Evidence-based integrated environmental solutions for secondary lead smelters: Pollution prevention and waste minimization technologies and practices

An evidence-based methodology was adopted in this research to establish strategies to increase lead recovery and recycling via a systematic review and critical appraisal of the published literature. In particular, the research examines pollution prevention and waste minimization practices and technologies that meet the following criteria: (a) reduce/recover/recycle the largest quantities of lead currently being disposed of as waste, (b) technically and economically viable, that is, ready to be diffused and easily transferable, and (c) strong industry interest (i.e., industry would consider implementing projects with higher payback periods). The following specific aims are designed to achieve the study objectives: Aim 1 – To describe the recycling process of recovering refined lead from scrap; Aim 2 – To document pollution prevention and waste management technologies and practices adopted by US stakeholders along the trajectory of LAB and lead product life cycle; Aim 3 – To explore improved practices and technologies which are employed by other organizations with an emphasis on the aforementioned criteria; Aim 4 – To demonstrate the economic and environmental costs and benefits of applying improved technologies and practices to existing US smelting operations; and Aim 5 – To evaluate improved environmental technologies and practices using an algorithm that integrates quantitative and qualitative criteria. The process of identifying relevant articles and reports was documented. The description of evidence was presented for current practices and technologies used by US smelters as well as improved practices and technologies. Options for integrated environmental solutions for secondary smelters were introduced and rank ordered on the basis of costs (i.e., capital investment) and benefits (i.e., production increases, energy and flux savings, and reduction of SO2 and slag). An example was provided to demonstrate the utility of the algorithm by detailing the costs and benefits associated with different combinations of practices and technologies. The evidence-based methodology documented in this research reveals that it is technically and economically feasible to implement integrated environmental solutions to increase lead recovery and recycling among US smelters. The working example presented in this research can be confirmed with US stakeholders and form the basis for implementable solutions in the lead smelter and product industries to help reverse the overall trend of declining life-cycle recycling rates

Evidence-based integrated environmental solutions for secondary lead smelters: Pollution prevention and waste minimization technologies and practices

An evidence-based methodology was adopted in this research to establish strategies to increase lead recovery and recycling via a systematic review and critical appraisal of the published literature. In particular, the research examines pollution prevention and waste minimization practices and technologies that meet the following criteria: (a) reduce/recover/recycle the largest quantities of lead currently being disposed of as waste, (b) technically and economically viable, that is, ready to be diffused and easily transferable, and (c) strong industry interest (i.e., industry would consider implementing projects with higher payback periods). The following specific aims are designed to achieve the study objectives: Aim 1 – To describe the recycling process of recovering refined lead from scrap; Aim 2 – To document pollution prevention and waste management technologies and practices adopted by US stakeholders along the trajectory of LAB and lead product life cycle; Aim 3 – To explore improved practices and technologies which are employed by other organizations with an emphasis on the aforementioned criteria; Aim 4 – To demonstrate the economic and environmental costs and benefits of applying improved technologies and practices to existing US smelting operations; and Aim 5 – To evaluate improved environmental technologies and practices using an algorithm that integrates quantitative and qualitative criteria. The process of identifying relevant articles and reports was documented. The description of evidence was presented for current practices and technologies used by US smelters as well as improved practices and technologies. Options for integrated environmental solutions for secondary smelters were introduced and rank ordered on the basis of costs (i.e., capital investment) and benefits (i.e., production increases, energy and flux savings, and reduction of SO2 and slag). An example was provided to demonstrate the utility of the algorithm by detailing the costs and benefits associated with different combinations of practices and technologies. The evidence-based methodology documented in this research reveals that it is technically and economically feasible to implement integrated environmental solutions to increase lead recovery and recycling among US smelters. The working example presented in this research can be confirmed with US stakeholders and form the basis for implementable solutions in the lead smelter and product industries to help reverse the overall trend of declining life-cycle recycling rates

VIP in construction: systematic development and evaluation of a multifaceted health programme aiming to improve physical activity levels and dietary patterns among construction workers

<p>Abstract</p> <p>Background</p> <p>The prevalence of both overweight and musculoskeletal disorders (MSD) in the construction industry is high. Many interventions in the occupational setting aim at the prevention and reduction of these health problems, but it is still unclear how these programmes should be designed. To determine the effectiveness of interventions on these health outcomes randomised controlled trials (RCTs) are needed. The aim of this study is to systematically develop a tailored intervention for prevention and reduction of overweight and MSD among construction workers and to describe the evaluation study regarding its (cost-)effectiveness.</p> <p>Methods/Design</p> <p>The Intervention Mapping (IM) protocol was applied to develop and implement a tailored programme aimed at the prevention and reduction of overweight and MSD. The (cost-) effectiveness of the intervention programme will be evaluated using an RCT. Furthermore, a process evaluation will be conducted. The research population will consist of blue collar workers of a large construction company in the Netherlands.</p> <p>Intervention</p> <p>The intervention programme will be aimed at improving (vigorous) physical activity levels and healthy dietary behaviour and will consist of tailored information, face-to-face and telephone counselling, training instruction (a fitness "card" to be used for exercises), and materials designed for the intervention (overview of the company health promoting facilities, waist circumference measuring tape, pedometer, BMI card, calorie guide, recipes, and knowledge test).</p> <p>Main study parameters/endpoints</p> <p>The intervention effect on body weight and waist circumference (primary outcome measures), as well as on lifestyle behaviour, MSD, fitness, CVD risk indicators, and work-related outcomes (i.e. productivity, sick leave) (secondary outcome measures) will be assessed.</p> <p>Discussion</p> <p>The development of the VIP in construction intervention led to a health programme tailored to the needs of construction workers. This programme, if proven effective, can be directly implemented.</p> <p>Trial registration</p> <p>Netherlands Trial Register (NTR): <a href="http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=2095">NTR2095</a></p

Prevalence of hallux valgus in the general population: a systematic review and meta-analysis

BACKGROUND: Hallux valgus (HV) is a foot deformity commonly seen in medical practice, often accompanied by significant functional disability and foot pain. Despite frequent mention in a diverse body of literature, a precise estimate of the prevalence of HV is difficult to ascertain. The purpose of this systematic review was to investigate prevalence of HV in the overall population and evaluate the influence of age and gender. METHODS: Electronic databases (Medline, Embase, and CINAHL) and reference lists of included papers were searched to June 2009 for papers on HV prevalence without language restriction. MeSH terms and keywords were used relating to HV or bunions, prevalence and various synonyms. Included studies were surveys reporting original data for prevalence of HV or bunions in healthy populations of any age group. Surveys reporting prevalence data grouped with other foot deformities and in specific disease groups (e.g. rheumatoid arthritis, diabetes) were excluded. Two independent investigators quality rated all included papers on the Epidemiological Appraisal Instrument. Data on raw prevalence, population studied and methodology were extracted. Prevalence proportions and the standard error were calculated, and meta-analysis was performed using a random effects model. RESULTS: A total of 78 papers reporting results of 76 surveys (total 496,957 participants) were included and grouped by study population for meta-analysis. Pooled prevalence estimates for HV were 23% in adults aged 18-65 years (CI: 16.3 to 29.6) and 35.7% in elderly people aged over 65 years (CI: 29.5 to 42.0). Prevalence increased with age and was higher in females [30% (CI: 22 to 38)] compared to males [13% (CI: 9 to 17)]. Potential sources of bias were sampling method, study quality and method of HV diagnosis. CONCLUSIONS: Notwithstanding the wide variation in estimates, it is evident that HV is prevalent; more so in females and with increasing age. Methodological quality issues need to be addressed in interpreting reports in the literature and in future research

Review and Evaluation of Physiological Cost Prediction Models for Manual Materials Handling

Manual materials handling (MMH) tasks or unaided acts of lifting, lowering, carrying, pushing, and pulling are common types of activities in industry. Design and organization of work involving manual handling of materials has been the goal of many researchers. Their attempts have resulted in information that can be objectively used in designing manual materials handling tasks. The main objectives of this paper are (1) to review and evaluate existing energy and cardiac cost prediction models for various MMH tasks, (2) to present these models in a concise fashion that can be easily accessed by designers and practitioners of MMH, and (3) to provide recommendations for future research in modeling physiological responses of individuals engaged in MMH. More emphasis is placed on information that has become available since the publication of the NIOSH guide on work practices for Manual lifting

Physiological and psychophysical responses to static, dynamic and combined arm tasks

The main objective of the present study was to determine the effects of arm tasks possessing varying degrees of static and dynamic components upon the physiological and psychophysical strain imposed on the human body. Heart rate and blood pressure were used as indices of cardiovascular strain, while ratings of perceived exertion and endurance time are used as indices of psychophysical strain. For each weight of load studied, static tasks recorded the highest systolic blood pressure, dyastolic pressure, and ratings of perceived exertion values followed by combined, then highly dynamic, tasks. The highly dynamic task recorded the highest endurance time followed by combined then purely static tasks. This study supports the idea that blood pressure should be incorporated as one of the monitored strain factors in setting criteria for manual materials-handling tasks. In addition, the ratings of perceived exertion can be used as an effective tool in assessing the static component of the task. Based on the results obtained from the experimental conditions studied, the weight of the load has been shown to be an important parameter in the design of arm tasks comprising varying degrees of static and dynamic components. On the other hand, the frequency of handling is not an important parameter in the design of these types of tasks

Evaluation of Different Scales for Measurement of Perceived Physical Strain During Performance of Manual Tasks

The main objective of this study was to evaluate different scales of perceived strain during the performance of various physical tasks. A total of 52 male and female participants took part in 4 experiments to achieve the study objective. The results suggest that a bipolar comfort-discomfort scale is a more appropriate instrument than a discomfort scale for assessing cumulative physical stresses at work, especially at the beginning of the shift. For assessing discomfort at the end of the work shift, a unipolar scale may also be used. On the basis of the obtained results, red, green, and yellow zones are suggested to establish priorities for work redesign efforts in ergonomic control programs

Psychophysical models for manual lifting tasks

This paper provides two models for males and females to assess the psychophysical maximum acceptable weight of lift. The weight guidelines generated by the models are a function of lifting frequency, height of lift, sagittal or asymmetrical lifting, task duration, container size in the sagittal plane, presence or absence of container couplings, and percentage of the working population. The developed models were generated from a knowledge base available in the published literature. A computer program was written in BASIC to assist the user in determining the safe load that could be handled by a specified working population. Model validation showed that the models developed predict the maximum acceptable weight of lift with a reasonable degree of accuracy. A comparison between the National Institute for Occupational Safety and Health recommendations and those made on the basis of the models developed in this paper is also presented