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This study highlights how heuristic evaluation as a usability evaluation method can feed into current building design practice to conform to universal design principles. It provides a definition of universal usability that is applicable to an architectural design context. It takes the seven universal design principles as a set of heuristics and applies an iterative sequence of heuristic evaluation in a shopping mall, aiming to achieve a cost-effective evaluation process. The evaluation was composed of three consecutive sessions. First, five evaluators from different professions were interviewed regarding the construction drawings in terms of universal design principles. Then, each evaluator was asked to perform the predefined task scenarios. In subsequent interviews, the evaluators were asked to re-analyze the construction drawings. The results showed that heuristic evaluation could successfully integrate universal usability into current building design practice in two ways: (i) it promoted an iterative evaluation process combined with multi-sessions rather than relying on one evaluator and on one evaluation session to find the maximum number of usability problems, and (ii) it highlighted the necessity of an interdisciplinary ad hoc committee regarding the heuristic abilities of each profession. A multi-session and interdisciplinary heuristic evaluation method can save both the project budget and the required time, while ensuring a reduced error rate for the universal usage of the built environments.

Background: Maintenance of healthy body weight is a function of total energy expenditure including household and workplace activity. Light to moderate physical activity has been found to be effective in motivating sedentary and obese individuals, and is at least as effective as structured exercise in lowering weight in some studies., Discussion: Stair use offers a promising intervention for increasing physical activity, because it involves a lifestyle choice that must be made (people must get to their destination), and it requires no personal financial cost. Stairs in United States buildings are frequently hidden from entrances with small signs denoting their location, mainly in connection to fire exits. Using the stairs is usually seen as a way of escaping from fires rather than as a recommended daily activity. To comply with State Fire Marshal regulations, stairs are usually guarded by heavy, spring doors, without air conditioning, and are noncarpeted. In this article, several suggestions to change the architectural design in buildings to be more physical activity-friendly are discussed. Such changes would make stairs attractive, safe, and readily accessible. Local and state authorities may also allow incentives for such designs to compensate for their additional costs. Moreover, standard national building codes that incorporate health concerns should be devised., Conclusion: Stair use at work and in living places has the potential to increase physical activity and decrease obesity. Changing stair design to encourage their use requires a series of interventions both architecturally and legislatively to create physical environments that support active lifestyles.

The National Pollutant Discharge Elimination System (NPDES) Phase II requires construction activities to have erosion and sediment control best management practices (BMPs) designed and installed for site storm water management. Although BMPs are specified on storm water pollution prevention plans (SWPPPs) as part of the construction general permit (GP), there is little evidence in the research literature as to how BMPs perform or should be designed. The objectives of this study were to: (i) comparatively evaluate the performance of common construction activity erosion control BMPs under a standardized test method, (ii) evaluate the performance of compost erosion control blanket thickness, (iii) evaluate the performance of compost erosion control blankets (CECBs) on a variety of slope angles, and (iv) determine Universal Soil Loss Equation (USLE) cover management factors (C factors) for these BMPs to assist site designers and engineers. Twenty-three erosion control BMPs were evaluated using American Society of Testing and Materials (ASTM) D-6459, standard test method for determination of ECB performance in protecting hill slopes from rainfall induced erosion, on 4:1 (H:V), 3:1, and 2:1 slopes. Soil loss reduction for treatments exposed to 5 cm of rainfall on a 2:1 slope ranged from-7 to 99%. For rainfall exposure of 10 cm, treatment soil loss reduction ranged from 8 to 99%. The 2.5 and 5 cm CECBs significantly reduced erosion on slopes up to 2:1, while CECBs < 2.5 cm are not recommended on slopes >or= 4:1 when rainfall totals reach 5 cm. Based on the soil loss results, USLE C factors ranged from 0.01 to 0.9. These performance and design criteria should aid site planners and designers in decision-making processes.

Objective: To conduct a quality analysis of the waiting rooms in the departments of oncology and oncological radiotherapy in Andalusian Health Service hospitals., Material and Methods: In order to carry out the project, both quantitative (structured observation) and qualitative methods (focus groups) were combined. In the first place, parameters for the analysis were identified. Secondly, a structured observation of all the waiting rooms was conducted for subsequent evaluation. Finally, in order to obtain an impression, focus groups were formed from patients who had been in waiting rooms in the Departments of Oncology and Radiotherapy., Results: It was observed that physical features relating to ease of accessibility, refreshment and patient comfort (i.e. furnishings, toilets), environmental conditions (noise, ventilation), as well as the organisational and functional aspects of the services relating to information (reception, health and non-health information), privacy (the calling system, confidentiality) and the time patients had to wait in these rooms, reveal areas for significant improvement. The results also underline the correlation between the waiting room deficiencies identified by direct observation and the opinions expressed by the patients in the focus groups., Conclusions: The physical and structural issues, as well as the functional and healthcare findings addressed in the project, when globally analysed, reveal that waiting rooms are in need of improvement if the experience of the patients using them is to be of therapeutic benefit.

Background: Accessibility to public environment is the human right and basic need of each citizen and is one of the fundamental considerations for urban planning., Purpose: The aim of this study is to determine the compliance of public buildings in central business districts (CBD) of Istanbul, Turkey, to wheelchair accessibility to the guidelines of the instrument and identify architectural barriers faced by wheelchair users., Methods: This is a descriptive study of 26 public buildings in CBD of Istanbul. The instrument used is the adapted Useh, Moyo and Munyonga questionnaire to collect the data from direct observation and measurement. Descriptive statistics of simple percentages and means are used to explain the compliance to the guidelines of the instrument and wheelchair accessibility., Results: The descriptive survey results indicate that wheelchair users experience many accessibility problems in public environment of the most urbanised city (cultural capital of Europe in 2010) in a developing country., Conclusion: It is found that the major architectural barrier is the public transportation items with the lowest mean compliance (25%). Beside this, the most compliant to the instrument is entrance to building items with 79% as mean percentage. It is also found that there is an intention to improve accessibility when building construction period is investigated. This article describes the example of the compliance of public buildings accessibility when the country has legislation, but lacking regulations about accessibility for the wheelchair users.

The Korean Ministry of Environment (MOE) opts to establish an ordinance having a standard specifying an allowable soil loss rate applicable to construction projects. The predicted amount of soil loss from a construction site exceeding the standard can be used to calculate the percent reduction necessary to comply with the ordinance. This research was conducted to provide a basis to establish a standard by investigating the unit soil loss rates in the three phases of development: pre-construction, active construction and post construction based from 1,036 Environmental Impact Assessment (EIA) reports within the six-year period (2000-2005). Based on the findings, several factors affect the magnitude of soil loss rates particularly storm characteristics, site slope, soil type, location from rivers, as well as the type of construction activity. In general, the unit soil loss rates during the active construction phase are extremely higher in comparison to undisturbed areas; in magnitude of 7 to 80 times larger in urban areas and 18 to 585 times in rural areas. Only between 20 to 40 percent of the soil loss rates was contributed at pre- and post- construction phases indicating that the active construction phase is the most important phase to control.

Problem: Construction risk management is challenging., Method: We combined data on injuries, costs, and hours worked, obtained through a Rolling Owner-Controlled Insurance Program (ROCIP), with data from focus groups, interviews, and field observations, to prospectively study injuries and hazard control on a large university construction project., Results: Lost-time injury rates (1.0/200,000 hours worked) were considerably lower than reported for the industry, and there were no serious falls from height. Safety was considered in the awarding of contracts and project timeline development; hazard management was iterative. A top-down management commitment to safety was clearly communicated to, and embraced by, workers throughout the site. DISCUSSION AND IMPACT: A better understanding of how contracting relationships, workers' compensation, and liability insurance arrangements influence safety could shift risk management efforts from worker behaviors to a broader focus on how these programs and relationships affect incentives and disincentives for workplace safety and health.

Since the majority of schools are housed in buildings dating from the 1960s and 1970s, a comprehensive construction and renovation program of school buildings has been carried out to improve the educational conditions in Korea. However, classrooms and computer rooms, with pressed wood desks, chairs and furnishings, as well as construction materials, might have negative effects on the indoor air quality. Furthermore, most schools have naturally ventilated classrooms. The purpose of this study was to characterize the concentrations of different indoor air pollutants within Korean schools and to compare their indoor levels within schools according to the age of school buildings. Indoor and outdoor air samples of carbon monoxide (CO), carbon dioxide (CO(2)), particulate matter (PM(10)), total microbial count (TBC), total volatile organic compounds (TVOCs) and formaldehyde (HCHO) were obtained during summer, autumn and winter from three sites; a classroom, a laboratory and a computer classroom at 55 different schools. The selection of the schools was based on the number of years since the schools had been constructed. The problems causing indoor air pollution at the schools were chemicals emitted by building materials or furnishings, and insufficient ventilation rates. The I/O ratio for HCHO was 6.32 during the autumn, and the indoor HCHO concentrations (mean = 0.16 ppm) in schools constructed within 1 year were significantly higher than the Korean Indoor Air Standard, indicating that schools have indoor sources of HCHO. Therefore, increasing the ventilation rate by means of a mechanical system and the use of low-emission furnishings can play key roles in improving the indoor air quality within schools.

Nonhuman primates are frequently housed in double-tier arrangements with significant differences between the environments of the upper and lower-row cages. Although several studies have investigated whether this arrangement alters monkeys' behavior, no studies have addressed the two most notable differences, light and height, individually to determine their relative importance. This experiment examined how rhesus and long-tailed macaques allocated their time between the upper and lower-row cages of a 1-over-1 apartment module under different lighting conditions. In Condition A, monkeys' baseline degree of preference for the upper- and lower-row was tested. In Condition B, the lighting environment was reversed by limiting illumination in the upper-row cage and increasing illumination in the lower-row cage. In both conditions, monkeys spent more time in the upper-row cage, thus indicating a strong preference for elevation regardless of illumination. The amount of time that monkeys spent in the lower-row cage increased by 7% under reversed lighting, but this trend was not significant. These results corroborate the importance of providing captive primates with access to elevated areas.

There is a high prevalence of work-related musculoskeletal disorders (WMSDs) among residential construction workers, yet control in this industry can be difficult for a number of reasons. A decision support system (DSS) is described here to allow early assessment of both ergonomic and productivity concerns, specifically by designers. Construction using prefabricated walls (panels) is the focus of current DSS development and is based conceptually on an existing 'Safety in Construction Design' model. A stepwise description of the development process is provided, including input from end users, taxonomy development and task analysis, construction worker input, detailed laboratory-based simulations and modelling/solution approaches and implementation. Preliminary results are presented for several steps. These results suggest that construction activities using panels can be efficiently represented, that some of these activities involve exposure to high levels of WMSD risk and that several assumptions are required to allow for ease of mathematical and computational implementation of the DSS. Successful development of such tools, which allow for proactive control of exposures, is argued as having substantial potential benefit.

Operating room renovation projects require planning and collaboration among physicians, hospital staff members, and vendors. Renovation involves many details, from how many electrical plugs to install in each OR to integration of the latest technologies. Details of a multiphase OR renovation project undertaken at Saint Francis Medical Center in Cape Girardeau, MO, provide information and tools that any facility planning a renovation can use.

Objectives: There has been no consensus on best practices in food and nutrition services in assisted living facilities for older adults. We documented experts' views on optimal food and nutrition services emphases in assisted living facilities, and factors affecting their views., Methods: One hundred thirty-five national experts specializing in health, aging, nutrition and assisted living facilities completed a survey consisting four scenarios (ie, home-style, restaurant/hotel, and health/medical, and a combination of these three) in six food and nutrition services areas: dining room environment, meal services, meal quality, nutrition services, employees' qualifications, and therapeutic nutrition services., Results: Sixty-three percent of experts favored the combination scenario. Dietetics education and experts' beliefs that assisted living facilities should be health promotion and maintenance facilities were significant predictors of emphases, including wellness considerations. Experts' personal views exerted a powerful influence., Conclusions: Experts chose food and nutrition service quality indicators that emphasized a focus on both wellness and amenities as their ideal scenarios for optimal food and nutrition services in assisted living facilities.

Fatalities associated with entry into on-farm confined-space manure storage tanks occur each year The fatalities are due to asphyxiation or poisoning by exposure to high concentrations of hydrogen sulfide, methane, and carbon dioxide. Forced ventilation has been shown to be an effective way to reduce concentrations of these noxious gases to levels that are safe for human entry into these storage tanks. Hydrogen sulfide (H2S) was used as an indicator gas to investigate the effectiveness of forced ventilation strategies for eliminating the toxic and oxygen-deficient atmospheres in confined-space manure tanks. Validated computational fluid dynamics (CFD) modeling protocols were used to simulate H2S evacuation from fan-ventilated manure tanks. The simulation studies were conducted for rectangular and circular manure tanks, and the effects of pollutant source, inter-contamination (process by which a portion of exhausted contaminant gas enters a ventilated confined airspace through the fresh air intake), storage size (i.e., length, diameter), and air exchange rate on H2S removalfrom fan-ventilated manure tanks were investigated. For the same air exchange rate, as the size (i.e., length, diameter) of the tank increased, the rate of evacuation of the H2S from the confined space decreased. For rectangular and circular manure tanks, the higher the air exchange rate, the higher the rate of evacuation of the H2S from the confined space. For the rectangular tank geometries and ventilation system layouts simulated, evacuation times decreased exponentially with air exchange rate. Evacuation times for the circular tanks simulated decreased linearly with air exchange rate.

The international introduction of performance-based building codes calls for a re-examination of indicators used to monitor their implementation. Indicators used in the building sector have a business orientation, target the life cycle of buildings, and guide asset management. In contrast, indicators used in the health sector focus on injury prevention, have a behavioural orientation, lack specificity with respect to features of the built environment, and do not take into account patterns of building use or building longevity. Suggestions for metrics that bridge the building and health sectors are discussed. The need for integrated surveillance systems in health and building sectors is outlined. It is time to reconsider commonly used epidemiological indicators in the field of injury prevention and determine their utility to address the accountability requirements of performance-based codes.

This article explores what progress researchers and policy makers have made towards understanding and responding to the problem of suicidal behaviour in custody over the last 15 years. It examines current program initiatives and strategies for minimising this behaviour. This has become an imperative issue for the Australian Capital Territory (ACT) as they are in the process of developing their first prison (due to open mid 2008). The authors of this article were asked to prepare a report as part of the development of the prison. In developing a prison the ACT Government wanted to learn from the experiences of other jurisdictions including international 'best practice'. Australian prison system agenda has been dominated since the 1990s by the Royal Commission into Aboriginal Deaths in Custody which made 339 recommendations. These recommendations have been important for developing programs for intervention and prevention of suicidal behaviour for all inmates. This article examines the experiences of Australian jurisdictions over the last 15 years since the Royal Commission report was published. For the ACT Government learning from both international and domestic experiences is essential in developing a new prison.

The quality gap is defined as the gap between the observed and the expected, evidence-based, quality indicators. Experts agree that significant reduction of the quality gap requires transformation of the current system of health care provision. Maccabi Healthcare Services has formulated a "change package" in order to redesign its community-based healthcare services. This is based on a proactive approach in primary care, which manages all aspects of health for a defined community of members. This is built on multidisciplinary team-work, led by a physician and a nurse; planned visits for the management of patients with chronic diseases; one-stop-shopping for efficient health promotion; and encouraging patient-centeredness, which ensures that patient values will guide all clinical decisions and patients will be provided with support to enable self-management. The following conditions and infrastructure were required to allow for the redesign: 1) Redesign became a focus of the organizational strategy; 2) Building a comparative performance measurement for presentation at all managerial levels; 3) Agreement on the incentives to primary care clinics, which voluntarily joined the process of change; training of "quality leaders" who will use common terms and methodology to improve the quality of care. Starting in 2005 as a "pilot project", the change process has gradually evolved to include about 50 primary care clinics towards the end of the year 2007.

Based on seven case studies of buildings that underwent different degrees of moisture and mold damage remediation, we aimed to develop methodology for assessment of the success of the remediation process. Methods used in gauging the success included technical monitoring of performance of building structures and heating, ventilation and air conditioning (HVAC) systems, microbial monitoring of indoor air quality (IAQ), and health effects studies of building occupants. The assessment was based on measurable change in the situations before and after remediation. Based on technical monitoring, remediation was successful in three cases, with partial improvement noted in three cases, whereas no remediation was conducted in one case. Based on microbial monitoring, improvement was detected in one, partial improvement in two and no improvement in two cases, whereas no follow-up was conducted in two cases. Health effect studies (mainly self-reported health status) showed improvement in one case, partial improvement in two cases, and no improvement in two cases, whereas no follow-up was conducted in one case, and in one case, follow-up failed due to low response rate. The results illustrate that it is possible to monitor the effects of remediation using various metrics. However, in some cases, no improvement could be observed in IAQ or occupant health, even if the remediation was considered technically successful, i.e. the remediation was fully completed as recommended. This could be due to many reasons, including: 1) all damage may not have been addressed adequately; 2) IAQ or health may not have been perceived improved regardless of remediation; and/or 3) the methods used may not have been sensitive/specific enough to detect such improvement within the 6-12 months follow-up periods after completion of the remediation. There is a need to further develop tools for monitoring and assessment of the success of moisture damage remediation in buildings.

Many building-related health problems coincide with moisture damage and mold growth within a building. Their elimination is assumed to improve indoor air quality. The aim of this study was to follow the success of remediation in two individual buildings by analyzing the microbial flora and immunotoxicological activity of filter samples. We compare results from samples collected from indoor air in the moisture-damaged buildings before and after renovation and results from matched reference buildings and outdoor air. The microbial characteristics of the samples were studied by analyzing ergosterol content and determining the composition of fungal flora with quantitative polymerase chain reaction (QPCR). In addition, the concentrations of particles were monitored with optical particle counter (OPC). The immunotoxicological activity of collected particle samples was tested by exposing mouse macrophages (RAW264.7) for 24 h to particle suspension extracted from the filters, and measuring the viability of the exposed cells (MTT-test) and production of inflammatory mediators (nitric oxide, IL-6 and TNF*) in cell culture medium by enzyme-linked immunoassay (ELISA). The results show that for Location 1 the renovation decreased the immunotoxicological activity of the particles collected from damaged building, whereas no difference was detected in the corresponding samples collected from the reference building. Interestingly, only slight differences were seen in the concentration of fungi. In the Location 2, a decrease was seen in the concentration of fungi after the renovation, whereas no effect on the immunotoxicological responses was detected. In this case, the immunotoxicological responses to the indoor air samples were almost identical to those caused by the samples from outdoor air. This indicates that the effects of remediation on the indoor air quality may not necessarily be readily measurable either with microbial or toxicological parameters. This may be associated with different spectrum of harmful agents in different mold and moisture-damaged buildings.

Fatalities associated with entry into on-farm confined-space manure storage facilities occur each year. The fatalities are due to asphyxiation or poisoning by exposure to high concentrations of hydrogen sulfide, methane, and carbon dioxide. Forced ventilation has been shown to be an effective way to reduce concentrations of noxious gases to levels that are safe for human entry into these storage facilities. Hydrogen sulfide (H2S) was used as an indicator gas to investigate the effectiveness of forced-air ventilation strategies for eliminating the toxic and oxygen-deficient atmosphere in confined-space manure storage facilities. This article focuses on experimental methods for identifying ventilation strategies that effectively reduce toxic gas (i.e., H2S) concentrations in a fan-ventilated confined-space manure tank to the OSHA permissible exposure limit (PEL) (H2S PEL = 10 ppm) and to 25% of the initial gas concentration. Typical H2S concentration reduction curves during forced-air ventilation were identified in the tank as well. Based on the experimental tests conducted in this research, the most promising candidate ventilation strategies were identified for this rectangular confined-space manure tank with solid, fully slotted, and partially slotted covers. In addition, based on the results of experimental tests, a field-based database was developed for future validation of computational fluid dynamics modeling protocols.

Risk assessment of aseptic processing facilities was performed using two published risk assessment tools. Calculated risk scores were compared with experimental test results, including environmental monitoring and media fill run results, in three different types of facilities. The two risk assessment tools used gave a generally similar outcome. However, depending on the tool used, variations were observed in the relative scores between the facilities. For the facility yielding the lowest risk scores, the corresponding experimental test results showed no contamination, indicating that these ordinal testing methods are insufficient to evaluate this kind of facility. A conventional facility having acceptable aseptic processing lines gave relatively high risk scores. The facility showing a rather high risk score demonstrated the usefulness of conventional microbiological test methods. Considering the significant gaps observed in calculated risk scores and in the ordinal microbiological test results between advanced and conventional facilities, we propose a facility categorization based on risk assessment. The most important risk factor in aseptic processing is human intervention. When human intervention is eliminated from the process by advanced hardware design, the aseptic processing facility can be classified into a new risk category that is better suited for assuring sterility based on a new set of criteria rather than on currently used microbiological analysis. To fully benefit from advanced technologies, we propose three risk categories for these aseptic facilities.

Background: UK Biobank is a prospective study that is collecting biological samples and health and lifestyle data from 500 000 volunteer participants over a 4-year period. These data will be used to facilitate biological and medical research., Methods: Modern manufacturing principles were used to direct the development of the sample processing facility and automated systems., Results: A fit for purpose facility comprising technology, systems, dedicated process, infrastructure and an appropriate staff structure has been implemented that will deliver and maintain a resource that will support the long-term goals of the UK Biobank study., Conclusions: Modern manufacturing principles are appropriate for use in the development of a high throughput biological sample processing facility.

Construction has been accused of causing environmental problems ranging from excessive consumption of global resources both in terms of construction and building operation to the pollution of the surrounding environment, and research on green building design and using building materials to minimise environmental impact is already underway. However, relying on the design of a project to achieve the goal of sustainable development, or to minimise impacts through appropriate management on site, is not sufficient to handle the current problem. The aim for sustainability assessment goes even further than at the design stage of a project to consider its importance at an early stage, before any detailed design or even before a commitment is made to go ahead with a development. However, little or no concern has been given to the importance of selecting more environmentally friendly designs during the project appraisal stage; the stage when environmental matters are best incorporated. The main objectives of this paper are to examine the development, role and limitations of current environmental building assessment methods in ascertaining building sustainability used in different countries which leads to discuss the concept of developing a. sustainability model for project appraisal based on a multi-dimensional approach, that will allow alternatives to be ranked is discussed in detail in the paper.

We undertook a literature search related to pig production facilities with two major aims: first, to review all the likely benefits that might be gained from air quality improvements; and second, to review previous research that had identified statistically significant factors affecting airborne pollutants and environmental parameters, so that these factors could be considered in a multifactorial analysis aimed at explaining variations in air pollutant concentrations. Ammonia, carbon dioxide, viable bacteria, endotoxins, and inhalable and respirable particles were identified as major airborne pollutants in the review. We found that high concentrations of airborne pollutants in livestock buildings could increase occupational health and safety risks, compromise the health, welfare, and production efficiency of animals, and affect the environment. Therefore, improving air quality could reduce environmental damage and improve animal and worker health. To achieve a reduction in pollutant concentrations, a better understanding of the factors influencing airborne pollutant concentrations in piggery buildings is required. Most of the work done previously has used simple correlation matrices to identify relationships between key factors and pollutant concentrations, without taking into consideration multifactorial effects simultaneously in a model. However, our review of this prior knowledge was the first important step toward developing a more inclusive statistical model. This review identified a number of candidate risk factors, which we then took into consideration during the development of multifactorial statistical models. We used a general linear model (GLM) to model measured internal concentrations, emissions, and environmental parameters in order to predict and potentially control the building environment.

Between autumn 1997 and autumn 1999, we measured ventilation rates (using a CO2 balance method), air temperatures, and relative humidity (using self-contained dataloggers with built-in sensors) in 160 pig housing facilities in Queensland, South Australia, Victoria, and Western Australia, in each case over a 60 h period. In some buildings, the internal air velocities above the animals were also recorded. While the monitoring instruments were being set up, a detailed questionnaire was used to collect data on major housing features and management factors. This information was statistically analyzed to quantify the effects of housing and management factors on the resulting environment conditions using a multifactorial analysis. The overall mean air temperature, relative humidity, internal air velocity, and ventilation rate were 20.3 degrees C, 58.9%, 0.12 m s(-1), and 663.9 m3 h(-1) 500 kg(-1) live weight, respectively, across all buildings. Internal building temperature and humidity were affected statistically by the type of insulation material used, the classification of buildings, and external climatic conditions. Ventilation rates were primarily affected by the type of ventilation system used, height (size) of ventilation openings, stocking density (kg m(-3)), and length, width, and height of buildings. These findings should aid the development of strategies for the industry to improve environmental control in piggery buildings.

The concentrations of total airborne bacteria, respirable endotoxins, ammonia, and respirable and inhalable particles were monitored in 160 piggery buildings in Australia between autumn 1997 and autumn 1999. The overall mean airborne bacteria, respirable endotoxins, ammonia (NH3), and inhalable and respirable particle concentrations measured were 1.17 x 10(5) cfu m(-3), 33.1 EU m(-3), 3.7 ppm, 1.74 mg m(-3), and 0.26 mg m(-3), respectively. The characteristics of the buildings and management systems used were documented at the time of sampling. A multifactorial general linear model (GLM) statistical procedure was used to analyze the effects of housing and management factors on the concentrations of the airborne pollutants. Both airborne bacteria and respirable endotoxin concentrations were affected by building classification (type), and respirable endotoxin concentrations were positively correlated with increasing humidity. The concentrations of airborne bacteria increased as the level of pen hygiene (cleanliness) decreased. The NH3 concentrations were primarily affected by level of pen hygiene, building volume, pig flow management, and season. Building classification, pig flow management, season, building volume, ventilation rates, and temperature affected inhalable particle concentrations. Respirable particle concentrations were primarily affected by building classification, pen hygiene, pig flow management, season, ventilation rates, temperature, and humidity. These findings suggest that environmental improvement strategies (such as improved cleaning, ventilation, and temperature control) are likely to reduce airborne pollutant concentrations in pig buildings and in the environment, thus improving the health and welfare of both pigs and farm staff.

The internal concentrations and emission rates of ammonia (NH3), total bacteria, respirable endotoxins, and inhalable and respirable particles were monitored in 160 piggery buildings in four states of Australia (Queensland, Victoria, Western Australia, and South Australia) between autumn 1997 and autumn 1999. Emissions were calculated for individual buildings as a product of internal concentration and ventilation rate, which were estimated by a carbon dioxide balance method. Relative humidity and temperature were also measured. The overall mean emission rates of NH3, total bacteria, respirable endotoxins, inhalable particles, and respirable particles per 500 kg live weight from Australian piggery buildings were 1442.5 mg h(-1), 82.2 x 10(6) cfu h(-1), 20.1 x 10(3) EU h(-1), 1306.7 mg h(-1), and 254.7 mg h(-1), respectively. Internal concentrations of key airborne pollutants have been reported in companion articles. Building characteristics and management systems used in the piggeries were documented at the time of sampling and used in the subsequent statistical modeling of variations in pollutant emission rates. The emissions model used all statistically significant factors identified during prior modeling conducted for individual pollutant concentrations and ventilation airflow. The identification of highly significant factors affecting emission rates and internal concentrations should aid the development of strategies for the industry to reduce emission rates from individual buildings, thus improving the environmental performance of piggery operations. In the second part of the article, specific recommendations are made based on the overall study results.

The University of Pennsylvania is building a proton therapy facility in collaboration with Walter Reed Army Medical Center. The proposed facility has four gantry rooms, a fixed beam room and a research room, and will use a cyclotron as the source of protons. In this study, neutron shielding considerations for the proposed proton therapy facility were investigated using analytical techniques and Monte Carlo simulated neutron spectra. Neutron spectra calculations were done using the GEANT4 (v6.2) simulation code for various materials: water, carbon, iron, nickel and tantalum to estimate the neutron production at proton beam energies of 100, 175 and 250 MeV. Dose equivalent calculations were performed using analytical methods at various critical points within the facility, by folding the GEANT4 produced neutron spectra with dose equivalent rate data from the National Council on Radiation Protection and Measurements (NCRP) Report #144.

Proper sterilization of reusable medical instruments, supplies, and devices and maintaining the sterility of these items until they are used are critical aspects of infection control. To minimize risk, perioperative managers should perform sterilization audits to test their facilities. This article guides the reader through a systematic, comprehensive, sterilization audit that evaluates facility design, personnel training, and processing procedures., (AORN, Inc, 2008)

There is a school of thought that one should never volunteer - and that one should definitely never volunteer to be a pilot or a pathfinder. Introducing Public Private Partnerships (PPPs) into an important clinical support service - traditionally provided in-house - probably added somewhat to the risk profile. Len Wright provides the following article based on a presentation given during a series of IHEEM seminars on HTMO1 during 2006 and 2007.

Two tension failures occurred during the construction of the protection and leachate drainage layers for a geomembrane landfill liner on a slope of 24 degrees to the horizontal. The paper describes and analyses the design and shows that the failures occurred largely because the sequence of construction was altered without due consideration of the consequences. The designers also appeared unaware that there is a difference between the nominal strength of a structural element and its actual in-service strength. This misconception also played a major part in the failures.

This Critical Review on environmental concerns of desalination plants suggests that planning and monitoring stages are critical aspects of successful management and operation of plants. The site for the desalination plants should be selected carefully and should be away from residential areas particularly for forward planning for possible future expansions. The concerning issues identified are noise pollution, visual pollution, reduction in recreational fishing and swimming areas, emission of materials into the atmosphere, the brine discharge and types of disposal methods used are the main cause of pollution. The reverse osmosis (RO) method is the preferred option in modern times especially when fossil fuels are becoming expensive. The RO has other positives such as better efficiency (30-50%) when compared with distillation type plants (10-30%). However, the RO membranes are susceptible to fouling and scaling and as such they need to be cleaned with chemicals regularly that may be toxic to receiving waters. The input and output water in desalination plants have to be pre and post treated, respectively. This involves treating for pH, coagulants, Cl, Cu, organics, CO(2), H(2)S and hypoxia. The by-product of the plant is mainly brine with concentration at times twice that of seawater. This discharge also includes traces of various chemicals used in cleaning including any anticorrosion products used in the plant and has to be treated to acceptable levels of each chemical before discharge but acceptable levels vary depending on receiving waters and state regulations. The discharge of the brine is usually done by a long pipe far into the sea or at the coastline. Either way the high density of the discharge reaches the bottom layers of receiving waters and may affect marine life particularly at the bottom layers or boundaries. The longer term effects of such discharge concentrate has not been documented but it is possible that small traces of toxic substances used in the cleaning of RO membranes may be harmful to marine life and ecosystem. The plants require saline water and thus the construction of input and discharge output piping is vital. The piping are often lengthy and underground as it is in Tugun (QLD, Australia), passing below the ground. Leakage of the concentrate via cracks in rocks to aquifers is a concern and therefore appropriate monitoring quality is needed. Leakage monitoring devices ought to be attached to such piping during installation. The initial environment impact assessment should identify key parameters for monitoring during discharge processes and should recommend ongoing monitoring with devices attached to structures installed during construction of plants.