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Holistic Analysis of Urban Water Systems in the Greater Cincinnati Region: (2) Resource Use Profiles by Emergy Accounting Approach.

ABSTRACT: With increasing populations, mounting environmental pressures and aging infrastructure, urban water and wastewater utilities have to make investment decisions limited by both economic and environmental constraints. The challenges facing urban water systems can no longer be sustainably solved by traditional siloed water management approaches. A central premise of contemporary urban water management paradigms is that in order for urban water systems to be more sustainable and economical, an improvement in resource use efficiency at system level must be achieved. This study provides a quantification of the total resource use of a typical urban water system exemplified in Greater Cincinnati region from raw water extraction for drinking water to wastewater treatment and discharge, providing a better understanding of resource expenditure distributions within the system and a necessary benchmark to which future system improvements can be compared. The emergy methodology was used so that the total environmental work required to produce disparate system inputs could be expressed using a common unit. The results were compared to the concurring life cycle assessment (LCA) and life cycle costing (LCC) results of the same system. Emergy results highlight drinking water treatment and drinking water distribution as two resource-intensive stages, with energy for pumping and chemicals for conditioning representing the greatest inputs to the former and energy for pumping and metals for piping representing the greatest inputs to the latter. For wastewater collection and treatment stages, aeration and sludge handling were identified as the highest emergy unit processes, mostly due to energy use. Comparison with LCA results substantiate the environmental concerns associated with energy use in the drinking water treatment and distribution stages but indicate that environmental burdens associated with infrastructure are more dependent upon upstream resource use rather than downstream environmental impact. Results from emergy, LCA and LCC point towards aeration and sludge handling as two unit processes on the wastewater side that are particularly costly and environmentally impactful. Results in total are used to suggest alternative strategies that can alleviate identified environmental burdens and economic costs.

SUBMITTER: Arden S

PROVIDER: S-EPMC6415548 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:Urban water and wastewater utilities are striving to improve their environmental and economic performances due to multiple challenges such as increasingly stringent quality criterion, aging infrastructure, constraining financial burden, growing urban population, climate challenges and dwindling resources. Growing needs of holistic assessments of urban water systems are required to identify systems-level cross-domain solutions. This study evaluated the life cycle environmental and economic impacts of urban water and wastewater systems with two utilities in Greater Cincinnati region as a case study. The scope of this study includes the entire urban water and wastewater systems starting from raw water acquisition for drinking water to wastewater treatment and discharge. The detailed process-based life cycle models were developed based on the datasets provided by local water and wastewater utilities. The life cycle assessment indicated that the operation and maintenance of drinking water distribution was a dominating contributor for energy consumption (43%) and global warming potential (41%). Wastewater discharge from the wastewater treatment plant contributed to more than 80% of the total eutrophication potential. The cost analysis determined that labor and maintenance cost (19%) for wastewater collection, and electricity cost (13%) for drinking water distribution were major contributors. Electricity purchased by the utility was the driver for the majority of impact categories assessed with the exception of eutrophication, blue water use, and metal depletion. Infrastructure requirements had a negligible influence on impact results, contributing less than 3% to most categories, with the exception of metal depletion where it led to 68% of total burdens. Sensitivity analysis showed that the life cycle environmental results were more sensitive to the choice of the electricity mixes and electricity consumption than the rest of input parameters such as chemical dosages, and infrastructure life time. This is one of the first comprehensive studies of the whole urban water system using real case data. It elucidates a bigger picture of energy, resource and cost distributions in a typical urban centralized water system. Inherent to a modern city as large population centers, a significant expenditure has to be invested to provide water services function (moving water, treating water/wastewater) in order to avoid human and environmental health problems. This study provides insights for optimization potentials of overall treatment efficiency and can serve as a benchmark for communities considering adoption of alternative water systems.

Project description:BackgroundThough stroke risk factors such as substance use may vary with age, less is known about trends in substance use over time or about performance of toxicology screens in young adults with stroke.MethodsUsing the Greater Cincinnati Northern Kentucky Stroke Study, a population-based study in a 5-county region comprising 1.3 million people, we reported the frequency of documented substance use (cocaine/marijuana/opiates/other) obtained from electronic medical record review, overall and by race/gender subgroups among physician-adjudicated stroke events (ischemic and hemorrhagic) in adults 20 to 54 years of age. Secondary analyses included heavy alcohol use and cigarette smoking. Data were reported for 5 one-year periods spanning 22 years (1993/1994-2015), and trends over time were tested. For 2015, to evaluate factors associated with performance of toxicology screens, multiple logistic regression was performed.ResultsOverall, 2152 strokes were included: 74.5% were ischemic, mean age was 45.7±7.6, 50.0% were women, and 35.9% were Black. Substance use was documented in 4.4%, 10.4%, 19.2%, 24.0%, and 28.8% of cases in 1993/1994, 1999, 2005, 2010, and 2015, respectively (Ptrend<0.001). Between 1993/1994 and 2015, documented substance use increased in all demographic subgroups. Adjusting for gender, comorbidities, and National Institutes of Health Stroke Scale, predictors of toxicology screens included Black race (adjusted odds ratio, 1.58 [95% CI, 1.02-2.45]), younger age (adjusted odds ratio, 0.70 [95% CI, 0.53-0.91], per 10 years), current smoking (adjusted odds ratio, 1.62 [95% CI, 1.06-2.46]), and treatment at an academic hospital (adjusted odds ratio, 1.80 [95% CI, 1.14-2.84]). After adding chart-reported substance use to the model, only chart-reported substance abuse and age were significant.ConclusionsIn a population-based study of young adults with stroke, documented substance use increased over time, and documentation of substance use was higher among Black compared with White individuals. Further work is needed to confirm race-based disparities and trends in substance use given the potential for bias in screening and documentation. Findings suggest a need for more standardized toxicology screening.

Project description:ObjectiveMissed diagnoses of acute ischemic stroke (AIS) in the ED may result in lost opportunities to treat AIS. Our objectives were to describe the rate and clinical characteristics of missed AIS in the ED, to determine clinical predictors of missed AIS, and to report tissue plasminogen (tPA) eligibility among those with missed strokes.MethodsAmong a population of 1.3 million in a five-county region of southwest Ohio and northern Kentucky, cases of AIS that presented to 16 EDs during 2010 were identified using ICD-9 codes followed by physician verification of cases. Missed ED diagnoses were physician-verified strokes that did not receive a diagnosis indicative of stroke in the ED. Bivariate analyses were used to compare clinical characteristics between patients with and without an ED diagnosis of AIS. Logistic regression was used to evaluate predictors of missed AIS diagnoses. Alternative diagnoses given to those with missed AIS were codified. Eligibility for tPA was reported between those with and without a missed stroke diagnosis.ResultsOf 2,027 AIS cases, 14.0% (n = 283) were missed in the ED. Race, sex, and stroke subtypes were similar between those with missed AIS diagnoses and those identified in the ED. Hospital length of stay was longer in those with a missed diagnosis (5 days vs. 3 days, p < 0.0001). Younger age (adjusted odds ratio [aOR] = 0.94, 95% confidence interval [CI] = 0.89 to 0.98) and decreased level of consciousness (LOC) (aOR = 3.58, 95% CI = 2.63 to 4.87) were associated with higher odds of missed AIS. Altered mental status was the most common diagnosis among those with missed AIS. Only 1.1% of those with a missed stroke diagnosis were eligible for tPA.ConclusionIn a large population-based sample of AIS cases, one in seven cases were not diagnosed as AIS in the ED, but the impact on acute treatment rates is likely small. Missed diagnosis was more common among those with decreased LOC, suggesting the need for improved diagnostic approaches in these patients.

Project description:Changing from conventional to organic farming might have fewer negative environmental impacts because of the avoidance of synthetic fertilizer and chemical pesticides. In this study, the economic viability and environmental and sustainability performance of the four dominant organic (rice-green manure rotation (RG), rice-duck co-culture (RD), rice-crayfish co-culture (RCF) and rice monoculture (RM)) and one conventional (rice monoculture (CRM)) rice production modes were evaluated in Jiangsu Province, China. Compared with the CRM mode, organic rice production increased economic benefits density and improved the economic benefit of crop land and irrigation water use. With the lowest total emergy input and the highest rice yield, the CRM mode showed the highest ecological efficiency in converting resources to total available energy content and nutrition density unit among the five rice production modes. However, the RCM mode showed higher environmental pressure and lower sustainability than the four organic modes due to the larger proportion of nonrenewable emergy input. The RM mode was the most uneconomic organic rice production mode with the highest cost input and the lowest product output but had relatively higher sustainability due to the higher proportion of renewable resources to total emergy inputs. Compared with the RM mode, the value-to-cost ratio, economic benefit density and benefit-cost ratio were increased in the RG, RD and RCF modes. Although the RD and RCF modes had higher efficiency in converting resources to total nutrition density units and monetary value, they imposed higher environmental pressure with a lower renewable fraction and emergy sustainability index than those in the RM mode. The RG mode had higher emergy utilization efficiency and the highest renewable fraction and emergy sustainability index among the four organic rice production modes. Considering the ecological and economic effects, the RG mode was conducive to improving the economic viability and sustainability of organic rice production.

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Holistic Analysis of Urban Water Systems in the Greater Cincinnati Region: (2) Resource Use Profiles by Emergy Accounting Approach.

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