A phyto-guide to species selection for optimized South African green infrastructure

In South Africa, rapid environmental degeneration caused by anthropogenic pollution poses a major ecological engineering problem, demanding proper resource mitigation strategies. For the treatment of polluted water and degraded soil systems, green infrastructure (GI) offers an effective, sustainable and affordable nature-based alternative to grey infrastructure. An additive benefit within GI, plant species provide enormous potential to treatment; however, species vary substantially in their pollutant removal and hydrologic performance. South African civil engineers tasked with designing GI often lack expertise and knowledge of plant behaviour and ecosystem dynamics. Therefore, this paper proposes a decision framework to facilitate selection for designing local GI in the form of a phyto-guide, based on existing recommendations and knowledge of removal processes and plant behaviour. Interdisciplinarity at the core of the phyto-guide relies on continuous specialist collaboration with each selection criteria, whilst efficiency and sustainability are considered equally important contributors to successful GI functioning. The spread of invasive alien plants, whether accidental or deliberate, negatively impacts an ecosystem’s capacity to deliver goods and services. Thus, the desire to optimize GI by incorporating effective phytoremediators cannot be prioritised over conservation concerns. In addition, this paper seeks to advance the GI limitation of relying solely on previously identified phytoremediators, by including evaluation criteria of beneficial plant traits as well as plant distribution, behaviour and diversity into the decision-making process for optimized GI. It is recommended that future research engages in discovering less invasive, naturally occurring local species as potential phytoremediators, inspired by South Africa’s rich biodiversity and endemism, as well as conveying the importance of consultation with engineers and ecologists for optimized GI

A systematic review of economic analyses of telehealth services using real time video communication

Background: Telehealth is the delivery of health care at a distance, using information and communication technology. The major rationales for its introduction have been to decrease costs, improve efficiency and increase access in health care delivery. This systematic review assesses the economic value of one type of telehealth delivery - synchronous or real time video communication - rather than examining a heterogeneous range of delivery modes as has been the case with previous reviews in this area. Methods A systematic search was undertaken for economic analyses of the clinical use of telehealth, ending in June 2009. Studies with patient outcome data and a non-telehealth comparator were included. Cost analyses, non-comparative studies and those where patient satisfaction was the only health outcome were excluded. Results 36 articles met the inclusion criteria. 22(61%) of the studies found telehealth to be less costly than the non-telehealth alternative, 11(31%) found greater costs and 3 (9%) gave the same or mixed results. 23 of the studies took the perspective of the health services, 12 were societal, and one was from the patient perspective. In three studies of telehealth to rural areas, the health services paid more for telehealth, but due to savings in patient travel, the societal perspective demonstrated cost savings. In regard to health outcomes, 12 (33%) of studies found improved health outcomes, 21 (58%) found outcomes were not significantly different, 2(6%) found that telehealth was less effective, and 1 (3%) found outcomes differed according to patient group. The organisational model of care was more important in determining the value of the service than the clinical discipline, the type of technology, or the date of the study. Conclusion Delivery of health services by real time video communication was cost-effective for home care and access to on-call hospital specialists, showed mixed results for rural service delivery, and was not cost-effective for local delivery of services between hospitals and primary care

Evidence-based Kernels: Fundamental Units of Behavioral Influence

This paper describes evidence-based kernels, fundamental units of behavioral influence that appear to underlie effective prevention and treatment for children, adults, and families. A kernel is a behavior–influence procedure shown through experimental analysis to affect a specific behavior and that is indivisible in the sense that removing any of its components would render it inert. Existing evidence shows that a variety of kernels can influence behavior in context, and some evidence suggests that frequent use or sufficient use of some kernels may produce longer lasting behavioral shifts. The analysis of kernels could contribute to an empirically based theory of behavioral influence, augment existing prevention or treatment efforts, facilitate the dissemination of effective prevention and treatment practices, clarify the active ingredients in existing interventions, and contribute to efficiently developing interventions that are more effective. Kernels involve one or more of the following mechanisms of behavior influence: reinforcement, altering antecedents, changing verbal relational responding, or changing physiological states directly. The paper describes 52 of these kernels, and details practical, theoretical, and research implications, including calling for a national database of kernels that influence human behavior

A phyto-guide to species selection for optimized South African green infrastructure

In South Africa, rapid environmental degeneration caused by anthropogenic pollution poses a major ecological engineering problem, demanding proper resource mitigation strategies. For the treatment of polluted water and degraded soil systems, green infrastructure (GI) offers an effective, sustainable and affordable nature-based alternative to grey infrastructure. An additive benefit within GI, plant species provide enormous potential to treatment; however, species vary substantially in their pollutant removal and hydrologic performance. South African civil engineers tasked with designing GI often lack expertise and knowledge of plant behaviour and ecosystem dynamics. Therefore, this paper proposes a decision framework to facilitate selection for designing local GI in the form of a phyto-guide, based on existing recommendations and knowledge of removal processes and plant behaviour. Interdisciplinarity at the core of the phyto-guide relies on continuous specialist collaboration with each selection criteria, whilst efficiency and sustainability are considered equally important contributors to successful GI functioning. The spread of invasive alien plants, whether accidental or deliberate, negatively impacts an ecosystem’s capacity to deliver goods and services. Thus, the desire to optimize GI by incorporating effective phytoremediators cannot be prioritised over conservation concerns. In addition, this paper seeks to advance the GI limitation of relying solely on previously identified phytoremediators, by including evaluation criteria of beneficial plant traits as well as plant distribution, behaviour and diversity into the decision-making process for optimized GI. It is recommended that future research engages in discovering less invasive, naturally occurring local species as potential phytoremediators, inspired by South Africa’s rich biodiversity and endemism, as well as conveying the importance of consultation with engineers and ecologists for optimized GI

Exploring the use of indigenous Western Cape plants as potential water and soil pollutant phytoremediators with a focus on green infrastructure

Urban water managers, engineers and conservation ecologists in the Western Cape (WC) Province of South Africa are faced with a major environmental and human health challenge, with urbanisation, industrialisation, population growth and agricultural development placing pressure on the limited water and soil resources. In addressing this resource degradation an effective, affordable and sustainable solution is required. The implementation of ‘green infrastructure’ (GI), such as phytoremediation, involves the use of plants to hinder pollutant transport and attenuate runoff flow, protecting the health of the human population and the environment. However, care must be taken when selecting plant species due to possible invasive behaviour, affecting ecosystem dynamics. As a result of the need for resource remediation in both urban and rural areas, the use of non-invasive indigenous species is vital to an efficient and sustainable technology, as urban areas are often the initial sites for introduction from which invasions spread. This paper proposes indigenous WC species for potential use in GI, identified from global bioremediation literature, as an aid to the practicing civil engineer and water manager responsible for the design and management of the phytotechnology. These indigenous species offer potential as phytoremediators in local GI, as well as suggest the types of plants that should be investigated further as alternatives to effective exotics. The investigation returned 56 non-invasive WC plant species likely to aid resource remediation without jeopardising the conservation and biodiversity of the administered area. The selected vegetation is potentially capable of increasing heterogeneity and adjusting to the dynamic biogeographic conditions of the recipient habitat. Thus, distinct species capable of remediating a wide range of environmental contaminants for GI, into the diverse habitats of the WC, at a fraction of the cost of conventional techniques, are promoted

Laboratory method design for investigating the phytoremediation of polluted water (with erratum)

The performance of plants to remove, remediate or immobilise environmental contaminants in a growth matrix through natural biological, chemical or physical activities was studied in a laboratory phytoremediation system. This study aimed to develop a novel phytoremediation system capable of investigating the remediation of agricultural pollutants by individual and multiple plant species. The designed system analysed community phytoremediation by uniquely implementing multiple plant species within the same growth silo, with indigenous and alien assemblages compared to establish community performance, highlighting the importance of biodiversity in plant assemblages. The constructed system successfully analysed the phytoremediatory capabilities of plant species within the critically endangered Renosterveld vegetation type, with unvegetated soil controls included to illustrate the pollutant removal efficiency of plants only. Growth silos were constructed from PVC piping and irrigated with drippers from a submersible pump. Eighteen different plant species were included in the experiment, i.e., 14 indigenous species, 3 invasive alien plant (IAP) species, and Palmiet. Five agricultural pollutant parameters were analysed, i.e., for fertilizers NH3-N, NO3--N and PO43--P and for herbicide contamination using two glyphosate concentrations. The growth silos and unvegetated soil control were irrigated using a pollutant–municipal water solution at 3-day intervals. The multiple plants per silo design approach seeks to contribute to the limited literature pertaining heterogeneity importance, by comparing the pollutant removal performance of plant assemblages. Community comparison further investigated the biofilter implementation potential of indigenous South African plants as an alternative to their more invasive alien counterparts, adding to the knowledge base of plant-based phytoremediation by indigenous South African plant species. The laboratory phytoremediation system successfully measured the agricultural pollutant removal performance of individual plants and vegetative communities, with soil remediation influence acknowledged. The proposed system is a simple and inexpensive method for obtaining the plant-based biofiltration efficiency of individual and multiple plant species