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The occupational health risk associated with the production of prefabricated concrete components is often overlooked. This paper will use a damage assessment and cyclic mitigation (DACM) model to provide individualized exposure risk assessment and corresponding mitigation management measures for workers who are being exposed.

The DACM model is proposed based on the concept of life cycle assessment (LCA). The model uses Monte-Carlo simulation for uncertainty risk assessment, followed by quantitative damage assessment using disability-adjusted life year (DALY). Lastly, sensitivity analysis is used to identify the parameters with the greatest impact on health risks.

The results show that the dust concentration is centered around the mean, and the fitting results are close to normal distribution, so the mean value can be used to carry out the calculation of risk. However, calculations using the DACM model revealed that there are still some work areas at risk. DALY damage is most severe in concrete production area. Meanwhile, the inhalation rate (IR), exposure duration (ED), exposure frequency (EF) and average exposure time (AT) showed greater impacts based on the sensitivity analysis.

Based on the comparison, the DACM model can determine that the potential occupational health risk of prefabricated concrete component (PC) factory and the risk is less than that of on-site construction. It synthesizes field research and simulation to form the entire assessment process into a case-base system with the depth of the cycle, which allows the model to be continuously adjusted to reduce the occupational health damage caused by production pollution exposure.

The construction business is widely recognised for its inherent complexity and dynamic nature, which stems from the nature of the job involved. The industry is often regarded as one of the most challenging industries globally in terms of implementing environmental, health and safety (EHS) practices. However, in the absence of EHS, the construction industry cannot be considered sustainable. Therefore, this study aims to identify the trends, knowledge gaps and implications of EHS research to enhance construction activities and knowledge.

The study adopted a science mapping approach involving bibliometric and scientometric analysis of 407 construction EHS publications from the Scopus database with the VOSviewer software. The study is based on journal articles from the Scopus database without restriction to any time range.

The main focus of construction EHS research identified in the study includes sustainability-related studies, risk-related, environmental issues, EHS management, integrated management systems studies, health and safety related and EHS in the construction process. Some emerging areas also identified include productivity, design, culture, social sustainability and machine learning. The most influential and productive publication sources, countries/regions and EHS publications with the highest impact were also determined.

Documents published in the Scopus database were considered for analysis because of the wider coverage of the database. Journal articles written in English language represent the inclusion criteria, whereas other documents were excluded from the analysis. The study also limited the search to articles with the engineering subject area.

The research findings will enlighten stakeholders and practitioners on the focal knowledge areas in the EHS research domain, which are vital for enhancing EHS in the industry.

To the best of the authors’ knowledge, this review-based study is the first attempt to internationally conduct a science mapping on extant literature in the EHS research domain through bibliometric and scientometric assessments.

This discursive paper considers the use of restrictive practices in mental health inpatient settings and how these are often prioritised over relational approaches, especially where the diagnostic label of personality disorder intersects with risk.

Key concepts from Orwell’s 1984 are studied for their pertinence to mental health inpatient settings, supporting our argument that restrictive practices arise from dichotomous thinking and externalised fears.

Drawing upon Orwellian themes of power, social control and digital surveillance from 1984, the authors highlight the role of fear in perpetuating restrictive practices under a guise of benevolent care in mental health inpatient settings, especially for those who are diagnosed with a personality disorder. A lack of preparedness to work with complexity in such environments, coupled with a deficit in self-reflexivity and critical thinking, can exacerbate challenges.

To transcend damaging dichotomies and reduce restrictive practices in inpatient settings, the authors make the argument for the adequate preparation and education of the mental health nurse and authentic, collaborative, user-involved care.

The authors use Orwell’s novel to support a critical discourse around those damaging dichotomies and inherent contradictions that contribute to restrictive practice in contemporary mental health settings and to question whose interests’ these restrictive practices serve.

This study aims to design and validate a decision support system (DSS), named preliminary risk assessment of brownfield sites (PRABS). It is intended that the proposed DSS will aid the identification of potential hazards and, in doing so, highlight challenges facing those stakeholders dealing with the decision-making on brownfield site redevelopments, where the examples of diverse stakeholders would include, for instance, risk assessors, local planning authorities, regulator, developers, civil engineers, architectures, landowners, investors and alike. Moreover, the DSS will enable them to promote safer redevelopment and minimise the risks to future occupants of brownfield sites and neighbouring lands, on the top of the tool being communal platform of an effective communication between them as it is for both experts and non-experts.

This research employs a comprehensive five-stage process, integrating both quantitative and qualitative methods and utilizing mixed methods for a nuanced exploration of data. The initial stage involves an in-depth examination of contemporary risk assessment tools for contaminated sites, setting the foundation and benchmarks for subsequent stages. Stage two focuses on creating a conceptual framework using insights from existing literature to guide the development of the DSS tool. Stage three introduces a validation mechanism through a questionnaire administered to experts. Stage four involves the active development of the DSS tool, transforming theoretical constructs into a practical application. The final stage, stage five, employs quantitative data analysis and case studies to validate, refine and enhance the DSS tool’s applicability in real-world scenarios, ensuring its approval.

This study presents PRABS, a user-friendly DSS for the PRABS. Validation through a quantitative online survey indicates strong support for PRABS, with around 80% of participants willing to recommend it due to its ease of use and information quality. Qualitative data analysis using real-life case studies further demonstrates the tool’s effectiveness. PRABS proves valuable in identifying hazards during the preliminary stage, accurately predicting potential contaminants despite limited input data in the case studies. The tool’s hazard identification aligns well with expert judgments and case study reports, confirming its practical utility.

This study has several limitations. First, the DSS identifies only hazards associated with one layer of site geology, even though sites may include multiple layers, which limits the comprehensiveness of the hazard identification process. Second, adopting an online survey approach posed challenges in achieving a high response rate and gathering a representative sample, making it uncertain how the results might vary with a higher number of professional participants. This limitation affects the generalisability of the findings. Finally, while this study identified 65 potential hazards associated with brownfield sites, this number could be expanded to include hazards related to plants, animals and air, indicating the need for a more inclusive approach to hazard identification. Given these limitations, future research should focus on addressing these gaps.

The contributions of this study offer practical benefits. Firstly, it enables the initial risk assessment process to be more comprehensive and integrated and reduces complexity in the risk assessment process by ensuring that all probabilities, along with their significance, are identified at the initial stage of the risk assessment. This could be a strong starting point for successfully conducting a more detailed risk assessment and remediation. Secondly, the developed PRABS can promote effective environmental communication among stakeholders, which should speed up the planning process and help develop brownfield sites more efficiently and effectively, while preserving the natural environment.

The purpose of this research is to address the existing gap in the study of construction and demolition waste (C&DW) by focusing on its impact on human health throughout the entire life cycle. And this research provides a comprehensive assessment model that incorporates the release of gaseous pollutants and particulate matter during the whole life cycle of C&DW, thereby contributing to a more holistic understanding of its impact on human health.

The research was conducted in two stages. Firstly, the quantitative model framework of pollutants emitted by C&DW was established. Three types of pollutants were considered, namely nitrogen dioxide (NO₂), sulfur dioxide (SO₂) and inhalable particulate matter (PM10). Second, disability-adjusted life year (DALY) and willingness to pay (WTP) assessments were used to provide a monetary quantified health impact for pollutants released by C&DW.

The results show that the WTP value of PM10 is the highest among all pollutants and 8.68E+07 dollars/a, while the WTP value in the disposal stage accounts for the largest proportion compared to the generation and transportation stage. These findings emphasize the importance of PM10 and C&DW treatment stage for pollutant treatment.

The results of this study are of great significance for the management department to optimize the construction management scheme to reduce the total amount of pollutants produced by C&DW and its harm to human health. Meanwhile, this study fills the gap in existing research on the impact assessment of C&DW on human health throughout the whole life cycle, and provides reference and basis for future research and policy formulation.

This study aims to systematically review the health risk assessment of the concentration of heavy metals in Pistacia species globally.

The authors systematically searched PubMed, Science Direct, Scopus and Google Scholar to identify all articles published between 1 January 2002 and 20 August 2022. A total of 33 studies met the authors’ inclusion criteria, and their data were extracted. Additionally, the potential risk to human health was assessed by calculating the target hazard quotient and hazard index for both child and adult consumers.

The estimated daily intake for heavy metals in the included studies ranged from 9.72 × 10^–9 to 7.35 (mg/day) in the following order: zinc (Zn) > mercury (Hg) > iron (Fe) > lead (Pb) > copper (Cu) > aluminum (Al) > nickel (Ni) > chromium (Cr) > manganese (Mn) > cadmium (Cd) > arsenic (As) > selenium (Se) > cobalt (Co). Among the studies that investigated heavy metals in Pistacia species around the world, the non-carcinogenic risk for all species of Pistacia was determined to be less than 1, except for Pb and Hg in Pistacia lentiscus.

The soil near the industrial area contained excessive amounts of heavy metals, which led to the transfer of heavy metals to plants. Owing to the insufficiency of the number of studies that examined heavy metals in Pistacia species, further monitoring and investigations were recommended.

Indoor environmental quality (IEQ) in buildings has an impact on people’s health, productivity and comfort. Maintaining the highest possible IEQ level in complex buildings, such as health care, is difficult due to economic and organizational constraints. This study aims to categorize the vicinities in a typical health-care facility in terms of importance and criticality in relation to the various IEQ factors, as well as to develop an IEQ assessment procedure.

A comprehensive literature review, established standards and structured interviews with industrial hygiene professionals in health-care settings were used in this study. To test the applicability of the developed IEQ assessment procedure, a pilot study was conducted in an existing health-care facility.

This study categorized health-care facilities into various vicinities and discovered three respondents group had varying IEQ perceptions (facility managers, environmental health specialists and nurses). According to the findings, indoor air quality is the most important and dominant factor influencing overall IEQ in health-care facilities. The trial application of the framework shows that much work is needed to improve the level of response and readiness of facility management and occupants to allow for the effective use of the developed procedure.

Previous research did not include a detailed categorization of vicinities in health-care buildings based on IEQ requirements. The findings of this study will help to close this knowledge gap and guide facility managers and operators in recognizing the relative importance of different IEQ factors, maintaining functional requirements and identifying priorities when developing maintenance and operational procedures and allocating resources.

The purpose of the present work is to improve the industry performance by identifying and quantifying the risks faced by the Indian pharmaceutical industry (IPI). The risk values for the prominent risks and overall industry are determined based on the four risk parameters, which would help determine the most contributive risks for mitigation.

An extensive literature survey was done to identify the risks, which were also validated by industry experts. The finalized risks were then evaluated using the fuzzy synthetic evaluation (FSE) method, which is the most suitable approach for the risk assessment with parameters having a set of different risk levels.

The three most contributive sub-risks are counterfeit drugs, demand fluctuations and loss of customers due to partners' poor service performance, while the main risks obtained are demand, financial and logistics. Also, the overall risk value indicates that the industry faces medium to high risk.

The study identifies the critical risks which need to be mitigated for an efficient industry. The industry is most vulnerable to the demand risk category. Therefore, the managers should minimize this risk by mitigating its sub-risks, like demand fluctuations, bullwhip effect, etc. Another critical sub-risk, the counterfeit risk, should be managed by adopting advanced technologies like blockchain, artificial intelligence, etc.

There is insufficient literature focusing on risk quantification. Therefore, this work addresses this gap and obtains the industry's most critical risks. It also discusses suitable mitigation strategies for better industry performance.

This study aims to better understand the morphological characteristics of single particle and the health risk characteristics of heavy metals in PM_2.5 in different functional areas of Handan City.

High resolution transmission electron microscopy was used to observe the aerosol samples collected from different functional areas of Handan City. The morphology and size distribution of the particles collected on hazy and clear days were compared. The health risk evaluation model was applied to evaluate the hazardous effects of particles on human health in different functional areas on hazy days.

The results show that the particulate matter in different functional areas is dominated by spherical particles in different weather conditions. In particular, the proportion of spherical particles exceeds 70% on the haze day, and the percentage of soot aggregates increases significantly on the clear day. The percentage of each type of particle in the teaching and living areas varied less under different weather conditions. Except for the industrial area, the size distribution of each type of particle in haze samples is larger than that on the clear day. Spherical particles contribute more to the small particle size segment. Soot aggregate and other shaped particles contribute more to the large size segment. The mass concentrations of hazardous elements (HEs) in PM_2.5 in different functional areas on consecutive haze pollution days were illustrated as industrial area > traffic area > living area > teaching area. Compared with the other functional areas, the teaching area had the lowest noncarcinogenic risk of HEs. The lifetime carcinogenic risk values of Cr and As elements in each functional area have exceeded residents’ threshold levels and are at high risk of carcinogenicity. Among the four functional areas, the industrial area has the highest carcinogenic and noncarcinogenic risks. But the effects of HEs on human health in the other functional areas should also be taken seriously and continuously controlled.

The significance of the study is to further understand the morphological characteristics of single particles and the health risks of heavy metals in different functional areas of Handan City. the authors hope to provide a reference for other coal-burning industrial cities to develop plans to improve air quality and human respiratory health.

Barriers to adequate healthcare in rural areas remain a grand challenge for local healthcare systems. In addition to patients' travel burdens, lack of health insurance, and lower health literacy, rural healthcare systems also experience significant resource shortages, as well as issues with recruitment and retention of healthcare providers, particularly specialists. These factors combined result in complex change management-focused challenges for rural healthcare systems. Change management initiatives are often resource intensive, and in rural health organizations already strapped for resources, it may be particularly risky to embark on change initiatives. One way to address these change management concerns is by leveraging socio-technical simulation models to estimate techno-economic feasibility (e.g., is it technologically feasible, and is it economical?) as well as socio-utility feasibility (e.g., how will the changes be utilized?). We present a framework for how healthcare systems can integrate modeling and simulation techniques from systems engineering into a change management process. Modeling and simulation are particularly useful for investigating the amount of uncertainty about potential outcomes, guiding decision-making that considers different scenarios, and validating theories to determine if they accurately reflect real-life processes. The results of these simulations can be integrated into critical change management recommendations related to developing readiness for change and addressing resistance to change. As part of our integration, we present a case study showcasing how simulation modeling has been used to determine feasibility and potential resistance to change considerations for implementing a mobile radiation oncology unit. Recommendations and implications are discussed.