Variation in urban snow quality indicated by three seasonal sampling surveys conducted in Luleå (Sweden) within a span of 27 years.

Concentrations of total suspended solids (TSS), trace metals (Cu, Cd, Cr, Zn, Cd, Pb), Na and 16 US EPA priority PAHs in urban snow were studied in the City of Luleå in Northern Sweden. Snow was sampled at six central urban and suburban sites with various traffic intensities, in three sampling surveys (1994-95, 2002-03, 2020-21), repeated for three ages of the urban snow cover of 40, 80, and 120 days, respectively. The older data, from the 1994-95 and 2002-03 surveys, were obtained from the existing literature. The concentrations and mass loads of TSS and most trace metals studied (Zn, Cu, Pb, and Cd) varied with time. TSS, Zn, and Cu showed slightly higher concentrations and mass loads in the 2003 (TSS avg = 2300 µg/L, Zn avg = 620 µg/L and Cu avg = 250 µg/L) and 2021 (TSS avg = 1500 µg/L, Zn avg = 530 µg/L and Cu avg = 220 µg/L) sampling surveys, compared to the 1995 survey (TSS avg = 620 µg/L, Zn avg = 240 µg/L and Cu avg = 97 µg/L). However, no evident trend was observed between the 2003 and 2021 sampling surveys. The highest concentrations of Pb and Cd were observed in snow samples from the 1994-95 sampling survey (Pb max = 570 µg/L, Cd max = 4.6 µg/L). Results indicated higher concentrations of the pollutants studied in the city centre, compared to the residential suburbs, and in areas with heavier traffic, where concentrations of metals correlated well with traffic intensity. Fractionation analysis of trace metals indicated that Zn, Cu and Pb occurred mostly in the particulate-bound phase (>0.45 µm) containing the most of Zn, Cu, and Pb mass, at 80, 84 and 94% of the total, respectively. Over 50% of the dissolved phase of Zn and Cu was in the truly dissolved fraction (<3000 MWCO). Concentrations of PAHs also increased with traffic intensity, with pyrene being the most frequently detected PAH, likely because of the strength of sources and various physical processes influencing the snowbanks development and causing spatial and temporal variations in pollutant concentrations.

Mineral and Anthropogenic Indicator Inorganics in Urban Stormwater and Snowmelt Runoff: Sources and Mobility Patterns.

Inorganic chemicals in urban stormwater and snowmelt runoff originate from catchment geology and anthropogenic activities. The occurrence, partitioning and mobility of six minerals and six trace metal (TM) indicators of anthropogenic activities were studied in stormwater, snowmelt and baseflow in four urban catchments, and the sampling of inorganics was supplemented by measurements of electrical conductivity (EC), pH and total suspended solids (TSSs). Minerals occurred at concentrations several orders of magnitude higher (1-102 mg/L) than those of TMs (10-2-102 µg/L) and reflected the composition of local groundwater seeping into sewers. Concentrations of Ca, K, Mg and Na were enhanced by baseflow contributions and followed closely the electrical conductivity. Al and Fe minerals occurred in insoluble forms, and their pollutographs were similar to those of TMs, whose concentrations mimicked, to some extent, the flux of TSS. The TMs with the highest and lowest particulate fractions were Cr&Pb and Cu&Zn, respectively. The concentrations of total TMs in snowmelt were two to four times higher than those in stormwater, and both sources likely exceeded some of the stormwater effluent limits (for Cd, Cu and Zn) proposed in Sweden. Where such concentrations depended on water hardness, the risk of toxicity might be reduced by elevated hardness of the monitored snowmelt and stormwater. Recognizing the good ecological status of the study area receiving water, Lake Storsjön, some protection against polluted runoff and snowmelt may be needed and could be achieved by implementing stormwater management measures controlling TSS and TMs.

Models of healthcare delivery in cancer pain management.

The delivery of pain management services to patients with cancer varies across healthcare settings. Identification of areas common to successful programs would be helpful to healthcare professionals developing or restructuring their own programs. The delivery of pain management services in six different systems is described with respect to organizational structure, service process, and essential components. Three elements common to successful programs are identified: (1) team effort and coordination, (2) provision of education, and (3) accountability and administrative support. The authors conclude that these three elements are critical to the delivery of pain management services across healthcare settings.