Noise risk assessment in a bottling line of a modern Sicilian winery

In wine industry, bottling is a phase of the production cycle characterized by high levels of noise mostly due to repeated collisions between the bottles. In Italy the Law Decree 81/2008 defined the requirements for assessing and managing noise risk, identifying a number of procedures to be adopted at different noise levels to limit workers exposure. This study aims at evaluating the equivalent and peak noise level inside the bottling plant area of a modern Sicilian winery. In particular, the influence of the working capacity (number of bottles produced per hour) on noise levels was evaluated. We considered three test conditions: T1 with working capacity of 4,000 bottles per hour, T2 with working capacity of 5,000 bottles per hour and T3 with working capacity of 6,000 bottles per hour. Fifteen measurement points were identified inside the bottling area. The instrument used for the measurements is a precision integrating portable sound level meter, class 1, model HD2110L by Delta OHM, Italy. The tests were performed in compliance with ISO 9612 and ISO 9432 regulations. The results show that as bottling plant working capacity increases, noise level increases. The measured sound levels exceed the limits allowed by the regulations in all the test conditions; values exceeding the threshold limit of 80 dB(A) were recorded coming up to a maximum value of 95 dB(A) in test T3. In this case, the operator working along the bottling line is obliged to wear the appropriate Personal Protective Equipment

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries