Evaluation of the relationship between occupational noise exposure and stress levels in a healthcare facility.

Objectives. This study aimed to assess noise levels in various units in hospitals and explore the correlation between healthcare employees' daily noise exposure level (Lex,8h) and their stress and symptoms. Methods. A healthcare facility was selected to study noise pollution. Personal noise dosimeters were used during 8-h working shifts. Data were collected from 126 employees using the 36-item 'A stress scale' and a socio-demographic information form. Results. The results of noise measurements exceeded World Health Organization and US Environmental Protection Agency recommended limits at all sites. The lowest Lex,8h (52 dB) was detected in the endocrinology clinic, while the highest (91 dB) was recorded in the podology unit. According to the stress scale scores, the lowest mean psychological symptom score (PsSS), physiological symptom score (PhSS) and total scale score (TSS) were observed in diagnostic units with 35 ± 14, 41 ± 14 and 76 ± 27, respectively, while the highest mean PsSS, PhSS and TSS were observed in the polyclinics with 44 ± 6, 64 ± 10 and 107 ± 10, respectively. The PsSS of employees exposed to noise (Lex,8h) above 75 dB was found to be higher than for other employees. Conclusion. Lex,8h above 75 dB can increase psychological symptoms in healthcare employees.

Evaluating the environmental and economic performance of biological and advanced biological wastewater treatment plants by life cycle assessment and life cycle costing.

The primary objective of this study is to assess and establish benchmarks for environmental and economic sustainability of biological and advanced biological wastewater treatment plants (WWTPs) with different treatment technologies and characteristics. Furthermore, the study aims to determine the beneficial role of WWTPs to reduction of eutrophication potential. Environmental and economic sustainability of ten municipal WWTPs was assessed using life cycle assessment (LCA) and life cycle costing (LCC). In the first section of the study, LCA was performed to determine the environmental performance of the WWTPs. Furthermore, net environmental benefit (NEB) approach was implemented to reveal the beneficial role of WWTPs to eutrophication potential. In the subsequent section, LCA-based LCC was conducted by integrating the results of LCA. The most significant environmental impact was determined as marine aquatic ecotoxicity, which is highly affected from the generation and transmission of electricity consumed in the WWTPs. Wastewater recovery and co-incineration of sewage sludge in cement kiln ensure significant environmental savings on ozone layer depletion, human toxicity, acidification, photochemical oxidation, and abiotic depletion (fossil fuel) potential. Considering NEB approach, the highest NEB values were found for the WWTPs with the higher organic load and nutrient concentration in the influent. The results of LCC in WWTPs varied between 0.21 and 0.53 €/m3. External (environmental) costs were evaluated higher than internal (operational) costs for all selected WWTPs. While eutrophication was the highest among environmental costs, electricity cost was the highest among operational costs for almost all WWTPs.

Occupational Risks of Podologists: A Combined Assessment of VOCs, Vibration, Noise Levels and Health Complaints.

Podologists are exposed to many occupational hazards, including volatile organic compounds (VOCs) from insole manufacturing and noise/vibration during nail or tissue grinding. In this study, VOCs, noise, and vibration were measured in five podiatry clinics and three offices. Questionnaires were administered to 23 podologists and 19 office workers to inquire about their pain, ocular, skin and respiratory complaints. The results showed that the podologists' exposure to the total VOC concentrations was approximately twice as high as that of the office workers. The podologists' complaints regarding pain were found to be correlated with ambient noise and hand-arm vibration levels. Ocular, skin, and respiratory complaints were also found to be correlated with total VOC concentrations. These results suggest that VOCs, noise and vibration in the working environment may impair podologists' health and that they have an intensifying effect on each other, increasing the severity of health issues.

Identifying the environmental hotspots of sulfur-free odorant for LPG storage and filling by life cycle approach.

The main objective of this study is to determine the potential environmental impact of storage and filling the liquefied petroleum gas (LPG) with sulfur-containing (ethyl mercaptan) and sulfur-free (Greenodor) odorants by comparative life cycle assessment (LCA). The LCA was carried out within the scope of ISO 14040 and 14044 Standards in a facility that stores and fills LPG and potential environmental impact was calculated for eleven different impact categories. According to the characterization results, it was determined that the overseas transportation process had the highest impact among all impact categories. Because environmental impact was suppressed by other processes in characterization results due to the very low inclusion of the odorants in LPG, the percentage contribution of consumption of both odorants was compared and it was revealed that Greenodor had a lower environmental impact in all mid-point impact categories. For both tanker and cylinder filling, the impact category with the highest difference was photochemical oxidation with a rate of 79 %. The lowest difference was found in the global warming impact category with 18 % for tanker filling and 19 % for cylinder filling. Considering uncertainty analysis results for LPG tanker filling, Greenodor preceded ethyl mercaptan for all mid-point categories. However, in terms of LPG cylinder filling, there was no significant difference between two odorants.

Assessment of occupational exposure to fine particulate matter in dental prosthesis laboratories in Kocaeli, Turkey.

Dental prosthesis laboratories (DPLs) are among the workplaces where predominantly manual production takes place. In such working environments, during the manual manufacturing process, which involves fine smoothing and polishing of dental prostheses, fine particulate matter is released into the ambient air. In this study, the particulate matter (PM) concentrations and elemental content of the fine particles in the working ambient air were identified in six DPLs in Kocaeli, Turkey. PM2.5 mass concentrations, measured in all the DPLs, ranged between 80.8 and 1645 µg/m3 (mean 414 ± 406). As a result of the analyses performed with an ICP-MS device (Perkin Elmer Elan®DRC-e), trace elements of Be, Cd, Hg, and, notably, Co, Cr, Mo, and Ni were found. The researchers calculated the excess lifetime cancer risks and total hazard indexes. The average total cancer risk for all the DPLs was 8 × 10-3, which is higher than the acceptable limit of 1.0 × 10-6, and the total hazard index was 187, which is greater than the acceptable limit of 1.0. Considering these high-level risks, the study concluded that there is a need for new production methods, and strict application of occupational health and safety measures, to reduce the fine particle exposure of the workers in the laboratories. In addition, there are prescribed limit values for particulate matter only for respirable particles in working environments. The establishment of limit values, especially for PM2.5 concentrations, is important for the protection of the health of the employees.

A comparative life cycle assessment for sustainable cement production in Turkey.

Recently, a considerable increase has occurred in cement manufacturing, which is a highly energy intensive, resource consuming, and carbon emission industry based on industrialization and urbanization. In order to minimize the adverse effects from this industry on climate change, ecosystem quality, human health, and resources for cement production, it is very important to assess the potential environmental impacts of the cement production process. In this study, a comparative life cycle assessment (LCA) of cement production with traditional raw material and fuel (traditional scenario [TS]) and alternative raw material and fuel (alternative scenario [AS]) usage were performed in accordance with International Organization for Standardization (ISO) 14040 and 14044 standards. The scope of the study was determined as "cradle to gate" including raw material acquisition, transportation, and manufacturing stages. The functional units were 1 ton of clinker and 1 ton of cement. SimaPro 8.0.4 software was used for the LCA, and impact assessment was carried out using the IMPACT 2002 + method. As a result of the LCA for clinker production, the overall environmental impact was reduced by approximately 12% in the AS. According to damage assessment, the effects on climate change, human health, ecosystem quality, and resources decreased 1.4%, 27%, 10%, and 11%, respectively. The use of alternative fuel and raw material had approximately 3% positive impact on overall environmental burden of clinker production. Considering cement types, the lowest environmental impacts were determined for CEM IV and CEM II based on trass usage.

Atmospheric ambient trace element concentrations of PM10 at urban and sub-urban sites: source apportionment and health risk estimation.

In this study, PM10 concentrations and elemental (Al, Fe, Sc, V, Cr, Mn, Co, Ni, Cu, Zn, As, Se, Mo, Ag, Cd, Sn, Sb, Ba, Pb, and Bi) contents of particles were determined in Düzce, Turkey. The particulate matter samplings were carried out in the winter and summer seasons simultaneously in both urban and sub-urban sampling sites. The average PM10 concentration measured in the winter season was 86.4 and 27.3 µg/m3, respectively, in the urban and sub-urban sampling sites, while it was measured as 53.2 and 34.7 µg/m3 in the summer season. According to the results, it was observed that the PM10 levels and the element concentrations reached higher levels, especially at the urban sampling site, in the winter season. The positive matrix factorization model (PMF) was applied to the data set for source apportionment. Analysis with the PMF model revealed six factors for both the urban (coal combustion, traffic, oil combustion, industry, biomass combustion, and soil) and sub-urban (industry, oil combustion, traffic, road dust, soil resuspension, domestic heating) sampling sites. Loadings of grouped elements on these factors showed that the major sources of the elements in the atmosphere of Düzce were traffic, fossil fuel combustion, and metal industry-related emissions.

Determination of the personal, indoor and outdoor exposure levels of inorganic gaseous pollutants in different microenvironments in an industrial city.

We measured SO2, NO2 and O3 concentrations during the summer and winter in Kocaeli, Turkey. The sampling was carried out indoors and outdoors at homes, schools and offices. Personal samplers were also used to determine personal exposures to these pollutants. High NO2 and SO2 concentrations were observed in outdoor samples collected close to locations characterized by heavy urban traffic. Concentrations of O3, on the other hand, were higher in rural areas around the city due to ozone distillation. For both sampling periods, the concentrations of outdoor SO2 and O3 were higher than for indoor and personal samples; however, the NO2 concentrations were higher in indoor and personal samples, indicating that outdoor sources significantly contribute to indoor SO2 and O3 levels and that indoor NO2 concentrations are primarily modulated by sources within buildings. Seasonal variations in pollutant concentrations showed statistically significant differences. Indoor and outdoor concentrations of NO2 and SO2 measured in the winter were higher than the levels measured in the summer; O3 concentrations, on the other hand, exhibited the opposite trend. Active-to-passive concentration ratios for NO2, SO2 and O3 were 0.99, 1.08 and 1.16, respectively; the corresponding outdoor ratios were 0.95, 0.99 and 1.00.

Fine particulate matter in the indoor air of barbeque restaurants: elemental compositions, sources and health risks.

Cooking is a significant source of indoor particulate matter that can cause adverse health effects. In this study, a 5-stage cascade impactor was used to collect particulate matter from 14 restaurants that cooked with charcoal in Kocaeli, the second largest city in Turkey. A total of 24 elements were quantified using ICP-MS. All of the element contents except for Mn were higher for fine particles (PM2.5) than coarse particles (PM>2.5), and the major trace elements identified in the PM2.5 included V, Se, Zn, Cr, As, Cu, Ni, and Pb. Principle component analysis (PCA) and enrichment factor (EF) calculations were used to determine the sources of PM2.5. Four factors that explained over 77% of the total variance were identified by the PCA. These factors included charcoal combustion, indoor activities, crustal components, and road dust. The Se, As, Cd, and V contents in the PM2.5 were highly enriched (EF>100). The health risks posed by the individual metals were calculated to assess the potential health risks associated with inhaling the fine particles released during charcoal cooking. The total hazard quotient (total HQ) for a PM2.5 of 4.09 was four times greater than the acceptable limit (i.e., 1.0). In addition, the excess lifetime cancer risk (total ELCR) for PM2.5 was 1.57×10(-4), which is higher than the acceptable limit of 1.0×10(-6). Among all of the carcinogenic elements present in the PM2.5, the cancer risks resulting from Cr(VI) and As exposure were the highest (i.e., 1.16×10(-4) and 3.89×10(-5), respectively). Overall, these results indicate that the lifetime cancer risk associated with As and Cr(VI) exposure is significant at selected restaurants, which is of concern for restaurant workers.

Atmospheric deposition of polycyclic aromatic hydrocarbons to Izmit Bay, Turkey.

Wet deposition and dry deposition samples were collected in an urban/industrialized area of Izmit Bay, North-eastern Marmara Sea, Turkey, from September 2002 to July 2003. The samples were analyzed for sixteen polycyclic aromatic hydrocarbon (PAH) compounds by using HPLC-UV technique. Wet and dry deposition concentrations and fluxes of PAHs were determined. The results showed that PAH concentrations were high because of industrial processes, heavy traffic and residential areas next to the sampling site. Total dry deposition flux of the fifteen 3-6 ring PAHs was 8.30 microg m(-2)day(-1), with a range of 0.034-1.77 microg m(-2)day(-1). The total wet deposition flux of the fifteen 3-6 ring PAHs was 1716 microg m(-2) 11 month(-1), with a range of 10-440 microg m(-2) 11 month(-1). Significant seasonal differences were observed in both types of deposition samples. The winter fluxes of total PAHs were 1.5 and 2.5 times greater than those of the warm period for wet and dry deposition samples, respectively. Factor analysis of dry deposition samples and back trajectory analysis of wet deposition samples were also used to characterize and identify the PAH emission sources in this study.

Inventory of emissions of primary air pollutants in the city of Kocaeli, Turkey.

This study aims to obtain a reliable inventory of the emission rates of the principal air pollutants including PM, SO2, NOx) and CO in Kocaeli, Turkey. In the first stage, the pollutant sources classified as point, area and line sources are determined in the area. Then the annual emission rates of the pollutants released from these sources are estimated by the emission factors given by USEPA and CORINAIR. Results show that the annual emission rates for PM, SO2, NOx) and CO are 2195 tons, 5342 tons, 14632 tons and 23095 tons, respectively. On the other hand, the pollutant group with the highest contribution to total emission rate is determined as the point sources for NOx, which is responsible for 73% of total NOx emission, while it is the area sources for PM, SO2 and CO with the contribution percentages of 75, 76 and 69, respectively.