[The prevalence and etiology of anemia in urban community dwelling elderly population in Beijing].

OBJECTIVE: To estimate the prevalence of anemia in urban community dwelling elderly population. METHODS: This study was a cross-sectional survey of prevalence of anemia in randomly selected community dwelling residents aged over 65 years in Beijing. Anemia was defined as hemoglobin concentration less than 130 g/L in men and 120 g/L in women. RESULTS: The hemoglobin concentration was (135.65±14.48) g/L in total of 1 947 eligible participants and was much higher in men than in women [(142.56±15.56) g/L vs (130.95±11.53) g/L, P<0.001]. There were 288 (14.8%) patients with anemia, including 16.3%(129/789) in men and 13.7%(159/1 158) in women. The prevalence of anemia increased significantly with age, which was 7.6% in 65-69 years, 10.8% in 70-74 years, 18.8% in 75-79 years and 24.1% over 80 years (P<0.001). Two hundred and seventy-nine (96.9%) subjects were mild anemia, 8 (2.8%) moderate, only 1 subject (0.3%) severe. Unexplained anemia was predominant, which accounted for 63.2%. Only 16.7% people were diagnosed as nutritional anemia, renal anemia 5.2%, anemia of chronic disease (ACD) 12.2%. There were 2.4% people with overlapped renal anemia and ACD. Compared with non-anemic subjects, more subjects with unexplained anemia represented macrocytosis (7.1% vs 3.2%, P=0.007). CONCLUSIONS: Anemia is a common health problem in urban community dwelling elderly population. Most subjects have anemia with unknown origin. Further investigation is needed to explore the mechanism and related factors of elderly anemia.

The design of a web-based decision support system for the sustainable management of an urban river system.

The effects of urbanization on the aquatic environment, and solutions to the deterioration of water quality and stream ecology in the Love River have long been the main focus of environmental management in southern Taiwan. Apart from choosing the regular strategies of installing an intercept and sewer system, coastal wastewater treatment plant, and ocean outfall pipe, a new opportunity for improving the overall managerial efficiency is to design and implement a web-based Decision Support System (DSS). This DSS must be capable of managing storm water impacts when overflow is inevitable, river water quality variations loading to influences on the ecosystem, and changing land use programs along river corridors and adjacent urban areas simultaneously. This paper presents a new design framework for building such a DSS. By using the advanced information technology in the "Internet" environment, the proposed DSS may perform normal queries and statistical analyses in a web-enabled database, spatial analysis via the use of a Geographic Information System (GIS) in the Internet environment, and essential data warehousing/data mining. Possible linkage with various analytical models is anticipated. Such a DSS must be helpful for achieving the rehabilitation of the estuarine ecosystem and satisfying the goals for sustainable management in a regional sense.

Evaluation of non-point sources pollution impacts by integrated 3S information technologies and GWLF modelling.

Assessing the potential of non-point source pollution to assist in the planning of Best Management Practice (BMP) is significant for improving pollution prevention and control in a river basin. In many cases, however, the grid-based modelling analysis is prohibitively laborious and hindered because of insufficient information. This paper presents a new and fast methodology for catchment land-use identification and waste load estimation by properly integrating the skills of remote sensing (RS), geographic information system (GIS), global positioning system (GPS), and the Generalized Watershed Loading Functions (GWLF) model. In this analysis, eight types of land-use patterns in the watershed area of the Kao-Ping River Basin were classified with the aid of SPOT satellite images, Erdas Imagine image processing system, and ArcView GIS system. Hydrologic and geographical features were obtained or derived by the Digital Elevation Model (DEM) and GIS technique simultaneously. The GWLF model was used to estimate the waste loads of non-point sources in terms of the total phosphorus (TP) and total nitrogen (TN). It shows that the variations of TN and TP loadings are closely related to the amount of rainfall over seasons. Final managerial policy can be made with respect to the identified three impact levels of nutrient loadings in the Kao-Ping River Basin, southern Taiwan, which could eventually perform as part of the Total Maximum Daily Load (TMDL) study in this region.

Assessing relocation strategies of urban air quality monitoring stations by GA-based compromise programming.

This paper presents a GA-based compromise programming technique for assessing the relocation strategy of urban air quality monitoring network with respect to the multi-objective and multi-pollutant design criteria. While the impact of conservative, quasi-stable, and reactive pollutants are considered in the design principles via a simulation analysis, cost, effectiveness, and efficiency characteristics are postulated in the optimization process. Therefore, technical coverage for illustrating the needs of siting air quality monitoring stations (AQMS) includes both the air quality simulation and optimization modeling analyses in a two-stage analytical framework simultaneously. It starts from determining the spatial interrelationship among those candidate sites using various types of air quality simulation models as an integrated means. And the outputs drawn from the simulation models can then be used as the required inputs in the compromise programming model in order to screen all those siting alternatives that may satisfy the planning goals subject to the essential constraints throughout the multi-objective optimization process. For the illustrating purposes, a series of technical settings for finding the optimal relocation scenarios of AQMS were examined in the case study for the city of Kaohsiung in South Taiwan where the long-term violations of official standards of ozone and particulates turn out to be critical. It not only expresses the ideas of relocation strategy but also indicates how to utilize those alternatives in the decision-making process for improving the functionality of air quality monitoring in the urban environment. Experience gained in this study clearly indicates that the more the number of pollutants and objectives considered simultaneously, the higher the number of candidate sites to be selected in the relocation strategy.

Oxidation kinetics of the combustible fraction of construction and demolition wastes.

Proper disposal of construction and demolition wastes (CDW) has received wide attention recently due to significantly large quantities of waste streams collected from razed or retrofitted buildings in many metropolitan regions. Burning the combustible fractions of CDW (CCDW) and possibly recovering part of the heat content for economic uses could be valuable for energy conservation. This paper explores the oxidation kinetics of CCDW associated with its ash characterization. Kinetic parameters for the oxidation of CCDW were numerically calculated using thermal gravimetric analysis (TGA) and the resultant rate equations were therefore developed for illustrating the oxidation processes of CCDW simultaneously. Based on three designated heating rates, each of the oxidation processes can be featured distinctively with five different stages according to the rate of weight change at the temperature between 300 K and 923 K. In addition, Fourier transform infrared (FTIR) spectroscopy was employed, associated with a lab-scale fixed-bed incinerator for monitoring the composition of flue gas. Carbon dioxide (CO2) was found as a major component in the flue gas. The fuel analysis also included an ash composition analysis via the use of X-ray powder diffraction (XRD), atomic absorption (AA) spectroscopy, inductively coupled plasma-atomic emission spectroscopy (ICP-AES), and scanning electron microscopy-energy dispersive spectroscopy (SEM-EDX). The ash streams were identified as nonhazardous materials based on the toxicity characteristic leaching procedure (TCLP). Overall, the scientific findings gained in this study will be helpful for supporting a sound engineering design of real-world CCDW incineration systems.

Assessing pollution prevention program by QUAL2E simulation analysis for the Kao-Ping River Basin, Taiwan.

Wise and sustainable uses of water resources are essential for an effective river-basin-management planning. Recent management strategy further addresses the fact that quantity and quality of water are closely interrelated, and both must be considered simultaneously for all water resources and water quality management practices. The aim of this paper is to explore the impacts of water resources redistribution and pollution prevention actions between and within river basins simultaneously in South Taiwan. Much emphasis will be placed on assessing the impacts of water transfer over natural boundary to satisfy the needs of industrial development in the Tseng-Wen River system and its resultant influence on the water quality in the downstream area of the Kao-Ping River system where the pollution prevention program is to be implemented. The Kao-Ping River was further characterized hydraulically and environmentally, based on a full investigation of discharges and withdrawals in the river reaches. QUAL2E was successfully calibrated and validated using data collected between 1998 and 1999, and the model was capable of predicting the concentrations of biochemical oxygen demand, dissolved oxygen, total phosphate-phosphorus, and ammonia-nitrogen (NH3-N) for the entire river system. With the aid of QUAL2E simulation model, it shows eliminating the pig farming activities and constructing the sewer systems in the upstream area of Kao-Ping River cannot guarantee the full compliance with water quality standards in the downstream area and water transfer in the upstream area further increases negative impacts on the water quality in the wet season. The predicted situation of water quality in the dry season may even present worse condition. Additional water pollution control policy, such as the use of economic instruments, for controlling and reducing the waste-load of biochemical oxygen demand and ammonia-nitrogen is needed in the Kao-Ping River system in the long run.

Identification of river water quality using the fuzzy synthetic evaluation approach.

Proper identification of water quality conditions in a river system based on limited observations is an essential task for meeting the goals of environmental management. Various classification methods have been used for estimating the changing status and usability of surface water in river basins. However, a discrepancy frequently arises from the lack of a clear distinction between each water utilisation mode, the uncertainty in the quality criteria employed and the vagueness or fuzziness embedded in the decision-making output values. Owing to inherent imprecision, difficulties always exist in some conventional methodologies when describing integrated water quality conditions with respect to various chemical constituents, biological aspects, nutrients, and aesthetic qualities. This paper presents a comparative study using three fuzzy synthetic evaluation techniques to assess water quality conditions in comparison to the outputs generated by conventional procedures such as the Water Quality Index (WQI). Based on a set of data collected at seven sampling stations, a case study for the Tseng-Wen River system in Taiwan was used to demonstrate their application potential. The findings clearly indicate that the techniques may successfully harmonise inherent discrepancies and interpret complex conditions. A further, newly developed fuzzy synthetic evaluation approach described in this paper might also be useful for verifying water quality conditions for the Total Maximum Daily Load (TMDL) program and be helpful for constructing an effective water quality management strategy.

An engineering assessment of the burning of the combustible fraction of construction and demolition wastes in a redundant brick kiln.

This paper confirms both technical feasibility and economic potential via the use of redundant brick kilns as an alternative option for disposal of the combustible fractions of construction and demolition wastes by a three-stage analysis. To assess such an idea, one brick kiln was selected for performing an engineering feasibility study. First of all, field sampling and lab-analyses were carried out to gain a deeper understanding of the physical, chemical, and thermodynamic properties of the combustible fractions of construction and demolition wastes. Kinetic parameters for the oxidation of the combustible fractions of construction and demolition wastes were therefore numerically calculated from the weight loss data obtained through a practice of thermogravimetric analyzer (TGA). Secondly, an engineering assessment for retrofitting the redundant brick kiln was performed based on integrating several new and existing unit operations, consisting of waste storage, shredding, feeding, combustion, flue gas cleaning, and ash removal. Such changes were subject to the operational condition in accordance with the estimated mass and energy balances. Finally, addressing the economic value of energy recovery motivated a renewed interest to convert the combustible fractions of construction and demolition wastes into useful hot water for secondary uses.

Regional shipping strategy assessment based on installing a refuse-derived-fuel process in a municipal incinerator.

The rising prices of raw materials and the concerns of energy recovery have resulted in an increasing interest in processing the waste streams. In recent years, a number of credible surveys have shown that recycling and waste-to-energy processes appear to work well together. Compatibility exists for several reasons related to economic, environmental, political, and social aspects. However, the regional impacts of installing a centralised refused-derived fuel (RDF) process prior to waste-to-energy facilities remain unclear due to the inherent complexity of solid waste composition, generation rate, energy and material recovery goals, and the existing shipping patterns. This paper illustrates a thorough evaluation for a RDF pilot study from both quantitative and qualitative aspects. Such a process, consisting of the standard unit operations of shredding, magnetic separation, trommel screening, and air classification, might be useful for integrating the recycling and presorting efforts with a large-scale municipal incinerator in a region. A series of sampling and analyses of the waste streams were performed in Taipei County, Taiwan in order to characterise its potentials for recycling. Based on the proper estimation of solid waste generation, the goal programming modelling analysis not only focuses on an evaluation of how the waste inflows with different rates of generation, physical and chemical compositions, and heating values in the service areas can be processed by a centralised RDF facility to meet both the energy recovery and throughput requirements in different municipal incinerators but also indicates the optimal shipping pattern associated with several incinerators due to such an installation in a regional sense. A case study designed to explore the regional impacts on shipping patterns in the southwestern of Taipei County, Taiwan verifies the application potential of such a planning methodology.