violence than clients from more politically, economically, and socially powerful groups in Hawaii. The findings of this research challenge nurses to combine social advocacy with clinical expertise to provide effective and complete treatment and care.

Adult↗

Hospital-based technology assessment programmes: two Canadian examples.

Interest in Health Technology Assessment (HTA) has grown considerably in recent years. Organizations established specifically to conduct HTA and disseminate HTA results have sprung up in many countries. These have been, to a large extent, financed by governments. However, the relevance of HTA clearly goes beyond governments, and there are many sectors in health care that are potential consumers of HTA information. In particular, those running healthcare facilities are constantly faced with decisions on new equipment to purchase and new clinical procedures to offer. HTA is important not just to the senior administrators of such facilities but those in other levels of hospital management as well. In this paper, a brief review of Canadian and US studies on hospitals' technology assessment and acquisition is presented. Two specific examples of Canadian healthcare facilities and how HTA has been addressed in these institutions are discussed. Finally, this paper contains a discussion of some of the practical issues involved in introducing a formalized programme of HTA in hospitals.

Canada↗

Funding information technology: a missed market.

Information technology is driving business and industry into the future. This is the essence of reengineering, process innovation, downsizing, etc. Non-profits, schools, libraries, etc. need to follow or risk efficiency. However, to get their fair share of information technology, they need to help with funding.

Capital Expenditures↗

[Regulation of data protection in health care].

Computers are widely used in different fields of health care, the traditional administrative systems being replaced by softwares. However, the use of computer technology in health care has not yet brought to a definite improvement in the field of data protection and data security, what is more, new problems have been revealed. The legal regulation of data protection in Hungary dates back to 1992. There are technological norms, different standards, guidelines and the regulation of data protection in health care on a sectoral level. What is missing is the security regulations of information systems in the institutions. Joining the European Community requires the implementation of an adequate data protection being able to ensure the security of personality rights also in the field of health care. The use of an up-to-date insurance card would strengthen the data protection and security functions offering the possibility for introducing an almost "paperless" administrative system in health care.

Computer Security↗