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At least 1,207 records · Page 67Linked to original sources
PubMed2004

Regional differences in chemical fate model outcome.

The fate of anthropogenic substances in the environment is increasingly determined using multimedia mass balance models. It is, therefore, critical to fully understand how such models work and what their limitations are. The effects of uncertainty and variation in the chemical properties, discharges, and landscape parameters on model outcome have been examined by other researchers. Here, the role of landscape properties in controlling region-to-region differences in chemical fate is examined. Specifically, regions of Canada and the ChemCAN model are used to explore the region-to-region difference in fate for benzo[a]pyrene, hexachlorobenzene, tetrachloroethylene, alpha-hexachlorocyclohexane, 2,2',5,5'-tetrachlorobiphenyl (PCB 52), and atrazine emitted individually to air, water, and soil. To facilitate the same analysis in other places a description of the model and the methods for obtaining the landscape parameters used here are given. Differences in fate are the unique result of combining the input parameters of chemical properties, emission data, and landscape parameters. While region-to-region differences are small compared to the chemical-to-chemical differences that may span many orders of magnitude for physical-chemical or degradation properties, chemical fate is not the same for regions of differing landscape parameters. It is therefore concluded that the quality of results obtained from regional environmental fate models can be improved by the use of region-specific landscape parameters.

Atrazine↗
PubMed2004

Comparison of RBCA and CalTOX for setting risk-based cleanup levels based on inhalation exposure.

Risk-based corrective action (RBCA) and CalTOX (California EPA) are often used to develop risk-based soil cleanup levels. The determination of the entry parameters, including slope factors, degradation assumption, methodologies, and dispersion models for these two approaches greatly affect the onsite/offsite cleanup levels, risk distribution, and ranking of the influential factors. The subsurface soil-to-ambient air was considered as the only significant exposure pathway in this study. RBCA and CalTOX apply analytical equations and multimedia fugacity model, respectively, to simulate the transport of contaminants from subsurface soil to ambient air. Nine carcinogenic organic contaminants were selected as the target compounds. Environmental monitoring data collected from a contaminated site in southern Taiwan was used as model inputs. In this study, degradation assumption had greater influence on CalTOX evaluation than slope factors. The cleanup soil levels of all target chemicals developed by both models were close under the same slope factors and degradation assumptions, except for vinyl chloride and hexachlorobenzene. Furthermore, RBCA generally had larger offsite dispersion ratios than CalTOX, especially for long distances. The risk distribution obtained by RBCA was much board than by CalTOX. When 95th percentile was considered as the starting point, the SSTLs derived by RBCA were much stricter than by CalTOX. The ranking of influential factors in the onsite risk assessment for these two models were completely different because of their distinct model methodologies.

Body Weight↗
PubMed2005

Human exposure and health risk of alpha-, beta-, gamma- and delta-hexachlorocyclohexane (HCHs) in Tianjin, China.

The dynamic exposures to HCHs of individuals born between the years 1913 and 1993 in Tianjin have been simulated by connecting a fugacity model (IV) with a multimedia exposure model. Ingestion is the most important pathway for human beings to take up HCHs, and concentrations in the human body correlate with body weight changes. Accumulations of HCHs were derived assuming that the degradation in human body behaved linearly. The health risk of exposure to HCHs was measured using cancer risk and loss of life expectancy (LLE), and LLE was modified from its original definition to incorporate a dynamic calculation that takes variances in exposure into account. Monte-Carlo simulations were run to analyze the uncertainties of the model.

Age Factors↗
PubMed2005

Estimating biodegradation half-lives for use in chemical screening.

Biodegradation half-lives are needed for many applications in chemical screening, but these data are not available for most chemicals. To address this, in phase one of this work we correlated the much more abundant ready and inherent biodegradation test data with measured half-lives for water and soil. In phase two, we explored the utility of the BIOWIN models (in EPI Suite) and molecular fragments for predicting half-lives. BIOWIN model output was correlated directly with measured half-lives, and new models were developed by re-regressing the BIOWIN fragments against the half-lives. All of these approaches gave the best results when used for binary (fast/slow) classification of half-lives, with accuracy generally in the 70-80% range. In the last phase, we used the collected half-life data to examine the default half-lives assigned by EPI Suite and the PBT Profiler for use as input to their level III multimedia models. It is concluded that estimated half-lives should not be used for purposes other than binning or prioritizing chemicals unless accuracy improves significantly.

Biodegradation, Environmental↗
PubMed2005

Laparoscopic surgery in adult cattle.

Laparoscopy in cattle is a promising tool for clinical diagnosis and treatment. The lower cost of the materials available in addition to the possibility of an intervention on an animal that is sedated does not entail more costs than an exploratory laparotomy. The application of this tool during abdominal explorations and biopsies allows the avoidance of invasive and often useless surgical interventions and even with the diagnosis and prognosis of certain conditions. Surgical techniques currently are limited to abomasopexies; however, never-ceasing progress and improvements in human surgery are expected to affect the future of bovine surgery. With the advancements in the multimedia technology used by universities, the use of laparoscopy as a pedagogic tool definitely has a promising future. Endoscopic exploration of the thorax is possible using the same material as for laparoscopy. In addition, diagnostic and biopsy applications are useful. The use of the laparoscope in different body cavities and for different applications would make the purchase of the required materials more cost-effective.

Abomasum↗
PubMed2004

Health risk assessment of emissions of dioxins and furans from a municipal waste incinerator: comparison with other emission sources.

The aim of this study was to calculate the incremental lifetime-risk to dioxins and furans (PCDD/Fs) for the population living in the surroundings of a municipal solid waste incinerator (MSWI), as well as to establish the potential reduction on human health risks as a consequence of the adaptation to the EU legislation on pollutant emissions from the MSWI stack. Analytical and modelled results were obtained. PCDD/F concentrations in environmental media were determined by means of a simple-compartment-multimedia model (air-soil-vegetation model). Predicted and measured PCDD/F concentrations in soils and vegetation were compared, and the effects of MSWI emissions in the environmental media were determined. Human health risks due to PCDD/F emissions from the MSWI were also estimated based on I-TEQ measured and modelled in various environmental media. Cancer risks due to PCDD/F emissions of the plant were 1.07E-07 and 3.08E-09, before and after installation of the clean air system, respectively. On the other hand, cancer risks due to other PCDD/F emission sources in the area were 5.54E-06 and 1.86E-06. Total PCDD/F cancer risks (including those from diet) for the population living in the vicinity of the MSWI were 1.3E-04 and 4.25E-05, respectively (67.6% of reduction). Hazard ratio for total PCDD/F exposure (including diet) decreased during the last 5 years from 1.16 to 0.38. The above data show that other emission sources of PCDD/Fs also have a notable environmental impact on the area under direct influence of the MSWI.

Air Pollutants↗
PubMed2004

Health risk assessment of PCDD/F emissions from a hazardous and medical waste incinerator in Turkey.

A multimedia risk assessment procedure was conducted to determine the fate and transport of polychlorinated dibenzo-p-dioxin and polychlorinated dibenzofuran (PCDD/F) emissions from the Izmit Hazardous and Medical Waste Incinerator (IZAYDAS) in Turkey and their potential health risks. Congener concentrations in ambient air and their deposition rates were determined by an air dispersion model (ISCST3). Their transfer to some plant groups and animal tissues was predicted by food chain modeling. Exposure scenarios were produced based on three receptor groups (urban, semiurban, and rural) and five subgroups determined according to ages. Daily intakes of PCDD/Fs via exposure pathways were determined based on three different emission scenarios for each group and subgroup. Estimated incremental PCDD/F doses caused by the incinerator emissions in central-tendency scenario were computed as between 2.31 x 10(-6) and 0.008 pg TEQ kg(-1) bodyweight (bw) day(-1) on average for all the receptors other than infants in all the settings, while the range was 3.01 x 10(-5)-0.081 pg TEQ kg(-1) bw day(-1) for infants. Sensitivity analysis showed that the consumption of vegetal products and their locally grown fractions are the most significant parameters in the exposure to PCDD/Fs in the area.

Adolescent↗
PubMed2005

Reconstruction of historical trends of PCDD/Fs and PCBs in the Venice Lagoon, Italy.

Historical trends of PCDD/Fs and PCBs from the year 1900 have been reconstructed for the Venice Lagoon area by using a fugacity-based dynamic multimedia model. A novel approach to estimate the inputs to the system was applied. Emissions to the lagoon were estimated by studying dated sediment cores taken from salt marshes located in the lagoon area. These cores have recently proven to be a suitable tool to reconstruct the temporal trends of atmospheric deposition of POPs. According to the model, concentrations of PCBs and PCDD/Fs in air and water reflect the trends of their production and usage, peaking during the 1960s. The peaks in the sediment were delayed by 5-40 years depending on the congener. Predicted concentrations are in good agreement with experimental results. The most important input parameters, identified by a sensitivity analysis, are the degradation constants, K(ow), the Henry's law constant, vapour pressure, active sediment depth, sediment resuspension, and deposition rates, and water residence time in the lagoon.

Cities↗
PubMed2005

The analysis of human health risk with a detailed procedure operating in a GIS environment.

An approach for quantifying the human health risk caused by industrial sources, which, daily or accidentally, emit dangerous pollutants able to impact on different environmental media, is introduced. The approach is performed by the HHRA-GIS tool which employs an integrated, multimedia, multi-exposure pathways and multi-receptors risk assessment model able to manage all the steps of the analysis in a georeferenced structure. Upper-bound excess lifetime cancer risk and noncarcinogenic hazards are the risk measures, the spatial distribution of which is calculated and mapped on the involved territory, once all the pathways and receptors of the study area are identified. A sensitivity analysis completes the calculations allowing to understand how risk estimates are dependent on variability in the factors contributing to risk. The last part of the paper makes use of a case study concerning a working industrial site to put in evidence in which way the designed tool can help local authorities and policy makers in managing risks and planning remedial and reduction actions. The considered geographical area is a hypothetical territory characterized by residential, agricultural and industrial zones. The presence of two sources of contamination, a municipal waste incinerator (MWI) and a contaminated site, are evaluated by the tool application. Various typologies of receptors have been taken into account, each of them characterized by different anatomical and dietary properties. The achieved results are analyzed, compared with acceptable and background values and alternatives of minor environmental impact calculated.

Adult↗
PubMed2006

A systemic health risk assessment for the chromium cycle in Taiwan.

Health risk assessment (HRA) has been recognized as a useful tool for identifying health risks of human activities. In particular, this method has been well applied to spatially defined units, such as a production plant, a treatment facility, and a contaminated site. However, the management strategies based on the risk information will be more efficient if the comprehensive picture of total risks from all kinds of sources is depicted. In principle, the total risks can be obtained when all risk sources are assessed individually. Apparently, this approach demands huge amount of efforts. This study develops a methodology that combines substance flow and risk estimation to facilitate examination of risk in a systemic way and provide comprehensive understanding of risk generation and distribution corresponding to flows of substances in the anthroposphere and the environment. Substance flow analysis (SFA) and HRA method is integrated to produce a systemic risk assessment method, from which substance management schemes can be derived. In this study, the chromium cycle in Taiwan is used as an example to demonstrate the method, by which the associated substance flow in the economy and the risk caused by the substance in the environmental system is determined. The concentrations of pollutants in the environmental media, the resultant risks and hazard quotients are calculated with the widely-used CalTOX multimedia model.

Chromium↗
PubMed2004

Evaluating multimedia/multipathway model intake fraction estimates using POP emission and monitoring data.

This paper presents a structured evaluation of a novel multimedia chemical fate and multi-pathway human exposure model for Western Europe, IMPACT 2002, using data for PCDD/F congeners. PCDD/F congeners provide an illustration of the potential use of POPs (Persistent Organic Pollutant) data for the evaluation of such models. Based on available emission estimates, model predictions with and without spatial resolution are evaluated at three different stages against monitored data: at environmental contamination levels, food exposure concentration, and in terms of human intake fractions (iF): the fraction of an emission that is taken in by the population. The iF is approximately 3.5.10(-3) for emissions of dioxin in Western Europe. This iF compares well to the traditional non-spatial multi-media/-pathway model predictions of 3.9.10(-3) for the same region and to 2.10(-3) for the USA. Approximately 95% of the intake from Western European emissions occurs within the same region, 5% being transferred out of the region in terms of food contaminants and atmospheric advective transport.

Air Pollution↗
PubMed2004

Modelling the fate of persistent organic pollutants in Europe: parameterisation of a gridded distribution model.

A regionally segmented multimedia fate model for the European continent is described together with an illustrative steady-state case study examining the fate of gamma-HCH (lindane) based on 1998 emission data. The study builds on the regionally segmented BETR North America model structure and describes the regional segmentation and parameterisation for Europe. The European continent is described by a 5 degrees x5 degrees grid, leading to 50 regions together with four perimetric boxes representing regions buffering the European environment. Each zone comprises seven compartments including; upper and lower atmosphere, soil, vegetation, fresh water and sediment and coastal water. Inter-regions flows of air and water are described, exploiting information originating from GIS databases and other georeferenced data. The model is primarily designed to describe the fate of Persistent Organic Pollutants (POPs) within the European environment by examining chemical partitioning and degradation in each region, and inter-region transport either under steady-state conditions or fully dynamically. A test case scenario is presented which examines the fate of estimated spatially resolved atmospheric emissions of lindane throughout Europe within the lower atmosphere and surface soil compartments. In accordance with the predominant wind direction in Europe, the model predicts high concentrations close to the major sources as well as towards Central and Northeast regions. Elevated soil concentrations in Scandinavian soils provide further evidence of the potential of increased scavenging by forests and subsequent accumulation by organic-rich terrestrial surfaces. Initial model predictions have revealed a factor of 5-10 underestimation of lindane concentrations in the atmosphere. This is explained by an underestimation of source strength and/or an underestimation of European background levels. The model presented can further be used to predict deposition fluxes and chemical inventories, and it can also be adapted to provide characteristic travel distances and overall environmental persistence, which can be compared with other long-range transport prediction methods.

Climate↗
PubMed2006

An observational study of the potential exposures of preschool children to pentachlorophenol, bisphenol-A, and nonylphenol at home and daycare.

The Children's Total Exposure to Persistent Pesticides and Other Persistent Organic Pollutants (CTEPP) study investigated the potential exposures of 257 preschool children, ages 1 1/2-5 yr, and their primary adult caregivers to more than 50 anthropogenic chemicals. Field sampling took place in selected counties in North Carolina (NC) and Ohio (OH) in 2000-2001. Over a 48-h period in each child's daycare center and/or home, food, beverages, indoor air, outdoor air, house dust, soil, participants' hand surfaces and urine were sampled. Additional samples-transferable residues, food preparation surface wipes, and hard floor surface wipes-were collected in the approximately 13% of the homes that had pesticide applications within the 7 days prior to field sampling. Three phenols were among the measured chemicals: pentachlorophenol (PCP), bisphenol-A [2,2-bis(4-hydroxyphenyl)propane], and nonylphenol (4-n-nonylphenol). Nonylphenol (NP) was detected in less than 11% of the samples in any medium. Among samples that were collected at all participants' homes and daycare centers, PCP was detected in >50% of indoor air, outdoor air, house dust, and urine samples; bisphenol-A (BPA) was detected in >50% of indoor air, hand wipe, solid food, and liquid food samples. The concentrations of the phenols in the sampled media were measured, and the children's potential exposures and potential absorbed doses resulting from intake through the inhalation, dietary ingestion, and indirect ingestion routes of exposure were estimated. The children's potential exposures to PCP were predominantly through inhalation: 78% in NC and 90% in OH. In contrast, their potential exposures to BPA were predominantly through dietary ingestion: 99%, for children in both states. The children's estimated exposures to PCP, calculated from the amounts excreted in their urine, exceeded their estimated maximum potential intake, calculated from the multimedia PCP concentrations, by a factor greater than 10. This inconsistency for PCP highlights the need for further research on the environmental pathways and routes of PCP exposure, investigation of possible exposures to other compounds that could be metabolized to PCP, and on the human absorption, metabolism, and excretion of this phenol over time periods longer than 48 h.

Benzhydryl Compounds↗
PubMed2004

Assessing informatics students' satisfaction with a web-based courseware system.

This study assessed health informatics student satisfaction with two subsequent versions of Prometheus, a web-based courseware system. Prometheus versions 4 and 5 were assessed to gauge the effect of modifications to improve the usability of the system. The Questionnaire for User Interaction Satisfaction (QUIS, version 7.0) was administered at the end of fall semester 2001 (in which Prometheus version 4 was used) and again at the end of Spring 2002 (in which Prometheus version 5 was used). QUIS contains measures of user satisfaction of the overall system and 11 specific dimensions, including screen, terminology and system information, learning, system capabilities, manuals and online help, multimedia, and teleconferencing. In general, students had favorable judgments of Prometheus, and their satisfaction level remained relatively stable across the two versions. However, usability enhancements incorporated into version 5 produced no significant differences in student satisfaction ratings. The results of this study provide a benchmark for comparing the relative usability of alternative courseware systems and demonstrate the utility of user satisfaction surveys for assessing and improving courseware systems. With increases in the need for compliance education and the education of clinicians with 'just in time knowledge', courseware systems will become an integral part of the clinical information systems, increasing the importance of usability studies such as this one.

Adult↗
PubMed2005

Indexing method of digital audiovisual medical resources with semantic Web integration.

Digitalization of audiovisual resources and network capability offer many possibilities which are the subject of intensive work in scientific and industrial sectors. Indexing such resources is a major challenge. Recently, the Motion Pictures Expert Group (MPEG) has developed MPEG-7, a standard for describing multimedia content. The goal of this standard is to develop a rich set of standardized tools to enable efficient retrieval from digital archives or the filtering of audiovisual broadcasts on the Internet. How could this kind of technology be used in the medical context? In this paper, we propose a simpler indexing system, based on the Dublin Core standard and compliant to MPEG-7. We use MeSH and the UMLS to introduce conceptual navigation. We also present a video-platform which enables encoding and gives access to audiovisual resources in streaming mode.

Abstracting and Indexing↗
PubMed2005

Virtual tools for teaching electrocardiographic rhythm analysis.

Electrocardiographic (ECG) rhythm analysis is inadequately taught in training programs, resulting in undertrained physicians reading a large percentage of the 40 million ECGs recorded annually. The effective use of simple tools (calipers, ruler, and magnifier) required for crucial measurements and comparisons of intervals requires considerable time for interactive instruction and is difficult to teach in the classroom. The ECGViewer (Blaufuss Medical Multimedia Laboratories, Palo Alto, Calif) program was developed using virtual tools easily manipulated by computer mouse that can be used to analyze archived scanned ECGs on computer screens and classroom projection. Trainees manipulate the on-screen tools from their seats by wireless mouse while the instructor makes corrections with a second mouse, in clear view of the trainees. An on-screen ladder diagram may be constructed by the trainee and critiqued by the instructor. The ECGViewer program has been successfully used and well received by trainees at medical school, residence, and subspecialty fellow level.

Arrhythmias, Cardiac↗
PubMed2005

Effectiveness of a 6-week online course in the Canadian Triage and Acuity Scale for emergency nurses.

INTRODUCTION: There is increasing interest in 5-level triage systems in emergency departments; however, the adoption of a new system places heavy training demands on ED department nurses and physicians. One emerging training option is online learning. The purpose of this study was to explore the effectiveness of an online course in the 5-level Canadian Triage and Acuity Scale (CTAS) on the clinical practice of the triage nurse. METHODS: Interviews were held with 23 emergency nurses from across Canada. A chart audit of triage codes from 367 charts from 6 hospitals was conducted. RESULTS: The most consistent finding was that the majority of RN staff enjoyed the online course and believed it had improved their triage practice. Nurses believed that their patient assessments were more thorough, accurate, and consistent throughout the department. Improved communication between staff and with patients and families was identified. Nurses reported using what they learned to improve triage assessment. Triage accuracy was high; the overall agreement between CTAS graduates and the chart auditor/expert within one CTAS level was 99.7%. Nurses also identified a number of organizational barriers to CTAS implementation after the course. DISCUSSION: The online format appears to be an effective, efficient, and convenient way to educate large numbers of ED staff in CTAS. Further research is needed regarding the use of multimedia and computer online chat options to further enhance the online learning experience for nurses.

Canada↗
PubMed2006

Site-specific health risk assessment of dioxins and furans in an industrial region with numerous emission sources.

While the sources of releasing dioxins have received much attention, the health risks of incinerators are studied considerably more than those of other sources, such as metallurgical industry. Furthermore, risk assessments focus primarily on the effects of single sources; few have addressed the aggregate risks from multiple sources in a region. When many sources of dioxins exist in an area, such as the Industrial Park located in the densely populated district-Siaogang District in southern Taiwan where 17 primary known PCDD/F stationary emission sources are clustered, is the aggregate exposure to these sources imposing high risks even though individual sources comply with emission standards? The study combined the multimedia and multiple pathway exposure modeling and site-specific exposure scenario to assess dioxin risks contributed by the 17 emission sources in the District, including municipal waste incinerators, medical waste incinerators, sinter plants, electric arc furnace, secondary aluminum smelters, cement kilns, etc. The average cancer risk of a resident living in the District was found to be 3.43E-04 under the site-specific exposure scenario. The top emission source is the sinter plant, followed by the electric arc furnace. The information has driven the local government to conduct more complete assessment and at the same time to consider enforcing a stricter local standard of dioxin emissions in the Siaogang District.

Dioxins↗