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4% to 26.0% (p < 0.001). Significant increases to median task times were seen for both doctors and nurses. Interruptions to tasks decreased post-implementation (p < 0.001), as did frequency of contact with the patient zone (p < 0.001).
The EHR did not redistribute time towards documentation and medication-related tasks. A reduction in interruptions to tasks may streamline workflow. Decreased contact with the patient zone may improve patient safety through reduced potential for pathogen transmission.
The EHR did not redistribute time towards documentation and medication-related tasks. A reduction in interruptions to tasks may streamline workflow. Decreased contact with the patient zone may improve patient safety through reduced potential for pathogen transmission.As one of the most widespread pollutants worldwide, nitrogen has long been a concern in the environment, including groundwater. However, due to the limitations of investigations and study progress, there is still a poor understanding of groundwater nitrogen pollution and its potential effects on human health in many areas, particularly in developing countries. The spatiotemporal evolution of groundwater nitrate nitrogen levels and potential human health risks in the Songnen Plain, Northeast China were comprehensively studied based on both our own test data and available published data that were collected by us over a study period from 1995 to 2015. Groundwater nitrate nitrogen concentrations exhibited significant temporal and spatial differences there was an increasing trend with time; and the distribution of high concentration areas expanded from the central and western areas to the east with time. The similar pattern existed in the potential health risks posed to the residents considering the two exposure pn the assessment model and assumptions of drinking water scenarios. However, the conclusions still have important reference value for groundwater pollution control and management and human health risk supervision and early warning.It is well-known that Cd concentration in the soil, Cd bioavailability, and Cd bioaccumulation in rice (Oryza sativa L.) grains vary greatly in different soil parent materials. Therefore, the classification of agricultural land environmental quality and agricultural land safe usage based on the Cd content in the soil has a wide deviation. By the application of systematic sampling and analysis of soil and rice samples, and in comparison with the different soil parent materials in Heng County, it was found that soil derived from carbonate rocks has higher total Cd and lower mobile Cd proportion than soil from the non-karst areas. This result indicated that soil carbonates raised soil pH and the adsorption of Fe/Mn oxide/hydroxide on Cd significantly reduced the bioavailability of Cd in karst areas. In contrast, acidic soils with relatively lower CaO, TFe2O3, Mn and total Cd contents, the grown rice plants accumulated higher Cd in their grains. Further research confirmed significant differences in Cd bioaccumulation abilities in the soil between karst and non-karst areas. On this basis, the bioaccumulation factor prediction models of Cd in rice grains were developed in karst and non-karst areas. According to the total concentration of Cd in topsoil samples obtained from the area survey and the predicted Cd content in rice grains, an agricultural land safe usage scheme was put forward. Lomeguatrib The results showed that the agricultural land classification method based on Cd concentration in the soil and rice grains was more accurate and scientific than that based on the Cd contents in the soil alone.To investigate composition characteristics and assess occupational health risks and odor pollution of volatile organic compounds (VOCs) from industrial activities in the Yangtze River Delta (YRD) region, China, one-year field measurements of VOCs were conducted simultaneously at an iron and steel industrial park (ISP), one chemical industrial park (CMP) and one petrochemical industrial park (PCP) from September, 2018 to August, 2019. The concentrations of VOCs were 80.2 ± 67.9 ppbv, 28.1 ± 27.2 ppbv and 144 ± 378 ppbv for ISP, CMP and PCP, respectively. Aromatics, alkanes and alkenes were the major components of VOCs at ISP, CMP and PCP, respectively. Moreover, the toluene to benzene ratios were 0.330 ± 0.302, 4.31 ± 6.48 and 1.84 ± 3.34, which generally showed the characteristics of combustion source for ISP, industrial activities for CMP and petrochemical industry for PCP, respectively. The hazard index values were 0.752 ± 0.438, 0.108 ± 0.248 and 0.090 ± 0.260 at ISP, CMP and PCP, which were generally lower than threshold limit value, suggesting a low noncarcinogenic risk for workers. Meanwhile, the 95th percentile LCR values of VOCs were 8.76 × 10-5, 1.15 × 10-5 and 1.00 × 10-5 at ISP, CMP and PCP, respectively, which were also under acceptable risk level, indicating a low carcinogenic risk. Benzene and 1,3-butadiene were main harmful substances for both noncarcinogenic and carcinogenic risks of VOCs. The odor levels of VOCs were 2.12 ± 4.21, 12.5 ± 28.7 and 1.01 ± 7.84 at ISP, CMP and PCP, respectively. Aromatics for ISP and sulfide compounds for CMP and PCP were primary pollutants for odor pollution. This work could improve the understanding of risk levels and odor characteristics of VOCs and benefit policy development on alleviating odor complaints and health risks for workers in YRD region, China.Since the emergence of the Analytical Quality by Design concept and the announcement of the future ICH Q14 "Analytical Procedure Development" guideline [1], a significant revival of the interest of the laboratories for the robustness study of their methods can be seen. Design of Experiments is a well-established tool used for this task, because of its ability to study the individual effect of a great number of factors in a minimal number of experiments. However, when assessing the robustness of an analytical method the analysis of the individual effect of each factor is not sufficient on its own. Indeed, the role of this study is also to verify, regardless of the very significance of the factors, that the chosen variations of the operating parameters of the method do not modify the experimental variance measured under the operating conditions for which the parameters are strictly defined. We therefore propose, in addition to the analysis of the individuals effects of the factors, an original tool which makes it possible to verify that the studied factors, when they vary together, do not lead to a significant variation in the measured responses.
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