Programs and Communities

Many relationships exist between humans and their animal companions. Regardless of the relationship, the costs of pet ownership are more than just veterinary bills and the purchase of pet food. The purpose of this study is to examine the environmental impacts associated with ownership of canus lupus familiaris, more commonly known as the domesticated dog. Since dogs are carnivorous by nature, there has already been significant interest in the ecological ‘pawprint’ of pet food, or the pressure that dog food production exerts on the environment.

This study utilizes Life Cycle Assessment (LCA) to determine the environmental impacts of industrial pet food production and furthermore, pet ownership through nutritional requirements. Additionally, this study aims to examine how pet food type—beef or lamb—can influence greenhouse gas (GHG) emissions. The approach taken by this study is that of a hybrid input-output LCA, combining Economic Input Output (EIO-LCA) data and process-level data to examine how supply chain decisions made by pet food manufactures can affect the ecological ‘pawprint’ of the domestic dog. The EIO-LCA provides an economy-wide lens, whereas, process-based LCAs provide data relevant to specific materials and processes. This approach was used to compare the environmental impacts associated with environmentally friendly supply chain decisions compared to the typical environmental impact of dog food.

Urban landscaping palm tree waste in the form of palm frond trimmings and bark shavings that is currently handled as municipal solid waste by the City of Phoenix and other major municipalities can be handled in more cost effective ways and lead to reductions in emissions and greenhouse gases. While many cities have green organics collection and diversion programs, they always exclude palm tree waste due to its unique properties. As a result, an unknown tonnage of palm tree waste is annually landfilled as municipal solid waste. Additionally, as the tonnage is unknown, so are the associated emissions, greenhouse gases, and costs. An attributional lifecycle assessment was conducted in the City of Phoenix from the perspective responsibility of the City of Phoenix’s Public Works Department.

An increase in population and need to protect the planet has created many initiatives and research goals in developing alternatives methods of fueling. Federal and state policies have provided a push for industries to find ways to of reducing their impact on the environment while maintaining competitiveness. In the sector of alternative fuels, large policies such as the Renewable Fuel Standards (RFS) in the United States are making goals to reduce vehicular fuel from coal and oil, and focus on alternative fuels such as ethanol and biodiesel. Along with the RFS and other federal policies, states are introducing independent initiatives to promote the use of alternative fuels.

Research has shown that other crops besides corn can feasibly be used to produce ethanol for fuel use. One of the major crops of interest currently is switchgrass (Panicum Virgatum L.) because of its ability to grow under a variety of weather conditions and soil types. Switchgrass does not require as much maintenance as corn and is a perennial grass that can have high yielding fields for up to 9 years.

This report focuses on the impacts from using switchgrass-derived ethanol to meet the state of Arizona’s policy to have government fleet vehicles operating on alternative fuels. The study uses a life cycle assessment (LCA) approach to evaluate 22 million gallons of ethanol produced in Arizona and stored at fueling stations for use. Impacts in land use, global warming, and water quality are evaluated using software tools and databases in Ecoinvent and Simapro.

The results of the study indicate that the cultivation and harvest phase of the process will contribute the most to negative environmental impacts. According to the study, application of heavy nutrient fertilizer and the machinery needed for the additional agriculture have the potential to contribute over 36 million moles of hydrogen and 89 million CTU eq. to the air, soil, and water.

Children often present to the emergency department (ED) for treatment of abuse-related injuries. ED healthcare providers (HCPs) do not consistently screen children for physical abuse, which may allow abuse to go undetected and increases the risk for re-injury and death. ED HCPs frequently cite lack of knowledge or confidence in screening for and detecting child physical abuse.

The purpose of this evidence-based quality improvement project was to implement a comprehensive screening program that included ED HCP education on child physical abuse, a systematic screening protocol, and use of the validated Escape Instrument. After a 20-minute educational session, there was a significant increase in ED HCP knowledge and confidence scores for child physical abuse screening and recognition (p < .001). There was no difference in diagnostic coding of child physical abuse by ED HCPs when evaluating a 30-day period before and after implementation of the screening protocol.

In a follow-up survey, the Escape Instrument and educational session were the most reported screening facilitators, while transition to a new electronic health system was the most reported barrier. The results of this project support comprehensive ED screening programs as a method of improving HCP knowledge and confidence in screening for and recognizing child physical abuse. Future research should focus on the impact of screening on the diagnosis and treatment of child physical abuse. Efforts should also be made to standardize child abuse screening programs throughout all EDs, with the potential for spread to other settings.

Suicide has become a national concern due to the increasing rates across the country. The 2012 National Strategy for Suicide Prevention aims to improve the area of clinical prevention. Emergency departments (ED) play a key role in addressing this effort as they have multiple opportunities to connect with patients who are at risk. There exists a high-risk period of time immediately following a patient’s discharge from emergency care. To address this period of concern, a review of the literature was conducted on the effectiveness of follow-up contacts as a means to prevent suicide and suicide related attempts in this at-risk population.

Based on this review, a follow-up intervention was proposed to increase patients’ social support and knowledge on suicide prevention through a safety plan and the use of caring postcards. The aim was to evaluate the degree to which implementation of a safety plan and follow-up using postcards reduces suicide risk in the ED. ED suicide prevention practices such as safety planning and caring contacts with postcards have shown to be feasible and cost-effective methods to reduce patients’ risk of suicide as they provide education and address the high-risk period of time after discharge.

Using a quasi-experimental pre and post-test design, English speaking adults 18 years of age and older, admitted to an ED in the Phoenix Metropolitan area with suicidal ideation, were voluntarily recruited for two weeks. The self-rated Suicidal Behaviors Questionnaire-Revised (SBQ-R) was used as a baseline assessment along with the introduction of a safety plan. Participants were then followed with the receipt of postcards with caring messages over a two-week period, and a final SBQ-R. The SBQ-R has shown beneficial reliability and validity measuring suicidality in the adult population. Data from the pre-SBQ-R was analyzed using descriptive statistics as no post-SBQ-Rs were received. Outcomes for this project included a reduction in suicidal ideation and suicide risk.

This project provides insight into the implementation of a safety plan and follow-up intervention in the ED and their attempts to reduce acute suicide risk as well as highlight the value that post-ED support provides.

Keywords: suicide, prevention, safety plan, caring messages, postcards, emergency department, follow-up, contacts, brief intervention

Our objectives are to:
       1. Review the LCA literature to determine the dominant environmental impact categories in
           wild-caught fisheries in order to evaluate which phases are causing the greatest impacts.
       2. Determine how these impacts can best be mitigated and develop a framework that seeks
           to incorporates LCA into sustainable seafood guides so that consumers can make better-
           informed decisions.

This framework will include developing meaningful LCA impact categories for sustainable seafood guides. Despite their importance, we considered social factors beyond the scope of this paper.