WorldWideScience

Sample records for fqpa safety factors

  1. Safety and the Human Factor.

    Science.gov (United States)

    Smith, Ann

    1982-01-01

    Discusses four elements of safety programs: (1) safety training; (2) safety inspections; (3) accident investigations; and (4) protective safety equipment. Also discusses safety considerations in water/wastewater treatment facilities focusing on falls, drowning hazards, trickling filters, confined space entry, collection/distribution system safety,…

  2. Partial Safety Factors for Rubble Mound Breakwaters

    DEFF Research Database (Denmark)

    Sørensen, John Dalsgaard; Burcharth, H. F.; Christiani, E.

    1995-01-01

    On the basis of the failure modes formulated in the various subtasks calibration of partial safety factors are described in this paper. The partial safety factors can be used to design breakwaters under quite different design conditions, namely probabilities of failure from 0.01 to 0.4, design...... lifetimes from 20 to 100 years and different qualities of wave data. A code of practice where safety is taken into account using partial safety factors is called a level I code. The partial safety factors are calibrated using First Order Reliability Methods (FORM, see Madsen et al. [1]) where...... the reliability is measured by reliability indices. For all significant failure modes limit state functions are formulated and uncertain quantities are modelled by stochastic variables. In section 2 the most important failure modes are mentioned and statistical models for the uncertain parameters are described...

  3. Factors influencing nurses' perceptions of occupational safety.

    Science.gov (United States)

    Samur, Menevse; Intepeler, Seyda Seren

    2017-01-02

    To determine nurses' perceptions of occupational safety and their work environment and examine the sociodemographic traits and job characteristics that influence their occupational safety, we studied a sample of 278 nurses. According to the nurses, the quality of their work environment is average, and occupational safety is insufficient. In the subdimensions of the work environment scale, it was determined that the nurses think "labor force and other resources" are insufficient. In the occupational safety subdimensions "occupational illnesses and complaints" and "administrative support and approaches," they considered occupational safety to be insufficient. "Doctor-nurse-colleague relationships," "exposure to violence," and "work unit" (eg, internal medicine, surgical, intensive care) are the main factors that affect occupational safety. This study determined that hospital administrations should develop and immediately implement plans to ameliorate communication and clinical precautions and to reduce exposure to violence.

  4. SafetyNet. Human factors safety training on the Internet

    DEFF Research Database (Denmark)

    Hauland, G.; Pedrali, M.

    2002-01-01

    This report describes user requirements to an Internet based distance learning system of human factors training, i.e. the SafetyNet prototype, within the aviation (pilots and air traffic control), maritime and medical domains. User requirements totraining have been elicited through 19 semi...

  5. Human factors and safety in emergency medicine

    Science.gov (United States)

    Schaefer, H. G.; Helmreich, R. L.; Scheidegger, D.

    1994-01-01

    A model based on an input process and outcome conceptualisation is suggested to address safety-relevant factors in emergency medicine. As shown in other dynamic and demanding environments, human factors play a decisive role in attaining high quality service. Attitudes held by health-care providers, organisational shells and work-cultural parameters determine communication, conflict resolution and workload distribution within and between teams. These factors should be taken into account to improve outcomes such as operational integrity, job satisfaction and morale.

  6. Human Factors Plan for Maritime Safety

    Science.gov (United States)

    1993-02-01

    HUMAN FACTORS ISSUES IN THE MARITIME ENVIRONMENT .............. 13 2. 1 DEFINITION OF HUMAN FACTORS ISSUES ........................ 13 2.2 CONTENT...The dotted line around the human factors technical basis in Figure 1 signifies that it needs to be developed. Safety data Accidents ) Definition of...and activity surveys, but met with some resistance from the ship personnel, and so little quntitative data was available from this study. Subjective

  7. Human factors in safety and business management.

    Science.gov (United States)

    Vogt, Joachim; Leonhardt, Jorg; Koper, Birgit; Pennig, Stefan

    2010-02-01

    Human factors in safety is concerned with all those factors that influence people and their behaviour in safety-critical situations. In aviation these are, for example, environmental factors in the cockpit, organisational factors such as shift work, human characteristics such as ability and motivation of staff. Careful consideration of human factors is necessary to improve health and safety at work by optimising the interaction of humans with their technical and social (team, supervisor) work environment. This provides considerable benefits for business by increasing efficiency and by preventing incidents/accidents. The aim of this paper is to suggest management tools for this purpose. Management tools such as balanced scorecards (BSC) are widespread instruments and also well known in aviation organisations. Only a few aviation organisations utilise management tools for human factors although they are the most important conditions in the safety management systems of aviation organisations. One reason for this is that human factors are difficult to measure and therefore also difficult to manage. Studies in other domains, such as workplace health promotion, indicate that BSC-based tools are useful for human factor management. Their mission is to develop a set of indicators that are sensitive to organisational performance and help identify driving forces as well as bottlenecks. Another tool presented in this paper is the Human Resources Performance Model (HPM). HPM facilitates the integrative assessment of human factors programmes on the basis of a systematic performance analysis of the whole system. Cause-effect relationships between system elements are defined in process models in a first step and validated empirically in a second step. Thus, a specific representation of the performance processes is developed, which ranges from individual behaviour to system performance. HPM is more analytic than BSC-based tools because HPM also asks why a certain factor is

  8. Space Station crew safety - Human factors model

    Science.gov (United States)

    Cohen, M. M.; Junge, M. K.

    1984-01-01

    A model of the various human factors issues and interactions that might affect crew safety is developed. The first step addressed systematically the central question: How is this Space Station different from all other spacecraft? A wide range of possible issue was identified and researched. Five major topics of human factors issues that interacted with crew safety resulted: Protocols, Critical Habitability, Work Related Issues, Crew Incapacitation and Personal Choice. Second, an interaction model was developed that would show some degree of cause and effect between objective environmental or operational conditions and the creation of potential safety hazards. The intermediary steps between these two extremes of causality were the effects on human performance and the results of degraded performance. The model contains three milestones: stressor, human performance (degraded) and safety hazard threshold. Between these milestones are two countermeasure intervention points. The first opportunity for intervention is the countermeasure against stress. If this countermeasure fails, performance degrades. The second opportunity for intervention is the countermeasure against error. If this second countermeasure fails, the threshold of a potential safety hazard may be crossed.

  9. Influence of organizational factors on safety

    Energy Technology Data Exchange (ETDEWEB)

    Haber, S.B.; Metlay, D.S.; Crouch, D.A.

    1990-01-01

    There is a need for a better understanding of exactly how organizational management factors at a nuclear power plant (NPP) affect plant safety performance, either directly or indirectly, and how these factors might be observed, measured, and evaluated. The purpose of this research project is to respond to that need by developing a general methodology for characterizing these organizational and management factors, systematically collecting information on their status and integrating that information into various types of evaluative activities. Research to date has included the development of the Nuclear Organization and Management Analysis Concept (NOMAC) of a NPP, the identification of key organizational and management factors, and the identification of the methods for systematically measuring and analyzing the influence of these factors on performance. Most recently, two field studies, one at a fossil fuel plant and the other at a NPP, were conducted using the developed methodology. Results are presented from both studies highlighting the acceptability, practicality, and usefulness of the methods used to assess the influence of various organizational and management factors including culture, communication, decision-making, standardization, and oversight. 6 refs., 3 figs., 1 tab.

  10. Safety Factors in Pesticide Risk Assessment

    DEFF Research Database (Denmark)

    Elmegaard, N.; Jagers op Akkerhuis, G. A. J. M.

    Foreword It has become common practice to protect the environment from hazardous chemicals by use of risk assessment to establish environmental concentration at which only limited damage to the ecosystem can be expected. The methods and tools applied in the risk assessment need constant evaluation...... to secure that the methodology is adequate. As new knowledge surfaces the risk assessment procedures develops. The present report is a contribution to the development of safety factors used to account for the uncertainty when · extrapolating from the results of test with a single species in the laboratory...... factors used in pesticide risk assessment: the variability in species sensitivities, and the relationship between acute LC50's and chronic NOEC's....

  11. Safety Factors in Pesticide Risk Assessment

    DEFF Research Database (Denmark)

    Elmegaard, N.; Jagers op Akkerhuis, G. A. J. M.

    Foreword It has become common practice to protect the environment from hazardous chemicals by use of risk assessment to establish environmental concentration at which only limited damage to the ecosystem can be expected. The methods and tools applied in the risk assessment need constant evaluation...... to many species in real ecosystems · extrapolating from acute to chronic or long term effects. The project was co-funded by the Environmental Protection Agency and The National Environmental Research Institute Summary In this report two factors are studied which have implications for the size of safety...... factors used in pesticide risk assessment: the variability in species sensitivities, and the relationship between acute LC50's and chronic NOEC's....

  12. [Epidermal growth factor, innovation and safety].

    Science.gov (United States)

    Esquirol Caussa, Jordi; Herrero Vila, Elisabeth

    2015-10-05

    Bioidentical recombinant human epidermal growth factor (rhEGF) is available in concentrations and purity suitable for therapeutic use in long time stable formulations. Beneficial effects in several skin pathologies and lesions have been reported (traumatic and surgical wound healing, laser induced wounds, abnormal scars, keloids, radiation or chemotherapy induced dermatitis, post inflammatory hyperpigmentation or for skin aging damage repairing) and also may be considered for the treatment of several oropharingeal and high gastroesophageal tract mucosa diseases (mouth sores, pharyngeal fistulas, ulcers), and several corneal or conjunctive mucosa lesions. rhEGF has not shown any important side or collateral effects in humans or in laboratory experimentation animals, showing optimal tolerability and safety with continuous use for months. Compounding gives advantages of versatility, individualization, personalization, molecular stability, safety and effectiveness in ideal conditions, showing good tissue penetration, both on intact skin and skin lesions that expose the lower planes to the surface. rhEGF compounds can be considered for prevention or as a treatment of diverse skin and mucosa diseases and conditions through compounding preparations. Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

  13. Safety factor profile control in a tokamak

    CERN Document Server

    Bribiesca Argomedo, Federico; Prieur, Christophe

    2014-01-01

    Control of the Safety Factor Profile in a Tokamak uses Lyapunov techniques to address a challenging problem for which even the simplest physically relevant models are represented by nonlinear, time-dependent, partial differential equations (PDEs). This is because of the  spatiotemporal dynamics of transport phenomena (magnetic flux, heat, densities, etc.) in the anisotropic plasma medium. Robustness considerations are ubiquitous in the analysis and control design since direct measurements on the magnetic flux are impossible (its estimation relies on virtual sensors) and large uncertainties remain in the coupling between the plasma particles and the radio-frequency waves (distributed inputs). The Brief begins with a presentation of the reference dynamical model and continues by developing a Lyapunov function for the discretized system (in a polytopic linear-parameter-varying formulation). The limitations of this finite-dimensional approach motivate new developments in the infinite-dimensional framework. The t...

  14. Factors influencing patient safety in Sweden: perceptions of patient safety officers in the county councils

    OpenAIRE

    Nygren, Mikaela; Roback, Kerstin; Öhrn, Annica; Rutberg, Hans; Rahmqvist, Mikael; Nilsen, Per

    2013-01-01

    Background National, regional and local activities to improve patient safety in Sweden have increased over the last decade. There are high ambitions for improved patient safety in Sweden. This study surveyed health care professionals who held key positions in their county council’s patient safety work to investigate their perceptions of the conditions for this work, factors they believe have been most important in reaching the current level of patient safety and factors they believe would be ...

  15. Factors influencing patient safety in Sweden: perceptions of patient safety officers in the county councils

    OpenAIRE

    Nygren Mikaela; Roback Kerstin; Öhrn Annica; Rutberg Hans; Rahmqvist Mikael; Nilsen Per

    2013-01-01

    Abstract Background National, regional and local activities to improve patient safety in Sweden have increased over the last decade. There are high ambitions for improved patient safety in Sweden. This study surveyed health care professionals who held key positions in their county council’s patient safety work to investigate their perceptions of the conditions for this work, factors they believe have been most important in reaching the current level of patient safety and factors they believe ...

  16. Factors Impacting Food Safety Risk Perceptions

    NARCIS (Netherlands)

    Tonsor, G.T.; Schroeder, T.C.; Pennings, J.M.E.

    2009-01-01

    We developed and applied a model of consumer risk perceptions of beef food safety to better understand the underlying drivers of consumer demand for food safety. We show how consumer demographics, country-of-residence, as well as reliance on, and trust in, alternative food safety information sources

  17. Organizational factors affecting safety implementation in food companies in Thailand.

    Science.gov (United States)

    Chinda, Thanwadee

    2014-01-01

    Thai food industry employs a massive number of skilled and unskilled workers. This may result in an industry with high incidences and accident rates. To improve safety and reduce the accident figures, this paper investigates factors influencing safety implementation in small, medium, and large food companies in Thailand. Five factors, i.e., management commitment, stakeholders' role, safety information and communication, supportive environment, and risk, are found important in helping to improve safety implementation. The statistical analyses also reveal that small, medium, and large food companies hold similar opinions on the risk factor, but bear different perceptions on the other 4 factors. It is also found that to improve safety implementation, the perceptions of safety goals, communication, feedback, safety resources, and supervision should be aligned in small, medium, and large companies.

  18. Effects of the Safety Factor on Ion Temperature Gradient Modes

    Institute of Scientific and Technical Information of China (English)

    WANGAike; DONGJiaqi; H.Sanuki; K.Itoh

    2002-01-01

    In the previous models for the ion temperature(ITG)driven instability,the safety factor (r) is introduced into the model through the wavenumber or relative derivative,such sa kθ=lq(r)/r and △1=ik1=(Rq)-1э/эθ.since the safety factor

  19. 21 CFR 170.22 - Safety factors to be considered.

    Science.gov (United States)

    2010-04-01

    ... evidence is submitted which justifies use of a different safety factor, a safety factor in applying animal experimentation data to man of 100 to 1, will be used; that is, a food additive for use by man will not be granted... experimental animals....

  20. 21 CFR 70.40 - Safety factors to be considered.

    Science.gov (United States)

    2010-04-01

    ... different safety factor, a safety factor of 100 to 1 will be used in applying animal experimentation data to... of the maximum no-effect level for the most susceptible experimental animals tested. The various species of experimental animals used in the tests shall conform to good pharmacological practice....

  1. Design of Vertical Wall Caisson Breakwaters using Partial Safety Factors

    DEFF Research Database (Denmark)

    Burcharth, H. F.; Sørensen, John Dalsgaard

    1999-01-01

    The paper presents a new system for implementation of target reliability in caisson breakwater designs by means of partial safety factors. The development of the system is explained, and tables of partial safety factors are presented for important overall stability failure modes related to caisson...

  2. Human factors systems approach to healthcare quality and patient safety

    Science.gov (United States)

    Carayon, Pascale; Wetterneck, Tosha B.; Rivera-Rodriguez, A. Joy; Hundt, Ann Schoofs; Hoonakker, Peter; Holden, Richard; Gurses, Ayse P.

    2013-01-01

    Human factors systems approaches are critical for improving healthcare quality and patient safety. The SEIPS (Systems Engineering Initiative for Patient Safety) model of work system and patient safety is a human factors systems approach that has been successfully applied in healthcare research and practice. Several research and practical applications of the SEIPS model are described. Important implications of the SEIPS model for healthcare system and process redesign are highlighted. Principles for redesigning healthcare systems using the SEIPS model are described. Balancing the work system and encouraging the active and adaptive role of workers are key principles for improving healthcare quality and patient safety. PMID:23845724

  3. The PIANC Safety Factor System for Breakwaters

    DEFF Research Database (Denmark)

    Burcharth, H. F.

    2000-01-01

    The paper presents a summary of the recommendations for implementation of safety in breakwater designs given by the PIANC PTC IT Working Group No 12 on Analysis of Rubble Mound Breakwaters with Vertical and Inclined Concrete Walls. The working groups developed for the most important failure modes...

  4. Toroidicity Dependence of Tokamak Edge Safety Factor and Shear

    Institute of Scientific and Technical Information of China (English)

    SHIBingren

    2002-01-01

    In large tokamak device and reactor designs, the relationship between the toroidal current and the edge safety factor is very important because this will determine the eventual device or reactor size according to MHD stability requirements. In many preliminary

  5. Patient safety - the role of human factors and systems engineering.

    Science.gov (United States)

    Carayon, Pascale; Wood, Kenneth E

    2010-01-01

    Patient safety is a global challenge that requires knowledge and skills in multiple areas, including human factors and systems engineering. In this chapter, numerous conceptual approaches and methods for analyzing, preventing and mitigating medical errors are described. Given the complexity of healthcare work systems and processes, we emphasize the need for increasing partnerships between the health sciences and human factors and systems engineering to improve patient safety. Those partnerships will be able to develop and implement the system redesigns that are necessary to improve healthcare work systems and processes for patient safety.

  6. Space station crew safety alternatives study. Volume 3: Safety impact of human factors

    Science.gov (United States)

    Rockoff, L. A.; Raasch, R. F.; Peercy, R. L., Jr.

    1985-01-01

    The first 15 years of accumulated space station concepts for Initial Operational Capability (IOC) during the early 1990's was considered. Twenty-five threats to the space station are identified and selected threats addressed as impacting safety criteria, escape and rescue, and human factors safety concerns. Of the 25 threats identified, eight are discussed including strategy options for threat control: fire, biological or toxic contamination, injury/illness, explosion, loss of pressurization, radiation, meteoroid penetration and debris. Of particular interest here is volume three (of five volumes) pertaining to the safety impact of human factors.

  7. NAS Human Factors Safety Research Laboratory

    Data.gov (United States)

    Federal Laboratory Consortium — This laboratory conducts an integrated program of research on the relationship of factors concerning individuals, work groups, and organizations as employees perform...

  8. Human Factors Research and Nuclear Safety.

    Science.gov (United States)

    Moray, Neville P., Ed.; Huey, Beverly M., Ed.

    The Panel on Human Factors Research Needs in Nuclear Regulatory Research was formed by the National Research Council in response to a request from the Nuclear Regulatory Commission (NRC). The NRC asked the research council to conduct an 18-month study of human factors research needs for the safe operation of nuclear power plants. This report…

  9. Traffic safety trends,international comparisons,and major factors

    Institute of Scientific and Technical Information of China (English)

    LeonardEvans

    1999-01-01

    Objective:To examine trends in traffic fatality rates in different countries and to use results to increase understanding of the major factors contributing to traffic safety.Methods:The number of traffic fataities per registered vehicle is examined versus calendar year for a number of countries.Factors hich influence traffic safety are organized into a hierarchical structure.Results:For all countries examined,the number of fatalities per registered vehicle trends downwards in time,but not by equal amounts for all countries.Human factors (driver performance and behavior)are identified as contributing larger effects than engineering factors (roadway and automotive).Conclusion:While all the factors considered are important,it is human behavior that exercises the dominant influence on traffic safety.

  10. Approaching Safety through Quality: Factors Influencing College Student Perceptions.

    Science.gov (United States)

    Ramaswamy, S K; Mosher, G A

    2016-04-01

    Quality management practices have been identified by previous literature as a factor that could potentially reduce the level of safety incidents and hazards in agricultural work environments. The present study used multivariate analysis to examine the effect of independent variables such as quality and safety awareness, work experience, safety and quality management experience, and the perceived importance of safety and quality on the role of quality management practices as a mitigating factor for safety hazards and incidents in agriculture. Variables were measured on a five-point scale using a survey questionnaire. Data were collected from approximately 900 undergraduates enrolled in the College of Agriculture and Life Sciences at a large land grant university in the U.S. The level of student work experience and student perceptions of the importance of quality explained a significant amount of the variance in student views of quality management practices as a mitigating factor for safety hazards and incidents. The findings of this study provide further evidence for using quality management practices as a basis for safety interventions targeted at the agricultural workforce.

  11. Factor analysis of nursing students' perception of patient safety education.

    Science.gov (United States)

    Mansour, Mansour

    2015-01-01

    The aim of this study is to investigate the factor structure of the Health Care Professionals Patient Safety Assessment Curriculum Survey (HPPSACS) when completed by a group of nursing students from one University in the UK. The quality, content and delivery of nursing education can have a significant impact on the future students' safety behaviours in clinical settings. The Health Care Professionals Patient Safety Assessment Curriculum Survey HPPSACS has been developed in the US to establish undergraduate nursing students' perceived awareness, skills, and attitudes toward patient safety education. The instrument has not been reported to be used elsewhere; therefore, some psychometric properties remain untested. Pre-registration nursing students (n=272) from three campuses of a university in East of England completed the HPPSACS in 2012. Principal component analysis was conducted to explore the factors emerging from the students' responses. 222 students (82%) returned the questionnaires. Constraining data to a 4-factor solution explained 52% of the variance. Factors identified were: "Willingness to disclose errors", "Recognition and management of medical errors", "The Perceived interprofessional context of patient safety" and "The perceived support and understanding for improving patient safety". The overall Cronbach's alpha was 0.64, indicating moderate internal consistency of the instrument. Some demographical and descriptive questions on the HPPSACS instrument were modified to accommodate the participants' educational context. However, all items in the HPPSACS which were included in the factor analysis remain identical to the original tool. The study offers empirical findings of how patient safety education is contextualised in the undergraduate, pre-registration nursing curriculum. Further research is required to refine and improve the overall reliability of the Health Care Professionals Patient Safety Assessment Curriculum Survey (HPPSACS' instrument

  12. Safer electronic health records safety assurance factors for EHR resilience

    CERN Document Server

    Sittig, Dean F

    2015-01-01

    This important volume provide a one-stop resource on the SAFER Guides along with the guides themselves and information on their use, development, and evaluation. The Safety Assurance Factors for EHR Resilience (SAFER) guides, developed by the editors of this book, identify recommended practices to optimize the safety and safe use of electronic health records (EHRs). These guides are designed to help organizations self-assess the safety and effectiveness of their EHR implementations, identify specific areas of vulnerability, and change their cultures and practices to mitigate risks.This book pr

  13. Modelling of safety barriers including human and organisational factors to improve process safety

    DEFF Research Database (Denmark)

    Markert, Frank; Duijm, Nijs Jan; Thommesen, Jacob

    2013-01-01

    explosion, and the Mont Blanc Tunnel Fire, such an approach may have helped to maintain the integrity of the designed provisions against major deviations resulting in these disasters. In order to make this paradigm operational, safety management and in particular risk assessment tools need to be refined....... A valuable approach is the inclusion of human and organisational factors into the simulation of the reliability of the technical system using event trees and fault trees and the concept of safety barriers. This has been demonstrated e.g. in the former European research project ARAMIS (Accidental Risk...... Assessment Methodology for IndustrieS, see Salvi et al 2006). ARAMIS employs the bow-tie approach to modelling hazardous scenarios, and it suggests the outcome of auditing safety management to be connected to a semi-quantitative assessment of the quality of safety barriers. ARAMIS discriminates a number...

  14. The stability safety factor calibration based on the reliability index

    Institute of Scientific and Technical Information of China (English)

    Tong Xiaolong; Fang Zhi

    2014-01-01

    When the bridge structure stability safety factor of the first type is 4,the research that whether the structure reliability index will reach target reliability index under the more-likely-to-happen collapse situation of the second type is necessary. The stability calculations of the first and the second type are made respectively for single layer and single span rigid frame bridge. Based on the critical load obtained from the stability calculation of the first type,the stability safety factor of the first type is taken as 4,and the first order reliability method is used to program and calculate the reliability index. Then,the load effect under the stability reliability index cal-culation of the first type and the critical load of the second type are employed to calculate the reliability index of the second type. The evaluation of structure stability safety factor is discussed according to reliability index. Based on the discussion above,parameter analysis of the stable critical loads of two types is made,and the in-fluence of critical load change on reliability index is researched. The result shows that stability analysis should identify collapse state;when the stability safety factor of the first type is 4,but the structure has the collapse of the second type,the reliability index cannot be ensured to reach the target reliability index under certain condi-tions.

  15. The stability safety factor calibration pased on the reliability index

    Institute of Scientific and Technical Information of China (English)

    Tong Xiaolong; Fang Zhi

    2014-01-01

    When the bridge structure stability safety factor of the first type is 4, the research that whether the structure reliability index will reach target reliability index under the more-likely-to-happen collapse situation of the second type is necessary. The stability calculations of the first and the second type are made respectively for single layer and single span rigid frame bridge. Based on the critical load obtained from the stability calculation of the first type, the stability safety factor of the first type is taken as 4, and the first order reliability method is used to program and calculate the reliability index. Then, the load effect under the stability reliability index cal- culation of the first type and the critical load of the second type are employed to calculate the reliability index of the second type. The evaluation of structure stability safety factor is discussed according to reliability index. Based on the discussion above, parameter analysis of the stable critical loads of two types is made, and the in- fluence of critical load change on reliability index is researched. The result shows that stability analysis should identify collapse state; when the stability safety factor of the first type is 4, but the structure has the collapse of the second type, the reliability index cannot be ensured to reach the target reliability index under certain condi- tions.

  16. Partial Safety Factors for Fatigue Design of Wind Turbine Blades

    DEFF Research Database (Denmark)

    Toft, Henrik Stensgaard; Sørensen, John Dalsgaard

    2010-01-01

    In the present paper calibration of partial safety factors for fatigue design of wind turbine blades is considered. The stochastic models for the physical uncertainties on the material properties are based on constant amplitude fatigue tests and the uncertainty on Miners rule for linear damage...

  17. Simple Expressions for Safety Factors in Inventory Control

    NARCIS (Netherlands)

    Strijbosch, L.W.G.; Moors, J.J.A.

    1999-01-01

    The literature on inventory control discusses many methods to establish the level of decision parameters -like reorder levels or safety factors-, necessary to attain a prescribed service level. In general, however, these methods are not easy applicable: they often use time-consuming iterations, requ

  18. A Community Hospital's Evaluation of Alarm Management Safety Factors.

    Science.gov (United States)

    Kurnat-Thoma, Emma; Shah, Kayuri

    2016-12-01

    The Joint Commission's 2014 National Patient Safety Goals required hospitals to evaluate alarm safety in 2014-2015 and implement alarm safety policies. The aim of this study was to assess common alarm management safety factors in our 187-bed community hospital. Two weeks' worth of IV pump report data was evaluated to characterize 33 IV pump alarm types. Hospital and IV pump noise was measured, and an alarm management nurse survey was conducted. There were 8731 total IV pump alarms/alerts (24-hour mean, 623.6) across 6 units. The 2-minute idle alarm accounted for 32.4% of all total IV alarms/alerts, suggestive of high levels of nurse multitasking and nurse work interruptions. IV pump volumes contributed to overall hospital noise. Survey data identified patient units and alarm safety practices needing additional support. Characterization of IV pump alarms/alerts is an emerging area of scientific inquiry. Findings indicate the need for organizations to evaluate alarm burden and alarm management safety practices to reduce alarm fatigue risks.

  19. Using partial safety factors in wind turbine design and testing

    Energy Technology Data Exchange (ETDEWEB)

    Musial, W.D. [National Renewable Energy Lab., Golden, CO (United States)

    1997-12-31

    This paper describes the relationship between wind turbine design and testing in terms of the certification process. An overview of the current status of international certification is given along with a description of limit-state design basics. Wind turbine rotor blades are used to illustrate the principles discussed. These concepts are related to both International Electrotechnical Commission and Germanischer Lloyd design standards, and are covered using schematic representations of statistical load and material strength distributions. Wherever possible, interpretations of the partial safety factors are given with descriptions of their intended meaning. Under some circumstances, the authors` interpretations may be subjective. Next, the test-load factors are described in concept and then related to the design factors. Using technical arguments, it is shown that some of the design factors for both load and materials must be used in the test loading, but some should not be used. In addition, some test factors not used in the design may be necessary for an accurate test of the design. The results show that if the design assumptions do not clearly state the effects and uncertainties that are covered by the design`s partial safety factors, outside parties such as test labs or certification agencies could impose their own meaning on these factors.

  20. Partial Safety Factors for Fatigue Design of Wind Turbine Blades

    DEFF Research Database (Denmark)

    Toft, Henrik Stensgaard; Sørensen, John Dalsgaard

    In the present paper calibration of partial safety factors for fatigue design of wind turbine blades is considered. The stochastic models for the physical uncertainties on the material properties are based on constant amplitude fatigue tests and the uncertainty on Miners rule for linear damage...... from rainflow-counting of simulated time series for a 5MW reference wind turbine [1]. A possible influence of a complex stress state in the blade is not taken into account and only longitudinal stresses are considered....

  1. Factors Affecting Food Safety of Animal Origin in Indonesia

    Directory of Open Access Journals (Sweden)

    Sjamsul Bahri

    2006-03-01

    Full Text Available Based on the Indonesian Regulation Number 7 year 1996, food is defined as everything derived from biological sources and water, either processed and non-processed materials to be used as food and drinks, including food additives, food raw materials and other materials for preparation process, processing and production of food or drinks . Furthermore, food safety is a condition and an approach required to prevent the food from contamination of pathogenic microbes, toxic compounds and other xenobiotics that may affect and hazardous to human health . Food safety is basically a complexity and close related to policy . toxicity, microbiology, chemicals, nutrition status, health and public welfare . On the other hand, food safety problem is a dynamic process following the changing of public society including socioculture, health, development of science and technology as well as everything related to human life . In general, there are three main stages of process as the critical point in food safety of animal origin, namely : (1 preharvest ; (2 production ; and (3 postharvest . The main factors of these stages are discussed in this paper .

  2. Factors affecting quality and safety of fresh-cut produce.

    Science.gov (United States)

    Francis, G A; Gallone, A; Nychas, G J; Sofos, J N; Colelli, G; Amodio, M L; Spano, G

    2012-01-01

    The quality of fresh-cut fruit and vegetable products includes a combination of attributes, such as appearance, texture, and flavor, as well as nutritional and safety aspects that determine their value to the consumer. Nutritionally, fruit and vegetables represent a good source of vitamins, minerals, and dietary fiber, and fresh-cut produce satisfies consumer demand for freshly prepared, convenient, healthy food. However, fresh-cut produce deteriorates faster than corresponding intact produce, as a result of damage caused by minimal processing, which accelerates many physiological changes that lead to a reduction in produce quality and shelf-life. The symptoms of produce deterioration include discoloration, increased oxidative browning at cut surfaces, flaccidity as a result of loss of water, and decreased nutritional value. Damaged plant tissues also represent a better substrate for growth of microorganisms, including spoilage microorganisms and foodborne pathogens. The risk of pathogen contamination and growth is one of the main safety concerns associated with fresh-cut produce, as highlighted by the increasing number of produce-linked foodborne outbreaks in recent years. The pathogens of major concern in fresh-cut produce are Listeria monocytogenes, pathogenic Escherichia coli mainly O157:H7, and Salmonella spp. This article describes the quality of fresh-cut produce, factors affecting quality, and various techniques for evaluating quality. In addition, the microbiological safety of fresh-cut produce and factors affecting pathogen survival and growth on fresh-cut produce are discussed in detail.

  3. Human Factors in Fire Safety Management and Prevention

    Directory of Open Access Journals (Sweden)

    M.A. Othuman Mydin

    2014-07-01

    Full Text Available Fire protection is the study and practice of mitigating the unwanted effects of potentially destructive fires. It involves the study of the behavior, compartmentalization, and investigation of fire and its related emergencies, as well as the research and development, production, testing and application of mitigating systems. Problems still occurred despite of the adequate fire safety systems installed. For most people in high-risk buildings, not all accidents were caused by them. They were more likely to be the victims of a fire that occurred. Besides damaging their properties and belongings, some people were burned to death for not knowing what to do if fire happens in their place. This paper will present the human factors in fire safety management and prevention system.

  4. Risk factors for fishermen's health and safety in Greece

    DEFF Research Database (Denmark)

    Frantzeskou, Elpida; Kastania, Anastasia N; Riza, Elena

    2012-01-01

    factors include alcohol, fatty food consumption, smoking, and lack of physical exercise. Conclusions: The health effects observed are causally related to diet, smoking, and exercise, which in turn relate to the specific working conditions and culture in small-scale fishing that need to be taken......Background: This is, to the best of our knowledge, the first occupational health study in Greek fishing. Aim: The aim of the study is to determine the risks for health and safety in Greek fisheries workers by exploring their health status and the health risk factors present in their occupational...... injury, of which half caused more than one day absence, while 14% had a near drowning experience. The health risks factors studied include excessive weight, cardiovascular incidents and dermatological, musculoskeletal, respiratory, hearing, stress, and anxiety problems. The occupational health risk...

  5. 75 FR 5536 - Pipeline Safety: Control Room Management/Human Factors, Correction

    Science.gov (United States)

    2010-02-03

    ... Safety: Control Room Management/Human Factors, Correction AGENCY: Pipeline and Hazardous Materials Safety... Regulations to address human factors and other aspects of control room management for pipelines where... 63310) entitled ``Pipeline Safety: Control Room Management/Human Factors.'' This final rule...

  6. [Human factors and crisis resource management: improving patient safety].

    Science.gov (United States)

    Rall, M; Oberfrank, S

    2013-10-01

    A continuing high number of patients suffer harm from medical treatment. In 60-70% of the cases the sources of harm can be attributed to the field of human factors (HFs) and teamwork; nevertheless, those topics are still neither part of medical education nor of basic and advanced training even though it has been known for many years and it has meanwhile also been demonstrated for surgical specialties that training in human factors and teamwork considerably reduces surgical mortality.Besides the medical field, the concept of crisis resource management (CRM) has already proven its worth in many other industries by improving teamwork and reducing errors in the domain of human factors. One of the best ways to learn about CRM and HFs is realistic simulation team training with well-trained instructors in CRM and HF. The educational concept of the HOTT (hand over team training) courses for trauma room training offered by the DGU integrates these elements based on the current state of science. It is time to establish such training for all medical teams in emergency medicine and operative care. Accompanying safety measures, such as the development of a positive culture of safety in every department and the use of effective critical incident reporting systems (CIRs) should be pursued.

  7. Factors Contribute to Safety Culture in the Manufacturing Industry in Malaysia

    OpenAIRE

    Ong Choon Hee

    2014-01-01

    The purpose of this paper is to explain the role of safety culture in the manufacturing industry in Malaysia and identify factors contribute to safety culture. It is suggested in this study that leadership support, management commitment and safety management system are important factors that contribute to safety culture. This study also provides theoretical implications to guide future research and offers practical implications to the managers in the development of safety culture. Given that ...

  8. A dispersion safety factor for LNG vapor clouds.

    Science.gov (United States)

    Vílchez, Juan A; Villafañe, Diana; Casal, Joaquim

    2013-02-15

    The growing importance of liquefied natural gas (LNG) to global energy demand has increased interest in the possible hazards associated with its storage and transportation. Concerning the event of an LNG spill, a study was performed on the relationship between the distance at which the lower flammability limit (LFL) concentration occurs and that corresponding to the visible contour of LNG vapor clouds. A parameter called the dispersion safety factor (DSF) has been defined as the ratio between these two lengths, and two expressions are proposed to estimate it. During an emergency, the DSF can be a helpful parameter to indicate the danger of cloud ignition and flash fire.

  9. A dispersion safety factor for LNG vapor clouds

    Energy Technology Data Exchange (ETDEWEB)

    Vílchez, Juan A. [TIPs – Trámites, Informes y Proyectos, SL, Llenguadoc 10, 08030 Barcelona (Spain); Villafañe, Diana [Centre d’Estudis del Risc Tecnològic (CERTEC), Universitat Politècnica de Catalunya, Diagonal 647, 08028 Barcelona, Catalonia (Spain); Casal, Joaquim, E-mail: joaquim.casal@upc.edu [Centre d’Estudis del Risc Tecnològic (CERTEC), Universitat Politècnica de Catalunya, Diagonal 647, 08028 Barcelona, Catalonia (Spain)

    2013-02-15

    Highlights: ► We proposed a new parameter: the dispersion safety factor (DSF). ► DSF is the ratio between the distance reached by the LFL and that reached by the visible cloud. ► The results for the DSF agree well with the evidence from large scale experiments. ► Two expressions have been proposed to calculate DSF as a function of H{sub R}. ► The DSF may help in indicating the danger of ignition of a LNG vapor cloud. -- Abstract: The growing importance of liquefied natural gas (LNG) to global energy demand has increased interest in the possible hazards associated with its storage and transportation. Concerning the event of an LNG spill, a study was performed on the relationship between the distance at which the lower flammability limit (LFL) concentration occurs and that corresponding to the visible contour of LNG vapor clouds. A parameter called the dispersion safety factor (DSF) has been defined as the ratio between these two lengths, and two expressions are proposed to estimate it. During an emergency, the DSF can be a helpful parameter to indicate the danger of cloud ignition and flash fire.

  10. Quality management and safety culture in medicine - Do standard quality reports provide insights into the human factor of patient safety?

    Science.gov (United States)

    Wischet, Werner; Schusterschitz, Claudia

    2009-12-15

    In 1999 the Institute of Medicine (IOM) published the landmark report "To err is human: building a safer healthcare system" highlighting critical deficiencies within the area of patient safety. As a consequence, safety culture evolved as a core component of quality management in medicine. Purpose of the investigation at hand was to find out to what extent this is reflected in standard quality reports issued by German hospitals providing maximum medical care. Reports issued for the year 2006 were analysed with respect to the appearance of indicators for the presence of a safety culture. Results suggest that despite the huge awareness for patient safety caused by the IOM report, the topic of safety culture does not get the anticipated attention within the quality reports. This may indicate that the current requirements for the quality reports do not facilitate transparency when it comes to the human factor of patient safety.

  11. Consensus achievement of leadership, organisational and individual factors that influence safety climate: Implications for nursing management.

    Science.gov (United States)

    Fischer, Shelly A; Jones, Jacqueline; Verran, Joyce A

    2017-09-21

    To validate a framework of factors that influence the relationship of transformational leadership and safety climate, and to enable testing of safety chain factors by generating hypotheses regarding their mediating and moderating effects. Understanding the patient safety chain and mechanisms by which leaders affect a strong climate of safety is essential to transformational leadership practice, education, and research. A systematic review of leadership and safety literature was used to develop an organising framework of factors proposed to influence the climate of safety. A panel of 25 international experts in leadership and safety engaged a three-round modified Delphi study with Likert-scored surveys. Eighty per cent of participating experts from six countries were retained to the final survey round. Consensus (>66% agreement) was achieved on 40 factors believed to influence safety climate in the acute care setting. Consensus regarding specific factors that play important roles in an organisation's climate of safety can be reached. Generally, the demonstration of leadership commitment to safety is key to cultivating a culture of patient safety. Transformational nurse leaders should consider and employ all three categories of factors in daily leadership activities and decision-making to drive a strong climate of patient safety. © 2017 John Wiley & Sons Ltd.

  12. Risk analysis-based food safety policy: scientific factors versus socio-cultural factors.

    Science.gov (United States)

    De Rosa, Mauro; van Knapen, Frans; Brom, Frans W A

    2008-09-15

    The purpose of this article is to illustrate the importance of socio-cultural factors in risk management and the need to incorporate these factors in a standard, internationally recognized (WTO) framework. This was achieved by analysing the relevance of these factors in three cases. It can be concluded that the pre-eminent role of science in food-related regulatory decisions is debatable. At a risk management level, other factors, such as cultural, social, or economic issues, are often more important than scientific advice in determining policy. There is a need for transparency at an international level as trade barriers are gradually being removed and these other factors are becoming more apparent. Therefore it is important that all the factors implicated in the food safety policy-making process are recognized in a standard framework.

  13. 75 FR 69912 - Pipeline Safety: Control Room Management/Human Factors

    Science.gov (United States)

    2010-11-16

    ... Safety: Control Room Management/Human Factors AGENCY: Pipeline and Hazardous Materials Safety..., 2010, PHMSA published a Control Room Management/Human Factors notice of proposed rulemaking (NPRM... to expedite the program implementation deadlines of the Control Room Management/Human Factors rule...

  14. Workers’ Age and the Impact of Psychological Factors on the Perception of Safety at Construction Sites

    National Research Council Canada - National Science Library

    Muhammad Dawood Idrees; Maria Hafeez; Jung-Yong Kim

    2017-01-01

    .... Several studies concluded that psychological factors such as workload, organizational relationships, mental stress, job security, and job satisfaction have significant effects on workers’ safety...

  15. Functionality of road safety devices – identification and analysis of factors

    Directory of Open Access Journals (Sweden)

    Jeliński Łukasz

    2017-01-01

    Full Text Available Road safety devices are designed to protect road users from the risk of injury or death. The principal type of restraint is the safety barrier. Deployed on sites with the highest risk of run-off-road accidents, safety barriers are mostly found on bridges, flyovers, central reservations, and on road edges which have fixed obstacles next to them. If properly designed and installed, safety barriers just as other road safety devices, should meet a number of functional features. This report analyses factors which may deteriorate functionality, ways to prevent this from happening and the thresholds for loss of road safety device functionality.

  16. Factors associated with the enactment of safety belt and motorcycle helmet laws.

    Science.gov (United States)

    Law, Teik Hua; Noland, Robert B; Evans, Andrew W

    2013-07-01

    It has been shown that road safety laws, such as motorcycle helmet and safety belt laws, have a significant effect in reducing road fatalities. Although an expanding body of literature has documented the effects of these laws on road safety, it remains unclear which factors influence the likelihood that these laws are enacted. This study attempts to identify the factors that influence the decision to enact safety belt and motorcycle helmet laws. Using panel data from 31 countries between 1963 and 2002, our results reveal that increased democracy, education level, per capita income, political stability, and more equitable income distribution within a country are associated with the enactment of road safety laws.

  17. Effect Of Selected Factors On The Safety Integrity Level (SIL

    Directory of Open Access Journals (Sweden)

    Stanisław Młynarski

    2015-11-01

    Full Text Available The presented paper concerns the functional safety problems of technical systems. The characteristics of safety assessment, described in IEC 61508 standard are an introduction to the problems associated with the methodology of the calculation of Safety Integrity Levels (SIL. The parameters obtained from reliability indicators, were calculated for the purpose of assessing the impact of repair time for the elements of a given system on the SIL. The calculated values of failure rate and the probability of dangerous failure show the sensitivity of the system at different time to repair values for various reliability-wise configurations. The indicators characterizing the safety level, calculated of the system with no repair time are the basis for demonstrating the influence of repair on the safety integrity level.

  18. Human and organizational factors in nuclear safety; Factores humanos y organizativos en la seguridad nuclear

    Energy Technology Data Exchange (ETDEWEB)

    Garcia, A.; Barrientos, M.; Gil, B.

    2015-07-01

    Nuclear installations are socio technical systems where human and organizational factors, in both utilities and regulators, have a significant impact on safety. Three Mile Island (TMI) accident, original of several initiatives in the human factors field, nevertheless became a lost opportunity to timely acquire lessons related to the upper tiers of the system. Nowadays, Spanish nuclear installations have integrated in their processes specialists and activities in human and organizational factors, promoted by the licensees After many years of hard work, Spanish installations have achieved a better position to face new challenges, such as those posed by Fukushima. With this experience, only technology-centered action plan would not be acceptable, turning this accident in yet another lost opportunity. (Author)

  19. Partial Safety Factors and Target Reliability Level in Danish Structural Codes

    DEFF Research Database (Denmark)

    Sørensen, John Dalsgaard; Hansen, J. O.; Nielsen, T. A.

    2001-01-01

    The partial safety factors in the newly revised Danish structural codes have been derived using a reliability-based calibration. The calibrated partial safety factors result in the same average reliability level as in the previous codes, but a much more uniform reliability level has been obtained...

  20. The Factors Analysis on Food Safety Accidents Statistics

    Directory of Open Access Journals (Sweden)

    Boyi Xiang

    2015-05-01

    Full Text Available The study uses SPSS17.0 analysis of validity and reliability of the food enterprises questionnaire. Using AMOS17. 0 software for structural equation model test of goodness of fit and analysis of on the path. From the “melamine” to “Sudanred” and “steroid-tainted pork” events that have been exposed recently, series of typical food safety incidents resulted in the emergence of food safety issues become the focus of attention. A series of food processing can be contaminated by harmful substances, resulting in harmful food, thus constituting food safety issues and poses a serious threat to public and person’s health.

  1. Residual fatigue strength of 48MnV crankshaft based on safety factor

    Institute of Scientific and Technical Information of China (English)

    WANG Xiang; CHEN Ming; PU Geng-qiang; WANG Cheng-tao

    2005-01-01

    Residual fatigue strength of 48MnV crankshaft was studied and analyzed based on safety factor. Three different status crankshafts were used to the hop-up tests, which maintain new after 500 h hop-up tests and after 1 000 h hop-up tests. Then, crankshafts were cut into unit cranks. The unit cranks were used to do endurance bending tests to get the residual fatigue strength. Finally, the results were analyzed based on safety factor. The results show that safety factor of crankshaft descends a little with the increase of the running time, and the residual safety factor is still much bigger than the endurable safety factor. Furthermore, after the crankshaft accomplishes a full life cycle, the residual fatigue strength of the crankshaft is enough to remanufacture and fulfill the next life cycle.

  2. A cross-cultural study of organizational factors on safety: Japanese vs. Taiwanese oil refinery plants.

    Science.gov (United States)

    Hsu, Shang Hwa; Lee, Chun-Chia; Wu, Muh-Cherng; Takano, Kenichi

    2008-01-01

    This study attempts to identify idiosyncrasies of organizational factors on safety and their influence mechanisms in Taiwan and Japan. Data were collected from employees of Taiwanese and Japanese oil refinery plants. Results show that organizational factors on safety differ in the two countries. Organizational characteristics in Taiwanese plants are highlighted as: higher level of management commitment to safety, harmonious interpersonal relationship, more emphasis on safety activities, higher devotion to supervision, and higher safety self-efficacy, as well as high quality of safety performance. Organizational characteristics in Japanese plants are highlighted as: higher level of employee empowerment and attitude towards continuous improvement, more emphasis on systematic safety management approach, efficient reporting system and teamwork, and high quality of safety performance. The casual relationships between organizational factors and workers' safety performance were investigated using structural equation modeling (SEM). Results indicate that the influence mechanisms of organizational factors in Taiwan and Japan are different. These findings provide insights into areas of safety improvement in emerging countries and developed countries respectively.

  3. Studying the Relationship between Individual and Organizational Factors and Nurses' Perception of Patient Safety Culture

    Directory of Open Access Journals (Sweden)

    Farahnaz Abdolahzadeh

    2012-11-01

    Full Text Available Introduction: Safety culture is considered as an important factor in improving patient safety. Therefore, identifying individual and organizational factors affecting safety culture is crucial. This study was carried out to determine individual and organizational factors associated with nurses' perception of patient safety culture. Methods: The present descriptive study included 940 nurses working in four training hospitals affiliated with Urmia University of Medical Sciences (Iran. Data was collected through the self-report questionnaire of patient safety culture. Descriptive (number, percent, mean, and standard deviation and inferential (t-test and analysis of variance statistics were used to analyze the data in SPSS. Results: Nurses' perception of patient safety culture was significantly correlated with marital status, workplace, and overtime hours. Conclusion: The results of this study revealed that some individual and organizational factors can impact on nurses' perception of patient safety culture. Nursing authorities should thus pay more attention to factors which promote patient safety culture and ultimately the safety of provided services.

  4. Time to accelerate integration of human factors and ergonomics in patient safety.

    Science.gov (United States)

    Gurses, Ayse P; Ozok, A Ant; Pronovost, Peter J

    2012-04-01

    Progress toward improving patient safety has been slow despite engagement of the health care community in improvement efforts. A potential reason for this sluggish pace is the inadequate integration of human factors and ergonomics principles and methods in these efforts. Patient safety problems are complex and rarely caused by one factor or component of a work system. Thus, health care would benefit from human factors and ergonomics evaluations to systematically identify the problems, prioritize the right ones, and develop effective and practical solutions. This paper gives an overview of the discipline of human factors and ergonomics and describes its role in improving patient safety. We provide examples of how human factors and ergonomics principles and methods have improved both care processes and patient outcomes. We provide five major recommendations to better integrate human factors and ergonomics in patient safety improvement efforts: build capacity among health care workers to understand human factors and ergonomics, create market forces that demand the integration of human factors and ergonomics design principles into medical technologies, increase the number of human factors and ergonomic practitioners in health care organizations, expand investments in improvement efforts informed by human factors and ergonomics, and support interdisciplinary research to improve patient safety. In conclusion, human factors and ergonomics must play a more prominent role in health care if we want to increase the pace in improving patient safety.

  5. Modelling of Safety Factors in the Design of GRP Composite Products

    DEFF Research Database (Denmark)

    Babu, B.J.C.; Prabhakaran, R.T. Durai; Lystrup, Aage

    2010-01-01

    An attempt has been made in this paper to arrive at the safety factor design of glass fibre reinforced polymer (GRP) composite products using graph theoretic model. In the conventional design and recommendations of the standards, these design factors affecting properties have been considered as i...... that the proposed overall factor of safety is an appropriate and comprehensive measure of factor of safety. The proposed methodology is illustrated for a typical resin transfer moulded (RTM) fume hood. The concept can easily be extended for other applications....

  6. SAFETY

    CERN Document Server

    Niels Dupont

    2013-01-01

    CERN Safety rules and Radiation Protection at CMS The CERN Safety rules are defined by the Occupational Health & Safety and Environmental Protection Unit (HSE Unit), CERN’s institutional authority and central Safety organ attached to the Director General. In particular the Radiation Protection group (DGS-RP1) ensures that personnel on the CERN sites and the public are protected from potentially harmful effects of ionising radiation linked to CERN activities. The RP Group fulfils its mandate in collaboration with the CERN departments owning or operating sources of ionising radiation and having the responsibility for Radiation Safety of these sources. The specific responsibilities concerning "Radiation Safety" and "Radiation Protection" are delegated as follows: Radiation Safety is the responsibility of every CERN Department owning radiation sources or using radiation sources put at its disposition. These Departments are in charge of implementing the requi...

  7. Impact of Geotechnical Factors on the Safety of Low Embankment Dams From the Perspective of Technical and Safety Supervision

    Directory of Open Access Journals (Sweden)

    Kasana Andrej

    2015-03-01

    Full Text Available Our research deals with a broad spectrum of problems concerning the variability of geotechnical factors and their influence on the safety of the biggest group of dam constructions in Slovakia, i.e., low earthfill dams. Its specific aim is the observation of their risk factors by using our experience and knowledge gained while working in the sector of technical and safety supervision. To achieve the aims of a research thesis, we analyzed 39 low earthfill dams. We performed observations and documented their conditions with the aim of clarifying the risk factors. After an analysis of the information materials that characterize dams and after a statistical analysis of the measurement results in situ, including measurements from technical and safety supervision databases, we performed an analysis by using mathematical modeling to evaluate the safety of the dam constructions. Out of the total number of 39 dam constructions, an analysis of the stability of the dam slopes was performed on 37 dams, and deformation problems were analyzed on 28 of the dams. Filtration problems were analyzed at 26 dams, and a complete evaluation of the intensity of filtration movements was performed on 19 of the constructions.

  8. Impact of Geotechnical Factors on the Safety of Low Embankment Dams From the Perspective of Technical and Safety Supervision

    Science.gov (United States)

    Kasana, Andrej; Minárik, Marian; Nikolaj, Maroš

    2015-03-01

    Our research deals with a broad spectrum of problems concerning the variability of geotechnical factors and their influence on the safety of the biggest group of dam constructions in Slovakia, i.e., low earthfill dams. Its specific aim is the observation of their risk factors by using our experience and knowledge gained while working in the sector of technical and safety supervision. To achieve the aims of a research thesis, we analyzed 39 low earthfill dams. We performed observations and documented their conditions with the aim of clarifying the risk factors. After an analysis of the information materials that characterize dams and after a statistical analysis of the measurement results in situ, including measurements from technical and safety supervision databases, we performed an analysis by using mathematical modeling to evaluate the safety of the dam constructions. Out of the total number of 39 dam constructions, an analysis of the stability of the dam slopes was performed on 37 dams, and deformation problems were analyzed on 28 of the dams. Filtration problems were analyzed at 26 dams, and a complete evaluation of the intensity of filtration movements was performed on 19 of the constructions. On the basis of a detailed analysis of the 39 dam constructions, we specified their problems and the concomitant consequences of the problems. Geotechnical risk factors and specific risks that determine the safety of water constructions were characterized. The analysis confirmed the importance of an engineer-geological and geotechnical checkup in the process of preparation and building (alternatively, during reconstructions and sanitation work) of such water constructions and also the importance of monitoring in the process of dam usage. Technical and safety checkups were also shown to be important when analyzing risk factors. The conclusions of the knowledge gained and the recommendations for the practice deal with recommendations to change the flow policy, develop a

  9. Probabilistic approach for the selection of the shallow foundation’s safety factor

    Directory of Open Access Journals (Sweden)

    M. Mounji

    2016-04-01

    Full Text Available In this paper, we present a new approach for estimating the risk of foundation’s failure of which the design was made using the conventional safety factor. We also present the results of numerical simulations applied to a continuous spread footing foundation based on a grainy dry soil where the geotechnical characteristics are a random spatial variables. Indeed, we show that for the soil which has a high natural variability the probability of failure associated with the standard safety factor becomes important then, in this case, a good choice of the safety factor is necessary.

  10. Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study.

    Science.gov (United States)

    Hernan, Andrea L; Giles, Sally J; Fuller, Jeffrey; Johnson, Julie K; Walker, Christine; Dunbar, James A

    2015-09-01

    Patients can have an important role in reducing harm in primary-care settings. Learning from patient experience and feedback could improve patient safety. Evidence that captures patients' views of the various contributory factors to creating safe primary care is largely absent. The aim of this study was to address this evidence gap. Four focus groups and eight semistructured interviews were conducted with 34 patients and carers from south-east Australia. Participants were asked to describe their experiences of primary care. Audio recordings were transcribed verbatim and specific factors that contribute to safety incidents were identified in the analysis using the Yorkshire Contributory Factors Framework (YCFF). Other factors emerging from the data were also ascertained and added to the analytical framework. Thirteen factors that contribute to safety incidents in primary care were ascertained. Five unique factors for the primary-care setting were discovered in conjunction with eight factors present in the YCFF from hospital settings. The five unique primary care contributing factors to safety incidents represented a range of levels within the primary-care system from local working conditions to the upstream organisational level and the external policy context. The 13 factors included communication, access, patient factors, external policy context, dignity and respect, primary-secondary interface, continuity of care, task performance, task characteristics, time in the consultation, safety culture, team factors and the physical environment. Patient and carer feedback of this type could help primary-care professionals better understand and identify potential safety concerns and make appropriate service improvements. The comprehensive range of factors identified provides the groundwork for developing tools that systematically capture the multiple contributory factors to patient safety. Published by the BMJ Publishing Group Limited. For permission to use (where not

  11. Workers’ Age and the Impact of Psychological Factors on the Perception of Safety at Construction Sites

    Directory of Open Access Journals (Sweden)

    Muhammad Dawood Idrees

    2017-05-01

    Full Text Available The safety of construction workers is always a major concern at construction sites as the construction industry is inherently dangerous with many factors influencing worker safety. Several studies concluded that psychological factors such as workload, organizational relationships, mental stress, job security, and job satisfaction have significant effects on workers’ safety. However, research on psychological factors that are characteristic of different age groups have been limited. The aim of this study was to examine the impact of psychological factors on the perception of worker safety for two different age groups. After an extensive literature review, different psychological factors were identified, and a hypothetical research model was developed based on psychological factors that could affect workers’ perception of safety. A survey instrument was developed, and data were collected from seven different construction sites in Pakistan. Structural equation modeling (SEM was employed to test the hypothetical model for both age groups. The results revealed that workload and job satisfaction are significantly dominant factors on workers’ perception of safety in older workers, whereas organizational relationships, mental stress, and job security are dominant factors for younger workers at construction sites.

  12. Verification of Overall Safety Factors In Deterministic Design Of Model Tested Breakwaters

    DEFF Research Database (Denmark)

    Burcharth, H. F.

    2001-01-01

    The paper deals with concepts of safety implementation in design. An overall safety factor concept is evaluated on the basis of a reliability analysis of a model tested rubble mound breakwater with monolithic super structure. Also discussed are design load identification and failure mode limit st...

  13. Safety

    CERN Multimedia

    2003-01-01

    Please note that the safety codes A9, A10 AND A11 (ex annexes of SAPOCO/42) entitled respectively "Safety responsibilities in the divisions" "The safety policy committee (SAPOCO) and safety officers' committees" and "Administrative procedure following a serious accident or incident" are available on the web at the following URLs: Code A9: http://edms.cern.ch/document/337016/LAST_RELEASED Code A10: http://edms.cern.ch/document/337019/LAST_RELEASED Code A11: http://edms.cern.ch/document/337026/LAST_RELEASED Paper copies can also be obtained from the TIS divisional secretariat, e-mail: tis.secretariat@cern.ch. TIS Secretariat

  14. Human Factors in Fire Safety Management and Prevention

    OpenAIRE

    M.A. Othuman Mydin

    2014-01-01

    Fire protection is the study and practice of mitigating the unwanted effects of potentially destructive fires. It involves the study of the behavior, compartmentalization, and investigation of fire and its related emergencies, as well as the research and development, production, testing and application of mitigating systems. Problems still occurred despite of the adequate fire safety systems installed. For most people in high-risk buildings, not all accidents were caused by ...

  15. Neighborhood safety factors associated with older adults' health-related outcomes: A systematic literature review.

    Science.gov (United States)

    Won, Jaewoong; Lee, Chanam; Forjuoh, Samuel N; Ory, Marcia G

    2016-09-01

    Neighborhood safety is important for older adults' health and wellbeing, but there has not been a synthesis in the literature of what is currently known about this construct. This systematic literature review, following the PRISMA guidelines, focuses on identifying neighborhood safety factors associated with health-related outcomes and behaviors of older adults in the U.S. A search was conducted in 2014 via Academic Search Complete, CINAHL, Embase, MEDLINE, SportDis, and Transportation Databases. Based on our inclusion and exclusion criteria, we identified thirty-two articles for review. Sixteen studies examined health outcomes such as health status, mental health, physical function, morbidity/mortality, and obesity; the other sixteen studies focused on health behaviors, such as physical activity and walking. Four domains of neighborhood safety were identified: overall/general neighborhood safety; crime-related safety; traffic-related safety; and proxies for safety (e.g., vandalism, graffiti). Overall/general neighborhood safety appeared most relevant to mental health and physical function. Traffic-related safety was most pertinent to physical activity, while crime-related safety was more consistently associated with mental health and walking. While all safety variables were significantly associated with mental health, no significant associations were found for obesity. We also found that specific measures or constructs of safety were not applied consistently across the examined studies, making it difficult to compare the results. This review identified several important gaps in the existing studies dealing with neighborhood safety-health relationships among older adults. Further studies are needed that examine the different roles of multidimensional neighborhood safety in promoting the community health, not only in the U.S., but globally. Copyright © 2016 Elsevier Ltd. All rights reserved.

  16. Calibration of brick masonry partial safety factors for the South African Code

    CSIR Research Space (South Africa)

    Mahachi, J

    2007-09-01

    Full Text Available The current South African Code of Practice for structural use of masonry uses four partial safety factors gm, for materials depending on construction control and quality control. With the boom in the construction industry, new entrants...

  17. Modeling the factors affecting unsafe behavior in the construction industry from safety supervisors' perspective.

    Science.gov (United States)

    Khosravi, Yahya; Asilian-Mahabadi, Hassan; Hajizadeh, Ebrahim; Hassanzadeh-Rangi, Narmin; Bastani, Hamid; Khavanin, Ali; Mortazavi, Seyed Bagher

    2014-01-01

    There can be little doubt that the construction is the most hazardous industry in the worldwide. This study was designed to modeling the factors affecting unsafe behavior from the perspective of safety supervisors. The qualitative research was conducted to extract a conceptual model. A structural model was then developed based on a questionnaire survey (n=266) by two stage Structural Equation Model (SEM) approach. An excellent confirmed 12-factors structure explained about 62% of variances unsafe behavior in the construction industry. A good fit structural model indicated that safety climate factors were positively correlated with safety individual factors (Pbehavior. In order to improve construction safety performance, more focus on the workplace condition is required.

  18. E-bike safety: Individual-level factors and incident characteristics

    DEFF Research Database (Denmark)

    Haustein, Sonja; Møller, Mette

    2016-01-01

    safety critical incident that they believed would not have happened on a conventional bike. The most frequent explanation offered for these situations was that other road users had underestimated the speed of the e-bike, followed by rider problems regulating e-bike speed. Older cyclists were more likely......As electrically assisted bicycles (e-bikes) become more widespread, the number of crashes in which they are involved is also growing. We used data from a survey of 685 e-bike users in Denmark to examine the factors which contribute to perceived e-bike safety and involvement in safety critical...... incidents. Using regression analyses, we demonstrated that riding style and e-bike attitude played a crucial role in both perceived safety and involvement in safety critical incidents. Age and female gender were negatively associated with perceived safety. 29% of participants had experienced at least one...

  19. Relationships between road safety, safety measures and external factors : a scan of the literature in view of model development and topics for further research.

    OpenAIRE

    2010-01-01

    The purpose of this literature scan is to examine where literature on the effect of external factors and road safety measures on road safety exists and where it is lacking. This scan will help us to decide which factors to include in a comprehensive road safety model as SWOV is working on, and at the same time identifies promising future research topics. The report is divided into two main road safety topics; firstly, the external influences which are not directly related to road safety manag...

  20. Psychometric properties of the AHRQ Community Pharmacy Survey on Patient Safety Culture: a factor analysis.

    Science.gov (United States)

    Aboneh, Ephrem A; Look, Kevin A; Stone, Jamie A; Lester, Corey A; Chui, Michelle A

    2016-05-01

    The U.S. Agency for Healthcare Research and Quality (AHRQ) developed a hospital patient safety culture survey in 2004 and has adapted this survey to other healthcare settings, such as nursing homes and medical offices, and most recently, community pharmacies. However, it is unknown whether safety culture dimensions developed for hospitals can be transferred to community pharmacies. The aim of this study was to assess the psychometric properties of the Community Pharmacy Survey on Patient Safety Culture. The survey was administered to 543 community pharmacists in Wisconsin, USA. Confirmatory factor analysis was used to assess the fit of our data with the proposed AHRQ model. Exploratory factor analysis was used to determine the underlying factor structure. Internal consistency reliabilities were calculated. A total of 433 usable surveys were returned (response rate 80%). Results from the confirmatory factor analysis showed inadequate model fit for the original 36 item, 11-factor structure. Exploratory factor analysis showed that a modified 27-item, four-factor structure better reflected the underlying safety culture dimensions in community pharmacies. The communication openness factor, with three items, dropped in its entirety while six items dropped from multiple factors. The remaining 27 items redistributed to form the four-factor structure: safety-related communication, staff training and work environment, organisational response to safety events, and staffing, work pressure and pace. Cronbach's α of 0.95 suggested good internal consistency. Our findings suggest that validation studies need to be conducted before applying safety dimensions from other healthcare settings into community pharmacies. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  1. Patient safety in the operating room: an intervention study on latent risk factors

    Directory of Open Access Journals (Sweden)

    van Beuzekom Martie

    2012-06-01

    Full Text Available Abstract Background Patient safety is one of the greatest challenges in healthcare. In the operating room errors are frequent and often consequential. This article describes an approach to a successful implementation of a patient safety program in the operating room, focussing on latent risk factors that influence patient safety. We performed an intervention to improve these latent risk factors (LRFs and increase awareness of patient safety issues amongst OR staff. Methods Latent risk factors were studied using a validated questionnaire applied to the OR staff before and after an intervention. A pre-test/post-test control group design with repeated measures was used to evaluate the effects of the interventions. The staff from one operating room of an university hospital acted as the intervention group. Controls consisted of the staff of the operating room in another university hospital. The outcomes were the changes in LRF scores, perceived incident rate, and changes in incident reports between pre- and post-intervention. Results Based on pre-test scores and participants’ key concerns about organizational factors affecting patient safety in their department the intervention focused on the following LRFs: Material Resources, Training and Staffing Recourses. After the intervention, the intervention operating room - compared to the control operating room - reported significantly fewer problems on Material Resources and Staffing Resources and a significantly lower score on perceived incident rate. The contribution of technical factors to incident causation decreased significantly in the intervention group after the intervention. Conclusion The change of state of latent risk factors can be measured using a patient safety questionnaire aimed at these factors. The change of the relevant risk factors (Material and Staffing resources concurred with a decrease in perceived and reported incident rates in the relevant categories. We conclude that

  2. Development of a draft of human factors safety review procedures for the Korean next generation reactor

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jung Woon; Moon, B. S.; Park, J. C.; Lee, Y. H.; Oh, I. S.; Lee, H. C. [Korea Atomic Energy Research Institute, Taejeon (Korea)

    2000-02-01

    In this study, a draft of human factors engineering (HFE) safety review procedures (SRP) was developed for the safety review of KNGR based on HFE Safety and Regulatory Requirements and Guidelines (SRRG). This draft includes acceptance criteria, review procedure, and evaluation findings for the areas of review including HFE Program Management, Human Factors Analyses, Human Factors Design, and HFE Verification and Validation, based on Section 15.1 'Human Factors Engineering Design Process' and 15.2 'Control Room Human Factors Engineering' of KNGR Specific Safety Requirements and Chapter 15 'Human Factors Engineering' of KNGR Safety Regulatory Guides. For the effective review, human factors concerns or issues related to advanced HSI design that have been reported so far should be extensively examined. In this study, a total of 384 human factors issues related to the advanced HSI design were collected through our review of a total of 145 documents. A summary of each issue was described and the issues were identified by specific features of HSI design. These results were implemented into a database system. 8 refs., 2 figs. (Author)

  3. Exposure Factor considerations for safety evaluation of modern disposable diapers.

    Science.gov (United States)

    Dey, Swatee; Purdon, Mike; Kirsch, Taryn; Helbich, HansMartin; Kerr, Kenny; Li, Lijuan; Zhou, Shaoying

    2016-11-01

    Modern disposable diapers are complex products and ubiquitous globally. A robust safety assessment for disposable diapers include two important exposure parameters, i) frequency of diaper use & ii) constituent transfer from diaper to skin from direct and indirect skin contact materials. This article uses published information and original studies to quantify the exposure parameters for diapers. Using growth tables for the first three years of diapered life, an average body weight of 10-11 kg can be calculated, with a 10th percentile for females (8.5-8.8 kg). Data from surveys and diary studies were conducted to determine the frequency of use of diapers. The overall mean in the US is 4.7 diapers per day with a 75th, 90th, and 95th percentile of 5.0, 6.0, and 7.0 respectively. Using diaper topsheet-lotion transfer as a model, direct transfer to skin from the topsheet was 3.0-4.3% of the starting amount of lotion. Indirect transfer of diaper core materials as a measure of re-wetting of the skin via urine resurfacing back to the topsheet under pressure was estimated at a range of 0.32-0.66% averaging 0.46%. As described, a thorough data-based understanding of exposure is critical for a robust exposure based safety assessment of disposable diapers.

  4. On applying safety archetypes to the Fukushima accident to identify nonlinear influencing factors

    Energy Technology Data Exchange (ETDEWEB)

    Sousa, A.L., E-mail: alsousa@cnen.gov.br [Comissao Nacional de Energia Nuclear (CNEN), Rio de Janeiro, RJ (Brazil); Ribeiro, A.C.O., E-mail: antonio.ribeiro@bayer.com [Bayer Crop Science Brasil S.A., Belford Roxo, RJ (Brazil); Duarte, J.P., E-mail: julianapduarte@poli.ufrj.br [Universidade Federal do Rio de Janeiro (UFRJ), RJ (Brazil). Escola Politecnica. Departamento de Engenharia Nuclear; Frutuoso e Melo, P.F., E-mail: frutuoso@nuclear.ufrj.br [Coordenacao dos Programas de Pos-Graduacao em Engenharia (COOPE/UFRJ), RJ (Brazil). Programa de Engenharia Nuclear

    2013-07-01

    Nuclear power plants are typically characterized as high reliable organizations. In other words, they are organizations defined as relatively error free over a long period of time. Another relevant characteristic of the nuclear industry is that safety efforts are credited to design. However, major accidents, like the Fukushima accident, have shown that new tools are needed to identify latent deficiencies and help improve their safety level. Safety archetypes proposed elsewhere (e. g., safety issues stalled in the face of technological advances and eroding safety) consonant with International Atomic Energy Agency (IAEA) efforts are used to examine different aspects of accidents in a systemic perspective of the interaction between individuals, technology and organizational factors. Safety archetypes can help consider nonlinear interactions. Effects are rarely proportional to causes and what happens locally in a system (near the current operating point) often does not apply to distant regions (other system states), so that one has to consider the so-called nonlinear interactions. This is the case, for instance, with human probability failure estimates and safety level identification. In this paper, we discuss the Fukushima accident in order to show how archetypes can highlight nonlinear interactions of factors that influenced it and how to maintain safety levels in order to prevent other accidents. The initial evaluation of the set of archetypes suggested in the literature showed that at least four of them are applicable to the Fukushima accident, as is inferred from official reports on the accident. These are: complacency (that is, the effects of complacency on safety), decreased safety awareness, fixing on symptoms and not the real causes and eroding safety. (author)

  5. Factors affecting Safety Performance in Repair, Maintenance, Alteration, and Addition (RMAA Projects

    Directory of Open Access Journals (Sweden)

    Adnan Enshassi

    2014-11-01

    Full Text Available Repair, Maintenance, Alteration and Addition (RMAA works are playing an increasingly important role in developing countries. The accidents and fatalities records of RMAA sector in Gaza Strip have been alarmingly high; however, research in the RMAA sector remains limited. Safety of RMAA works has long been neglected because the project sizes of RMAA are small and only last for a short period of time, which make the working environment of RMAA works more difficult to control than new building works. The aim of this paper is to identify, valuate and rank the most important factors that affect safety performance and the most important causes of fatal accidents in RMAA projects. A questionnaire survey was used in this study. The results revealed that poor safety awareness of managers in maintenance firms and lack of training of RMAA workers for handling multi-tasks were the most important factors that affecting safety performance of RMAA works. The results showed that ineffectiveness of lack of training and certification of competence; immature corporate systems of firms which does not care with safety and health through RMAA works, and lack of leadership from government as a key client are the most significant causes of construction fatal accidents of RMAA projects. The results also indicated that the macro level factor is the most important category that causes fatal accidents in RMAA works. It is recommended to enhance the awareness of construction firms, project managers and workers regarding the importance of safety performance in repair and maintenance works and strengthen site monitoring and supervision system in construction firms. Safety training courses should be organized for workers and project managers in order to improve their safety culture and competence regarding safety performance through repair and maintenance works. Furthermore the RMAA subcontractors should be selected according to their good records of safety performance.

  6. Identification of road user related risk factors, Deliverable 5.1 of the H2020 project SafetyCube (Safety CaUsation, Benefits and Efficiency).

    NARCIS (Netherlands)

    Filtness, A. & Papadimitriou, E. (Eds.) Leskovšek, B. Focant, N. Martensen, H. Sgarra, V. Usami, D.S. Soteropoulos, A. Stadlbauer, S. Theofilatos, A. Yannis, G. Ziakopoulos, A. Diamandouros, K. Durso, C. Goldenbeld, C. Loenis, B. Schermers, G. Petegem, J.-H. van Elvik, R. Hesjevoll, I.S. Quigley, C. & Papazikou, E.

    2017-01-01

    The present Deliverable (D5.1) describes the identification and evaluation of infrastructure related risk factors. It outlines the results of Task 5.1 of WP5 of SafetyCube, which aimed to identify and evaluate infrastructure related risk factors and related road safety problems by (i) presenting a

  7. Reliability-based Calibration of Fatigue Safety Factors for Offshore Wind Turbines

    DEFF Research Database (Denmark)

    Sørensen, John Dalsgaard

    2011-01-01

    This paper describes reliability-based investigations on the required safety factors / Fatigue Design Factors (FDF) values to be used for fatigue design of steel substructures for offshore wind turbines. Design and limit state equations are formulated and stochastic models for the uncertain...

  8. Parent decision factors, safety strategies, and fears about infant sleep locations.

    Science.gov (United States)

    Doering, Jennifer J; Marvin, Alexis; Strook, Samantha

    2017-04-01

    Infant sleep safety is a primary concern of parents. Infant sleep locations vary around the world. This pilot study investigated the decision factors, fears, and safety strategies reported by parents internationally. participants (n=49) recruited online from 10 countries completed an anonymous Internet survey in English and submitted a picture of the infant's primary nighttime sleep location. Pictures were coded into 'shared' (29%) or 'separate' (71%) sleep surfaces. primary decision factors about infant sleep location were safety, comfort, family sleep quality, and overall ease. Parents maximized safety by providing a clear sleep surface, no blankets, no toys, sleep sack use, and a firm mattress. Different worries and fears emerged depending on the sleep surface. differences in the specific worries and strategies used by parents when deciding whether to share or not share a sleep surface with an infant may be used to tailor future interventions. Copyright © 2017 Elsevier Inc. All rights reserved.

  9. Evaluating the intervening factors in patient safety: focusing on hospital nursing staff

    Directory of Open Access Journals (Sweden)

    Roberta Meneses Oliveira

    2015-02-01

    Full Text Available OBJECTIVE To evaluate intervening factors in patient safety, focusing on hospital nursing staff. METHOD The study is descriptive, with qualitative approach, excerpt from a larger study with analytical nature. It was undertaken in a public hospital in Fortaleza, CE, Brazil, between January and June 2013, with semi-structured interviews to 70 nurses, using Thematic Content Analysis. RESULTS The principal intervening factors in patient safety related to hospital nursing staff were staff dimensioning and workload, professional qualification and training, team work, being contracted to the institution, turnover and lack of job security, and bad practice/disruptive behaviors. These aspects severely interfere with the establishment of a safety culture in the hospital analyzed. CONCLUSION It is necessary for managers to invest in nursing staff, so that these workers may be valued as fundamental in the promotion of patient safety, making it possible to develop competences for taking decisions with focus on the improvement of quality care.

  10. Factors Affecting the Behavior of Engineering Students toward Safety Practices in the Machine Shop

    Directory of Open Access Journals (Sweden)

    Jessie Kristian M. Neria

    2015-08-01

    Full Text Available This study aimed to determine the factors that affect the behavior of engineering student toward safety practices in the machine shop. Descriptive type of research was utilized in the study. Results showed that most of the engineering students clearly understand the signage shown in the machine shop. Students are aware that they should not leave the machines unattended. Most of the engineering students handle and use the machine properly. The respondents have an average extent of safety practices in the machine shop which means that they are applying safety practices in their every activity in machine shop. There is strong relationship between the safety practices and the factors affecting behavior in terms of signage, reminder of teacher and rules and regulation.

  11. Factors that impact on the safety of patient handovers: An interview study

    DEFF Research Database (Denmark)

    Siemsen, Inger Margrete; Madsen, Marlene Dyrløv; Pedersen, Lene Funck

    2012-01-01

    Aims: Improvement of clinical handover is fundamental to meet the challenges of patient safety. The primary aim of this interview study is to explore healthcare professionals’ attitudes and experiences with critical episodes in patient handover in order to elucidate factors that impact on handove...... as a critical safety point of hospitalisation, revealing that the safety culture in regard to handover was immature. Work was done in silos and many of the handover barriers were seen to be related to the fact that only few had a full picture of a patient’s complete pathway....

  12. An approach using multi-factor combination to evaluate high rocky slope safety

    Science.gov (United States)

    Su, Huaizhi; Yang, Meng; Wen, Zhiping

    2016-06-01

    A high rocky slope is an open complex giant system for which there is contradiction among different influencing factors and coexistence of qualitative and quantitative information. This study presents a comprehensive intelligent evaluation method of high rocky slope safety through an integrated analytic hierarchy process, extension matter element model and entropy weight to assess the safety behavior of the high rocky slope. The proposed intelligent evaluation integrates subjective judgments derived from the analytic hierarchy process with the extension matter model and entropy weight into a multiple indexes dynamic safety evaluation approach. A combined subjective and objective comprehensive evaluation process, a more objective study, through avoiding subjective effects on the weights, and a qualitative safety assessment and quantitative safety amount are presented in the proposed method. The detailed computational procedures were also provided to illustrate the integration process of the above methods. Safety analysis of one high rocky slope is conducted to illustrate that this approach can adequately handle the inherent imprecision and contradiction of the human decision-making process and provide the flexibility and robustness needed for the decision maker to better monitor the safety status of a high rocky slope. This study was the first application of the proposed integrated evaluation method in the safety assessment of a high rocky slope. The study also indicated that it can also be applied to other similar problems.

  13. A Study on the Allowable Safety Factor of Cut-Slopes for Nuclear Facilities

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Myung Soo; Yee, Eric [KEPCO International Nuclear Graduate School, Ulsan (Korea, Republic of)

    2015-10-15

    In this study, the issues of allowable safety factor design criteria for cut-slopes in nuclear facilities is derived through case analysis, a proposed construction work slope design criteria that provides relatively detailed conditions can be applied in case of the dry season and some unclear parts of slope design criteria be modified in case of the rainy season. This safety factor can be further subdivided into two; normal and earthquake factors, a factor of 1.5 is applied for normal conditions and a factor of 1.2 is applied for seismic conditions. This safety factor takes into consideration the effect of ground water and rainfall conditions. However, no criteria for the case of cut-slope in nuclear facilities and its response to seismic conditions is clearly defined, this can cause uncertainty in design. Therefore, this paper investigates the allowable safety factor for cut-slopes in nuclear facilities, reviews conditions of both local and international cut-slope models and finally suggests an alternative method of analysis. It is expected that the new design criteria adequately ensures the stability of the cut-slope to reflect clear conditions for both the supervising and design engineers.

  14. Factors influencing workers to follow food safety management systems in meat plants in Ontario, Canada.

    Science.gov (United States)

    Ball, Brita; Wilcock, Anne; Aung, May

    2009-06-01

    Small and medium sized food businesses have been slow to adopt food safety management systems (FSMSs) such as good manufacturing practices and Hazard Analysis Critical Control Point (HACCP). This study identifies factors influencing workers in their implementation of food safety practices in small and medium meat processing establishments in Ontario, Canada. A qualitative approach was used to explore in-plant factors that influence the implementation of FSMSs. Thirteen in-depth interviews in five meat plants and two focus group interviews were conducted. These generated 219 pages of verbatim transcripts which were analysed using NVivo 7 software. Main themes identified in the data related to production systems, organisational characteristics and employee characteristics. A socio-psychological model based on the theory of planned behaviour is proposed to describe how these themes and underlying sub-themes relate to FSMS implementation. Addressing the various factors that influence production workers is expected to enhance FSMS implementation and increase food safety.

  15. Factors associated with the patient safety climate at a teaching hospital

    Directory of Open Access Journals (Sweden)

    Raíssa Bianca Luiz

    2015-10-01

    Full Text Available Objectives: to investigate the association between the scores of the patient safety climate and socio-demographic and professional variables.Methods: an observational, sectional and quantitative study, conducted at a large public teaching hospital. The Safety Attitudes Questionnaire was used, translated and validated for Brazil. Data analysis used the software Statistical Package for Social Sciences. In the bivariate analysis, we used Student's t-test, analysis of variance and Spearman's correlation of (α=0.05. To identify predictors for the safety climate scores, multiple linear regression was used, having the safety climate domain as the main outcome (α=0.01.Results: most participants were women, nursing staff, who worked in direct care to adult patients in critical areas, without a graduate degree and without any other employment. The average and median total score of the instrument corresponded to 61.8 (SD=13.7 and 63.3, respectively. The variable professional performance was found as a factor associated with the safety environment for the domain perception of service management and hospital management (p=0.01.Conclusion: the identification of factors associated with the safety environment permits the construction of strategies for safe practices in the hospitals.

  16. The likelihood of achieving quantified road safety targets: a binary logistic regression model for possible factors.

    Science.gov (United States)

    Sze, N N; Wong, S C; Lee, C Y

    2014-12-01

    In past several decades, many countries have set quantified road safety targets to motivate transport authorities to develop systematic road safety strategies and measures and facilitate the achievement of continuous road safety improvement. Studies have been conducted to evaluate the association between the setting of quantified road safety targets and road fatality reduction, in both the short and long run, by comparing road fatalities before and after the implementation of a quantified road safety target. However, not much work has been done to evaluate whether the quantified road safety targets are actually achieved. In this study, we used a binary logistic regression model to examine the factors - including vehicle ownership, fatality rate, and national income, in addition to level of ambition and duration of target - that contribute to a target's success. We analyzed 55 quantified road safety targets set by 29 countries from 1981 to 2009, and the results indicate that targets that are in progress and with lower level of ambitions had a higher likelihood of eventually being achieved. Moreover, possible interaction effects on the association between level of ambition and the likelihood of success are also revealed.

  17. Human Factors engineering criteria and design for the Hanford Waste Vitrification Plant preliminary safety analysis report

    Energy Technology Data Exchange (ETDEWEB)

    Wise, J.A.; Schur, A.; Stitzel, J.C.L.

    1993-09-01

    This report provides a rationale and systematic methodology for bringing Human Factors into the safety design and operations of the Hanford Waste Vitrification Plant (HWVP). Human Factors focuses on how people perform work with tools and machine systems in designed settings. When the design of machine systems and settings take into account the capabilities and limitations of the individuals who use them, human performance can be enhanced while protecting against susceptibility to human error. The inclusion of Human Factors in the safety design of the HWVP is an essential ingredient to safe operation of the facility. The HWVP is a new construction, nonreactor nuclear facility designed to process radioactive wastes held in underground storage tanks into glass logs for permanent disposal. Its design and mission offer new opposites for implementing Human Factors while requiring some means for ensuring that the Human Factors assessments are sound, comprehensive, and appropriately directed.

  18. Safety Problem- a Factor in Successful Functioning of the Shipping Industry

    Directory of Open Access Journals (Sweden)

    Dušan Rudić

    2012-10-01

    Full Text Available Continual growth of world maritime trade involves thegrowth of world shipping-industry capacities. This growth impliesnot only bigger ships and greater overall capacities, butalso some technical and technological changes that includenew ships, specialisation and development of new technologieswithin the maritime traffic.Due to complex navigation conditions, newer and more expensiveships that represent very complex and sensitive objects,the competition and human factor, the safety problem has oftenbeen out of control.The governments of countries within /MO and ILO increasinglyintroduce new rules and conventions to enhancenavigation safety. However, in view of economic-financial effects,many shipping companies overlook the safety problem.The most recent revision of STCW Convention and theISM Code implementation, which are becoming operative inthe current years, aim to increase the overall culture of qualitymanagement (QM and to enhance the safety management onships and in maritime companies.

  19. Electronic prescription as contributing factor for hospitalized patients' safety.

    Directory of Open Access Journals (Sweden)

    Gimenes FRE

    2006-03-01

    Full Text Available The following study was performed to identify factors related to medication errors in the computerized physician order entry and their advantages and disadvantages according to doctors, nursing team and administrative officers. It is a survey descriptive study carried out at three units of a Brazilian academic hospital in the southeast area. The study was divided in two phases. In the first phase, we analyzed a total of 1,349 prescriptions from general medical unit, surgical and orthopaedic wards during 30 days consecutively. A semi-structured instrument, elaborated by a group of researchers for the study proposals, was used. In the second phase, a semi-structured questionnaire was applied to the health professionals containing closed and open items approaching their opinion about the composition of electronic prescription, the advantages and disadvantages of them, and their suggestions for its improvement. Out of 1,349 prescriptions observed, 17.5% presented deletions, 25.0% medicines written manually and 17.0% of them were incomplete. Some of the advantages pointed by health professionals were its legibility (37.5%, little time spent when elaborating and emitting them (20.5% and the way they are a practical and organized (8%. The disadvantages pointed were repetition of previous prescriptions (34%, typing mistakes (17%, dependence on computers (11% and alterations made manually (7%. We conclude, this way, that the computerized prescription order entry represents a great progress among the strategies used to minimize medication errors caused by prescriptions badly formulated. However, it doesn't eradicate the possibility of medication error occurrences, needing some system modifications.

  20. A Study on the Holding Capacity Safety Factors for Torpedo Anchors

    Directory of Open Access Journals (Sweden)

    Luís V. S. Sagrilo

    2012-01-01

    Full Text Available The use of powerful numerical tools based on the finite-element method has been improving the prediction of the holding capacity of fixed anchors employed by the offshore oil industry. One of the main achievements of these tools is the reduction of the uncertainty related to the holding capacity calculation of these anchors. Therefore, it is also possible to reduce the values of the associated design safety factors, which have been calibrated relying on models with higher uncertainty, without impairing the original level of structural safety. This paper presents a study on the calibration of reliability-based safety factors for the design of torpedo anchors considering the statistical model uncertainty evaluated using results from experimental tests and their correspondent finite-element-based numerical predictions. Both working stress design (WSD and load and resistance factors design (LRFD design methodologies are investigated. Considering the WSD design methodology, the single safety is considerably lower than the value typically employed in the design of torpedo anchors. Moreover, a LRFD design code format for torpedo anchors is more appropriate since it leads to designs having less-scattered safety levels around the target value.

  1. Discussion on the Safety Factors of Slopes Recommended for Small Dams

    Directory of Open Access Journals (Sweden)

    Jan Vrubel

    2017-01-01

    Full Text Available The design and assessment of the slope stability of small embankment dams is usually not carried out using slope stability calculations but rather by the comparison of proposed or existing dam slopes with those recommended by technical standards or guidelines. Practical experience shows that in many cases the slopes of small dams are steeper than those recommended. However, most of such steeper slopes at existing dams do not exhibit any visible signs of instability, defects or sliding. For the dam owner and also for dam stability engineers, the safety of the slope, expressed e.g. via a factor of safety, is crucial. The aim of this study is to evaluate the safety margin provided by recommended slopes. The factor of safety was evaluated for several dam shape and layout variants via the shear strength reduction method using PLAXIS software. The study covers various dam geometries, dam core and shoulder positions and parameter values of utilised soils. Three load cases were considered: one with a steady state seepage condition and two with different reservoir water level drawdown velocities – standard and critical. As numerous older small dams lack a drainage system, variants with and without a toe drain were assessed. Calculated factors of safety were compared with required values specified by national standards and guidelines.

  2. SAFETY

    CERN Multimedia

    M. Plagge, C. Schaefer and N. Dupont

    2013-01-01

    Fire Safety – Essential for a particle detector The CMS detector is a marvel of high technology, one of the most precise particle measurement devices we have built until now. Of course it has to be protected from external and internal incidents like the ones that can occur from fires. Due to the fire load, the permanent availability of oxygen and the presence of various ignition sources mostly based on electricity this has to be addressed. Starting from the beam pipe towards the magnet coil, the detector is protected by flooding it with pure gaseous nitrogen during operation. The outer shell of CMS, namely the yoke and the muon chambers are then covered by an emergency inertion system also based on nitrogen. To ensure maximum fire safety, all materials used comply with the CERN regulations IS 23 and IS 41 with only a few exceptions. Every piece of the 30-tonne polyethylene shielding is high-density material, borated, boxed within steel and coated with intumescent (a paint that creates a thick co...

  3. SAFETY

    CERN Multimedia

    C. Schaefer and N. Dupont

    2013-01-01

      “Safety is the highest priority”: this statement from CERN is endorsed by the CMS management. An interpretation of this statement may bring you to the conclusion that you should stop working in order to avoid risks. If the safety is the priority, work is not! This would be a misunderstanding and misinterpretation. One should understand that “working safely” or “operating safely” is the priority at CERN. CERN personnel are exposed to different hazards on many levels on a daily basis. However, risk analyses and assessments are done in order to limit the number and the gravity of accidents. For example, this process takes place each time you cross the road. The hazard is the moving vehicle, the stake is you and the risk might be the risk of collision between both. The same principle has to be applied during our daily work. In particular, keeping in mind the general principles of prevention defined in the late 1980s. These principles wer...

  4. Rationalization of safety factors for breakwater design in hurricane-prone areas

    NARCIS (Netherlands)

    Tsimopoulou, V.; Kanning, W.; Verhagen, H.J.; Vrijling, J.K.

    2011-01-01

    This paper presents the development of a semi-probabilistic method for armour layer design of rubble mound breakwaters, which is based on the use of safety factors. The objective is to introduce an approach that is both attractive to designers and sufficiently reliable when a high degree of uncertai

  5. Safety and Efficacy of BAY 94-9027, a Prolonged-Half-Life Factor VIII

    DEFF Research Database (Denmark)

    Reding, M T; Ng, H J; Poulsen, Lone Hvitfeldt

    2016-01-01

    BACKGROUND: BAY 94-9027 is a B-domain-deleted prolonged-half-life recombinant factor VIII (FVIII) conjugates in a site-specific manner with polyethylene glycol. OBJECTIVE: Assess efficacy and safety of BAY 94-9027 for prophylaxis and treatment of bleeds in patients with severe hemophilia A PATIEN...

  6. On the Minimum Safety Factor in Elastic Buckling of Fuel Rod

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Hyung Kyu; Kim, Jae Yong; Yoon, Kyung Ho; Lee, Young Ho; Lee, Kang Hee; Kang, Heung Seok; Song, Kun Woo [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2010-10-15

    Elastic buckling of a thin tube is an instantaneous collapse phenomenon due to an external pressure. This should be prohibited for a PWR (Pressurized Water Reactor) fuel rod. There is an engineering formula of it; however, safety factor used to be applied to the calculation results since there will be uncertainty in the parameters of the formulae such as dimensional tolerances, environmental conditions and so forth. It is a designer's responsibility to determine an appropriate safety factor that is acceptably economically conservative. Mechanical properties of a material are usually adopted from a material handbook. However, they are usually different from the measured values of the material actually used. A local dimension anomaly critically affects the elastic buckling. Conventional safety factors against the elastic buckling seemed to be large (more than 3.5). However, the reason for this is rarely found. Engineering experience may be incorporated. Therefore, it is highly necessary to propose a minimum safety factor on the elastic buckling while accommodating the above mentioned uncertainties. It is so especially for the dual cooled fuel rod since it has never been used before. The primary purpose of this work is to quantify the aforementioned uncertainties of the parameters in the elastic buckling formula, especially for an outer cladding of the currently studied dual cooled fuel rod. It is extended from the previous theoretical and experimental study

  7. Safe use of mine winding rope, volume 2: recommendations for changes in rope safety factors.

    CSIR Research Space (South Africa)

    Hecker, GFK

    1996-04-01

    Full Text Available The steering committee on factors of safety of winder ropes has appointed a working group to draw up a set of proposals for changing the regulations governing the required rope strength in the Minerals Act. Certain research projects have been...

  8. Structural safety: Study into critical factors in the design and construction process

    NARCIS (Netherlands)

    Terwel, K.C.

    2014-01-01

    Failure investigations show that 80-85% of the structural failures are caused by inadequacies in the design and construction process, related to human and organizational factors. This study showed that safety culture, allocation of responsibilities control, communication and collaboration and knowl

  9. Rationalization of safety factors for breakwater design in hurricane-prone areas

    NARCIS (Netherlands)

    Tsimopoulou, V.; Kanning, W.; Verhagen, H.J.; Vrijling, J.K.

    2011-01-01

    This paper presents the development of a semi-probabilistic method for armour layer design of rubble mound breakwaters, which is based on the use of safety factors. The objective is to introduce an approach that is both attractive to designers and sufficiently reliable when a high degree of uncertai

  10. Safety Factor of Anisotropic Bars in the Space of Generalized Forces

    Science.gov (United States)

    Sibgatullin, K. E.; Sibgatullin, E. S.

    2017-01-01

    Bars of arbitrary shape made of a homogeneous anisotropic material are considered. In the general case, in their cross section, nonzero are all internal force factors (IFF) — three forces and three moments. The values of the IFF are known from solutions of the corresponding problem. The safety factor for the load-carrying capacity of the beams is determined by comparing the known vector R ∗ of IFF with the corresponding desired strength vector R in the IFF space.

  11. Analysis on Pollution Factors in Asparagus Production and Research on Safety Production Technology

    OpenAIRE

    Ma, Liping; Hao, Bianqing; Qiao, Xiongwu

    2013-01-01

    Based on the analysis on the infection degree, infection law and influencing factors of the main diseases on asparagus and the analysis on the pollution factors in asparagus production such as blind pesticide use, atmospheric pollution and acid rain, the pollution of soil and fertilizer, this article proposes asparagus safety production technologies which include the selection of disease-resistant variety and suitable planting field, scientific and reasonable disease control, balanced fertili...

  12. Quality management and safety culture in medicine – Do standard quality reports provide insights into the human factor of patient safety?

    Directory of Open Access Journals (Sweden)

    Wischet, Werner

    2009-12-01

    Full Text Available In 1999 the Institute of Medicine (IOM published the landmark report “To err is human: building a safer healthcare system” highlighting critical deficiencies within the area of patient safety. As a consequence, safety culture evolved as a core component of quality management in medicine. Purpose of the investigation at hand was to find out to what extent this is reflected in standard quality reports issued by German hospitals providing maximum medical care. Reports issued for the year 2006 were analysed with respect to the appearance of indicators for the presence of a safety culture. Results suggest that despite the huge awareness for patient safety caused by the IOM report, the topic of safety culture does not get the anticipated attention within the quality reports. This may indicate that the current requirements for the quality reports do not facilitate transparency when it comes to the human factor of patient safety.

  13. Effects of a Workplace Intervention Targeting Psychosocial Risk Factors on Safety and Health Outcomes

    Directory of Open Access Journals (Sweden)

    Leslie B. Hammer

    2015-01-01

    Full Text Available The goal of this study was to test the effectiveness of a workplace intervention targeting work-life stress and safety-related psychosocial risk factors on health and safety outcomes. Data were collected over time using a randomized control trial design with 264 construction workers employed in an urban municipal department. The intervention involved family- and safety-supportive supervisor behavior training (computer-based, followed by two weeks of behavior tracking and a four-hour, facilitated team effectiveness session including supervisors and employees. A significant positive intervention effect was found for an objective measure of blood pressure at the 12-month follow-up. However, no significant intervention results were found for self-reported general health, safety participation, or safety compliance. These findings suggest that an intervention focused on supervisor support training and a team effectiveness process for planning and problem solving should be further refined and utilized in order to improve employee health with additional research on the beneficial effects on worker safety.

  14. Human factors engineering suitability verification of APR1400 soft control and safety console

    Energy Technology Data Exchange (ETDEWEB)

    Kang, S. G.; Kim, Y. K.; Shin, Y. C.; Jeo, S. J. [Nuclear Environment Technology Institute, Taejon (Korea, Republic of)

    2003-10-01

    At first, standard design of APR1400 is designed to support the operation of the EOP using soft control of safety and non-safety like the control room of N4 and AP600. However, KINS required that the design of the soft control for the operation of the EOP is safety grade. According to the comment of the KINS, the concept of the soft control is changed into the concept of the separation of the safety and non-safety for the design of the soft control. KINS required that the result of the HFE suitability verification for changed design is submitted to obtain the approval of the design certification. It was assessed that channelized soft controller is advantageous at the side of operator's mistake prevention and convenience. But non-channelized soft control was assessed that it was the most advantageous considering human factor. Safety console operation strategy is assessed that it is properly without problem during experiment period.

  15. Factors Influencing the Safety Behavior of German Equestrians: Attitudes towards Protective Equipment and Peer Behaviors

    Directory of Open Access Journals (Sweden)

    Christina-Maria Ikinger

    2016-02-01

    Full Text Available Human interactions with horses entail certain risks. Although the acceptance and use of protective gear is increasing, a high number of incidents and very low or inconsistent voluntary use of safety equipment are reported. While past studies have examined factors influencing the use of safety gear, they have explored neither their influence on the overall safety behavior, nor their relative influence in relation to each other. The aim of the present study is to fill this gap. We conducted an online survey with 2572 participants. By means of a subsequent multiple regression analysis, we explored 23 different variables in view of their influence on the protective behavior of equestrians. In total, we found 17 variables that exerted a significant influence. The results show that both having positive or negative attitudes towards safety products as well as the protective behavior of other horse owners or riding pupils from the stable have the strongest influence on the safety behavior of German equestrians. We consider such knowledge to be important for both scientists and practitioners, such as producers of protective gear or horse sport associations who might alter safety behavior in such a way that the number of horse-related injuries decreases in the long term.

  16. Effects of a Workplace Intervention Targeting Psychosocial Risk Factors on Safety and Health Outcomes

    Science.gov (United States)

    Hammer, Leslie B.; Truxillo, Donald M.; Bodner, Todd; Rineer, Jennifer; Pytlovany, Amy C.; Richman, Amy

    2015-01-01

    The goal of this study was to test the effectiveness of a workplace intervention targeting work-life stress and safety-related psychosocial risk factors on health and safety outcomes. Data were collected over time using a randomized control trial design with 264 construction workers employed in an urban municipal department. The intervention involved family- and safety-supportive supervisor behavior training (computer-based), followed by two weeks of behavior tracking and a four-hour, facilitated team effectiveness session including supervisors and employees. A significant positive intervention effect was found for an objective measure of blood pressure at the 12-month follow-up. However, no significant intervention results were found for self-reported general health, safety participation, or safety compliance. These findings suggest that an intervention focused on supervisor support training and a team effectiveness process for planning and problem solving should be further refined and utilized in order to improve employee health with additional research on the beneficial effects on worker safety. PMID:26557703

  17. Behavioral risk factors associated with listeriosis in the home: a review of consumer food safety studies.

    Science.gov (United States)

    Evans, Ellen W; Redmond, Elizabeth C

    2014-03-01

    Listeria monocytogenes causes human listeriosis, which is associated with the highest hospitalization and mortality rates of all foodborne illnesses. In recent years, the incidence of listeriosis has doubled in Europe, almost exclusively among older adults (≥ 60 years of age). Food safety factors associated with increased risk of listeriosis include lack of adherence to "use by" dates and ineffective refrigerated storage of foods. Consequently, older adult consumers' implementation of safe food practices should be evaluated. This article is a review of consumer food safety cognitive and behavioral data relating to risk factors associated with listeriosis in the home as reported in 165 consumer food safety studies. Overall, only 41% of studies included assessment of consumer cognitive or behavioral data associated with listeriosis; of these studies 59% included data on safe refrigeration, 54% included data on storage time for opened ready-to-eat foods, and 49% included data on adherence to use-by dates. In most (83%) of the studies, survey-based data collection methods (questionnaires/interviews) were used; thus, the majority of findings were based on self-report (74%) and knowledge (44%). Observation (31%) and focus groups (12%) were less commonly used, resulting in a lack of actual behaviors and attitudinal data relating to listeriosis risk factors. Only 7% of studies included food safety data for older adults. Although older adults may fail to implement recommended practices, this review reveals a need for in-depth research to determine food safety attitudes and actual behaviors of older adults in conjunction with knowledge and selfreport of practices linked to increased risks of listeriosis. Such data combined with review findings would inform targeted food safety education to reduce risks associated with listeriosis in the home.

  18. Analysis of Traffic Safety Factors at Level Rail-Road Crossings

    Directory of Open Access Journals (Sweden)

    Tomislav Mlinarić

    2012-10-01

    Full Text Available The paper analyses the main factors of traffic safety andreliabilityat level crossings. The number and causes of accidentsare stated, that result from ignorance, insufficient training ofthe traffic participants, their ilnsponsibility and insufficient orincomplete legislation, as well as from insufficiently professionaland scientifically not serious enough approach to solvingthis cardinal problem in road and railway traffic. Based on theanalysis the causes are determined and solutions proposed, aswell as more efficient methods to improve safety and reduce thenumber of traffic accidents at level crossings.

  19. Hazard Management Dealt by Safety Professionals in Colleges: The Impact of Individual Factors

    Science.gov (United States)

    Wu, Tsung-Chih; Chen, Chi-Hsiang; Yi, Nai-Wen; Lu, Pei-Chen; Yu, Shan-Chi; Wang, Chien-Peng

    2016-01-01

    Identifying, evaluating, and controlling workplace hazards are important functions of safety professionals (SPs). The purpose of this study was to investigate the content and frequency of hazard management dealt by safety professionals in colleges. The authors also explored the effects of organizational factors/individual factors on SPs’ perception of frequency of hazard management. The researchers conducted survey research to achieve the objective of this study. The researchers mailed questionnaires to 200 SPs in colleges after simple random sampling, then received a total of 144 valid responses (response rate = 72%). Exploratory factor analysis indicated that the hazard management scale (HMS) extracted five factors, including physical hazards, biological hazards, social and psychological hazards, ergonomic hazards, and chemical hazards. Moreover, the top 10 hazards that the survey results identified that safety professionals were most likely to deal with (in order of most to least frequent) were: organic solvents, illumination, other chemicals, machinery and equipment, fire and explosion, electricity, noise, specific chemicals, human error, and lifting/carrying. Finally, the results of one-way multivariate analysis of variance (MANOVA) indicated there were four individual factors that impacted the perceived frequency of hazard management which were of statistical and practical significance: job tenure in the college of employment, type of certification, gender, and overall job tenure. SPs within colleges and industries can now discuss plans revolving around these five areas instead of having to deal with all of the separate hazards. PMID:27918474

  20. Hazard Management Dealt by Safety Professionals in Colleges: The Impact of Individual Factors

    Directory of Open Access Journals (Sweden)

    Tsung-Chih Wu

    2016-12-01

    Full Text Available Identifying, evaluating, and controlling workplace hazards are important functions of safety professionals (SPs. The purpose of this study was to investigate the content and frequency of hazard management dealt by safety professionals in colleges. The authors also explored the effects of organizational factors/individual factors on SPs’ perception of frequency of hazard management. The researchers conducted survey research to achieve the objective of this study. The researchers mailed questionnaires to 200 SPs in colleges after simple random sampling, then received a total of 144 valid responses (response rate = 72%. Exploratory factor analysis indicated that the hazard management scale (HMS extracted five factors, including physical hazards, biological hazards, social and psychological hazards, ergonomic hazards, and chemical hazards. Moreover, the top 10 hazards that the survey results identified that safety professionals were most likely to deal with (in order of most to least frequent were: organic solvents, illumination, other chemicals, machinery and equipment, fire and explosion, electricity, noise, specific chemicals, human error, and lifting/carrying. Finally, the results of one-way multivariate analysis of variance (MANOVA indicated there were four individual factors that impacted the perceived frequency of hazard management which were of statistical and practical significance: job tenure in the college of employment, type of certification, gender, and overall job tenure. SPs within colleges and industries can now discuss plans revolving around these five areas instead of having to deal with all of the separate hazards.

  1. Hazard Management Dealt by Safety Professionals in Colleges: The Impact of Individual Factors.

    Science.gov (United States)

    Wu, Tsung-Chih; Chen, Chi-Hsiang; Yi, Nai-Wen; Lu, Pei-Chen; Yu, Shan-Chi; Wang, Chien-Peng

    2016-12-03

    Identifying, evaluating, and controlling workplace hazards are important functions of safety professionals (SPs). The purpose of this study was to investigate the content and frequency of hazard management dealt by safety professionals in colleges. The authors also explored the effects of organizational factors/individual factors on SPs' perception of frequency of hazard management. The researchers conducted survey research to achieve the objective of this study. The researchers mailed questionnaires to 200 SPs in colleges after simple random sampling, then received a total of 144 valid responses (response rate = 72%). Exploratory factor analysis indicated that the hazard management scale (HMS) extracted five factors, including physical hazards, biological hazards, social and psychological hazards, ergonomic hazards, and chemical hazards. Moreover, the top 10 hazards that the survey results identified that safety professionals were most likely to deal with (in order of most to least frequent) were: organic solvents, illumination, other chemicals, machinery and equipment, fire and explosion, electricity, noise, specific chemicals, human error, and lifting/carrying. Finally, the results of one-way multivariate analysis of variance (MANOVA) indicated there were four individual factors that impacted the perceived frequency of hazard management which were of statistical and practical significance: job tenure in the college of employment, type of certification, gender, and overall job tenure. SPs within colleges and industries can now discuss plans revolving around these five areas instead of having to deal with all of the separate hazards.

  2. Analysis of contributing factors associated to related patients safety incidents in Intensive Care Medicine.

    Science.gov (United States)

    Martín Delgado, M C; Merino de Cos, P; Sirgo Rodríguez, G; Álvarez Rodríguez, J; Gutiérrez Cía, I; Obón Azuara, B; Alonso Ovies, Á

    2015-01-01

    To explore contributing factors (CF) associated to related critical patients safety incidents. SYREC study pos hoc analysis. A total of 79 Intensive Care Departments were involved. The study sample consisted of 1.017 patients; 591 were affected by one or more incidents. The CF were categorized according to a proposed model by the National Patient Safety Agency from United Kingdom that was modified. Type, class and severity of the incidents was analyzed. A total 2,965 CF were reported (1,729 were associated to near miss and 1,236 to adverse events). The CF group more frequently reported were related patients factors. Individual factors were reported more frequently in near miss and task related CF in adverse events. CF were reported in all classes of incidents. The majority of CF were reported in the incidents classified such as less serious, even thought CF patients factors were associated to serious incidents. Individual factors were considered like avoidable and patients factors as unavoidable. The CF group more frequently reported were patient factors and was associated to more severe and unavoidable incidents. By contrast, individual factors were associated to less severe and avoidable incidents. In general, CF most frequently reported were associated to near miss. Copyright © 2014 Elsevier España, S.L.U. and SEMICYUC. All rights reserved.

  3. Analysis on Pollution Factors in Asparagus Production and Research on Safety Production Technology

    Institute of Scientific and Technical Information of China (English)

    Liping; MA; Bianqing; HAO; Xiongwu; QIAO

    2013-01-01

    Based on the analysis on the infection degree,infection law and influencing factors of the main diseases on asparagus and the analysis on the pollution factors in asparagus production such as blind pesticide use,atmospheric pollution and acid rain,the pollution of soil and fertilizer,this article proposes asparagus safety production technologies which include the selection of disease-resistant variety and suitable planting field,scientific and reasonable disease control,balanced fertilization,rational irrigation,making a good job of field management, etc.,to reduce pathogenic factors.

  4. Factors Of Environmental Safety And Environmentally Efficient Technologies Transportation Facilities Gas Transportation Industry

    Science.gov (United States)

    Vasiliev, Bogdan U.

    2017-01-01

    The stable development of the European countries depends on a reliable and efficient operation of the gas transportation system (GTS). With high reliability of GTS it is necessary to ensure its industrial and environmental safety. In this article the major factors influencing on an industrial and ecological safety of GTS are analyzed, sources of GTS safety decreasing is revealed, measures for providing safety are proposed. The article shows that use of gas-turbine engines of gas-compressor units (GCU) results in the following phenomena: emissions of harmful substances in the atmosphere; pollution by toxic waste; harmful noise and vibration; thermal impact on environment; decrease in energy efficiency. It is shown that for the radical problem resolution of an industrial and ecological safety of gas-transmission system it is reasonable to use gas-compressor units driven by electric motors. Their advantages are shown. Perspective technologies of these units and experience of their use in Europe and the USA are given in this article.

  5. Evolution of recombinant factor VIII safety: KOGENATE and Kogenate FS/Bayer.

    Science.gov (United States)

    Lusher, Jeanne M; Scharrer, Inge

    2009-11-01

    The use of factor VIII (FVIII) concentrates in the treatment of hemophilia A has raised important safety issues, historically of pathogen transmission and increasingly of inhibitor development to FVIII treatment. While manufacturing processes of current recombinant FVIII products have been shaped entirely around preventing pathogen transmission, the same modifications that afford a greater margin of safety could affect immunogenicity of the product, consequences of which could only be seen through long-term clinical experience. This review summarizes pathogen safety and inhibitor reports from clinical trials, post-marketing surveillance studies, and study reports on KOGENATE and its successor, Kogenate FS/Bayer. Although KOGENATE and Kogenate FS/Bayer are nearly identical products, subtle manufacturing improvements to address the need for greater margins of safety from a pathogen transmission perspective have also led to a potentially improved immunogenicity profile (15% in previously untreated/minimally treated patients with severe hemophilia A for Kogenate FS/Bayer). Notably, there has been no occurrence of pathogen contamination, and minimal de novo inhibitor formation in previously treated patients throughout the use of both products. Overall, KOGENATE and Kogenate FS/Bayer have a long history of safety in a variety of clinical settings, including treatment of bleeding, surgical management, and prophylaxis therapy.

  6. Reliability-based Calibration of Partial Safety Factors for Wave Energy Converters

    DEFF Research Database (Denmark)

    Ambühl, Simon; Kramer, Morten Mejlhede; Sørensen, John Dalsgaard

    2015-01-01

    of partial safety factors for design of welded details for wave energy converter applications is presented in this paper using probabilistic methods. The paper presents an example with focus on the Wavestar device. SN curves and Rainflow counting are used to model fatigue without considering inspections......Wave energy converters (WECs), which harvest energy from the waves and transfer them to electricity, are a new technology, where structural standards need to be developed. An important step towards standardization is the calibration of partial safety factors. A methodology for calibration....... The influence of inspections is modelled using a fracture mechanics approach, which is calibrated by the SN curve approach. Furthermore, the paper assesses the influence of the inspection quality. The results show that with multiple inspections during the lifetime of the device and by applying a good inspection...

  7. Seepage-Based Factor of Safety Analysis Using 3D Groundwater Simulation Results

    Science.gov (United States)

    2014-08-01

    Hydraulics Engineering Technical Note (CHETN) is to document techniques for computing Factors of Safety (FoS) for seepage-related soil instability...topography, geology, sources or sinks , and boundary conditions along the length of the soil structure. If these conditions exist, a 3D model may be needed... hydraulic gradient, and iv is the exit gradient at the point of interest. The critical, stable, and unstable conditions are thus defined as FoS = 1, FoS

  8. Study on creation and destruction of transport barriers via effective safety factors for energetic particles

    OpenAIRE

    Ogawa, Shun; Leoncini, Xavier; Dif-Pradalier, Guilhem; Garbet, Xavier

    2016-01-01

    Charged particles with low kinetic energy move along magnetic field lines, but so do not energetic particles. We investigate the topological structure changes in the phase space of energetic particles with respect to the magnetic one. For this study cylindrical magnetic fields with non-monotonic safety factors that induce the magnetic internal transport barrier are considered. We show that the topological structure of the magnetic field line and of the particle trajectories can be quite diffe...

  9. Hydrodynamic and symmetry safety factors of HiPER's targets

    Energy Technology Data Exchange (ETDEWEB)

    Hallo, L; Olazabal-Loume, M; Ribeyre, X; Drean, V; Schurtz, G; Feugeas, J-L; Breil, J; Nicolai, Ph; Maire, P-H [CELIA, Universite Bordeaux 1, 351 cours de La Liberation, 33405 Talence (France)], E-mail: hallo@celia.u-bordeaux1.fr

    2009-01-15

    Hydrodynamics and robustness of three high yield targets within the HiPER project are presented. Using realistic illumination nonuniformity configuration, hydrodynamic perturbations sensitivity analysis is carried out. A rather simple hydrodynamic perturbation modeling sequence is validated thanks to 2D simulations. 1D simulations post-processed with such a modeling sequence provide a good estimation of the thermonuclear burn. First estimates of hydrodynamic safety factor are given.

  10. Safety and tolerability of tumor necrosis factor-α inhibitors in psoriasis: a narrative review.

    Science.gov (United States)

    Semble, Ashley L; Davis, Scott A; Feldman, Steven R

    2014-02-01

    Tumor necrosis factor (TNF)-α inhibitors are an alternative to oral systemic therapies for psoriasis. Data regarding the safety of TNF-α inhibitors from randomized clinical trials may not fully reflect the effects on the clinic patient population receiving the therapy, but other sources of information are available. We performed a literature review to assess the safety and tolerability of the treatment of moderate-to-severe plaque psoriasis with TNF-α inhibitors. A literature search was conducted using PubMed for articles dating from January 2000 to October 2013. Randomized controlled, cohort, open-label, and observational studies were included, as well as case reports and letters to the editor. Articles found on PubMed describing the safety of anti-TNF-α therapy in psoriasis patients were included, while studies highlighting interleukin (IL)-12 and IL-23 inhibitors were excluded, as were non-English articles. In total, 58 articles were included in the review. TNF-α inhibitors exhibit both efficacy and tolerability in patients with moderate-to-severe plaque psoriasis. Adverse effects associated with these medications are not common and can be minimized with routine clinical monitoring and patient education. While the risk of severe adverse events is low, the lack of very large, long-term, randomized safety trials limits the ability to fully define the safety of these agents. TNF-α inhibitors have a good efficacy/safety ratio for use in patients with moderate-to-severe psoriasis. Serious adverse effects are not common, and common injection-site reactions are usually manageable. The benefits of TNF-α inhibitors outweigh the risks for moderate-to-severe psoriasis; however, there are potential adverse effects and the patient populations at highest risk include the elderly and those with a history of malignancy.

  11. Minimum Safety Factor for Evaluation of Critical Buckling Pressure of Zirconium Alloy Tube

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Hyung Kyu; Kim, Jae Yong; Yoon, Kyung Ho; Lee, Young Ho; Lee, Kang Hee; Kang, Heung Seok [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2011-03-15

    We consider the uncertainty in the elastic buckling formula for a thin tube. We take into account the measurement uncertainty of Young's modulus and Poisson's ratio and the tolerance of the tube thickness and diameter. Elastic buckling must be prohibited for a thin tube such as a nuclear fuel rod that must satisfy a self-stand criterion. Since the predicted critical buckling pressure overestimated that found in the experiment, the determination of the minimum safety factor is crucial. The uncertainty in each parameter (i.e., Young's modulus, Poisson's ratio, thickness, and diameter) is mutually independent, so the safety factor is evaluated as the sum of the inverse of each uncertainty. We found that the thickness variation greatly affects the uncertainty. The minimum safety factor of a thin tube of Zirconium alloy is evaluated as 1.547 for a thickness of 0.87 mm and 3.487 for a thickness of 0.254 mm.

  12. Investigation of occupational health and safety application using the internal and external factor assessment matrix: SWOT

    Directory of Open Access Journals (Sweden)

    2012-09-01

    Material and Method: IIn this study, the threats, opportunities, weaknesses and strengths were evaluated by one of the tools named SWOT, in one of the assembly industries company in Iran, in order to controlling the operations in this company considering to safety and health standard (OHSAS18001. A comparison of the company’s performance in implementing the safety and health standards was done between years 1387 and 1388 contain in the Company considered, and weighted scoring weaknesses, strengths, threats and opportunities using the matrix of internal factors (strengths and weaknesses and external factors (treats and opportunities then, the importance of each factor were determined in the company’s implementation and enforcement of those standards. . Result: Focusing on the strengths and weaknesses, opportunities and threats, some strategies to improve the implementation were presented. Any points were weighted based on the most important weaknesses identified as the lack of monitoring contractors, lack of management commitment for implementation of OHSAS18001, no attempt to identify the risks of change, lack of training needs assessment, main strengths identified in the context of adequate budget health and safety, environmental efforts, identify risk for abnormal conditions, the most important threats for immediate delivery customer orders and the opportunity to support the safety and health plans, were determined. . Conclusion: Sum of the weighted scores in year 87 were obtained for the external factors (opportunities and threats, 2.16 and internal factors (strengths and weaknesses 1.66. Both of these scores were less than 2.5 (minimum amount of the acceptable rate so, the company has been poor performance in the implementation of this standard for the year 87 and a weak reaction in the use of opportunities and the minimize threats has. In case of internal factors, it was worse than external one and the situation was more bold of the weaknesses companies to

  13. ORGANIZATIONAL CULTURE AS ONE OF THE MAIN FACTORS FOR THE SUCCESSFUL SAFETY MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Snežana Živković

    2016-05-01

    Full Text Available The goal of this research is to establish the influence of organizational culture on the system of safety and health at work. The research sample included 556 respondents of various activities in Russia. Based on the results, it can be concluded that there is a statistically significant connection of the Attitude towards occupational safety with 5 out of 7 aspects of organizational culture, as well as with the general factor of Usefulness of the manner of management. In addition, there is a statistically significant connection to age, total years of service and qualifications. Through a comparative analysis of results acquired in the Republic of Serbia and Russia, differences in attitudes towards safety and health activities at work were acquired i.e. there is a difference between the average answers of respondents from Serbia and Russia in the Attitude towards occupational safety which is on average slightly more prominent in respondents from Serbia. In relation to organizational culture aspects, there are differences in Vision, Credibility, Feedback and recognition as well as Responsibility. Respondents from Serbia have higher average values on all these measures, but all the differences are small (all effect sizes are below 0.2.

  14. Factors that impact on the safety of patient handovers: an interview study.

    Science.gov (United States)

    Siemsen, Inger Margrete Dyrholm; Madsen, Marlene Dyrløv; Pedersen, Lene Funck; Michaelsen, Lisa; Pedersen, Anette Vesterskov; Andersen, Henning Boje; Østergaard, Doris

    2012-07-01

    Improvement of clinical handover is fundamental to meet the challenges of patient safety. The primary aim of this interview study is to explore healthcare professionals' attitudes and experiences with critical episodes in patient handover in order to elucidate factors that impact on handover from ambulance to hospitals and within and between hospitals. The secondary aim is to identify possible solutions to optimise handovers, defined as "situations where the professional responsibility for some or all aspects of a patient's diagnosis, treatment or care is transferred to another person on a temporary or permanent basis". We conducted 47 semi-structured single-person interviews in a large university hospital in the Capital Region in Denmark in 2008 and 2009 to obtain a comprehensive picture of clinicians' perceptions of self-experienced critical episodes in handovers. We included different types of handover processes that take place within several specialties. A total of 23 nurses, three nurse assistants, 13 physicians, five paramedics, two orderlies, and one radiographer from different departments and units were interviewed. We found eight central factors to have an impact on patient safety in handover situations: communication, information, organisation, infrastructure, professionalism, responsibility, team awareness, and culture. The eight factors identified indicate that handovers are complex situations. The organisation did not see patient handover as a critical safety point of hospitalisation, revealing that the safety culture in regard to handover was immature. Work was done in silos and many of the handover barriers were seen to be related to the fact that only few had a full picture of a patient's complete pathway.

  15. Traffic safety as a factor of improving logistics in construction sector

    Directory of Open Access Journals (Sweden)

    Ognjenovic Slobodan

    2016-01-01

    Full Text Available Security is a complex problem. It includes the driver’s behavior, the features of the vehicle, those of the road and the driving conditions. Security can be approached from the aspect of the vehicle and pavement design, of driving habits, traffic regulation and application of laws. The good coordination of the driver, the vehicle and the road enables for better estimation of the traffic safety relations and interrelations giving the possibilities of improvement of the situation at present and in future. The driver has the main role in the determination of the success or failure of the road system. Over 90% of the accidents are due to improper behavior of people in traffic. Understanding of the human factors is the key factor in the optimal road design and traffic flow. Nevertheless, engineers need more understanding about driving behavior, as they are responsible for road design, for the traffic flow, and for the regulations intended to avoid errors wherever possible. The purpose of this paper is to inform about the current situation both in practice and in the researches of traffic safety, as well as to yield a broader review of the actual traffic safety situation on the roads in Republic of Macedonia.

  16. Internationalisation in Road Transport of Goods in Norway: Safety Outcomes, Risk Factors and Policy Implications

    Directory of Open Access Journals (Sweden)

    Tor-Olav Nævestad

    2017-09-01

    Full Text Available The European Union (EU promotes a gradual lifting of restrictions on foreign hauliers involved in domestic road transport of goods (cabotage, and liberalization of the current road cabotage rules may further increase the proportion of foreign heavy goods vehicles (HGVs on Norwegian roads. The aims of the present study are to: (1 Examine the safety outcomes of increasing internationalisation in (Norwegian road transport of goods; and (2 Discuss the importance of potential risk factors related to increasing proportions of foreign HGVs on Norwegian roads. We use four data sources to shed light on the aims. Results show that foreign HGVs account for 6% of the average domestic transport in Norway, and 11% of the HGVs involved in personal injury accidents. Additionally, foreign HGVs have a three times higher risk of single vehicle accidents, and twice the risk of head-on collisions. Foreign HGV drivers also seem more likely to trigger fatal accidents. We conclude that two risk factors seem to be important: (1 experience with/competence on Norwegian roads and (2 winter driving. Thus, the safety challenge is not that the drivers are foreign, but that they to some extent lack experience with, and competence on, the Norwegian road networks and the challenges that these roads may pose (e.g., narrow roads with high gradients, many curves, snow and ice. Previous research from other countries has also found that lacking experience with national road networks is an important risk factor. Given our results on risk factors, we may hypothesize that if foreign HGV drivers get more experience and education on Norwegian driving conditions, then increased internationalization could perhaps be of less concern in road safety. When discussing the higher accident risk and lower experience of foreign HGV drivers in Norway, it is important to note that the reason for foreign HGV drivers, working for foreign hauliers, to drive in Norway is that there are customers of the

  17. Factors shaping effective utilization of health information technology in urban safety-net clinics.

    Science.gov (United States)

    George, Sheba; Garth, Belinda; Fish, Allison; Baker, Richard

    2013-09-01

    Urban safety-net clinics are considered prime targets for the adoption of health information technology innovations; however, little is known about their utilization in such safety-net settings. Current scholarship provides limited guidance on the implementation of health information technology into safety-net settings as it typically assumes that adopting institutions have sufficient basic resources. This study addresses this gap by exploring the unique challenges urban resource-poor safety-net clinics must consider when adopting and utilizing health information technology. In-depth interviews (N = 15) were used with key stakeholders (clinic chief executive officers, medical directors, nursing directors, chief financial officers, and information technology directors) from staff at four clinics to explore (a) nonhealth information technology-related clinic needs, (b) how health information technology may provide solutions, and (c) perceptions of and experiences with health information technology. Participants identified several challenges, some of which appear amenable to health information technology solutions. Also identified were requirements for effective utilization of health information technology including physical infrastructural improvements, funding for equipment/training, creation of user groups to share health information technology knowledge/experiences, and specially tailored electronic billing guidelines. We found that despite the potential benefit that can be derived from health information technologies, the unplanned and uninformed introduction of these tools into these settings might actually create more problems than are solved. From these data, we were able to identify a set of factors that should be considered when integrating health information technology into the existing workflows of low-resourced urban safety-net clinics in order to maximize their utilization and enhance the quality of health care in such settings.

  18. Analysis of human factors effects on the safety of transporting radioactive waste materials: Technical report

    Energy Technology Data Exchange (ETDEWEB)

    Abkowitz, M.D.; Abkowitz, S.B.; Lepofsky, M.

    1989-04-01

    This report examines the extent of human factors effects on the safety of transporting radioactive waste materials. It is seen principally as a scoping effort, to establish whether there is a need for DOE to undertake a more formal approach to studying human factors in radioactive waste transport, and if so, logical directions for that program to follow. Human factors effects are evaluated on driving and loading/transfer operations only. Particular emphasis is placed on the driving function, examining the relationship between human error and safety as it relates to the impairment of driver performance. Although multi-modal in focus, the widespread availability of data and previous literature on truck operations resulted in a primary study focus on the trucking mode from the standpoint of policy development. In addition to the analysis of human factors accident statistics, the report provides relevant background material on several policies that have been instituted or are under consideration, directed at improving human reliability in the transport sector. On the basis of reported findings, preliminary policy areas are identified. 71 refs., 26 figs., 5 tabs.

  19. [Safety and risk factor analysis on Polygoni Multiflori Radix base on ancient traditional Chinese medicine literatures].

    Science.gov (United States)

    Song, Hai-bo; Du, Xiao-xi; Guo, Xiao-xin; Ren, Jing-tian; Yang, Le; Pang, Yu

    2015-03-01

    Traditional Chinese medicine Polygoni Multiflori Radix is dried roots of Polygonaceae Polygortum multiflorum Thunb. Its clinical application records were first discovered in literatures of the Tang dynasty. The origins, efficacy, toxicity, processing and taboos of Polygoni Multiflori Radix have been discussed in many ancient herb literatures. In recent years, with the increase in the public awareness in health, Polygoni Multiflori Radix admits preparations have been more widely applied in the treatment and prevention of diseases. However, there have been more and more reports about Polygoni Multiflori Radix induced liver injury, the safety of Polygoni Multiflori Radix has increasingly attracted attention of the society. In this paper, the authors summarized and analyzed the toxicity and medication risk factors of Polygoni Multiflori Radix recorded in ancient herb literatures, and proposed that more attention shall be given to the effect of the planting and processing methods on the components and toxicity of Polygoni Multiflori Radix in safety studies, which provides clues for the further studies.

  20. Factors Influencing Young Children's Risk of Unintentional Injury: Parenting Style and Strategies for Teaching about Home Safety

    Science.gov (United States)

    Morrongiello, Barbara A.; Corbett, Michael; Lasenby, Jennifer; Johnston, Natalie; McCourt, Meghan

    2006-01-01

    This study examined mothers' teaching about home-safety issues to 24-30 month and 36-42 month old children, explored the relationship of teaching strategies to parenting styles, and assessed how these factors are related to children's risk of unintentional injury. A structured interview assessed home-safety issues relevant to falls, burns, cuts,…

  1. Application of classification algorithms for analysis of road safety risk factor dependencies.

    Science.gov (United States)

    Kwon, Oh Hoon; Rhee, Wonjong; Yoon, Yoonjin

    2015-02-01

    Transportation continues to be an integral part of modern life, and the importance of road traffic safety cannot be overstated. Consequently, recent road traffic safety studies have focused on analysis of risk factors that impact fatality and injury level (severity) of traffic accidents. While some of the risk factors, such as drug use and drinking, are widely known to affect severity, an accurate modeling of their influences is still an open research topic. Furthermore, there are innumerable risk factors that are waiting to be discovered or analyzed. A promising approach is to investigate historical traffic accident data that have been collected in the past decades. This study inspects traffic accident reports that have been accumulated by the California Highway Patrol (CHP) since 1973 for which each accident report contains around 100 data fields. Among them, we investigate 25 fields between 2004 and 2010 that are most relevant to car accidents. Using two classification methods, the Naive Bayes classifier and the decision tree classifier, the relative importance of the data fields, i.e., risk factors, is revealed with respect to the resulting severity level. Performances of the classifiers are compared to each other and a binary logistic regression model is used as the basis for the comparisons. Some of the high-ranking risk factors are found to be strongly dependent on each other, and their incremental gains on estimating or modeling severity level are evaluated quantitatively. The analysis shows that only a handful of the risk factors in the data dominate the severity level and that dependency among the top risk factors is an imperative trait to consider for an accurate analysis.

  2. Risk factors for fishermen’s health and safety in Greece

    DEFF Research Database (Denmark)

    Frantzeskou, Elpida; Kastania, Anastasia N; Riza, Elena

    2013-01-01

    Aim: The aim of the study is to determine the risks for health and safety in Greek fisheries workers by exploring their health status and the health risk factors present in their occupational environment, thus providing a current baseline for further research in the future and for documentation....... The health risks factors studied include excessive weight, cardiovascular incidents and dermatological, musculoskeletal, respiratory, hearing, stress, and anxiety problems. The occupational health risk factors include alcohol, fatty food consumption, smoking, and lack of physical exercise. Conclusions......: The health effects observed are causally related to diet, smoking, and exercise, which in turn relate to the specific working conditions and culture in small-scale fishing that need to be taken into consideration in prevention programmes. The results are comparable withinternational fisheries experience...

  3. Slope Safety Factor Calculations With Non-Linear Yield Criterion Using Finite Elements

    DEFF Research Database (Denmark)

    Clausen, Johan; Damkilde, Lars

    2006-01-01

    The factor of safety for a slope is calculated with the finite element method using a non-linear yield criterion of the Hoek-Brown type. The parameters of the Hoek-Brown criterion are found from triaxial test data. Parameters of the linear Mohr-Coulomb criterion are calibrated to the same triaxial...... are carried out at much higher stress levels than present in a slope failure, this leads to the conclusion that the use of the non-linear criterion leads to a safer slope design...

  4. Slope Safety Factor Calculations With Non-Linear Yield Criterion Using Finite Elements

    DEFF Research Database (Denmark)

    Clausen, Johan Christian; Damkilde, Lars

    2006-01-01

    The factor of safety for a slope is calculated with the finite element method using a non-linear yield criterion of the Hoek-Brown type. The parameters of the Hoek-Brown criterion are found from triaxial test data. Parameters of the linear Mohr-Coulomb criterion are calibrated to the same triaxial...... are carried out at much higher stress levels than present in a slope failure, this leads to the conclusion that the use of the non-linear criterion leads to a safer slope design....

  5. Edge safety factor at the onset of plasma disruption during VDEs in JT-60U

    Science.gov (United States)

    Sugihara, Masayoshi; Lukash, Victor; Khayrutdinov, Rustam; Neyatani, Yuzuru

    2004-10-01

    Detailed examinations of the value of the edge safety factor (qa) at the onset of thermal quench (TQ) during intentional vertical displacement event (VDE) experiments in JT-60U are carried out using two different reconstruction methods, FBI/FBEQU and DINA. The results from the two methods are very similar and show that the TQ occurs when the qa value is in the range between 1.5 and 2. This result suggests that the predictive simulations for VDEs should be performed within this range of q to examine the subsequent differences in the halo currents, plasma movement and other plasma behaviour during the current quench.

  6. Slope Safety Factor Calculations With Non-Linear Yield Criterion Using Finite Elements

    DEFF Research Database (Denmark)

    Clausen, Johan Christian; Damkilde, Lars

    2006-01-01

    The factor of safety for a slope is calculated with the finite element method using a non-linear yield criterion of the Hoek-Brown type. The parameters of the Hoek-Brown criterion are found from triaxial test data. Parameters of the linear Mohr-Coulomb criterion are calibrated to the same triaxial...... are carried out at much higher stress levels than present in a slope failure, this leads to the conclusion that the use of the non-linear criterion leads to a safer slope design....

  7. Slope Safety Factor Calculations With Non-Linear Yield Criterion Using Finite Elements

    DEFF Research Database (Denmark)

    Clausen, Johan; Damkilde, Lars

    2006-01-01

    The factor of safety for a slope is calculated with the finite element method using a non-linear yield criterion of the Hoek-Brown type. The parameters of the Hoek-Brown criterion are found from triaxial test data. Parameters of the linear Mohr-Coulomb criterion are calibrated to the same triaxial...... are carried out at much higher stress levels than present in a slope failure, this leads to the conclusion that the use of the non-linear criterion leads to a safer slope design...

  8. Analysis of safety factors for urban expressways considering the effect of congestion in Shanghai, China.

    Science.gov (United States)

    Sun, Jian; Li, Tienan; Li, Feng; Chen, Feng

    2016-10-01

    Urban expressways are the key components of the urban traffic network. The traffic safety situation on expressways directly influences the efficiency of the whole network. A total of 48,325 crashes were recorded by Shanghai Expressway Surveillance System in a three-year period. Considering the different crash mechanisms under different congestion levels, models for the total crashes, non-congested-flow crashes and congested-flow crashes were respectively formulated based on the real-time traffic condition corresponding to each crash. Moreover, considering the potential spatial correlation among segments, the adjacent-correlated spatial and distance-correlated spatial models were formulated and compared to the traditional non-spatial-correlated model. A Bayesian approach was employed to estimate the parameters. The results showed that the congestion index, merging ratio, ramp density, and average daily traffic significantly affect the crash frequency. The safety factors in non-congested flow and congested flow are different; diverging behavior is more risky in non-congested flow, more lanes tend to increase the risk of crashes in congested flow, and horizontal curves tend to decrease the crash risk in congested flow but cause high risk in non-congested flow. In addition, the distance-correlated spatial model is found to be the best-fitting model. The results of this study suggested that dedicated safety countermeasures can be designed for different traffic situations on urban expressways.

  9. A methodology to model causal relationships on offshore safety assessment focusing on human and organizational factors.

    Science.gov (United States)

    Ren, J; Jenkinson, I; Wang, J; Xu, D L; Yang, J B

    2008-01-01

    Focusing on people and organizations, this paper aims to contribute to offshore safety assessment by proposing a methodology to model causal relationships. The methodology is proposed in a general sense that it will be capable of accommodating modeling of multiple risk factors considered in offshore operations and will have the ability to deal with different types of data that may come from different resources. Reason's "Swiss cheese" model is used to form a generic offshore safety assessment framework, and Bayesian Network (BN) is tailored to fit into the framework to construct a causal relationship model. The proposed framework uses a five-level-structure model to address latent failures within the causal sequence of events. The five levels include Root causes level, Trigger events level, Incidents level, Accidents level, and Consequences level. To analyze and model a specified offshore installation safety, a BN model was established following the guideline of the proposed five-level framework. A range of events was specified, and the related prior and conditional probabilities regarding the BN model were assigned based on the inherent characteristics of each event. This paper shows that Reason's "Swiss cheese" model and BN can be jointly used in offshore safety assessment. On the one hand, the five-level conceptual model is enhanced by BNs that are capable of providing graphical demonstration of inter-relationships as well as calculating numerical values of occurrence likelihood for each failure event. Bayesian inference mechanism also makes it possible to monitor how a safety situation changes when information flow travel forwards and backwards within the networks. On the other hand, BN modeling relies heavily on experts' personal experiences and is therefore highly domain specific. "Swiss cheese" model is such a theoretic framework that it is based on solid behavioral theory and therefore can be used to provide industry with a roadmap for BN modeling and

  10. [Patient safety culture and related factors in a network of Spanish public hospitals].

    Science.gov (United States)

    Gama, Zenewton André da Silva; Oliveira, Adriana Catarina de Souza; Hernández, Pedro Jesus Saturno

    2013-02-01

    The objectives were to describe Patient Safety Culture (PSC) in a regional network of public hospitals, according to the perceptions of health professionals, and analyze the influence of socio-professional factors. A survey was conducted with 1,113 professionals from eight Spanish hospitals, using a questionnaire that explores 12 dimensions of PSC. Perceptions were described through the Percentage of Positive (PPR) and Negative Responses (PNR) by dimension, and the association of factors was analyzed using multivariate linear regression. The dimension "Teamwork within the same Unit" had the highest PPR (73.5), and "Staffing" the highest PNR (61). The variables "Service" (Pharmacy, Surgical Center) and "Profession" (Nurses) were significantly associated to positive assessments. Thus, strategies to improve PSC should prioritize rational distribution of human resources, and take advantage of the positive perceived relationship within Units. Moreover, pharmaceutical and surgical services, as well as nurses should probably be benchmarked by other services and professionals.

  11. Accident reduction factors and causal inference in traffic safety studies: a review.

    Science.gov (United States)

    Davis, G A

    2000-01-01

    Accident reduction factors are used to predict the change in accident occurrence which a countermeasure can be expected to cause. Since ethical and legal obstacles preclude the use of randomized experiments when evaluating traffic safety improvements, empirical support for the causal effectiveness of accident countermeasures comes entirely from observational studies. Drawing on developments in causal inference initiated by Donald Rubin, it is argued here that the mechanism by which sites are selected for application of a countermeasure should be included as part of a study's data model, and that when important features of the selection mechanism are neglected, existing methods for estimating accident reduction factors become inconsistent. A promising, but neglected, way out of these difficulties lies in developing rational countermeasure selection methods which also support valid causal inference of countermeasure effects.

  12. Medical equipment ordinance and lack of personnel: two contrary factors influencing anesthesia patient safety.

    Science.gov (United States)

    Peter, K; Dieterich, H J

    1991-01-01

    In January 1986, West German legislators enacted the Medical Equipment Ordinance (MedGV) to define specific regulations for both manufacturers and operators of medical equipment and to offer a measure of safety to patients. We describe the history of MedGV, its regulations, and the mechanisms developed to enforce those regulations. We also evaluate its impact on clinical practice in light of the current staff shortages in anesthesia practice and research in Germany. Finally, we focus our discussion on the distinction between improved equipment as a minor factor in critical-incidents and the inadequate manpower as a major factor in anesthesia mishaps. It is unclear what will develop after 1993, when the national states in Europe form a common market.

  13. Investigation of the performance based structural safety factor of elbow pipes in nuclear power plants

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Sung Ho; Park, Chi Yong [Korea Electric Power Reserch Institute, Daejeon (Korea, Republic of); Park, Jai Hak [Chungbuk National University, Cheongju (Korea, Republic of)

    2009-07-01

    The piping systems in nuclear power plant are composed of various typed pipes such as straight pipe, elbow, branch and reducer etc. The elbow is connected from straight pipe to another pipes in order to establish the complicated piping system. Elbow is one of very important components considering management of wall thinning degradation. It is however applied by various loads such as system pressure, earthquake, postulated break loading and many transient loads, which provoke simply the internal pressure, bending and torsional stress. In this study, firstly pipes in the secondary system of the nuclear power plant are investigated in view of the ratio of radius to thickness. Next, a large number of finite element analysis considering the all typed dimensions of commercial pipe has been performed to find out the behavior of TES(Twice Elastic Slope) plastic load of elbows, which is based on evaluation of the structural safety factor. Finally performance based structural safety factor was investigated comparing with maximum allowable load by construction code.

  14. Modelling plasma response to RMP fields in ASDEX Upgrade with varying edge safety factor and triangularity

    Science.gov (United States)

    Li, L.; Liu, Y. Q.; Kirk, A.; Wang, N.; Liang, Y.; Ryan, D.; Suttrop, W.; Dunne, M.; Fischer, R.; Fuchs, J. C.; Kurzan, B.; Piovesan, P.; Willensdorfer, M.; Zhong, F. C.; the ASDEX Upgrade Team; the EUROfusion MST1 Team

    2016-12-01

    Toroidal computations are performed using the MARS-F code (Liu et al 2000 Phys. Plasmas 7 3681), in order to understand correlations between the plasma response and the observed mitigation of the edge localized modes (ELM) using resonant magnetic perturbation fields in ASDEX Upgrade. In particular, systematic numerical scans of the edge safety factor reveal that the amplitude of the resonant poloidal harmonic of the response radial magnetic field near the plasma edge, as well as the plasma radial displacement near the X-point, can serve as good indicators for predicting the optimal toroidal phasing between the upper and lower rows of coils in ASDEX Upgrade. The optimal coil phasing scales roughly linearly with the edge safety factor {{q}95} , for various choices of the toroidal mode number n  =  1-4 of the coil configuration. The optimal coil phasing is also predicted to vary with the upper triangularity of the plasma shape in ASDEX Upgrade. Furthermore, multiple resonance effects of the plasma response, with continuously varying {{q}95} , are computationally observed and investigated.

  15. Safety of Abiraterone Acetate in Castration-resistant Prostate Cancer Patients With Concomitant Cardiovascular Risk Factors.

    Science.gov (United States)

    Procopio, Giuseppe; Grassi, Paolo; Testa, Isabella; Verzoni, Elena; Torri, Valter; Salvioni, Roberto; Valdagni, Riccardo; de Braud, Filippo

    2015-10-01

    The aim of this study was to evaluate the safety profile of abiraterone acetate (AA) in metastatic castration-resistant prostate cancer (mCRPC) men with cardiovascular comorbidity, as little conclusive safety data are available in this patient subset. A retrospective analysis of mCRPC patients with controlled cardiovascular comorbidities, receiving AA 1000 mg administered orally once daily and prednisone 5 mg twice daily, between April 2011 and July 2012, was performed. All clinical and instrumental variables and toxicity data were analyzed by descriptive statistics: mean, standard deviation, minimum and maximum values for continuous variables, and absolute and relative frequencies for categorical variables. A total of 51 mCRPC patients were evaluated. Metastatic sites included the bone (74%), lungs, and liver (26%). All patients were previously treated with at least 2 lines of hormone and 1 docetaxel-based chemotherapy. Preexisting cardiac risk factors included hypertension (41%), cardiac ischemia (12%), arrhythmias (6%), dislipidemia (18%), and hyperglycemia (30%). No grade 3-4 adverse events were observed. Grade 1-2 adverse events included fluid retention (18%), asthenia (15%), and hypertension (16%). Median progression-free survival was 5.1 months (95% confidence interval, 0.5-12). Prostate specific antigen assessment revealed a good overall disease control rate (64%). AA appears to be safe and well tolerated even in patients with cardiovascular comorbidities or with increased risk factors for cardiovascular diseases.

  16. The Dread Factor: How Hazards and Safety Training Influence Learning and Performance

    Science.gov (United States)

    Burke, Michael J.; Salvador, Rommel O.; Smith-Crowe, Kristin; Chan-Serafin, Suzanne; Smith, Alexis; Sonesh, Shirley

    2011-01-01

    On the basis of hypotheses derived from social and experiential learning theories, we meta-analytically investigated how safety training and workplace hazards impact the development of safety knowledge and safety performance. The results were consistent with an expected interaction between the level of engagement of safety training and hazardous…

  17. Percutaneous renal biopsy of native kidneys: efficiency, safety and risk factors associated with major complications

    Science.gov (United States)

    Torres Muñoz, Abel; Valdez-Ortiz, Rafael; González-Parra, Carlos; Espinoza-Dávila, Elvy; Morales-Buenrostro, Luis E.; Correa-Rotter, Ricardo

    2011-01-01

    Introduction The use of an automated biopsy device and real-time ultrasound (current technology) for percutaneous renal biopsies (PRBs) has improved the likelihood of obtaining adequate tissue for diagnosis and has reduced the complications associated with renal biopsies. Our objective was to evaluate the efficacy and safety of the current PRB procedure and identify possible risk factors for the development of major complications. Material and methods We collected all native kidney PRBs performed with current technology in our institute from January 1998 to April 2008. Studied variables were collected from the patient's chart at the time of the biopsy. Results We analyzed 623 (96.4%) of 646 renal biopsies performed with the current automated procedure guided by real-time ultrasound. Although the effectiveness was 97.6%, there were 110 complications. Fourteen (2.24%) of these complications were major: 9 cases of renal hematoma, 2 cases with macroscopic hematuria (which needed blood transfusion), 1 case of intestinal perforation (which required exploratory laparotomy), 1 nephrectomy and 1 case of a dissecting hematoma. The logistic regression analysis demonstrated the following risk factors for developing major complications: diastolic blood pressure ≥ 90 mmHg, RR 7.6 (95% CI 1.35-43); platelet count ≤ 120×103/µl; RR 7.0 (95% CI 1.9-26.2); and blood urea nitrogen (BUN) ≥ 60 mg/dl, RR 9.27 (95% CI 2.8-30.7). Conclusions The observed efficacy and safety of the current technique in the present study were similar to observations in previous studies. Diastolic blood pressure ≥ 90 mmHg, platelets ≤ 120×103/µl and BUN ≥ 60 mg/dl were independent risk factors for the development of major complications following PRB. PMID:22291827

  18. Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study.

    Directory of Open Access Journals (Sweden)

    Anna R Gagliardi

    Full Text Available The surgical safety checklist (SSC is meant to enhance patient safety but studies of its impact conflict. This study explored factors that influenced SSC adherence to suggest how its impact could be optimized.Participants were recruited purposively by profession, region, hospital type and time using the SSC. They were asked to describe how the SSC was adopted, associated challenges, perceived impact, and suggestions for improving its use. Grounded theory and thematic analysis were used to collect and analyse data. Findings were interpreted using an implementation fidelity conceptual framework.Fifty-one participants were interviewed (29 nurses, 13 surgeons, 9 anaesthetists; 18 small, 14 large and 19 teaching hospitals; 8 regions; 31 had used the SC for ≤12 months, 20 for 13+ months. The SSC was inconsistently reviewed, and often inaccurately documented as complete. Adherence was influenced by multiple issues. Extensive modification to accommodate existing practice patterns eliminated essential interaction at key time points to discuss patient management. Staff were often absent or not paying attention. They did not feel it was relevant to their work given limited evidence of its effectiveness, and because they were not engaged in its implementation. Organizations provided little support for implementation, training, monitoring and feedback, which are needed to overcome these, and other individual and team factors that challenged SSC adherence. Responses were similar across participants with different characteristics.Multiple processes and factors influenced SSC adherence. This may explain why, in studies evaluating SSC impact, outcomes were variable. Recommendations included continuing education, time for pilot-testing, and engaging all staff in SSC review. Others may use the implementation fidelity framework to plan SSC implementation or evaluate SSC adherence. Further research is needed to establish which SSC components can be modified

  19. Research on the Influence Factors and Strategy of Food Safety of Athletes

    OpenAIRE

    Ruzhuan Chen

    2015-01-01

    This study from the Angle of food safety, in light of the present condition of the athletes food safety exists and the knot of the main problems of food safety and food safety laws and regulations to ensure athletes of analyzed the domestic and foreign athletes food safety laws and regulations, then to athletes in our country's food laws and regulations, system and supervision model, from the anti-doping regulations and the existing problems, from a regulatory reasons: lead to the occurrence ...

  20. Incorporating organizational factors into probabilistic safety assessment of nuclear power plants through canonical probabilistic models

    Energy Technology Data Exchange (ETDEWEB)

    Galan, S.F. [Dpto. de Inteligencia Artificial, E.T.S.I. Informatica (UNED), Juan del Rosal, 16, 28040 Madrid (Spain)]. E-mail: seve@dia.uned.es; Mosleh, A. [2100A Marie Mount Hall, Materials and Nuclear Engineering Department, University of Maryland, College Park, MD 20742 (United States)]. E-mail: mosleh@umd.edu; Izquierdo, J.M. [Area de Modelado y Simulacion, Consejo de Seguridad Nuclear, Justo Dorado, 11, 28040 Madrid (Spain)]. E-mail: jmir@csn.es

    2007-08-15

    The {omega}-factor approach is a method that explicitly incorporates organizational factors into Probabilistic safety assessment of nuclear power plants. Bayesian networks (BNs) are the underlying formalism used in this approach. They have a structural part formed by a graph whose nodes represent organizational variables, and a parametric part that consists of conditional probabilities, each of them quantifying organizational influences between one variable and its parents in the graph. The aim of this paper is twofold. First, we discuss some important limitations of current procedures in the {omega}-factor approach for either assessing conditional probabilities from experts or estimating them from data. We illustrate the discussion with an example that uses data from Licensee Events Reports of nuclear power plants for the estimation task. Second, we introduce significant improvements in the way BNs for the {omega}-factor approach can be constructed, so that parameter acquisition becomes easier and more intuitive. The improvements are based on the use of noisy-OR gates as model of multicausal interaction between each BN node and its parents.

  1. Attention-deficit hyperactivity disorder medication use: factors involved in prescribing, safety aspects and outcomes

    Science.gov (United States)

    Martinez-Raga, Jose; Ferreros, Amparo; Knecht, Carlos; de Alvaro, Raquel; Carabal, Eloisa

    2016-01-01

    While treatment of patients with attention-deficit hyperactivity disorder (ADHD) is based on a multimodal approach that combines medication with specific psychological interventions, pharmacotherapy alone is generally considered an essential and cost-effective element. This paper aims to comprehensively and critically review factors involved in prescribing and medication use in individuals diagnosed with ADHD, focusing on the difficulties facing patients with ADHD seeking treatment, as well as the safety and tolerability aspects of ADHD pharmacotherapies, with particular attention on the cardiovascular adverse events and the potential risk of misuse or diversion of ADHD medications. A comprehensive and systematic literature search of PubMed/MEDLINE database was conducted to identify studies published in peer-reviewed journals until 1 August 2016. Children, adolescents and adults often encounter significant difficulties in the process of accessing specialist assessment and treatment for ADHD as a consequence of disparities in service organization and available treatment provision. Despite the well-established efficacy and overall safety profile, ADHD medications are not exempt from adverse events. The cardiovascular safety of pharmacotherapies used for treating individuals with ADHD has raised particular concerns; however there is little evidence of serious cardiovascular adverse events, including no serious corrected QT (QTc) abnormalities associated with stimulants, atomoxetine or α2-adrenergic receptor agonists. Although the abuse of prescription stimulant drugs, particularly, short-acting stimulants is a prevalent and growing problem, nonmedical use of prescription stimulants within the clinical context is very limited. In addition, nonstimulant ADHD medications lack any reinforcing effects and consequently any abuse potential.

  2. Updating Human Factors Engineering Guidelines for Conducting Safety Reviews of Nuclear Power Plants

    Energy Technology Data Exchange (ETDEWEB)

    O, J.M.; Higgins, J.; Stephen Fleger - NRC

    2011-09-19

    The U.S. Nuclear Regulatory Commission (NRC) reviews the human factors engineering (HFE) programs of applicants for nuclear power plant construction permits, operating licenses, standard design certifications, and combined operating licenses. The purpose of these safety reviews is to help ensure that personnel performance and reliability are appropriately supported. Detailed design review procedures and guidance for the evaluations is provided in three key documents: the Standard Review Plan (NUREG-0800), the HFE Program Review Model (NUREG-0711), and the Human-System Interface Design Review Guidelines (NUREG-0700). These documents were last revised in 2007, 2004 and 2002, respectively. The NRC is committed to the periodic update and improvement of the guidance to ensure that it remains a state-of-the-art design evaluation tool. To this end, the NRC is updating its guidance to stay current with recent research on human performance, advances in HFE methods and tools, and new technology being employed in plant and control room design. This paper describes the role of HFE guidelines in the safety review process and the content of the key HFE guidelines used. Then we will present the methodology used to develop HFE guidance and update these documents, and describe the current status of the update program.

  3. Safety modeling and simulation of multi-factor coupling heavy-equipment airdrop

    Directory of Open Access Journals (Sweden)

    Zhang Jiuxing

    2014-10-01

    Full Text Available Heavy-equipment airdrop is a highly risky procedure that has a complicated system due to the secluded and complex nature of factors’ coupling. As a result, it is difficult to study the modeling and safety simulation of this system. The dynamic model of the heavy-equipment airdrop is based on the Lagrange analytical mechanics, which has all the degrees of freedom and can accurately pinpoint the real-time coordinates and attitude of the carrier with its cargo. Unfavorable conditions accounted in the factors’ models, including aircraft malfunctions and adverse environments, are established from a man-machine-environment perspective. Subsequently, a virtual simulation system for the safety research of the multi-factor coupling heavy-equipment airdrop is developed through MATLAB/Simulink, C language and Flightgear software. To verify the veracity of the theory, the verification model is built based on dynamic software ADAMS. Finally, the emulation is put to the test with the input of realistic accident variables to ascertain its feasibility and validity of this method.

  4. Human Factors Evaluation of Man-Machine Interface for Periodic Safety Review of Yonggwang Unit no. 1, 2

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Yong Hee; Lee, Jung Woon; Park, Jae Chang (and others)

    2006-01-15

    This report describes the research results of human factors assessment on the MMI(Man Machine Interface) equipment as part of Periodic Safety Review(PSR) of Yonggwang Unit no. 1, 2. As MMI is a key factor among human factors to be reviewed in PSR, we reviewed the MMI components of nuclear power plants in aspect of human factors engineering. The availability, suitability, and effectiveness of the MMI devices were chosen to be reviewed. The MMI devices were investigated through the review of design documents related to the MMI, survey of control panels, evaluation of experts, and experimental assessment. Checklists were used to perform this assessment and record the review results. The items mentioned by the expert comments to review in detail in relation with task procedures were tested by experiments with operators' participation. For some questionable issues arisen during this MMI review, operator workload and possibility of errors in operator actions were analysed. The reviewed MMI devices contain MCR(Main Control Room), SPDS(Safety Parameter Display System), RSP(Remote Shutdown Panel), and the selected LCBs(Local Control Boards) importantly related to safety. As results of the assessments, any significant problem challenging the safety was not found on human factors in the MMI devices. However, several small items to be changed and improved in suitability of MMI devices were discovered. An action plan is recommended to accommodate the suggestions and review comments. It will enhance the plant safety on MMI area.

  5. Study on creation and destruction of transport barriers via effective safety factors for energetic particles

    CERN Document Server

    Ogawa, Shun; Dif-Pradalier, Guilhem; Garbet, Xavier

    2016-01-01

    Charged particles with low kinetic energy move along magnetic field lines, but so do not energetic particles. We investigate the topological structure changes in the phase space of energetic particles with respect to the magnetic one. For this study cylindrical magnetic fields with non-monotonic safety factors that induce the magnetic internal transport barrier are considered. We show that the topological structure of the magnetic field line and of the particle trajectories can be quite different. We explain this difference using the concept of effective particle $q$-profile. Using this notion we can investigate the location and existence of resonances for particle orbits that are different from the magnetic ones. These are examined both numerically by integrating an equation of motion and theoretically by use of Alfv\\'en's guiding center theory and by use of the effective reduced Hamiltonian for the integrable unperturbed system. It is clarified that, for the energetic particles, the grad $B$ drift effect sh...

  6. Analysis of rainfall-induced slope instability using a field of local factor of safety

    Science.gov (United States)

    Lu, Ning; Şener-Kaya, Başak; Wayllace, Alexandra; Godt, Jonathan W.

    2012-01-01

    Slope-stability analyses are mostly conducted by identifying or assuming a potential failure surface and assessing the factor of safety (FS) of that surface. This approach of assigning a single FS to a potentially unstable slope provides little insight on where the failure initiates or the ultimate geometry and location of a landslide rupture surface. We describe a method to quantify a scalar field of FS based on the concept of the Coulomb stress and the shift in the state of stress toward failure that results from rainfall infiltration. The FS at each point within a hillslope is called the local factor of safety (LFS) and is defined as the ratio of the Coulomb stress at the current state of stress to the Coulomb stress of the potential failure state under the Mohr-Coulomb criterion. Comparative assessment with limit-equilibrium and hybrid finite element limit-equilibrium methods show that the proposed LFS is consistent with these approaches and yields additional insight into the geometry and location of the potential failure surface and how instability may initiate and evolve with changes in pore water conditions. Quantitative assessments applying the new LFS field method to slopes under infiltration conditions demonstrate that the LFS has the potential to overcome several major limitations in the classical FS methodologies such as the shape of the failure surface and the inherent underestimation of slope instability. Comparison with infinite-slope methods, including a recent extension to variably saturated conditions, shows further enhancement in assessing shallow landslide occurrence using the LFS methodology. Although we use only a linear elastic solution for the state of stress with no post-failure analysis that require more sophisticated elastoplastic or other theories, the LFS provides a new means to quantify the potential instability zones in hillslopes under variably saturated conditions using stress-field based methods.

  7. Factors associated with cervical cancer screening in a safety net population

    Science.gov (United States)

    Heberer, Meredith A; Komenaka, Ian K; Nodora, Jesse N; Hsu, Chiu-Hsieh; Gandhi, Sonal G; Welch, Lauren E; Bouton, Marcia E; Aristizabal, Paula; Weiss, Barry D; Martinez, Maria Elena

    2016-01-01

    AIM To identify factors associated with Papanicolaou-smear (Pap-smear) cervical cancer screening rates in a safety net population. METHODS From January 2012 to May 2013, the use of Pap-smear was determined for all patients seen at the breast clinic in a safety net hospital. Health literacy assessment was performed using the validated Newest Vital Sign. The records of patients were reviewed to determine if they had undergone Pap-smears for cervical cancer screening. Sociodemographic information was collected included age, education, monthly income, race/ethnicity, employment, insurance status, and primary care provider of the patient. Logistic regression analysis was then performed to determine factors associated with utilization of Pap-smears. Crude and adjusted odds ratios derived from multivariate logistic regression models were calculated as well as the associated 95%CIs and P-values. RESULTS Overall, 39% had Pap-smears in the prior 15 mo, 1377 consecutive women were seen during the study period and their records were reviewed. Significantly more patients with adequate health literacy underwent Pap-smears as compared to those with limited health literacy (59% vs 34%, P literacy, younger patients, and those with later age of first live birth were more likely to undergo Pap-smears. Patients whose primary care providers were gynecologists were also significantly more likely to have Pap-smears compared to other specialties (P literacy and primary care physician were associated with Pap-smear utilization. Development of interventions to target low health literacy populations could improve cervical cancer screening. PMID:27777883

  8. The dread factor: how hazards and safety training influence learning and performance.

    Science.gov (United States)

    Burke, Michael J; Salvador, Rommel O; Smith-Crowe, Kristin; Chan-Serafin, Suzanne; Smith, Alexis; Sonesh, Shirley

    2011-01-01

    On the basis of hypotheses derived from social and experiential learning theories, we meta-analytically investigated how safety training and workplace hazards impact the development of safety knowledge and safety performance. The results were consistent with an expected interaction between the level of engagement of safety training and hazardous event/exposure severity in the promotion of safety knowledge and performance. For safety knowledge and safety performance, highly engaging training was considerably more effective than less engaging training when hazardous event/exposure severity was high, whereas highly and less engaging training had comparable levels of effectiveness when hazardous event/exposure severity was low. Implications of these findings for theory testing and incorporating information on objective risk into workplace safety research and practice are discussed.

  9. Estimation of Partial Safety Factors and Target Failure Probability Based on Cost Optimization of Rubble Mound Breakwaters

    DEFF Research Database (Denmark)

    Kim, Seung-Woo; Suh, Kyung-Duck; Burcharth, Hans F.

    2010-01-01

    The breakwaters are designed by considering the cost optimization because a human risk is seldom considered. Most breakwaters, however, were constructed without considering the cost optimization. In this study, the optimum return period, target failure probability and the partial safety factors...... were evaluated by applying the cost optimization to the rubble mound breakwaters in Korea. The applied method was developed by Hans F. Burcharth and John D. Sorensen in relation to the PIANC Working Group 47. The optimum return period was determined as 50 years in many cases and was found as 100 years...... of the national design standard and then the overall safety factor is calculated as 1.09. It is required that the nominal diameter and weight of armor are respectively 9% and 30% larger than those of the existing design method. Moreover, partial safety factors considering the cost optimization were compared...

  10. Nurses' perceptions of and factors promoting patient safety culture in Turkey.

    Science.gov (United States)

    Turkmen, Emine; Baykal, Ulku; Intepeler, Seyda Seren; Altuntas, Serap

    2013-01-01

    This descriptive and cross-sectional study included 561 nurses in hospitals located in Istanbul, Turkey. The Patient Safety Questionnaire was used for data collection. The type of hospital and the amount of education nurses obtained about patient safety and quality improvement were positively associated with patient safety culture. Conversely, the type of work unit negatively affected workers' behaviors and adverse event reporting in terms of patient safety culture.

  11. Factors Associated with the Adoption of Food Safety Controls by the Mexican Meat Industry

    Science.gov (United States)

    Maldonado-Simán, Ema; Martínez-Hernández, Pedro Arturo; García-Muñiz, José G.; Cadena-Meneses, José

    Food marketing at international and domestic markets has focused on processing systems that improve food safety. The objective of this research is to determine the factors influencing the implementation of the HACCP system in the Mexican meat industry, and to identify the main marketing destination of their products. Only 18.5% of enterprises reports fully operational HACCP in their plants. The main destination of their production in the domestic market is supermarkets, suppliers and distributors and specific niches of the domestic market. Exports are to USA, Japan, Korea and Central America and some niches of the domestic market with requirements of higher quality. The four principal factors that motivate enterprises to adopt HACCP are associated with improvement of plant efficiency and profitability, adoption of good practices, improvement of product quality and waste reduction. It is concluded that Mexican enterprises adopt HACCP to successfully remain and face competition by foreign enterprises in the domestic market and to a lesser extent to compete in the international market.

  12. Continuous infusion of porcine factor VIII: stability, microbiological safety and clinical experience.

    Science.gov (United States)

    DiMichele, D M; Gorman, P O; Kasper, C K; Mannucci, P M; Santagostino, E; Hay, C R M

    2002-01-01

    Porcine factor VIII (pFVIII) is an effective haemostatic treatment for bleeding in selected patients with FVIII inhibitors. Its use is sometimes associated with a transient fall in platelet count and transfusion reactions, the risk of which may be related to the rate of administration. Theoretical considerations suggest that the administration of pFVIII by continuous infusion should be effective, and could have pharmacokinetic advantages that lead to an improvement in the side-effect profile. The results of a retrospective survey of continuous infusion of pFVIII with respect to clinical safety and efficacy are reported. Porcine FVIII stability and microbiological studies are included. It is concluded that pFVIII given by continuous infusion is safe and effective. The risk of transfusion reactions and fall in platelet count appears to be reduced, compared with bolus administration. Stability studies showed that pFVIII activity declined at room temperature, most rapidly in the dilute solution (5-10 U mL(-1)). More concentrated mixtures showed acceptable stability for up to 24 h using a variety of infusion devices. Various concentrations of pFVIII did not support the growth of Escherichia coli or Staphylococcus aureus. These observations suggest that the porcine factor is suitable for continuous infusion (CI).

  13. Diversity of limb-bone safety factors for locomotion in terrestrial vertebrates: evolution and mixed chains.

    Science.gov (United States)

    Blob, Richard W; Espinoza, Nora R; Butcher, Michael T; Lee, Andrew H; D'Amico, Angela R; Baig, Faraz; Sheffield, K Megan

    2014-12-01

    During locomotion over land, vertebrates' limb bones are exposed to loads. Like most biological structures, limb bones have a capacity to withstand greater loads than they usually experience, termed a safety factor (SF). How diverse are limb-bone SFs, and what factors correlate with such variation? We have examined these questions from two perspectives. First, we evaluated locomotor SF for the femur in diverse lineages, including salamanders, frogs, turtles, lizards, crocodilians, and marsupials (opossums). Comparisons with values for hind-limb elements in running birds and eutherian mammals indicate phylogenetic diversity in limb-bone SF. A high SF (∼7) is primitive for tetrapods, but low magnitudes of load and elevated strength of bones contribute to different degrees across lineages; moreover, birds and eutherians appear to have evolved lower SFs independently. Second, we tested the hypothesis that SFs would be similar across limb bones within a taxon by comparing data from the humerus and femur of alligators. Both in bending and in torsion, we found a higher SF for the humerus than for the femur. Such a "mixed chain" of different SFs across elements has been predicted if bones have differing variabilities in load, different costs to maintain, or high SF values in general. Although variability in load is similar for the humerus and femur, a high SF may be less costly for the humerus because it is smaller than the femur. The high SFs of alligators also might facilitate differences in SF among their limb bones. Beyond these specific findings, however, a more general implication of our results is that evaluations of the diversity of limb-bone SFs can provide important perspective to direct future research. In particular, more complete understanding of variation in SF could provide insight into factors that promoted the evolutionary radiation of terrestrial locomotor function in vertebrates.

  14. Food Safety Programs Based on HACCP Principles in School Nutrition Programs: Implementation Status and Factors Related to Implementation

    Science.gov (United States)

    Stinson, Wendy Bounds; Carr, Deborah; Nettles, Mary Frances; Johnson, James T.

    2011-01-01

    Purpose/Objectives: The objectives of this study were to assess the extent to which school nutrition (SN) programs have implemented food safety programs based on Hazard Analysis and Critical Control Point (HACCP) principles, as well as factors, barriers, and practices related to implementation of these programs. Methods: An online survey was…

  15. Factors Influencing the Use of a Mobile App for Reporting Adverse Drug Reactions and Receiving Safety Information : A Qualitative Study

    NARCIS (Netherlands)

    de Vries, Sieta T.; Wong, Lisa; Sutcliffe, Alastair; Houyez, Francois; Ruiz, Carmen Lasheras; Mol, Peter G.M.

    Introduction A mobile app may increase the reporting of adverse drug reactions (ADRs) and improve the communication of new drug safety information. Factors that influence the use of an app for such two-way risk communication need to be considered at the development stage. Objective Our aim was to

  16. Food Safety Programs Based on HACCP Principles in School Nutrition Programs: Implementation Status and Factors Related to Implementation

    Science.gov (United States)

    Stinson, Wendy Bounds; Carr, Deborah; Nettles, Mary Frances; Johnson, James T.

    2011-01-01

    Purpose/Objectives: The objectives of this study were to assess the extent to which school nutrition (SN) programs have implemented food safety programs based on Hazard Analysis and Critical Control Point (HACCP) principles, as well as factors, barriers, and practices related to implementation of these programs. Methods: An online survey was…

  17. E-bike safety: Individual-level factors and incident characteristics

    DEFF Research Database (Denmark)

    Haustein, Sonja; Møller, Mette

    2016-01-01

    incidents. Using regression analyses, we demonstrated that riding style and e-bike attitude played a crucial role in both perceived safety and involvement in safety critical incidents. Age and female gender were negatively associated with perceived safety. 29% of participants had experienced at least one...... safety critical incident that they believed would not have happened on a conventional bike. The most frequent explanation offered for these situations was that other road users had underestimated the speed of the e-bike, followed by rider problems regulating e-bike speed. Older cyclists were more likely...

  18. Factors Influencing Knowledge, Food Safety Practices and Food Preferences During Warm Weather of Salmonella and Campylobacter Cases in South Australia.

    Science.gov (United States)

    Milazzo, Adriana; Giles, Lynne C; Zhang, Ying; Koehler, Ann P; Hiller, Janet E; Bi, Peng

    2017-03-01

    To assess food safety practices, food shopping preferences, and eating behaviors of people diagnosed with Salmonella or Campylobacter infection in the warm seasons, and to identify socioeconomic factors associated with behavior and practices. A cross-sectional survey was conducted among Salmonella and Campylobacter cases with onset of illness from January 1 to March 31, 2013. Multivariable logistic regression analyses examined relationships between socioeconomic position and food safety knowledge and practices, shopping and food preferences, and preferences, perceptions, and knowledge about food safety information on warm days. Respondents in our study engaged in unsafe personal and food hygiene practices. They also carried out unsafe food preparation practices, and had poor knowledge of foods associated with an increased risk of foodborne illness. Socioeconomic position did not influence food safety practices. We found that people's reported eating behaviors and food preferences were influenced by warm weather. Our study has explored preferences and practices related to food safety in the warm season months. This is important given that warmer ambient temperatures are projected to rise, both globally and in Australia, and will have a substantial effect on the burden of infectious gastroenteritis including foodborne disease. Our results provide information about modifiable behaviors for the prevention of foodborne illness in the household in the warm weather and the need for information to be disseminated across the general population. An understanding of the knowledge and factors associated with human behavior during warmer weather is critical for public health interventions on foodborne prevention.

  19. The double-null map - equilibrium, safety factor on magnetic axis, and perturbation from map parameter

    Science.gov (United States)

    Barnes, Daniel; Braxton-Gravin, Asiha; Jenkins, Jade; Ali, Halima; Punjabi, Alkesh

    2013-10-01

    The double-null map is the simplest symplectic map that has the generic magnetic topology of double-null divertor tokamaks. The generating function of the double-null map is given by S (x , y) = x2 /2 +y2 /2-y4/4. The equilibrium magnetic surfaces of the double-null map are calculated from the generating function. 0 1/4 gives open surfaces. The scaling of safety factor on the magnetic axis, q0, with map parameter k is calculated. The scaling of root mean square deviation of energy on the q95 surface with map parameter k is calculated and taken as the estimate of magnetic asymmetry to represent the magnetic perturbation. The results of this work will be reported. These results are used to calculate heteroclinic tangles of the separatrix of double-null map. This work is supported by grants DE-FG02-01ER54624, DE-FG02-04ER54793, and DE-FG02-07ER54937.

  20. Rate of Corneal Collagen Crosslinking Redo in Private Practice: Risk Factors and Safety

    Directory of Open Access Journals (Sweden)

    Joelle Antoun

    2015-01-01

    Full Text Available Objective. To report the rate of progression of keratectasia after primary crosslinking (CXL and evaluate the safety and efficiency of CXL redo. Materials and Methods. We conducted a retrospective analysis of the patients who underwent CXL between 2010 and 2013 at the Beirut Eye Specialist Hospital, Lebanon. Progression of keratectasia was based on the presence of an increase in maximum keratometry of 1.00 D, a change in the map difference between two consecutive topographies of 1.00 D, a deterioration of visual acuity, or any change in the refraction. Primary and redo CXL were done using the same protocol. Results. Among the 221 eyes of 130 patients who underwent CXL, 7 eyes (3.17% of five patients met the criteria of progression. All patients reported a history of allergic conjunctivitis and eye rubbing and progressed within 9 to 48 months. No complications were noted and all patients were stable 1 year after CXL redo. Conclusion. Allergic conjunctivitis and eye rubbing were the only risk factors associated with keratoconus progression after CXL. A close followup is thus mandatory, even years after the procedure. CXL redo seems to be a safe and efficient technique to halt the progression after a primary CXL.

  1. The prevalence of fatigue and associated health and safety risk factors among taxi drivers in Singapore.

    Science.gov (United States)

    Lim, See Ming; Chia, Sin Eng

    2015-02-01

    Driver fatigue is one of the biggest health and safety concerns within the road transport sector. This study aimed to find out the prevalence of fatigue among taxi drivers in Singapore, to better understand the general working and health conditions of this group of people and to determine the risk factors associated with fatigued driving. A total of 340 taxi drivers were randomly selected for participation in this self-administered questionnaire survey, with height and weight measurements. The response rate was 68.2%. The survey consisted of four main categories: personal particulars; social habits; work patterns and sleep profile; and Epworth Sleepiness Scale, which was used to estimate the level of daytime sleepiness and fatigue. Multiple logistic regression analysis was used to estimate the adjusted odd ratios and 95% confidence intervals associated with the risk factors related to fatigue among the taxi drivers. A high proportion of the taxi drivers were obese and had self-reported hypertension, diabetes mellitus and high cholesterol. Driver fatigue was associated with very poor/poor self-rating of the quality of sleep, having an additional part-time job, drinking three or more caffeinated drinks daily, and driving more than 10 hours a day. We hope that the findings of the present study will improve the awareness regarding the work and health conditions of taxi drivers, and contribute toward the effort to achieve a healthier workforce. A lower prevalence of fatigued driving will lead to lower risks of road traffic accidents, decreased economic loss, increased productivity, and safer roads for all.

  2. Transarterial Chemoembolization for Hepatocellular Carcinomas with Central Bile Duct Invasion: Safety, Prognosis, and Predictive Factors

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Jin Woo; Chung, Jin Wook, E-mail: chungjw@snu.ac.kr [Seoul National University Hospital, Department of Radiology (Korea, Republic of); Cho, Yun Ku [VHS Medical Center, Department of Radiology (Korea, Republic of); Kim, Yoon Jun; Yoon, Jung-Hwan [Seoul National University Hospital, Department of Internal Medicine (Korea, Republic of); Kim, Hyo-Cheol; Jae, Hwan Jun [Seoul National University Hospital, Department of Radiology (Korea, Republic of)

    2015-08-15

    PurposeTo assess the safety and effectiveness of transarterial chemoembolization (TACE) of patients who have hepatocellular carcinomas (HCCs) with central bile duct invasion.Materials and MethodsThe institutional review board approved this retrospective study and waived informed consent. Fifty-three patients, initially treated with TACE for HCCs with central bile duct invasion from January 1999 to September 2012, were included. Clinical, laboratory, and survival data were reviewed. Complications and hospitalization length were evaluated using the χ{sup 2} test, Fisher’s exact test, and logistic regression analysis. Survival was analyzed using the Kaplan–Meier method with log-rank test and Cox proportional hazard model.ResultsSeven patients experienced TACE-related major complications (severe post-embolization syndrome in 3, non-fatal sepsis in 3, and secondary bacterial peritonitis in 1). The overall major complication rate was 13.2 %, but there were no permanent adverse sequelae or deaths within 30 days. Serum total bilirubin ≥3.0 mg/dL was the only significant risk factor for long hospitalization [hazard ratio (HR) = 4.341, p = .022]. The median survival was 12.2 months. Extrahepatic metastasis (HR = 6.145, p < .001), international normalized ratio (PT-INR) ≥1.20 (HR = 4.564, p < .001), vascular invasion (HR = 3.484, p = .001), and intermediate tumor enhancement (HR = 2.417, p = .019) were significantly associated with shorter survival.ConclusionTACE can be a safe and effective treatment for patients who have HCCs with central bile duct invasion. In particular, long-term survival can be expected if patients have strongly enhancing tumors without poor prognostic factors such as extrahepatic metastasis, PT-INR prolongation, and vascular invasion.

  3. Inventory of possible emerging hazards to food safety and an analysis of critical factors

    NARCIS (Netherlands)

    Kleter, G.A.; Poelman, M.; Groot, M.J.; Marvin, H.J.P.

    2006-01-01

    Various recent incidents around food safety issues have led to the establishment of the European Food Safety Authority and its national counterparts in the member states of the European Union. Besides these measures, it is desirable to identify food risks while they are still emerging, i.e. when

  4. Probability distributions of dose conversion factors for radionuclides used in a long-term safety assessment

    NARCIS (Netherlands)

    Laheij GMH; Uijt de Haag PAM

    1993-01-01

    The research presented in this report forms part of the PROSA (PRObabilistic Safety Assessment) project. PROSA aims to determine the radiological effects on humans and the characteristics relevant to safety of disposal concepts for radioactive waste in rocksalt formations. This report describes

  5. Study on real working performance and overload safety factor of high arch dam

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Considering the fact that high arch dams have problems such as complicated stress,high cost,and hazards after being damaged,this paper intends to study the effects of load,material strength,and safety analysis method on dam safety and working performance of arch dams.In this article,the effects of temperature,self weight exaction way and water loading on structure response are first discussed,and a more reasonable way of considering is then put forward.By taking into consideration the mechanical property of materials and comparing the effects of different yield criteria on overloading safety of high arch dams,this paper concludes that brittle characteristics of concrete should be fully considered when conducting safety assessment for high arch dams to avoid overestimating the bearing capacity of the dams.By comparing several typical projects,this paper works out a safety assessment system of multiple safety and relevant engineering analogical analysis methods,which is closer to the actual situation,and thus is able to assess the response of high arch dam structure in a more comprehensive way,elicit the safety coefficients in different situations,and provide a new way of considering the safety assessment of high arch dams.

  6. Calibration of partial factors in the safety assessment of existing concrete slab bridges for shear failure

    NARCIS (Netherlands)

    Steenbergen, R.D.J.M.; De Boer, A.; Van der Veen, C.

    2012-01-01

    The assessment of the structural safety of existing bridges and viaducts becomes increasingly important in many countries due to the age of the structures and an increase in traffic loads. Many structures need to be reassessed in order to find out whether the safety requirements are met. Most existi

  7. Human-factor-based risk management in the healthcare to improve Patient Safety

    DEFF Research Database (Denmark)

    Streimelweger, Barbara; Wac, Katarzyna; Seiringer, Wolfgang

    2016-01-01

    'Patient Safety' tries to increase safety and transparency within healthcare systems for both patients and professionals. Within the healthcare sector, workflows become more and more complex, while time and money become scarce. As a consequence, the risk awareness, fault management and quality as...

  8. Hospital safety climate, psychosocial risk factors and needlestick injuries in Japan.

    Science.gov (United States)

    Smith, Derek R; Muto, Takashi; Sairenchi, Toshimi; Ishikawa, Yumiko; Sayama, Shizue; Yoshida, Atsushi; Townley-Jones, Maureen

    2010-01-01

    To investigate the interactions between safety climate, psychosocial issues and Needlestick and Sharps Injuries (NSI), a cross-sectional study was undertaken among nurses at a university teaching hospital in Japan (89% response rate). NSI were correlated with various aspects of hospital safety climate including supporting one another at work, the protection of staff against blood-borne diseases being a high management priority, managers doing their part to protect staff from blood-borne disease, having unsafe work practices corrected by supervisors, having the opportunity to use safety equipment to protect against blood-borne disease exposures, having an uncluttered work area, and having minimal conflict within their department. In conclusion, this study has demonstrated the importance of hospital safety climate in Japanese health care practice, particularly its relationship with NSI. Although the provision of safer devices remains critical in preventing injuries, ensuring a positive safety climate will also be essential in meeting these important challenges for nurses' occupational health.

  9. RELATIONSHIPS BETWEEN FACTORS AFFECTING THE TRANSFER OF VOCATIONAL SAFETY TRAINING IN THE WORKPLACE: THE CASE STUDY OF ALUMINIUM OF GREECE

    Directory of Open Access Journals (Sweden)

    Maria Vasiliki Brinia

    2013-12-01

    Full Text Available The purpose of this research is to present the process of the transfer of safety training in the company “Aluminium of Greece”. Furthermore, it presents initial attempts to identify key factors affecting transfer of training and the correlation between these factors. The survey conducted among 88 employees using questionnaires. The findings show that employees place great importance on safety training. Motivation for learning and transfer, the opportunity for implementation and personal ambition were associated in our study with some and / or all factors examined (age, experience, level of education, etc.. Additionally, the researchers identified the need for evaluation of education not only immediately after its end, but overall evaluation especially some time after the training, in order to examine the value of education as an investment.

  10. Factors affecting high school teacher adoption, sustainability, and fidelity to the "Youth@Work: Talking Safety" curriculum.

    Science.gov (United States)

    Rauscher, Kimberly J; Casteel, Carri; Bush, Diane; Myers, Douglas J

    2015-12-01

    Our objective was to identify individual- and organizational-level factors that affect high school teacher adoption, sustainability, and fidelity to the occupational safety and health curriculum, "Youth@Work: Talking Safety." We analyzed survey data collected from 104 high school teachers across the US who were trained in the curriculum since 2004. Linear and Cox regression were used to examine bivariate associations between individual and organizational-level factors and the outcomes of interest. Except for perceived complexity, all individual-level factors (acceptance, enthusiasm, teaching methods fit, and self-efficacy) were associated with one or more outcomes of interest (P-values ranged from organizational climate (P = 0.037) were the organizational-level factors associated with sustainability and number of lessons delivered, respectively. Consistent with the literature, individual-level factors influenced teacher adoption and, to a lesser extent, sustainability, and fidelity to the Youth@Work: Talking Safety curriculum and should be considered in attempts to promote the curriculum's use in high schools. © 2015 Wiley Periodicals, Inc.

  11. A Comparative Study on Effective Factors in Patient Safety Culture from the Nursing Staff Points of View

    Directory of Open Access Journals (Sweden)

    Khalil Alimohammadzadeh

    2017-04-01

    Full Text Available Introduction: Patient safety and its requirements fulfillment are today one of the useful valuation indicators in healthcare organizations. Thus, patient safety culture and its promotion are referred to as one of the most important issues raised in the country. The present study aims to examine the effective factors (personal and organizational in patient safety culture from the point of view of nursing staff in Bahman and Parsian private hospitals. Method: The study has an analytical cross-sectional design and is an applied research. HSOPSC (with Cronbach’s alpha coefficient was 0.82 and researcher-devised questionnaires (with Cronbach’s Alpha equal to 0.912 were the only data collection tools. Statistical population includes nursing staff of Bahman and Parsian private hospitals in north-west Tehran. A sample consisting of 150 nurse shift supervisors and head nurses was selected from the population. Necessary data for completing questionnaires were collected by interview. Data were analyzed using SPSS16 software. Given the levels of measurement for the variables, valid measures of central tendency (mean, standard deviation, correlation tests, Chi-square, t- test, and ANOVA were used. Results: The findings showed us that such factors as organizational commitment, error reporting system, management support, reward system, and employee empowerment equipment distribution have important roles in patient safety. Their P-values are reported <0.001 for all of them. Patient safety was not significantly associated with age (P=0.964, educational level (P=0.154, and work experience (P=0.888 There is no low awareness about safety culture in any hospital and their mean awareness about patient safety culture was equal to 3.13 ±0.478 and 3.68 ±0.587 in Parsian and Bahman hospitals, respectively (P<0.001. Conclusion: Error reporting system and organizational commitment respectively have the most and the least effect on promoting patient safety culture

  12. Process and technique factors associated with patient ratings of session safety during psychodynamic psychotherapy.

    Science.gov (United States)

    Siegel, Deborah F; Hilsenroth, Mark J

    2013-01-01

    This study investigates the relationships between patient ratings of in-session safety with psychotherapeutic techniques and process. Ninety-four participants received Short-Term Dynamic Psychotherapy (STDP) at a university-based clinic. Patient experiences of therapeutic process were self-assessed early in treatment using the Session Evaluation Questionnaire (SEQ Stiles, 1980). Techniques implemented in session were identified using the Comparative Psychotherapy Process Scale (CPPS: Hilsenroth et al., 2005). Alliance was evaluated with the Combined Alliance Short Form-Patient Version (CASF-P; Hatcher and Barends, 1996). Safety significantly correlated with session depth, smoothness, and positivity. Safety was significantly related to the interaction of psychodynamic-interpersonal and cognitive-behavioral techniques, but to neither individual subscale Safety significantly correlated with CASF-P Total, Confident Collaboration, and Bond. Patient experiences of safety are consistent with exploration and depth of session content. Integration of some CB techniques within a psychodynamic model may facilitate a sense of safety. Safety is notably intertwined with the therapeutic relationship.

  13. Clinical efficacy and safety of Tevagrastim® (XM02, a biosimilar recombinant human granulocyte colony-stimulating factor

    Directory of Open Access Journals (Sweden)

    Bagalagel A

    2013-08-01

    Full Text Available Alaa Bagalagel,1,2 Abdulaziz Mohammed,1,2 Karen MacDonald,3 Ivo Abraham1,3–5 1Center for Health Outcomes and PharmacoEconomic Research, University of Arizona, Tucson, AZ, USA; 2College of Pharmacy, King Abdulaziz University, Jeddah, Saudi Arabia; 3Matrix45, Tucson, AZ, USA; 4Department of Pharmacy Practice and Science, University of Arizona, Tucson, AZ, USA; 5Department of Family and Community Medicine, College of Medicine, University of Arizona, Tucson, AZ, USA Abstract: Since the expiration of the patent for filgrastim in Europe in 2006, the European Medicines Agency has approved three biosimilar granulocyte colony-stimulating factors, while the US Food and Drug Administration has approved one of these agents. Using the European Medicines Agency’s and the Food and Drug Administration’s regulatory reports and scientific publications, we review the evidence about the clinical efficacy and safety of XM02 (Tevagrastim® relative to the originator product filgrastim (Neupogen®. Clinical efficacy is assessed in terms of equivalence of XM02 and Neupogen®, while safety is evaluated in terms of immunogenicity, bone pain, splenomegaly, allergic reactions, acute respiratory distress syndrome, and mortality. Three Phase III studies in breast cancer patients treated with docetaxel/doxorubicin chemotherapy, lung cancer patients receiving platinum-based chemotherapy, and non-Hodgkin’s lymphoma receiving chemotherapy are reviewed. Also included is a postapproval, single-center experience study on peripheral blood stem mobilization. Based on the available therapeutic equivalence and safety data, the clinical and safety outcomes of XM02 are likely to be similar to those of Neupogen®. XM02 and Neupogen® can be considered interchangeable in the approved indications. Patients previously on Neupogen® and converted to XM02 can be expected to show similar efficacy and safety outcomes. Keywords: biosimilars, biosimilar pharmaceuticals, efficacy, safety

  14. Factors associated with pharmacists' perceptions of their working conditions and safety and effectiveness of patient care.

    Science.gov (United States)

    Tsao, Nicole W; Lynd, Larry D; Gastonguay, Louise; Li, Kathy; Nakagawa, Bob; Marra, Carlo A

    2016-01-01

    In recent years, the role of pharmacists has changed, as have various provincial legislations, which now allow pharmacists to provide additional health services to patients. With these changes comes growing concern about how well the current pharmacy working environment is adapting and whether it may also be creating work-related stress that may contribute to potentially unsafe practices of patient care. To characterize the current working conditions of pharmacists in British Columbia, an online survey was developed and distributed to all College of Pharmacists of BC (CPBC) registrants by email. The survey consisted of questions on pharmacists' demographics, practice setting and perceptions of workplace conditions. Responses were collected from October 1 to November 10, 2013. All data were summarized using descriptive statistics, and regression models were constructed to assess the association between various factors and pharmacists' self-reported working conditions. Twenty-three percent (1241/5300) of pharmacists registered with the CPBC responded, with 78% working in the community pharmacy setting (58% chain, 19% independent). Pharmacists mostly disagreed with the statements that they had enough time for breaks or lunches or to do their jobs, as well as enough staffing support. Pharmacists' perceptions of their workplace environment were negatively associated with workplace-imposed advanced service quotas (for medication reviews, immunizations and prescription adaptations); being employed at chain store pharmacies, compared to independent pharmacies or hospitals/long-term care settings; and higher prescription volume. Pharmacists working in chain community pharmacies who are required to meet monthly quotas for expanded services reported a substantial negative impact on their working conditions and perceived safety of patient care. Can Pharm J (Ott) 2016;149:xx-xx.

  15. Feedback-assisted extension of the tokamak operating space to low safety factor

    Energy Technology Data Exchange (ETDEWEB)

    Hanson, J. M., E-mail: jmh2130@columbia.edu; Bialek, J. M.; Navratil, G. A.; Olofsson, K. E. J.; Shiraki, D.; Turco, F. [Department of Applied Mathematics and Applied Physics, Columbia University, New York, New York 10027-6900 (United States); Baruzzo, M.; Bolzonella, T.; Marrelli, L.; Martin, P.; Piovesan, P.; Piron, C.; Piron, L.; Terranova, D.; Zanca, P. [Consorzio RFX, Corso Stati Uniti 4, 35127 Padova (Italy); Hyatt, A. W.; Jackson, G. L.; La Haye, R. J.; Lanctot, M. J.; Strait, E. J. [General Atomics, P.O. Box 85608, San Diego, California 92186-5608 (United States); and others

    2014-07-15

    Recent DIII-D and RFX-mod experiments have demonstrated stable tokamak operation at very low values of the edge safety factor q(a) near and below 2. The onset of n = 1 resistive wall mode (RWM) kink instabilities leads to a disruptive stability limit, encountered at q(a) = 2 (limiter plasmas) and q{sub 95} = 2 (divertor plasmas). However, passively stable operation can be attained for q(a) and q{sub 95} values as low as 2.2. RWM damping in the q(a) = 2 regime was measured using active MHD spectroscopy. Although consistent with theoretical predictions, the amplitude of the damped response does not increase significantly as the q(a) = 2 limit is approached, in contrast with damping measurements made approaching the pressure-driven RWM limit. Applying proportional gain magnetic feedback control of the n = 1 modes has resulted in stabilized operation with q{sub 95} values reaching as low as 1.9 in DIII-D and q(a) reaching 1.55 in RFX-mod. In addition to being consistent with the q(a) = 2 external kink mode stability limit, the unstable modes have growth rates on the order of the characteristic wall eddy-current decay timescale in both devices, and a dominant m = 2 poloidal structure that is consistent with ideal MHD predictions. The experiments contribute to validating MHD stability theory and demonstrate that a key tokamak stability limit can be overcome with feedback.

  16. Psychosocial factors and safety behaviour as predictors of accidental work injuries in farming

    DEFF Research Database (Denmark)

    Glasscock, David John; Rasmussen, Kurt; Carstensen, Ole

    2006-01-01

    that farm stressors (including perceived economic problems), stress symptoms, and safety behaviour were predictors of occupational farm accidents. Higher levels of stressors and stress symptoms and poor safety behaviour were all associated with an elevated risk of injury. In the case of stress symptoms...... be a problem faced by farmers, there is a particular need to investigate the associations between farm accidents and work stressors and stress reactions. Using multivariate logistic regression analyses, this study aimed to uncover the best psychosocial predictors of injury, while controlling for exposure......, the relation with accidents occurred via an interaction with safety behaviour. The combination of high levels of stress symptoms and poor safety behaviour was associated with a particularly high accident risk....

  17. Factors associated with knowledge and safety skills of arthritis patients receiving biologics: A survey of 677 patients.

    Science.gov (United States)

    Rat, Anne-Christine; Fautrel, Bruno; Flipon, Elisabeth; Gossec, Laure; Marguerie, Laurent; Nataf, Henri; Pallot-Prades, Béatrice; Poilvert, Rose-Marie; Royant, Valérie; Sadji, Fatiha; Sordet, Christelle; Thevenot, Corinne; Beauvais, Catherine

    2017-03-01

    We aimed to determine patient and rheumatologist factors associated with the safety skills of patients receiving bDMARDs for inflammatory arthritis. Data were obtained from a descriptive observational cross-sectional nationwide survey performed in 2011 in France. Community- and hospital-based rheumatologists were selected at random. The BioSecure questionnaire was used to collect information on patient safety skills. Of the 677 patients included (mean age 53±13years old; 452 (67%) women, 411 (61%) had RA; 421 (64%) received subcutaneous bDMARDs). Patients had received information about their treatments from their physician 610 (90%), a nurse 207 (31%), by a written booklet 398 (59%), and/or during therapeutic patient education (TPE) sessions 99 (15%). The median BioSecure total score was 72/100 (IQR 60-82). In total, 99 (16.4%) patients had a low skill level; 321 (53.2%) a moderate skill level and 183 (30.3%) a high skill level. On multivariate regression analysis, as compared with high safety skills, low skills were associated with living alone (OR 2.8 [95% CI 1.3⿿6.0]), low educational level (OR 4.3 [2.1⿿8.9]), living in a large city (OR 3.1 [1.2⿿8.2]), being unemployed (OR 3.3 [1.6⿿6.7]) and not receiving written information, participating in TPE sessions or consulting a nurse (OR 3.8 [1.6⿿8.8]). One rheumatologist-related factor was a high number of patients receiving bDMARDs in the practice. We reveal factors associated with low safety skills of patients receiving bDMARDs for inflammatory arthritis, which should be addressed to improve safety skills in this population. Copyright © 2016 Société française de rhumatologie. Published by Elsevier SAS. All rights reserved.

  18. Evaluation of Pre-marketing Factors to Predict Post-marketing Boxed Warnings and Safety Withdrawals.

    Science.gov (United States)

    Schick, Andreas; Miller, Kathleen L; Lanthier, Michael; Dal Pan, Gerald; Nardinelli, Clark

    2017-06-01

    An important goal in drug regulation is understanding serious safety issues with new drugs as soon as possible. Achieving this goal requires us to understand whether information provided during the Food and Drug Administration (FDA) drug review can predict serious safety issues that are usually identified after the product is approved. However, research on this topic remains understudied. In this paper, we examine whether any pre-marketing drug characteristics are associated with serious post-marketing safety actions. We study this question using an internal FDA database containing every new small molecule drug submitted to the FDA's Center for Drug Evaluation and Research (CDER) on or after November 21, 1997, and approved and commercially launched before December 31, 2009. Serious post-marketing safety actions include whether these drugs ever experienced either a post-marketing boxed warning or a withdrawal from the market due to safety concerns. A random effects logistic regression model was used to test whether any pre-marketing characteristics were associated with either post-marketing safety action. A total of 219 new molecular entities were analyzed. Among these drugs, 11 experienced a safety withdrawal and 30 received boxed warnings by July 31, 2016. Contrary to prevailing hypotheses, we find that neither clinical trial sample sizes nor review time windows are associated with the addition of a post-marketing boxed warning or safety withdrawal. However, we do find that new drugs approved with either a boxed warning or priority review are more likely to experience post-marketing boxed warnings. Furthermore, drugs approved with boxed warnings tend to receive post-marketing boxed warnings resulting from new safety information that are unrelated to the original warning. Drugs approved with a boxed warning are 3.88 times more likely to receive a post-marketing boxed warning, while drugs approved with a priority review are 3.51 times more likely to receive a post

  19. Features, events, processes, and safety factor analysis applied to a near-surface low-level radioactive waste disposal facility

    Energy Technology Data Exchange (ETDEWEB)

    Stephens, M.E.; Dolinar, G.M.; Lange, B.A. [Atomic Energy of Canada Limited, Ontario (Canada)] [and others

    1995-12-31

    An analysis of features, events, processes (FEPs) and other safety factors was applied to AECL`s proposed IRUS (Intrusion Resistant Underground Structure) near-surface LLRW disposal facility. The FEP analysis process which had been developed for and applied to high-level and transuranic disposal concepts was adapted for application to a low-level facility for which significant efforts in developing a safety case had already been made. The starting point for this process was a series of meetings of the project team to identify and briefly describe FEPs or safety factors which they thought should be considered. At this early stage participants were specifically asked not to screen ideas. This initial list was supplemented by selecting FEPs documented in other programs and comments received from an initial regulatory review. The entire list was then sorted by topic and common issues were grouped, and issues were classified in three priority categories and assigned to individuals for resolution. In this paper, the issue identification and resolution process will be described, from the initial description of an issue to its resolution and inclusion in the various levels of the safety case documentation.

  20. Optimization of the Import Policy as a Factor of Foreign Trade Safety

    Directory of Open Access Journals (Sweden)

    Vlasiuk Taras O.

    2015-03-01

    Full Text Available The article considers the issues of ensuring the state foreign trade safety by using the tools of import policy. The analysis of the current condition of Ukraine import and import policy was carried out, the individual tools of the import policy were analyzed, a list of problems with the import that threaten separate industries of Ukraine was given, the measures, which implementation will positively affect the level of foreign trade safety of the state, were proposed.

  1. Children and Pesticides: New Approach to Considering Risk Is Partly in Place. Report to Congressional Requesters.

    Science.gov (United States)

    Heinrich, Janet

    The Food Quality Protection Act of 1996 (FQPA) requires that the Environmental Protection Agency (EPA), which regulates the use of pesticides at the federal level, reevaluate the amounts of pesticide residues allowed on or in food. The EPA immediately began efforts to consider the additional safety factor for children, using available methods and…

  2. Factors Influencing Attitude, Safety Behavior, and Knowledge regarding Household Waste Management in Guinea: A Cross-Sectional Study

    Directory of Open Access Journals (Sweden)

    Keita Mamady

    2016-01-01

    Full Text Available Waste indiscriminate disposal is recognized as an important cause of environmental pollution and is associated with health problems. Safe management and disposal of household waste are an important problem to the capital city of Guinea (Conakry. The objective of this study was to identify socioeconomic and demographic factors associated with practice, knowledge, and safety behavior of family members regarding household waste management and to produce a remedial action plan. I found that no education background, income, and female individuals were independently associated with indiscriminate waste disposal. Unplanned residential area was an additional factor associated with indiscriminate waste disposal. I also found that the community residents had poor knowledge and unsafe behavior in relation to waste management. The promotion of environmental information and public education and implementation of community action programs on disease prevention and health promotion will enhance environmental friendliness and safety of the community.

  3. Finite element analysis in defining the optimal shape and safety factor of retentive clasp arms of removable partial denture

    Directory of Open Access Journals (Sweden)

    Šćepanović Miodrag

    2013-01-01

    Full Text Available Bacground/Aim. Retentive force of removable partial denture (RPD directly depends on elastic force of stretched retentive clasp arms (RCAs. During deflection RCA must have even stress distribution. Safety factor is the concept which can be applied in estimating durability and functionality of RCAs. This study was based on analyzing properties of clasps designed by conventional clasp wax profiles and defining the optimal shapes of RCAs for stress distribution and safety factor aspects. Methods. Computer-aided-design (CAD models of RCAs with simulated properties of materials used for fabrication of RPD cobalt-chromium-molybdenum (CoCrMo alloy, commercially pure titanium (CPTi and polyacetale were analyzed. Results. The research showed that geometrics of Rapidflex profiles from the BIOS concept are defined for designing and modeling RCAs from CoCrMo alloys. I-Bar and Bonihard clasps made from CPTi might have the same design as Co- CrMo clasp only by safety factor aspect, but it is obvious that CPTi are much more flexible, so their shape must be more massive. Polyacetale clasps should not be fabricated by BIOS concept for CoCrMo alloy. A proof for that is the low value of safety factor. Conclusion. The BIOS concept should be used only for RCAs made of CoCrMo alloy and different wax profiles should be used for fabricating clasps of other investigated materials. The contribution of this study may be the improvement of present systems for defining the clasps shapes made from CoCrMo alloys. The more significant application is possibility of creating new concepts in defining shapes of RCA made from CPTi and polyacetale.

  4. Safety of recombinant human platelet-derived growth factor-BB in Augment® Bone Graft

    Directory of Open Access Journals (Sweden)

    Luis A Solchaga

    2012-12-01

    Full Text Available This article discusses nonclinical and clinical data regarding the safety of recombinant human platelet-derived growth factor-BB as a component of the Augment® Bone Graft (Augment. Augment is a bone graft substitute intended to be used as an alternative to autologous bone graft in the fusion of hindfoot and ankle joints. Nonclinical studies included assessment of the pharmacokinetic profile of intravenously administered recombinant human platelet-derived growth factor-BB in rat and dog, effects of intravenous administration of recombinant human platelet-derived growth factor-BB in a reproductive and development toxicity study in rats, and chronic toxicity and carcinogenicity of Augment in a 12-month implantation model. These studies showed that systemic exposure was brief and clearance was rapid. No signs of toxicity, carcinogenicity, or tumor promotion were observed even with doses far exceeding the maximum clinical dose. Results of clinical trials (605 participants and commercial use of recombinant human platelet-derived growth factor-BB containing products indicate that these products are not associated with increased incidence of adverse events or cancer. The safety data presented provide evidence that recombinant human platelet-derived growth factor-BB is a safe therapeutic when used in combination products as a single administration during surgical procedures for bone repair and fusion. There is no evidence associating use of recombinant human platelet-derived growth factor-BB in Augment with chronic toxicity, carcinogenicity, or tumor promotion.

  5. Development of safety and regulatory requirements for Korean next generation reactor - Development of human factors design review guidelines (II)

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jung Woon; Oh, In Suk; Lee, Hyun Chul; Cheon, Se Woo [Korea Atomic Energy Research Institute, Taejon (Korea)

    1999-02-01

    The objective of this study is to develop human factors engineering program review guidelines and alarm system review guidelines in order to resolve the two major technical issues: '25. Human Factors Engineering Program Review Model' and '26. Review Criteria for Human Factors Aspects of Advanced Controls and Instrumentation', which are related to the development of human factors safety regulation guides being performed by KINS. For the development of human factors program review guidelines, we made a Korean version of NUREG-0711 and added our comments by considering Korean regulatory situation and the characteristics of the KNGR design, and reviewing the reference documents of NURGE-0711. We also computerized the Korean version of NUREG-0711, additional comments, and selected portion of the reference documents for the developer of safety regulation guides at KINS to see the contents comparatively at a glance and use them easily. For the development of alarm system design review guidelines, we made a Korean version of NUREG/CR-6105, which was published by NRC in 1994 as a guideline document for the human factors review of alarm systems. Then we updated the guidelines by reviewing the literature related to alarm design that published after 1994. 12 refs., 11 figs., 2 tabs. (Author)

  6. 76 FR 35130 - Pipeline Safety: Control Room Management/Human Factors

    Science.gov (United States)

    2011-06-16

    ... assessments, and safety policies for natural gas pipelines and for hazardous liquid pipelines. Both committees... advise PHMSA on technical feasibility, practicability, and cost-effectiveness of each proposed pipeline... only recommended improvements, rather than Notices of Probable Violation and monetary penalties...

  7. Safety in the Operating Theatre | a Multi Factor Approach for Patients and Teams

    NARCIS (Netherlands)

    Wauben, L.S.G.L.

    2010-01-01

    Due to the advances in high-tech technology in the operating theatre, the increased number of persons involved, and the increased complexity of surgical procedures, medical errors are inflicted. To answer the main question: How to improve patient safety in the operating theatre during surgery? this

  8. Context factors affecting design and operation of Food Safety Management Systems in the fresh produce chain

    NARCIS (Netherlands)

    Kirezieva, K.K.; Nanyunja, J.; Jacxsens, L.; Vorst, van der J.G.A.J.; Uyttendaele, M.; Luning, P.A.

    2013-01-01

    Recent food-borne outbreaks and cases of non-compliances to maximum residue limits of pesticides, indicated that food safety management systems (FSMS) in fresh produce chain are not yet performing in a satisfactory manner. However, the system output is not only dependent on the system design and ope

  9. Safety in the Operating Theatre | a Multi Factor Approach for Patients and Teams

    NARCIS (Netherlands)

    Wauben, L.S.G.L.

    2010-01-01

    Due to the advances in high-tech technology in the operating theatre, the increased number of persons involved, and the increased complexity of surgical procedures, medical errors are inflicted. To answer the main question: How to improve patient safety in the operating theatre during surgery? this

  10. Inroads into Equestrian Safety: Rider-Reported Factors Contributing to Horse-Related Accidents and Near Misses on Australian Roads.

    Science.gov (United States)

    Thompson, Kirrilly; Matthews, Chelsea

    2015-07-22

    Horse riding and horse-related interactions are inherently dangerous. When they occur on public roads, the risk profile of equestrian activities is complicated by interactions with other road users. Research has identified speed, proximity, visibility, conspicuity and mutual misunderstanding as factors contributing to accidents and near misses. However, little is known about their significance or incidence in Australia. To explore road safety issues amongst Australian equestrians, we conducted an online survey. More than half of all riders (52%) reported having experienced at least one accident or near miss in the 12 months prior to the survey. Whilst our findings confirm the factors identified overseas, we also identified issues around rider misunderstanding of road rules and driver misunderstanding of rider hand signals. Of particular concern, we also found reports of potentially dangerous rider-directed road rage. We identify several areas for potential safety intervention including (1) identifying equestrians as vulnerable road users and horses as sentient decision-making vehicles (2) harmonising laws regarding passing horses, (3) mandating personal protective equipment, (4) improving road signage, (5) comprehensive data collection, (6) developing mutual understanding amongst road-users, (7) safer road design and alternative riding spaces; and (8) increasing investment in horse-related safety initiatives.

  11. Cognitive performance-altering effects of electronic medical records: An application of the human factors paradigm for patient safety

    Science.gov (United States)

    Holden, Richard J.

    2010-01-01

    According to the human factors paradigm for patient safety, health care work systems and innovations such as electronic medical records do not have direct effects on patient safety. Instead, their effects are contingent on how the clinical work system, whether computerized or not, shapes health care providers' performance of cognitive work processes. An application of the human factors paradigm to interview data from two hospitals in the Midwest United States yielded numerous examples of the performance-altering effects of electronic medical records, electronic clinical documentation, and computerized provider order entry. Findings describe both improvements and decrements in the ease and quality of cognitive performance, both for interviewed clinicians and for their colleagues and patients. Changes in cognitive performance appear to have desirable and undesirable implications for patient safety as well as for quality of care and other important outcomes. Cognitive performance can also be traced to interactions between work system elements, including new technology, allowing for the discovery of problems with “fit” to be addressed through design interventions. PMID:21479125

  12. Inroads into Equestrian Safety: Rider-Reported Factors Contributing to Horse-Related Accidents and Near Misses on Australian Roads

    Directory of Open Access Journals (Sweden)

    Kirrilly Thompson

    2015-07-01

    Full Text Available Horse riding and horse-related interactions are inherently dangerous. When they occur on public roads, the risk profile of equestrian activities is complicated by interactions with other road users. Research has identified speed, proximity, visibility, conspicuity and mutual misunderstanding as factors contributing to accidents and near misses. However, little is known about their significance or incidence in Australia. To explore road safety issues amongst Australian equestrians, we conducted an online survey. More than half of all riders (52% reported having experienced at least one accident or near miss in the 12 months prior to the survey. Whilst our findings confirm the factors identified overseas, we also identified issues around rider misunderstanding of road rules and driver misunderstanding of rider hand signals. Of particular concern, we also found reports of potentially dangerous rider-directed road rage. We identify several areas for potential safety intervention including (1 identifying equestrians as vulnerable road users and horses as sentient decision-making vehicles (2 harmonising laws regarding passing horses, (3 mandating personal protective equipment, (4 improving road signage, (5 comprehensive data collection, (6 developing mutual understanding amongst road-users, (7 safer road design and alternative riding spaces; and (8 increasing investment in horse-related safety initiatives.

  13. Prophylaxis in congenital factor VII deficiency: indications, efficacy and safety. Results from the Seven Treatment Evaluation Registry (STER).

    Science.gov (United States)

    Napolitano, Mariasanta; Giansily-Blaizot, Muriel; Dolce, Alberto; Schved, Jean F; Auerswald, Guenter; Ingerslev, Jørgen; Bjerre, Jens; Altisent, Carmen; Charoenkwan, Pimlak; Michaels, Lisa; Chuansumrit, Ampaiwan; Di Minno, Giovanni; Caliskan, Umran; Mariani, Guglielmo

    2013-04-01

    Because of the very short half-life of factor VII, prophylaxis in factor VII deficiency is considered a difficult endeavor. The clinical efficacy and safety of prophylactic regimens, and indications for their use, were evaluated in factor VII-deficient patients in the Seven Treatment Evaluation Registry. Prophylaxis data (38 courses) were analyzed from 34 patients with severe factor VII deficiency (plasma-derived factor VII, and ten received fresh frozen plasma. Prophylactic schedules clustered into "frequent" courses (three times weekly, n=23) and "infrequent" courses (≤ 2 times weekly, n=15). Excluding courses for menorrhagia, "frequent" and "infrequent" courses produced 18/23 (78%) and 5/12 (41%) "excellent" outcomes, respectively; relative risk, 1.88; 95% confidence interval, 0.93-3.79; P=0.079. Long term prophylaxis lasted from 1 to >10 years. No thrombosis or new inhibitors occurred. In conclusion, a subset of patients with factor VII deficiency needed prophylaxis because of severe bleeding. Recombinant activated factor VII schedules based on "frequent" administrations (three times weekly) and a 90 μg/kg total weekly dose were effective. These data provide a rationale for long-term, safe prophylaxis in factor VII deficiency.

  14. Clinical efficacy and safety of Zarzio® (EP2006, a biosimilar recombinant human granulocyte colony-stimulating factor

    Directory of Open Access Journals (Sweden)

    Tharmarajah S

    2014-03-01

    Full Text Available Soba Tharmarajah,1,2 Abdulaziz Mohammed,3,4 Alaa Bagalagel,3,4 Karen MacDonald,2 Ivo Abraham2,3,5 1College of Pharmacy, University of Arizona, Tucson, AZ, USA; 2Matrix45, Tucson, AZ, USA; 3Center for Health Outcomes and PharmacoEconomic Research, College of Pharmacy, University of Arizona, Tucson, AZ, USA; 4College of Pharmacy, King Abdulaziz University, Jeddah, Saudi Arabia; 5Department of Pharmacy Practice and Science, College of Pharmacy, University of Arizona, Tucson, AZ, USA Abstract: This second review of biosimilar granulocyte colony-stimulating factors approved by the European Medicines Agency evaluates the evidence on the clinical efficacy and safety of prophylaxis of (febrile neutropenia with Zarzio® in chemotherapy-treated cancer patients relative to the originator product filgrastim (Neupogen®. Source documents include: publicly available documents of the European Medicines Agency; a published article reviewing the (preapproval clinical development of EP2006 (Zarzio®; and published (postapproval single-center experience reports on prophylaxis with Zarzio®, including two reports in the cancer setting and one in the setting of autologous peripheral blood stem cell mobilization. Also included is: a pooled analysis of these and other postapproval studies in the cancer setting that includes (interim data from the two single cancer center reports; one additional single-center experience study; one completed study; and one ongoing multicenter postapproval study. Based on the available therapeutic equivalence and safety data, the clinical and safety outcomes of Zarzio® are likely to be similar to those of Neupogen®. Thus, Zarzio® and Neupogen® may be assumed interchangeable. Keywords: biosimilars, biosimilar pharmaceuticals, efficacy, safety, granulocyte colony stimulating factor, recombinant proteins

  15. Safe drinking water: Experience with Water Safety Plans and assessment of risk factors in water supply

    OpenAIRE

    María J. Gunnarsdóttir 1947

    2012-01-01

    Access to adequate and clean drinking water is one of the fundamentals of a good and prosperous society. A comprehensive regulatory framework as well as institutional guidelines and procedures are necessary to secure this at any time. Iceland was one of the first countries to categorize drinking water as food in legislation passed in 1995. According to the legislation water utilities are obligated to implement systematic preventive management, Water Safety Plan (WSP), to ensure good quality w...

  16. Factors in the Growth and Decline of System Safety within Organizations

    Energy Technology Data Exchange (ETDEWEB)

    GANTER, JOHN H.; STORAGE, WILLIAM K.

    1999-08-16

    System safety as a technical field faces numerous opportunities, and some challenges, in the high technology, low cost future. As a relatively small field best known in high consequence domains (defense, aviation, space) it may have to tailor its messages and approaches to influence organizations (both private and public) pressured by incessant competition and ''Internet time.'' We present a model of organizations as cultures that carefully ration attention and reward personnel who successfully pursue goals. These evolving goals result from a fusing of both external influences (market share: regulation) and internal influences (dominant group identities such as marketers or engineers). In the context of organizational goals, these same influences cause people to search narrowly and quickly for technologies and ideas that can fit through ''influence gates'' in the organization and that will likely grow there. System safety must thus compete with all manner of cost-cutting and quality management approaches, in an environment currently obsessed with short-term value and return on investment. From this model we develop some ideas for the communication and promotion of system safety that could increase the net impact and effectiveness of the field.

  17. Influence of parenteral administration routes and additional factors on vaccine safety and immunogenicity: a review of recent literature.

    Science.gov (United States)

    Herzog, Christian

    2014-03-01

    Vaccines have to be administered via an appropriate route, i.e. a route, which is optimal regarding safety, immunogenicity and practicability. In addition, there are factors, such as body site, needle length, injection technique, depth of injection, type of antigen, vaccine formulation, adjuvants, age, sex, race/ethnicity, body mass, and pre-existing immunity, which can have an impact on the reactogenicity and tolerability and/or on the immunogenicity of a given vaccine. For parenteral vaccine administration there are currently three routes licensed: intramuscular, subcutaneous and intradermal, either by using conventional hypodermic needles or by using alternative or needle-free injection devices. The factors potentially impacting on the 'performance' of a given route of administration, as reported in recent literature, are outlined and discussed in view of their importance. These factors need to be accounted and controlled for when designing vaccine studies and should be reported in a transparent and standardised way in publications.

  18. Safety Assurance Factors for Electronic Health Record Resilience (SAFER): study protocol.

    Science.gov (United States)

    Singh, Hardeep; Ash, Joan S; Sittig, Dean F

    2013-04-12

    Implementation and use of electronic health records (EHRs) could lead to potential improvements in quality of care. However, the use of EHRs also introduces unique and often unexpected patient safety risks. Proactive assessment of risks and vulnerabilities can help address potential EHR-related safety hazards before harm occurs; however, current risk assessment methods are underdeveloped. The overall objective of this project is to develop and validate proactive assessment tools to ensure that EHR-enabled clinical work systems are safe and effective. This work is conceptually grounded in an 8-dimension model of safe and effective health information technology use. Our first aim is to develop self-assessment guides that can be used by health care institutions to evaluate certain high-risk components of their EHR-enabled clinical work systems. We will solicit input from subject matter experts and relevant stakeholders to develop guides focused on 9 specific risk areas and will subsequently pilot test the guides with individuals representative of likely users. The second aim will be to examine the utility of the self-assessment guides by beta testing the guides at selected facilities and conducting on-site evaluations. Our multidisciplinary team will use a variety of methods to assess the content validity and perceived usefulness of the guides, including interviews, naturalistic observations, and document analysis. The anticipated output of this work will be a series of self-administered EHR safety assessment guides with clear, actionable, checklist-type items. Proactive assessment of patient safety risks increases the resiliency of health care organizations to unanticipated hazards of EHR use. The resulting products and lessons learned from the development of the assessment guides are expected to be helpful to organizations that are beginning the EHR selection and implementation process as well as those that have already implemented EHRs. Findings from our project

  19. THE SAFETY FACTOR ANALYSIS OF THE MARINE SLOPE STABILITY MODEL ON THE ACCESS CHANNEL OF MARINE CENTRE PLAN CIREBON, WEST JAVA.

    Directory of Open Access Journals (Sweden)

    Franto Novico

    2017-07-01

    Full Text Available This study is focused on access channel model that safety factors of some slopes stability would be investigated. Plaxis version 8 is applied to analyze a magnitude of safety factors and displacements based on three different slopes of access channel there are 30°, 45° and 60°. Furthermore, parameters are adopted from geotechnical drilling and laboratory tests. A finite element is applied as a simple model to analyze within a Mohr-coulomb equation. Based on soil data analyses on Marine Center Plan, indicates low safety factor and high deformation. As results, 10 to 40 meters deformation of the slopes and 0.80 to 2.34 of safety factor are obtained of the models. For that reason, a combination between slope channel and infrastructure must be considered.

  20. Calibration of partial safety factors for wind turbine rotor blades against fatigue failure; Kalibrering af partielle sikkerhedsfaktorer for udmattelse af vindmoellerotorer

    Energy Technology Data Exchange (ETDEWEB)

    Christensen, C.J.; Ronold, K.O.; Thoegersen, M.L.

    2000-08-01

    The report describes a calibration of partial safety factors for wind turbine rotor blades subjected to fatigue loading in flapwise and edgewise bending. While earlier models - developed by the authors - dealt with such calibrations for site-specific individual turbines only, the calibration model applied herein covers an integrated analysis with different turbines on different sites and with different blade materials. The result is an optimized set of partial safety factors, i.e. a set of safety factors that lead to minimum deviation from the target reliability of the achieved reliabilities over the selected scope of turbines, sites and materials. The turbines included in the study cover rated powers of 450-600 kW. The result from the calibration are discussed in relation to the partial safety factors that are given in the Danish codes for design of glass fibre reinforced rotor blades (DS472 and DS456). (au)

  1. ASSESSMENT OF RELATED ANAMNESTIC AND CLINICAL FACTORS ON EFFICACY AND SAFETY OF ANTI-HELICOBACTER PYLORI THERAPY

    Directory of Open Access Journals (Sweden)

    D. N. Andreev

    2016-01-01

    Full Text Available The article presents the results of a prospective clinical study in which 100 patients with H. pylori-associated peptic ulcer disease of stomach/duodenum were examined. The aim of the study was to assess the effect of concomitant anamnestic and clinical factors on the efficacy and safety of eradication therapy (ET. Type 2 diabetes mellitus is a factor that significantly reduces the efficiency of ET with OR 0.21 (95% CI 0,06-0,69, p = 0,0102. Using a macrolide antibiotics prior to ET during the previous 12 months is associated with a reduction in the effectiveness of H. pylori eradication with OR 0.27 (95% CI 0,08-0,90, p = 0,0342. Despite the lack of statistical significance observed negative effect on the efficiency of ET factors such as smoking and increased BMI. Smoking, female gender, age over 50 years and the presence of type 2 diabetes mellitus had no significant impact on the safety profile of ET. 

  2. Clinical efficacy and safety of abatacept in methotrexate-naive patients with early rheumatoid arthritis and poor prognostic factors

    Science.gov (United States)

    Westhovens, R; Robles, M; Ximenes, A C; Nayiager, S; Wollenhaupt, J; Durez, P; Gomez-Reino, J; Grassi, W; Haraoui, B; Shergy, W; Park, S-H; Genant, H; Peterfy, C; Becker, J-C; Covucci, A; Helfrick, R; Bathon, J

    2009-01-01

    Objectives: To assess the efficacy and safety of abatacept in methotrexate-naive patients with early rheumatoid arthritis (RA) and poor prognostic factors. Methods: In this double-blind, phase IIIb study, patients with RA for 2 years or less were randomly assigned 1 : 1 to receive abatacept (∼10 mg/kg) plus methotrexate, or placebo plus methotrexate. Patients were methotrexate-naive and seropositive for rheumatoid factor (RF), anti-cyclic citrullinated protein (CCP) type 2 or both and had radiographic evidence of joint erosions. The co-primary endpoints were the proportion of patients achieving disease activity score in 28 joints (DAS28)-defined remission (C-reactive protein) and joint damage progression (Genant-modified Sharp total score; TS) at year 1. Safety was monitored throughout. Results: At baseline, patients had a mean DAS28 of 6.3, a mean TS of 7.1 and mean disease duration of 6.5 months; 96.5% and 89.0% of patients were RF or anti-CCP2 seropositive, respectively. At year 1, a significantly greater proportion of abatacept plus methotrexate-treated patients achieved remission (41.4% vs 23.3%; p<0.001) and there was significantly less radiographic progression (mean change in TS 0.63 vs 1.06; p = 0.040) versus methotrexate alone. Over 1 year, the frequency of adverse events (84.8% vs 83.4%), serious adverse events (7.8% vs 7.9%), serious infections (2.0% vs 2.0%), autoimmune disorders (2.3% vs 2.0%) and malignancies (0.4% vs 0%) was comparable for abatacept plus methotrexate versus methotrexate alone. Conclusions: In a methotrexate-naive population with early RA and poor prognostic factors, the combination of abatacept and methotrexate provided significantly better clinical and radiographic efficacy compared with methotrexate alone and had a comparable, favourable safety profile. PMID:19124524

  3. Motivational factors influencing small construction and auto repair enterprises to participate in occupational health and safety programmes

    DEFF Research Database (Denmark)

    Kvorning, Laura Veng; Hasle, Peter; Christensen, Ulla

    2015-01-01

    to engage in a Danish national OHS programme focusing on the prevention of wear and tear of the musculoskeletal system. The programme provided the enterprises with financial support and support from a facilitator. The study was a qualitative case study supplemented with selected survey data from......Small enterprises have limited resources to prioritise occupational health and safety (OHS) so regulators and other stakeholders have developed programmes to support them. The present study analysed the factors influencing active participation of small construction and auto repair enterprises...

  4. Safety of Butter and Influencing Factors%奶油的安全性及影响因素

    Institute of Scientific and Technical Information of China (English)

    莫蓓红

    2016-01-01

    Dairy safety is increasingly subject to public concern , while domestic butter industry uses the tradtional batch churn methods and lacks of experience of safety studies , risk control and crises handling about butter. Factors that affect product safety were introduced and risk of microbial contamination for butter products was also presented in this review. This review provided theoretical support for developing and manufacturing of butter in China.%乳制品安全问题受到社会公众高度关注,目前国内奶油的生产主要采用传统的批次法,对奶油的安全性研究、风险控制和危机处理更是缺乏相关经验。阐述奶油微生物方面的风险以及影响产品安全性的主要因素,为国内奶油产品的开发与生产提供理论参考。

  5. Safety studies of sperm agglutinating factor produced by Staphylococcus aureus as a vaginal contraceptive: in vivo studies.

    Science.gov (United States)

    Kaur, Siftjit; Prabha, Vijay; Kaur, Kiranjeet

    2011-11-01

    Sperm agglutinating factor (SAF) isolated from Staphylococcus aureus when applied at concentration 10 μg before mating completely prevented conception in the mouse. The objective of the present study was to evaluate its safety, as safety is an important concern to be addressed before a compound is selected for contraceptive use. Our results showed that SAF has a very high safety profile. Vaginal application of SAF at 10 μg to the mouse for 14 consecutive days caused no systemic toxicity and vaginal irritation as indicated by lack of effect on organ weights and histology. Moreover, no adverse effect was observed on the subsequent reproductive capability, perinatal outcome and growth and development of the offspring. SAF (10 μg) did not irritate the skin or penile mucosa. Oral administration of 2 mg/kg body weight of SAF did not show any toxicity to reproductive and non-reproductive organs. Therefore, SAF with spermicidal activity and lack of toxicity may have the potential to become the active ingredient of a vaginal contraceptive.

  6. Identifying factors affecting the safety of mid-block bicycle lanes considering mixed 2-wheeled traffic flow.

    Science.gov (United States)

    Bai, Lu; Chan, Ching-Yao; Liu, Pan; Xu, Chengcheng

    2017-10-03

    Electric bikes (e-bikes) have been one of the fastest growing trip modes in Southeast Asia over the past 2 decades. The increasing popularity of e-bikes raised some safety concerns regarding urban transport systems. The primary objective of this study was to identify whether and how the generalized linear regression model (GLM) could be used to relate cyclists' safety with various contributing factors when riding in a mid-block bike lane. The types of 2-wheeled vehicles in the study included bicycle-style electric bicycles (BSEBs), scooter-style electric bicycles (SSEBs), and regular bicycles (RBs). Traffic conflict technology was applied as a surrogate measure to evaluate the safety of 2-wheeled vehicles. The safety performance model was developed by adopting a generalized linear regression model for relating the frequency of rear-end conflicts between e-bikes and regular bikes to the operating speeds of BSEBs, SSEBs, and RBs in mid-block bike lanes. The frequency of rear-end conflicts between e-bikes and bikes increased with an increase in the operating speeds of e-bikes and the volume of e-bikes and bikes and decreased with an increase in the width of bike lanes. The large speed difference between e-bikes and bikes increased the frequency of rear-end conflicts between e-bikes and bikes in mid-block bike lanes. A 1% increase in the average operating speed of e-bikes would increase the expected number of rear-end conflicts between e-bikes and bikes by 1.48%. A 1% increase in the speed difference between e-bikes and bikes would increase the expected number of rear-end conflicts between e-bikes/bikes by 0.16%. The conflict frequency in mid-block bike lanes can be modeled using generalized linear regression models. The factors that significantly affected the frequency of rear-end conflicts included the operating speeds of e-bikes, the speed difference between e-bikes and regular bikes, the volume of e-bikes, the volume of bikes, and the width of bike lanes. The

  7. Early Discharge after Delivery. A Study of Safety and Risk Factors

    Directory of Open Access Journals (Sweden)

    Deena R. Zimmerman

    2003-01-01

    Full Text Available The increased frequency of early discharge of newborns has led to questions of its safety. Most studies have looked at mortality and rehospitalization, not all missed diagnoses. The purpose of this study was to determine diagnoses in newborn infants that would have been missed if the infant had been discharged in <24 h. The design was a cohort study at Rabin Medical Center-Beilinson Campus (average monthly deliveries 1996 [250], 1997 [500], a university-affiliated community hospital with all in-born term (≥37 weeks infants born September through November 1996 and June 1997.

  8. Identification of the Uncertainties for the Calibration of the Partial Safety Factors for Load in Tidal Turbines

    Directory of Open Access Journals (Sweden)

    Gaizka Zarraonandia Simeón

    2016-03-01

    Full Text Available Tidal energy is nowadays one of the fastest growing types of marine renewable energy. In particular, Horizontal Axis Tidal Turbines (HATTs are the most advanced designs and the most appropriate for standardization. This paper presents a review of actual design criteria focusing on the identification of the uncertainties that technology developers need to address during the design process. Key environmental parameters like turbine inflow conditions or predictions of extreme values are still grey areas due to the lack of site measurements and the uncertainty in metocean model predictions. A comparison of turbulence intensity characterization using different tools and at different points in time shows the uncertainty in the prediction of this parameter. Numerical models of HATTs are still quite uncertain, often dependent on experience of the people running them. In the reliability-based calibration of partial safety factors, the uncertainties need to be reflected on the limit state formulation. This paper analyses the different types of uncertainties present in the limit state equation. These uncertainties are assessed in terms of stochastic variables in the limit state equation. In some cases, advantage can be taken from the experience from offshore wind and oil and gas industries. Tidal turbines have a mixture of the uncertainties present in both industries with regard to partial safety factor calibration.

  9. Factors Influencing the Use of a Mobile App for Reporting Adverse Drug Reactions and Receiving Safety Information: A Qualitative Study.

    Science.gov (United States)

    de Vries, Sieta T; Wong, Lisa; Sutcliffe, Alastair; Houÿez, François; Ruiz, Carmen Lasheras; Mol, Peter G M

    2017-05-01

    A mobile app may increase the reporting of adverse drug reactions (ADRs) and improve the communication of new drug safety information. Factors that influence the use of an app for such two-way risk communication need to be considered at the development stage. Our aim was to reveal the factors that may influence healthcare professionals (HCPs) and patients to use an app for two-way risk communication. Focus group discussions and face-to-face interviews were conducted in the Netherlands, Spain and the UK. Patients with type 2 diabetes mellitus, patients with a rare disease or their caregivers and adolescents with health conditions were eligible to participate. HCPs included pharmacists, paediatricians, general practitioners, internists, practice nurses and professionals caring for patients with a rare disease. Patients and HCPs were recruited through various channels. The recorded discussions and interviews were transcribed verbatim. The dataset was analysed using thematic analysis and arranged according to the Unified Theory of Acceptance and Use of Technology. Seven focus group discussions and 13 interviews were conducted. In total, 21 HCPs and 50 patients participated. Identified factors that may influence the use of the app were the type of feedback given on reported ADRs, how ADR reports are stored and the type of drug news. Also mentioned were other functions of the app, ease of use, type of language, the source of safety information provided through the app, security of the app, layout, the operating systems on which the app can be used and the costs. Further research is needed to assess associations between user characteristics and the direction (positive or negative) of the factors potentially influencing app use.

  10. 安全生产影响因素理论模型构建%Construction of Production Safety Factors Theory Model

    Institute of Scientific and Technical Information of China (English)

    官玥均

    2013-01-01

    This article, through the study of literature and the results published by the state authorities, sums up the four elements which affect safe production-safety culture, safety responsibility, safety legal system and safety investment. And through the analysis of the relationship of each factor and the safe production and the interaction between elements, the production safety influence factor theory is deduced. Through the theoretical model and the correlation analysis between elements, it is concluded that safety culture, safety, safety responsibility, safety legal system are positively correlated to safety production, and gets the production safety element model.%本文通过对文献的研究和对国家权威机构的公布结果,归纳出影响安全生产的四个要素分别是安全文化、安全责任、安全法制和安全投入,并通过分析各要素与安全生产的关系及要素间彼此的相互作用,由此推导出安全生产影响要素的理论。通过理论模型及要素间的相关分析,得出安全文化、安全法制、安全责任、安全投入四个要素都与安全生产呈正相关的关系,由此得出安全生产要素模型。

  11. Case Study on Influence Factor Trend Analysis of the Accidents and Events of Nuclear Power Plants by applying Nuclear Safety Culture Framework

    Energy Technology Data Exchange (ETDEWEB)

    Park, J. Y.; Park, Y. W.; Park, H.G. [KAIST, Daejeon (Korea, Republic of)

    2016-05-15

    This study 1) established the standard based on frameworks of safety culture principles that show safety culture promotion goals, 2) analyzed the linkages with the frameworks that were established by analyzing each incident cause and weak point from selected 268 cases(rating over INES grade 1) among 4,088 cases (as of April 1, 2015). The 4,088 cases were selected as a result of database analysis from 702 accidents recorded in accident and rating evaluation reports that were published in the National Nuclear Safety Commission and overseas IRS (International Reporting System for operating Experience), and 3) finally conducted a trend analysis studies with these comprehensive results. From the investigations, followings were concluded. 1) In order to analyze the safety culture, analysis methodology is required. 2) Analytical methodology for building sustainable safety culture promoting a virtuous cycle system was developed 3) Among variety of process input data, 970 domestic and overseas incidents were selected as targets and 502 accidents were classified as safety culture related events by utilizing screen filter of IAEA GS-G-3.5 Appendix I and Framework (Nuclear Safety Culture Base Frame) developed by BEES, Inc. for safety culture analysis method. 4) As a result, complex safety culture influence factors for the one reason which was difficult to separate by conventional methods was able to be analyzed. 5) The cumulative data through the system was results of virtuous trend analysis rather than temporary results. Thus, it could be unique cultural factors of the domestic industry and could derive trend differences for domestic safety culture factors accordingly.

  12. Efficacy and safety of irbesartan/HCTZ in severe hypertension according to cardiometabolic factors.

    Science.gov (United States)

    Franklin, Stanley S; Neutel, Joel M

    2010-07-01

    This post hoc analysis of a 7-week, randomized, double-blind trial evaluated the efficacy and safety of initial irbesartan/hydrochlorothiazide treatment in 468 patients with severe, uncontrolled, hypertension (diastolic blood pressure [DBP] > or =100 mm Hg) at high cardiovascular risk. Systolic blood pressure (SBP)/DBP reductions ranged from 28.0 to 42.9/22.9 to 27.2 mm Hg in patients with obesity, diabetes, baseline SBP > or =180 mm Hg, and in the elderly. Blood pressure control to or =180 mm Hg; by 7 weeks, 51.3% had SBP 140 to 159 mm Hg and 26.5% had SBP high-risk, difficult-to-treat, severely hypertensive patients.

  13. Human factors research in Central Research Institute of Electric Power Industry creation of safety culture

    Energy Technology Data Exchange (ETDEWEB)

    Horie, Yasuo [Central Research Inst. of Electric Power Industry, Tokyo (Japan)

    2002-03-01

    To prevent accident of nuclear power plant, Human Factors Center was built in the Central Research Institute of Electric Power Industry in July 1987. It developed an evaluation method of human error cases and an application method of human factors information. Now it continues analysis and application of human factors information, development of training/work support tools and research/experiment of human behavior. Japan-Human Performance Evaluation System (J-HPES) was developed as an analytical system for analysis and evaluation of human factors related to the trouble and for using the result as the common property by storage the analytical results. J-HPES has a standard procedure consisted of collecting and analyzing data and proposing the countermeasures. The analytical results are arranged by 4 kinds of charts by putting into the form of a diagram. Moreover, it tries to find the causes with indirect and potential causes. Two kinds of materials, Caution Report and Human Factors Precept by means of Illustrations, are published. People can gain access to HFC database by URL http://criepi.denken.or.jp/CRIEPI/HFC/DB. To prevent these accidents, creation of human factors culture has been required. Five kinds of teaching materials and the training method are developed. (S.Y.)

  14. Quality management and safety culture in medicine – Do standard quality reports provide insights into the human factor of patient safety?

    OpenAIRE

    2009-01-01

    In 1999 the Institute of Medicine (IOM) published the landmark report "To err is human: building a safer healthcare system" highlighting critical deficiencies within the area of patient safety. As a consequence, safety culture evolved as a core component of quality management in medicine. Purpose of the investigation at hand was to find out to what extent this is reflected in standard quality reports issued by German hospitals providing maximum medical care. Reports issued for the year 2006 w...

  15. Conditions for the successful integration of Human and Organizational Factors (HOF) in the nuclear safety analysis.

    Science.gov (United States)

    Tosello, Michèle; Lévêque, Françoise; Dutillieu, Stéphanie; Hernandez, Guillaume; Vautier, Jean-François

    2012-01-01

    This communication presents some elements which come from the experience feedback at CEA about the conditions for the successful integration of HOF in the nuclear safety analysis. To point out some of these conditions, one of the concepts proposed by Edgar Morin to describe the functioning of "complex" systems: the dialogical principle has been used. The idea is to look for some dialogical pairs. The elements of this kind of pair are both complementary and antagonist to one another. Three dialogical pairs are presented in this communication. The first two pairs are related to the organization of the HOF network and the last one is related to the methods which are used to analyse the working situations. The three pairs are: specialist - non-specialist actors of the network, centralized - distributed human resources in the network and microscopic - macroscopic levels of HOF methods to analyse the working situations. To continuously improve these three dialogical pairs, it is important to keep the differences which exist between the two elements of a pair and to find and maintain a balance between the two elements of the pairs.

  16. Relationship Between Operating Room Teamwork, Contextual Factors, and Safety Checklist Performance.

    Science.gov (United States)

    Singer, Sara J; Molina, George; Li, Zhonghe; Jiang, Wei; Nurudeen, Suliat; Kite, Julia G; Edmondson, Lizabeth; Foster, Richard; Haynes, Alex B; Berry, William R

    2016-10-01

    Studies show that using surgical safety checklists (SSCs) reduces complications. Many believe SSCs accomplish this by enhancing teamwork, but evidence is limited. Our study sought to relate teamwork to checklist performance, understand how they relate, and determine conditions that affect this relationship. Using 2 validated tools for observing and coaching operating room teams, we evaluated the association between checklist performance with surgeon buy-in and 4 domains of surgical teamwork: clinical leadership, communication, coordination, and respect. Hospital staff in 10 South Carolina hospitals observed 207 procedures between April 2011 and January 2013. We calculated levels of checklist performance, buy-in, and measures of teamwork, and evaluated their relationship, controlling for patient and case characteristics. Few teams completed most or all SSC items. Teams more often completed items considered procedural "checks" than conversation "prompts." Surgeon buy-in, clinical leadership, communication, a summary measure of teamwork overall, and observers' teamwork ratings positively related to overall checklist completion (multivariable model estimates from 0.04, p teamwork and surgeon buy-in related positively to completing more conversation prompts; none related significantly to procedural checks (estimates from 0.10, p teamwork characterized by shared clinical leadership, open communication, active coordination, and mutual respect were critical in prompting case-related conversations, but not in completing procedural checks. Findings highlight the importance of surgeon engagement and high-quality, consistent teamwork for promoting checklist use and ensuring a safe surgical environment. Copyright © 2016 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

  17. Landscape dose conversion factors used in the safety assessment SR-Site

    Energy Technology Data Exchange (ETDEWEB)

    Avila, Rodolfo; Ekstroem, Per-Anders; Aastrand, Per-Gustav (Facilia AB (Sweden))

    2010-12-15

    In this report two types of Dose Conversion Factors have been derived: i) a Landscape Dose Conversion Factor (LDF) that is applicable to continuous long-term releases to the biosphere at a constant rate, and ii) a Landscape Dose Conversion Factor for pulse releases (LDF pulse) that is applicable to a radionuclide release that reaches the biosphere in a pulse within years to hundreds of years. In SR-Site these Dose Factors are multiplied with modelled release rates or pulse releases from the geosphere to obtain dose estimates used in assessment of compliance with the regulatory risk criterion. The LDFs were calculated for three different periods of the reference glacial cycle; a period of submerged conditions following the deglaciation, the temperate period, and a prolonged period of periglacial conditions. Additionally, LDFs were calculated for the global warming climate case. The LDF pulse was calculated only for temperate climate conditions. The LDF and LDF pulse can be considered as Best Estimate values, which can be used in calculations of Best Estimate values of doses to a representative individual of the most exposed group from potential releases from a future repository. A systematic analysis of the effects of system, model and parameter uncertainties on the LDFs has been carried out. This analysis has shown that the use of the derived LDF would lead to cautious or realistic dose estimates. The models and methods that were used for derivation of the LDFs and LDF pulse are also described in this report

  18. Factors Influencing Learning Satisfaction of Migrant Workers in Korea with E-learning-Based Occupational Safety and Health Education.

    Science.gov (United States)

    Lee, Young Joo; Lee, Dongjoo

    2015-09-01

    E-learning-based programs have recently been introduced to the occupational safety and health (OSH) education for migrant workers in Korea. The purpose of this study was to investigate how the factors related to migrant workers' backgrounds and the instructional design affect the migrant workers' satisfaction with e-learning-based OSH education. The data were collected from the surveys of 300 migrant workers who had participated in an OSH education program. Independent sample t test and one-way analysis of variance were conducted to examine differences in the degree of learning satisfaction using background variables. In addition, correlation analysis and multiple regression analysis were conducted to examine relationships between the instructional design variables and the degree of learning satisfaction. There was no significant difference in the degree of learning satisfaction by gender, age, level of education, number of employees, or type of occupation, except for nationality. Among the instructional design variables, "learning content" (β = 0.344, p affected the degree of learning satisfaction most significantly, followed by "motivation to learn" (β = 0.293, p education for migrant workers may be an effective way to increase their safety knowledge and behavior if the accuracy, credibility, and novelty of learning content; strategies to promote learners' motivation to learn; and interactions with learners and instructors are systematically applied during the development and implementation of e-learning programs.

  19. An Evaluation of the Implied Shortage Factor and Its Effect on the Air Force Logistics Command’s Economic Order Quantity (EOQ) Variable Safety Level.

    Science.gov (United States)

    Order Quantity (EOQ) model and a derivation of the Presutti and Trepp Model IV to establish inventory variable safety levels. The safety level (SL...implied shortage factor, lambda is an arbitrary value that has a major effect on the SL formula and inventory levels at each wholesale supply depot, the...Air Logistics Center. The objective of this thesis was to determine the effectiveness of the process by which lambda has been previously determined at

  20. Two Important Factors That Effects Patient Satisfaction In A Public Hospital: Communication And Patient Safety Culture

    OpenAIRE

    Vural, Fisun; AYDIN, Ayşe; FİL, Şükran; Torun, Sebahat; Vural, Birol

    2015-01-01

    The measurement of patient satisfaction in health care services is an important measure of quality service provision. The aim of this study was to determine hospitalized patient satisfaction in a public hospital and the related factors affecting satisfaction. Patient satisfaction survey was applied to 120 hospitalized patients during face to face interviews. The major components of healthcare satisfaction were analysed separately as: the personal characteristics of patients, healthcare staffs...

  1. Factors associated with health information exchange system usage in a safety-net ambulatory care clinic setting.

    Science.gov (United States)

    Vest, Joshua R; Gamm, Larry D; Ohsfeldt, Robert L; Zhao, Hongwei; Jasperson, 'Jon Sean

    2012-08-01

    The Meaningful Use criteria promises to make health information exchange (HIE) much more widespread. However, the usage of the information systems made available by existing HIE efforts tends to be very low. This study sought to examine the factors associated with usage of an operational HIE system during ambulatory care visits to safety-net clinics. Overall the HIE system was accessed for 21% of encounters. However, system access took on two distinct forms. In general, usage was more likely for patients with recent emergency department visits and chronic conditions. This study indicates the organizational commitment to engage in HIE does not necessarily mean that the information systems will be always used. In addition, system usage will take on various forms for different reasons. These results reveal considerations for the development, operation and evaluation of HIE efforts.

  2. Comparison between monitored and modeled pore water pressure and safety factor in a slope susceptible to shallow landslides

    Science.gov (United States)

    Bordoni, Massimiliano; Meisina, Claudia; Zizioli, Davide; Valentino, Roberto; Bittelli, Marco; Chersich, Silvia

    2014-05-01

    Shallow landslides can be defined as slope movements affecting superficial deposits of small thicknesses which are usually triggered due to extreme rainfall events, also very concentrated in time. Shallow landslides are hazardous phenomena: in particular, if they happen close to urbanized areas they could cause significant damages to cultivations, structures, infrastructures and, sometimes, human losses. The triggering mechanism of rainfall-induced shallow landslides is strictly linked with the hydrological and mechanical responses of usually unsaturated soils to rainfall events. For this reason, it is fundamental knowing the intrinsic hydro-mechanical properties of the soils in order to assess both susceptibility and hazard of shallow landslide and to develop early-warning systems at large scale. The hydrological data collected by a 20 months monitoring on a slope susceptible to shallow landslides in an area of the North -Eastern Oltrepo Pavese (Northern Apennines, Italy) were used to identify the hydrological behaviors of the investigated soils towards rainfall events. Field conditions under different rainfall trends have also been modeled by using both hydrological and physically-based stability models for the evaluation of the slope safety factor . The main objectives of this research are: (a) to compare the field measured pore water pressures at different depths with results of hydrological models, in order to evaluate the efficiency of the tested models and to determine how precipitations affect pore pressure development; (b) to compare the time trends of the safety factor that have been obtained by applying different stability models; (c) to evaluate, through a sensitivity analysis, the effects of soil hydrological properties on modeling pore water pressure and safety factor. The test site slope where field measurements were acquired is representative of other sites in Northern Apennines affected by shallow landslides and is characterized by medium

  3. SAFETY OF INTRAVITREAL DEXAMETHASONE IMPLANT (OZURDEX): The SAFODEX study. Incidence and Risk Factors of Ocular Hypertension.

    Science.gov (United States)

    Malclès, Ariane; Dot, Corinne; Voirin, Nicolas; Vié, Anne-Laure; Agard, Émilie; Bellocq, David; Denis, Philippe; Kodjikian, Laurent

    2017-07-01

    To analyze the incidence, risk factors, and time course of intraocular pressure elevation after intravitreal dexamethasone implant (Ozurdex). The medical charts of 421 consecutive eyes (361 patients) receiving one or more Ozurdex implant between October 2010 and February 2015 were reviewed retrospectively. Ocular hypertension was defined as intraocular pressure of at least 25 mmHg or an increase of at least 10 mmHg from baseline. The main indications for treatment were retinal vein occlusion (34%), diabetic macular edema (30%), postsurgical macular edema (17%), uveitis (14%), and other etiologies (5%). Among 1,000 intravitreal injections, ocular hypertension was recorded for 28.5% of injected eyes over a mean follow-up period of 16.8 months (3-55). Intraocular pressure-lowering medication was required for 31% of eyes. Only three eyes with preexisting glaucoma required filtering surgery to manage postinjection intraocular pressure elevation. Early retreatment between the third and fourth month does not increase the risk of intraocular pressure elevation. Younger age, male sex, Type 1 diabetes, preexisting glaucoma treated with dual or triple therapy, and a history of retinal vein occlusion or uveitis were significant risk factors for ocular hypertension after dexamethasone implant injection (P hypertension after Ozurdex implant were generally transient and successfully managed with topical treatment. An analysis of the risk factors may help to determine the risk-benefit ratio for individual patients treated with dexamethasone implants.

  4. Food safety in raw milk production: risk factors associated to bacterial DNA contamination.

    Science.gov (United States)

    Cerva, Cristine; Bremm, Carolina; Reis, Emily Marques dos; Bezerra, André Vinícius Andrade; Loiko, Márcia Regina; Cruz, Cláudio Estêvão Farias da; Cenci, Alexander; Mayer, Fabiana Quoos

    2014-06-01

    While human illness from milkborne pathogens may be linked to contamination of the product after pasteurization or improper pasteurization, such diseases are usually associated with consumption of raw milk or its by-products. Molecular biology tools were applied to investigate contamination by Listeria monocytogenes, Salmonella spp., some pathogenic strains of Escherichia coli, and Campylobacter jejuni in 548 raw milk samples from 125 dairy farms established in two regions from southern Brazil. Moreover, 15 variables were evaluated for their association with raw milk contamination levels, and the risk factors were determined by multiple regression analysis. Salmonella spp. were more frequently detected, followed by pathogenic E. coli. There was difference in contamination index between the regions, in which risk factors such as temporary cattle confinement, low milk production, low milking machine cleaning frequency, and milk storage area without tile walls were identified. The risk factors were specific to each region studied. Nevertheless, the data can be used to improve milk quality of dairy farms/herds with similar management practices.

  5. Factors Affecting the Perception of Importance and Practice of Patient Safety Management among Hospital Employees in Korea.

    Science.gov (United States)

    Kim, In-Sook; Park, MiJeong; Park, Mi-Young; Yoo, Hana; Choi, Jihea

    2013-03-01

    The study was undertaken to identify factors affecting perception of the importance and practice of patient safety management (PSM) among hospital employees in Korea. This study was conducted using a descriptive design and a self-report questionnaire. Two hundred and eighty employees were recruited from three hospitals using a convenience sampling method. Measures were perception of the importance, practice, and characteristics of PSM. Data were analyzed using descriptive statistics including t test, one-way analysis of variance, Pearson's correlation analysis, and multiple regression. Factors affecting perception of the importance of PSM were whether hospital employees were in contact with patients while on duty, weekly working hours, education on PSM, and perceived adequacy of PSM system construction. Factors affecting the practice of PSM were perceived adequacy of work load, perceived adequacy of PSM system construction and perception of its importance. The findings of this study indicate a need for developing strategies to improve perception of the importance and practice of PSM among all hospital employees, and provide a reference for future experimental studies. Copyright © 2013. Published by Elsevier B.V.

  6. Safety climate and safety behavior in the passenger ferry context.

    Science.gov (United States)

    Lu, Chin-Shan; Yang, Chung-Shan

    2011-01-01

    This research empirically evaluates safety climate and safety behavior in the passenger ferry context. Using survey data collected from 155 respondents working for passenger ferry companies in Taiwan, hierarchical regression analysis was used to examine the effects of safety climate on self-reported safety behaviors. Confirmatory factor analysis identified five main dimensions of safety climate as measured on a passenger ferry safety climate scale: safety policy, safety motivation, emergency preparedness, safety training, and safety communication. Further, safety training and emergency preparedness were found to positively affect self-reported safety behaviors with respect to safety compliance and safety participation. The study also revealed positive associations among respondents' age, ferry capacity, and safety compliance. Implications of the study findings for increasing safety in ferry operations and their contribution to the development of safety management are discussed. Copyright © 2010 Elsevier Ltd. All rights reserved.

  7. DEVELOPMENT OF HUMAN FACTORS ENGINEERING GUIDANCE FOR SAFETY EVALUATIONS OF ADVANCED REACTORS.

    Energy Technology Data Exchange (ETDEWEB)

    O' HARA, J.; PERSENSKY, J.; SZABO, A.

    2006-10-01

    Advanced reactors are expected to be based on a concept of operations that is different from what is currently used in today's reactors. Therefore, regulatory staff may need new tools, developed from the best available technical bases, to support licensing evaluations. The areas in which new review guidance may be needed and the efforts underway to address the needs will be discussed. Our preliminary results focus on some of the technical issues to be addressed in three areas for which new guidance may be developed: automation and control, operations under degraded conditions, and new human factors engineering methods and tools.

  8. Calibration of partial safety factors for wind turbine rotor blades against fatigue; Kalibrering af partielle sikkerhedsfaktorer for udmattelse af vindmoellerotorer. Bilagsrapport

    Energy Technology Data Exchange (ETDEWEB)

    Christensen, C.J.; Ronold, K.O.; Thoegersen, M.L.

    2000-08-01

    The report describes a calibration of partial safety factors for wind turbine rotor blades subjected to fatigue loading in flapwise and edgewise bending. While earlier models - developed by the authors - dealt with such calibrations for site-specific individual turbines only, the calibration model applied herein covers an integrated analysis with different turbines on different sites and with different blade materials. The result is an optimized set of partial safety factors, i.e. a set of safety factors that lead to minimum deviation from the target reliability of the achieved reliabilities over the selected scope of turbines, sites and materials. The turbines included in the study cover rated powers of 450-600 kW. (au)

  9. Insulin-like growth factor-I (lGF-l): safety and efficacy.

    Science.gov (United States)

    Laron, Zvi

    2004-11-01

    Insulin-like growth factor I (IGF-I) is a peptide synthesized mainly in the liver by stimulation by pituitary growth hormone (GH). It circulates almost entirely bound to its binding proteins. It is the anabolic effector hormone of GH. It is the only treatment in states of GH resistance such as Laron syndrome and blocking antibodies to human GH. As it suppresses insulin and GH secretion it has been used in states of insulin resistance including Type II diabetes mellitus. IGF-I is administered by once or twice daily injections. Adverse effects are mostly caused by overdosage. The usual daily dose in children ranges from 100-200 microg/kg.

  10. Safety factors predictive of job satisfaction and job retention among home healthcare aides.

    Science.gov (United States)

    Sherman, Martin F; Gershon, Robyn R M; Samar, Stephanie M; Pearson, Julie M; Canton, Allison N; Damsky, Marc R

    2008-12-01

    Although many of the well known work characteristics associated with job satisfaction in home health care have been documented, a unique aspect of the home health care aides' (HHA) work environment that might also affect job satisfaction is the fact that their workplace is a household. To obtain a better understanding of the potential impact of the risks/exposures/hazards within the household environment on job satisfaction and job retention in home care, we recently conducted a risk assessment study. Survey data from a convenience sample of 823 New York City HHAs were obtained and analyzed. Household/job-related risks, environmental exposures, transportation issues, threats/verbal and physical abuse, and potential for violence were significantly correlated with HHA job satisfaction and job retention. Addressing the modifiable risk factors in the home health care household may improve job satisfaction and reduce job turnover in this work population.

  11. Monitoring human factor risk characteristics at nuclear legacy sites in northwest Russia in support of radiation safety regulation.

    Science.gov (United States)

    Scheblanov, V Y; Sneve, M K; Bobrov, A F

    2012-12-01

    This paper describes research aimed at improving regulatory supervision of radiation safety during work associated with the management of spent nuclear fuel and radioactive waste at legacy sites in northwest Russia through timely identification of employees presenting unfavourable human factor risk characteristics. The legacy sites of interest include sites of temporary storage now operated by SevRAO on behalf of Rosatom. The sites were previously operational bases for servicing nuclear powered submarines and are now subject to major remediation activities. These activities include hazardous operations for recovery of spent nuclear fuel and radioactive waste from sub-optimal storage conditions. The paper describes the results of analysis of methods, procedures, techniques and informational issues leading to the development of an expert-diagnostic information system for monitoring of workers involved in carrying out the most hazardous operations. The system serves as a tool for human factor and professional reliability risk monitoring and has been tested in practical working environments and implemented as part of regulatory supervision. The work has been carried out by the Burnasyan Federal Medical Biophysical Center, within the framework of the regulatory cooperation programme between the Federal Medical-Biological Agency of Russia and the Norwegian Radiation Protection Authority.

  12. Study on Separation of Factors of Production from Grain and Food Safety during the Evolution of Chinese Agricultural Structure

    Institute of Scientific and Technical Information of China (English)

    Kangkang; SHAN; Anran; WANG

    2015-01-01

    China is the world’s largest food producer,and it also has the largest food demand. The stability of China’s food production directly affects the supply and demand situation of the world food market. In the context of evolving Chinese agricultural structure,this paper studies the separation of factors of production from grain and issues concerning food safety. It is found that the arable land for food production within agricultural sector continues to flow to non-food production sector while the arable land is shrinking in China; the process of urbanization of population is the main reason for food production workforce reduction,resulting in a decline in the overall quality of the food production labor.By analyzing the panel data estimation results for food production function,it is found that arable land and labor are still important factors for food production in China at present,and their flow out of food production poses a major threat to food production and security.

  13. Factors of the safety in bicycle traffic in the City of Zagreb and its surrounding

    Directory of Open Access Journals (Sweden)

    Sindik Joško

    2014-01-01

    Full Text Available The aim of this study was to determine the differences in underlying factors of Zagreb cycling, compared to the "types of cyclists" (driving style, i.e. different ways of using bicycles as a means of transport. The study included over 3,000 frequent participants in urban traffic cycling, sample of members of the association Cyclist Union (N = 1259 and snowball sample of "typical" of cyclists, i.e. people who are using the bike, but are not the members of the Cyclist Union (N = 1831, using the conveniently assembled questionnaire. Study participants who bike used in various applications prefer the safest driving style (only on sidewalks and bike paths / lines. Barriers of the weather conditions are ubiquitous in the safest driving style. Daily, weekly and yearly riding a bicycle are more often found in those who prefer the safest driving style. Cyclists who drive with medium secure style (roads with less traffic and lower speeds, more often ride a bike, as compared with those who prefer the safest driving style. Having a better bike line / track and other infrastructure is the most often considered at those with the highest risk driving style. The results provide the guidance for local authorities and for the cyclists to improve the conditions for a safer and more often by bicycle circulation in the City of Zagreb and its surroundings.

  14. Safety experience with IMC-C225, an anti-epidermal growth factor receptor antibody.

    Science.gov (United States)

    Needle, Michael N

    2002-10-01

    In phase II trials, the anti-epidermal growth factor receptor antibody IMC-C225 did not appear to significantly exacerbate the common toxicities associated with cytotoxic chemotherapy when combined with standard anticancer treatments in patients with colorectal cancer, squamous cell carcinoma of the head and neck, or pancreatic cancer. The most common treatment-related adverse events reported during therapy with IMC-C225 were an acne-like rash and hypersensitivity reactions. The acne-like rash appeared as a sterile, suppurative form of folliculitis, commonly starting on the face, scalp, chest, and upper back. It resolved without scarring once treatment was stopped. Notably, the appearance of acne-like rash, particularly grade 3, was associated with higher treatment responses in patients with refractory colorectal cancer. The hypersensitivity reactions occurred less often than acne-like rash. They responded to standard treatments and were less common after the first dose. In summary, IMC-C225 is generally well tolerated as a single agent and when combined with chemotherapy or radiotherapy and possesses a manageable toxicity profile.

  15. A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety.

    Science.gov (United States)

    Xie, Anping; Carayon, Pascale

    2015-01-01

    Healthcare systems need to be redesigned to provide care that is safe, effective and efficient, and meets the multiple needs of patients. This systematic review examines how human factors and ergonomics (HFE) is applied to redesign healthcare work systems and processes and improve quality and safety of care. We identified 12 projects representing 23 studies and addressing different physical, cognitive and organisational HFE issues in a variety of healthcare systems and care settings. Some evidence exists for the effectiveness of HFE-based healthcare system redesign in improving process and outcome measures of quality and safety of care. We assessed risk of bias in 16 studies reporting the impact of HFE-based healthcare system redesign and found varying quality across studies. Future research should further assess the impact of HFE on quality and safety of care, and clearly define the mechanisms by which HFE-based system redesign can improve quality and safety of care.

  16. Improvement and safety assessment of NNPPS on Human and organisational factors; Programas de evaluacion y mejora de la seguridad de las CC.NN. en organizacion y factores humanos

    Energy Technology Data Exchange (ETDEWEB)

    Almeida, P.; Barrientos, M.; Cal, C. de la; Fernandez, B.; Garcia, A.; Gil, B.; Gonzalez, F.; Gonzalez, J.; Ibanez, M.; Perez, O.

    2002-07-01

    The periodic Safety Review process, associated to the renewal of the Operating Permits, includes the design and implementation of a safety assessment and improvement programme on Human and Organisational Factors, in the Spanish Nuclear power plants. Nowadays, the plants have already completed the preliminary design of their programmes (procedures, responsibilities, resources, projects, etc.) and are working on them to become fully operational. A CSN-UNESA working group has been created to facilitate and make more efficient their design and implementation. (Author)

  17. Nursing Student Experiences Regarding Safe Use of Electronic Health Records: A Pilot Study of the Safety and Assurance Factors for EHR Resilience Guides.

    Science.gov (United States)

    Whitt, Karen J; Eden, Lacey; Merrill, Katreena Collette; Hughes, Mckenna

    2017-01-01

    Previous research has linked improper electronic health record configuration and use with adverse patient events. In response to this problem, the US Office of the National Coordinator for Health Information Technology developed the Safety and Assurance Factors for EHR Resilience guides to evaluate electronic health records for optimal use and safety features. During the course of their education, nursing students are exposed to a variety of clinical practice settings and electronic health records. This descriptive study evaluated 108 undergraduate and 51 graduate nursing students' ratings of electronic health record features and safe practices, as well as what they learned from utilizing the computerized provider order entry and clinician communication Safety and Assurance Factors for EHR Resilience guide checklists. More than 80% of the undergraduate and 70% of the graduate students reported that they experienced user problems with electronic health records in the past. More than 50% of the students felt that electronic health records contribute to adverse patient outcomes. Students reported that many of the features assessed were not fully implemented in their electronic health record. These findings highlight areas where electronic health records can be improved to optimize patient safety. The majority of students reported that utilizing the Safety and Assurance Factors for EHR Resilience guides increased their understanding of electronic health record features.

  18. Assessment of region, farming system, irrigation source and sampling time as food safety risk factors for tomatoes.

    Science.gov (United States)

    Pagadala, Sivaranjani; Marine, Sasha C; Micallef, Shirley A; Wang, Fei; Pahl, Donna M; Melendez, Meredith V; Kline, Wesley L; Oni, Ruth A; Walsh, Christopher S; Everts, Kathryne L; Buchanan, Robert L

    2015-03-02

    In the mid-Atlantic region of the United States, small- and medium-sized farmers use varied farm management methods and water sources to produce tomatoes. It is unclear whether these practices affect the food safety risk for tomatoes. This study was conducted to determine the prevalence, and assess risk factors for Salmonella enterica, Shiga toxin-producing Escherichia coli (STEC) and bacterial indicators in pre-harvest tomatoes and their production areas. A total of 24 organic and conventional, small- to medium-sized farms were sampled for six weeks in Maryland (MD), Delaware (DE) and New Jersey (NJ) between July and September 2012, and analyzed for indicator bacteria, Salmonella and STEC. A total of 422 samples--tomato fruit, irrigation water, compost, field soil and pond sediment samples--were collected, 259 of which were tomato samples. A low level of Salmonella-specific invA and Shiga toxin genes (stx1 or stx2) were detected, but no Salmonella or STEC isolates were recovered. Of the 422 samples analyzed, 9.5% were positive for generic E. coli, found in 5.4% (n=259) of tomato fruits, 22.5% (n=102) of irrigation water, 8.9% (n=45) of soil, 3/9 of pond sediment and 0/7 of compost samples. For tomato fruit, farming system (organic versus conventional) was not a significant factor for levels of indicator bacteria. However, the total number of organic tomato samples positive for generic E. coli (1.6%; 2/129) was significantly lower than for conventional tomatoes (6.9% (9/130); (χ(2) (1)=4.60, p=0.032)). Region was a significant factor for levels of Total Coliforms (TC) (p=0.046), although differences were marginal, with western MD having the highest TC counts (2.6 log CFU/g) and NJ having the lowest (2.0 log CFU/g). Tomatoes touching the ground or plastic mulch harbored significantly higher levels of TC compared to vine tomatoes, signaling a potential risk factor. Source of irrigation water was a significant factor for all indicator bacteria (p<0.0001), and

  19. Optimization of the Safety Factor Profile for High Noninductive Current Fraction Discharges in DIII-D

    Energy Technology Data Exchange (ETDEWEB)

    Ferron, J.R. [General Atomics, San Diego; Holcomb, C T [Lawrence Livermore National Laboratory (LLNL); Luce, T.C. [General Atomics, San Diego; Politzer, P. A. [General Atomics, San Diego; Turco, F. [Oak Ridge Associated Universities (ORAU); White, A. E. [Massachusetts Institute of Technology (MIT); DeBoo, J. C. [General Atomics; Doyle, E. J. [University of California, Los Angeles; Hyatt, A. W. [General Atomics, San Diego; La Haye, R. [General Atomics, San Diego; Murakami, Masanori [ORNL; Petrie, T W [General Atomics, San Diego; Petty, C C. [General Atomics, San Diego; Rhodes, T. L. [University of California, Los Angeles; Zeng, L. [University of California, Los Angeles

    2011-01-01

    In order to assess the optimum q profile for discharges in DIII-D with 100% of the current driven noninductively (f(NI) = 1), the self-consistent response of the plasma profiles to changes in the q profile was studied in high f(NI), high beta(N) discharges through a scan of q(min) and q(95) at two values of beta(N). As expected, both the bootstrap current fraction, f(BS), and f(NI) increased with q(95). The temperature and density profiles were found to broaden as either q(min) or beta(N) is increased. A consequence is that f(BS) does not continue to increase at the highest values of q(min). A scaling function that depends on q(min), q(95), and the peaking factor for the thermal pressure was found to represent well the f(BS)/beta(N) inferred from the experimental profiles. The changes in the shapes of the density and temperature profiles as beta(N) is increased modify the bootstrap current density (J(BS)) profile from peaked close to the axis to relatively flat in the region between the axis and the H-mode pedestal. Therefore, significant externally driven current density in the region inside the H-mode pedestal is required in addition to J(BS) in order to match the profiles of the noninductive current density (J(NI)) to the desired total current density (J). In this experiment, the additional current density was provided mostly by neutral beam current drive with the neutral-beam-driven current fraction 40-90% of f(BS). The profiles of J(NI) and J were most similar at q(min) approximate to 1.35-1.65, q(95) approximate to 6.8, where f(BS) is also maximum, establishing this q profile as the optimal choice for f(NI) = 1 operation in DIII-D with the existing set of external current drive sources.

  20. Evaluation of Aryoseven Safety (Recombinant Activated Factor VII) in Patients with Bleeding Disorders (An Observational Post-Marketing Surveillance Study)

    Science.gov (United States)

    Toogeh, Gholamreza; Abolghasemi, Hassan; Eshghi, Peyman; Managhchi, Mohammadreza; Shaverdi-niasari, Mohammadreza; Karimi, Katayoon; Roostaei, Samin; Emran, Neda; Abdollahi, Alireza

    2016-01-01

    Background: Recombinant activated factor VII induces hemostasis in patients with coagulopathy disorders. AryoSeven™ as a safe Iranian Recombinant activated factor VII has been available on our market. This study was performed to establish the safety of AryoSeven on patients with coagulopathy disorder. Methods: This single-center, descriptive, cross sectional study was carried out in Thrombus and Homeostasis Research Center ValiAsr Hospital during 2013-2014. Fifty one patients with bleeding disorders who received at least one dose of Aryoseven were enrolled. Patients’ demographic data and adverse effect of drug and reaction related to Aryoseven or previous usage of Recombinant activated FVII were recorded in questionnaires. Finally data were analyzed to compare side effects of Aryoseven and other Recombinant activated FVII brands. Results: Aryoseven was prescribed for 51 Patients. Of all participants with mean age 57.18+21.38 yr, 31 cases were male and 26 subjects had past history of recombinant activated FVII usage. Glanzman was the most frequent disorder followed by congenital FVII deficiency, hemophilia with inhibitors, factor 5 deficiency, acquired hemophilia, hemophilia A with inhibitor, and hemophilia A or B with inhibitor. The majority of bleeding episodes had occurred in joints. Three patients (5.9%) complained about adverse effects of Aryoseven vs. 11.5 % about adverse effects of other brands. However this difference was not significant, statistically. Conclusion: Based on monitor patients closely for any adverse events, we concluded that Aryoseven administration under careful weighing of benefit versus potential harm may comparable with other counterpart drugs. PMID:27799968

  1. Development of the safety evaluation system in the respects of organizational factors and workers' consciousness. Pt. 1. Study of validities of functions for necessary evaluation and results obtained

    Energy Technology Data Exchange (ETDEWEB)

    Takano, Kenichi; Tsuge, Tadafumi; Hasegawa, Naoko; Hirose, Ayako; Sasou, Kunihide [Central Research Inst. of Electric Power Industry, Tokyo (Japan)

    2002-04-01

    CRIEPI decided to develop the safety evaluation system to investigate the safety level of the industrial sites due to questionnaires of organizational climate, safety managements, and workers' safety consciousness to workers. This report describes the questionnaire survey to apply to the domestic nuclear power plant for using obtained results as a fundamental data in order to construct the safety evaluation system. This system will be used for promoting safety culture in organizations of nuclear power plants. The questionnaire survey was conducted to 14 nuclear power stations for understanding the present status relating to safety issues. This questionnaire involves 122 items classified into following three categories: (1) safety awareness and behavior of plant personnel; (2) safety management; (3) organizational climate, based on the model considering contributing factor groups to safety culture. Obtained results were analyzed by statistical method to prepare functions of evaluation. Additionally, by applying a multivariate analysis, it was possible to extract several crucial factors influencing safety performance and to find a comprehensive safety indicator representing total organizational safety level. Significant relations were identified between accident rates (both labor accidents and facility failures) and above comprehensive safety indicator. Next, 122 questionnaire items were classified into 20 major safety factors to grasp the safety profiles of each site. This profile is considered as indicating the features of each site and also indicating the direction of progress for improvement of safety situation in the site. These findings can be reflected in developing the safety evaluation system, by confirming the validity of the evaluation method and giving specific functions. (author)

  2. EFFICACY AND SAFETY OF A MONOCLONAL PURIFIED FACTOR-VIII CONCENTRATE - 5-YEAR FOLLOW-UP IN PREVIOUSLY TREATED HIV-NEGATIVE HEMOPHILIACS

    NARCIS (Netherlands)

    SMID, WM; VANDERMEER, J; HALIE, MR

    1995-01-01

    The efficacy and safety of a monoclonal purified factor VIII concentrate (Hemofil M) were assessed in a historically controlled study in 22 HIV-negative patients with haemophilia A, previously treated with various concentrates. Data from 5 years of follow-up were compared with those from the precedi

  3. Efficacy and safety of a monoclonal purified factor-VIII concentrate - 5-year follow-up in previously treated HIV-negative hemophiliacs

    NARCIS (Netherlands)

    Smid, W. M.; van der Meer, J.; Halie, M. R.

    1995-01-01

    The efficacy and safety of a monoclonal purified factor VIII concentrate (Hemofil M) were assessed in a historically controlled study in 22 HIV-negative patients with haemophilia A, previously treated with various concentrates. Data from 5 years of follow-up were compared with those from the

  4. Pork Quality and Safety Factors and Countermeasures%猪肉质量安全的影响因素及对策措施

    Institute of Scientific and Technical Information of China (English)

    陈锦昆

    2015-01-01

    猪肉作为常见的肉类消费品,其质量安全工作到位与否将直接与人民群众的消费安全有着决定性的关系。因而为了更好地确保猪肉质量安全,本文从猪肉质量安全的影响因素入手,提出了确保猪肉质量安全的几点措施。旨在与同行进行业务之间的交流,以更好地确保猪肉质量安全。%Pork meat as common consumer goods, the quality and safety of work place or not will have a decisive direct relationship with the consumer safety of the people. Therefore, in order to better ensure the quality and safety of pork, pork quality and safety From the start factors proposed to ensure the safety of pork Several measures of quality. Designed to work with peer exchanges between services, in order to better ensure the quality and safety of pork.

  5. Mechanics based statistical prediction of structure size and geometry effects on safety factors for composites and other quasibrittle materials

    Directory of Open Access Journals (Sweden)

    Bažant Zdeněk P.

    2008-01-01

    Full Text Available The objective of this paper1 is a rational determination of safety factors of quasibrittle structures, taking into account their size and shape. To this end, it is necessary to establish the probability density distribution function (pdf of the structural strength. For perfectly ductile and perfectly brittle materials, the proper pdf's of the nominal strength of structure are known to be Gaussian and Weibullian, respectively, and are invariable with structure size and geometry. However, for quasibrittle materials, many of which came recently to the forefront of attention, the pdf has recently been shown to depend on structure size and geometry, varying gradually from Gaussian pdf with a remote Weibull tail at small sizes to a fully Weibull pdf at large sizes. This recent result is reviewed, and then mathematically extended in two ways: 1 to a mathematical description of structural lifetime as a function of applied (time-invariable nominal stress, and 2 to a mathematical description of the statistical parameters of the pdf of structural strength as a function of structure size and shape. Experimental verification and calibration is relegated to a subsequent journal article.

  6. Dissipation Pattern, Processing Factors, and Safety Evaluation for Dimethoate and Its Metabolite (Omethoate in Tea (Camellia Sinensis.

    Directory of Open Access Journals (Sweden)

    Rong Pan

    Full Text Available Residue levels of dimethoate and its oxon metabolite (omethoate during tea planting, manufacturing, and brewing were investigated using a modified QuEChERS sample preparation and gas chromatography. Dissipation of dimethoate and its metabolite in tea plantation followed the first-order kinetic with a half-life of 1.08-1.27 d. Tea manufacturing has positive effects on dimethoate dissipation. Processing factors of dimethoate are in the range of 2.11-2.41 and 1.41-1.70 during green tea and black tea manufacturing, respectively. Omethoate underwent generation as well as dissipation during tea manufacturing. Sum of dimethoate and omethoate led to a large portion of 80.5-84.9% transferring into tea infusion. Results of safety evaluation indicated that omethoate could bring higher human health risk than dimethoate due to its higher hazard quotient by drinking tea. These results would provide information for the establishment of maximum residue limit and instruction for the application of dimethoate formulation on tea crop.

  7. Study on the creation and destruction of transport barriers via the effective safety factors for energetic particles

    Science.gov (United States)

    Ogawa, Shun; Leoncini, Xavier; Dif-Pradalier, Guilhem; Garbet, Xavier

    2016-12-01

    Charged particles with low kinetic energy move along the magnetic field lines, but so do not the energetic particles. We investigate the topological structure changes in the phase space of energetic particles with respect to the magnetic one. For this study, cylindrical magnetic fields with non-monotonic safety factors that induce the magnetic internal transport barrier are considered. We show that the topological structure of the magnetic field line and of the particle trajectories can be quite different. We explain this difference using the concept of an effective particle q-profile. Using this notion, we can investigate the location and existence of resonances for particle orbits that are different from the magnetic ones. These are examined both numerically by integrating an equation of motion and theoretically by the use of Alfvén's guiding center theory and by the use of an effective reduced Hamiltonian for the integrable unperturbed system. It is clarified that, for the energetic particles, the grad B drift effect shifts the resonances and the drift induced by curvature of the magnetic field line leads to the vanishing of the resonances. As a result, we give two different mechanisms that lead to the creation of transport barriers for energetic particles in the region where the magnetic field line is chaotic.

  8. Factors Associated With Radiation Treatment Compliance for Women With Cervical Cancer in a Safety Net Health System.

    Science.gov (United States)

    Echeverria, Alfredo; Manley, Haley; OʼDonnell, Barrett; Asper, Joshua; Bonnen, Mark; Ludwig, Michelle

    2017-09-01

    The aim of the study was to determine whether patient characteristics are associated with radiation treatment noncompliance. We retrospectively studied 244 patients with cervical cancer treated with chemoradiation between May 2006 and August 2015 at a safety net health center. Compliance with treatment was defined as missing less than 2 days of scheduled radiation. Treatment records revealed a compliance rate of 50.8% in this population. Factors associated with noncompliance were younger age (hazard ratio [HR], 1.037; P = 0.004), presence of psychiatric diagnosis (HR, 0.581; P = 0.044), and having insurance (HR, 0.484; P = 0.022). Noncompliance was associated with a decrease in disease-free survival (HR, 0.555; P = 0.042) but was not associated with overall survival. International Federation of Gynecology and Obstetrics stage was associated with detriment in overall survival on multivariate analysis (HR, 2.034; P = 0.001). Younger patients, those with psychiatric illness, and those with insurance define a group that is more likely to be noncompliant with treatment and hence may require up-front intervention to improve outcomes.

  9. Modelling Safety Factors of Slope Stability for Open-Pit Mining of Nigerian Tar-Sand Deposits

    Directory of Open Access Journals (Sweden)

    D. A. Alao

    2010-06-01

    Full Text Available Slope failure might lead to loss of lives and valuable equipment which would increase overall operational cost of running a mine. The need to have stable slopes in open-pit mining of Nigerian tar sand deposits of Dahomey Basin, Southwestern Nigeria is emphasized in this study. At Loda village, Southwestern Nigeria, samples of the laterite soil and alluvial sand which overlie the tar sand occurrence were subjected to geotechnical tests. Computer simulation of bench face angles was carried out using SLOPE/W Software to determine the bench face angle(s with the least susceptibility to failure. Unit weight (ö, cohesion (c and angle of internal friction (0 values for the laterite soil were 25 kN/m, 45 kPa and 41 respectively for laterite. The corresponding values for the laterite, soil were 18 kN/m3, 0kPa and 34°. These values were used to run the software programme to simulate different bench face angles that could be cut into the two lithologic units. Factors of safety values between 3.58 and 1.73 were obtained for bench face angles between 10° and 30° which are least susceptible to failure even when inundation is considered. This research results have enabled us to recommend the use of bench slope angles ranging from 10° and 30° coupled with adequate drainage conditions which should guaranty optimum output.

  10. Dissipation Pattern, Processing Factors, and Safety Evaluation for Dimethoate and Its Metabolite (Omethoate) in Tea (Camellia Sinensis).

    Science.gov (United States)

    Pan, Rong; Chen, Hong-Ping; Zhang, Ming-Lu; Wang, Qing-Hua; Jiang, Ying; Liu, Xin

    2015-01-01

    Residue levels of dimethoate and its oxon metabolite (omethoate) during tea planting, manufacturing, and brewing were investigated using a modified QuEChERS sample preparation and gas chromatography. Dissipation of dimethoate and its metabolite in tea plantation followed the first-order kinetic with a half-life of 1.08-1.27 d. Tea manufacturing has positive effects on dimethoate dissipation. Processing factors of dimethoate are in the range of 2.11-2.41 and 1.41-1.70 during green tea and black tea manufacturing, respectively. Omethoate underwent generation as well as dissipation during tea manufacturing. Sum of dimethoate and omethoate led to a large portion of 80.5-84.9% transferring into tea infusion. Results of safety evaluation indicated that omethoate could bring higher human health risk than dimethoate due to its higher hazard quotient by drinking tea. These results would provide information for the establishment of maximum residue limit and instruction for the application of dimethoate formulation on tea crop.

  11. Safety and tolerability of iobitridol in general and in patients with risk factors: Results in more than 160 000 patients

    Energy Technology Data Exchange (ETDEWEB)

    Maurer, Martin, E-mail: martin.maurer@charite.de [Charite - University Medicine Berlin, Department of Radiology, Augustenburger Platz 1, 13353 Berlin (Germany); Heine, Oliver [Guerbet GmbH, Otto-Vogler-Str. 11, 65843 Sulzbach (Germany); Wolf, Michael [Michael Wolf Information Systems, Viktoriastr. 26, 66346 Puettlingen (Germany); Freyhardt, Patrick; Schnapauff, Dirk; Hamm, Bernd [Charite - University Medicine Berlin, Department of Radiology, Augustenburger Platz 1, 13353 Berlin (Germany)

    2011-11-15

    Objective: To review the safety, the tolerability and the diagnostic effectiveness of iobitridol under daily practice conditions in the general population and at-risk patients in a post-marketing surveillance study. Materials and methods: A total of 160 639 patients (55.1% male, 43.6% female, mean age 58.6 years) were analysed in 555 centers. Patients underwent X-ray examinations using iobitridol (Xenetix, Guerbet, Sulzbach, Germany) as IV contrast medium (mean volume 85.6 ml). 21.8% of all patients had at least one risk factor (e.g., renal impairment), 7.3% were at-risk patients with allergies or who had previously reacted to contrast medium. Antiallergic pretreatment before contrast medium administration was given in 1144 patients (0.7%). Adverse events were documented and the image quality was assessed. Results: A diagnosis was possible in 99.5% of all cases. The image quality was rated good or excellent in 92.2%. The adverse event rate (e.g., nausea, urticaria) observed was 0.6% in all patients, 1.6% in patients with allergies and 6.0% in patients with a previous reaction to contrast medium. Adverse events occurred more often in women than in men (p < 0.001). Pretreatment did not decrease the rate of adverse events. The rate of adverse events was not increased in higher doses of iobitridol, even if administered to high-risk patients. Conclusions: Iobitridol was shown to be a safe and well-tolerated contrast medium with a low incidence of adverse events in patients with and without risk factors resulting in a good or excellent image quality in most patients.

  12. 医院患者安全文化影响因素研究进展%Research Progress of Influencing Factors of Hospital Patient Safety Culture

    Institute of Scientific and Technical Information of China (English)

    康敏; 黄照权; 石武祥

    2016-01-01

    本文阐述了国内外患者安全文化影响因素的研究现状,总结了医务人员的工作年限、职称和文化程度等个体特征以及医院规模、等级、组织管理等环境因素对患者安全文化的影响,指出了患者安全文化影响因素研究的不足及未来发展趋势,为患者安全文化建设的政策制定和进一步研究提供线索和理论依据.%This article is to review the research status on the influencing factors of hospital patient safety culture, and summarize the influ-ence of individual characteristics of the medical personnel such as working years, professionals and cultural levels and environmental factors such as hospital scale, grade, management on hospital patient safety culture.It tells about the achievements and shortcomings, and the future develop-ment trend of research on influencing factors of patient safety culture, and provides clues and theoretical basis for enriching and improving hospital patient safety culture.

  13. Risk Factors in the Pediatric Ward Recognized by Students Before Pediatric Nursing Practice -Basic Data for Medical Safety Education Based on Student's Learning Readiness-.

    Science.gov (United States)

    Hirowatari, Kanako; Nakamura, Emi

    2016-09-01

    The purpose of this study was to extract the risk factors recognized by students before pediatric nursing practice in order to conduct medical safety education based on student's learning readiness. Third-year nursing students of A nursing college used the P-mSHELL model to find the risk factors in a simulated pediatric hospital room, and the researchers analyzed the contents. The students recognized four categories of risk factors: "burden on the family", "characteristics of the infant", "characteristics of children with disease", and "the family's cognition and understanding". There were three categories of risk factors related to "the environment": "environment that can cause a dangerous action", "unsafe environment", and "sickroom as a living space". There were four categories of risk factors related to "the student": "students' own physical/mental condition", "anxiety caused by pediatric nursing practice", "learning process in nursing practice" and "students' understanding of pediatric nursing". The students recognized that there were various risk factors in the child, the family, and the environment, and, by the P-mSHELL model, they recognized that they themselves could become a risk factor. Based on the risk factors that students extracted, teachers should think about what kind of preparation is necessary for students in pediatric nursing practice, and it is important to conduct medical safety education.

  14. 决定员工安全文化素质的四个要件%Four factors that could determine safety culture quality of member

    Institute of Scientific and Technical Information of China (English)

    肖延明

    2009-01-01

    介绍了员工安全文化素质的重要性,指出企业安全状况的好坏取决于企业员工安全素质的高低,深入探讨了决定员工安全文化素质的四个要件,以实现社会和企业的安全和谐发展.%The paper analyzes importance of safety culture quality of member and points out that it determines safety situation of industry, it also discusses detailedly about the four factors that determine safety culture quality of member in order to realize harmonious development of so-ciety and industry.

  15. 影响食品安全包装因素的分析与建议%Analysis and suggestion of package factors on food safety

    Institute of Scientific and Technical Information of China (English)

    鲁奇林; 王月华; 徐方旭; 马蓉; 冯叙桥

    2014-01-01

    In recent years, the issue of food safety has increasingly aroused the attention of all circles of the society. The issue of food safety relates, to a large extent, to food package, and is one of the factors that cause the food safety issue, so it is put widely attention by the researchers both at home and abroad. This paper introduced the present situation of food packaging at home and abroad, focusing on the effect of package mate-rials, package structure and package printing on food safety. Package factors were analyzed in this review paper. New technologies of food package related to food safety were also summarized and some suggestions to assure food safety provided.%近几年,食品安全问题越来越引起社会各界的广泛关注,而食品包装的安全性与食品安全问题息息相关,也是引起食品安全问题的因素之一,因此受到国内外研究者的广泛关注。本文介绍了国内外食品包装安全现状,主要从影响食品安全的相关包装因素入手,分析了包装材料、包装结构和包装印刷对食品安全的影响,归纳总结了食品包装技术,并提出了一些保证食品包装安全的建议。

  16. Confirmatory Factor Analysis of Patient Safety Culture in an Iranian Hospital: A Case Study of Fatemeh Zahra Hospital in Najafabad, Iran

    Directory of Open Access Journals (Sweden)

    Mohammadkarim Bahadori

    2016-04-01

    Full Text Available Introduction: Transformation of patient safety culture towards developing an open culture can be the greatest challenge for achieving a safe healthcare system. This study aimed to carry out a structural analysis of the Persian translation version of a questionnaire assessing patient safety culture. Materials and Methods: The study was conducted to evaluate the Persian translation of patient safety culture questionnaire, developed by the National Patient Safety Agency. The questionnaire includes seven sections and 43 items investigating 12 dimensions of patient safety culture. The reliability of this questionnaire was confirmed with Cronbach's alpha (α>0.8. The questionnaire was distributed among employees of the Fatemeh Zahra Hospital in Najafabad, Iran, 2015. The collected data were analyzed using SPSS 18 and Amos 18. Results: Sufficiency of the sample size, as determined by Kaiser-Meyer-Olkin measure, was 0.809, which was significantly associated with zero; therefore, performing factor analysis was acceptable and justifiable. The value of Bartlett's test was 696, P-value was less than 0.001, and degree of freedom was equal to 91. In the final model, the relative Chi-square was equal to 1.75 and P-value was less than 0.001. Also, parsimony normed fit index, parsimony-adjusted comparative fit index, and root mean square error of approximation were equal to 0.571, 0.621, and 0.065, respectively. Conclusion: Based on the results of fitting indices for the model and the questionnaire used in the present study for assessing patient safety culture, it can be stated that the Persian translation of this instrument is valid and hospitals can use it to monitor patient safety culture improvement.

  17. General safety considerations

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-09-01

    This document presents the full filling of the Brazilian obligations under the Convention on Nuclear Safety. The Chapter 4 of the document contains some details about the priority to safety, financial and human resources, human factors, quality assurance, safety assessment and verification, radiation protection and emergency preparedness.

  18. General safety considerations

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-09-01

    This document presents the full filling of the Brazilian obligations under the Convention on Nuclear Safety. The Chapter 4 of the document contains some details about the priority to safety, financial and human resources, human factors, quality assurance, safety assessment and verification, radiation protection and emergency preparedness.

  19. Occupational safety motivation

    DEFF Research Database (Denmark)

    Pedersen, Louise; Kines, Pete

    2010-01-01

    . At the same time many motivation questionnaire items are seldom founded on theory and/or do not account for the theories’ ontological and epistemological differences, e.g. of how knowledge, attitude and action are related. Present questionnaire items tap into occupational safety motivation in asking whether...... or not respondents ‘are’ motivated and whether they feel that safety is important or worthwhile. Another important aspect is ‘what’ motivates workers to comply to and participate in safety. The aim of this article is to introduce a new theory-based occupational safety motivation scale which is validated......Background: Motivation is one of the most important factors for safety behaviour and for implementing change in general. However, theoretical and psychometric studies of safety performance have traditionally treated safety motivation, safety compliance and safety participation unidimensionally...

  20. Occupational safety motivation

    DEFF Research Database (Denmark)

    Pedersen, Louise; Kines, Pete

    2010-01-01

    . At the same time many motivation questionnaire items are seldom founded on theory and/or do not account for the theories’ ontological and epistemological differences, e.g. of how knowledge, attitude and action are related. Present questionnaire items tap into occupational safety motivation in asking whether...... or not respondents ‘are’ motivated and whether they feel that safety is important or worthwhile. Another important aspect is ‘what’ motivates workers to comply to and participate in safety. The aim of this article is to introduce a new theory-based occupational safety motivation scale which is validated......Background: Motivation is one of the most important factors for safety behaviour and for implementing change in general. However, theoretical and psychometric studies of safety performance have traditionally treated safety motivation, safety compliance and safety participation unidimensionally...

  1. Vaccine Safety

    Science.gov (United States)

    ... Vaccine Safety Shingles (Herpes Zoster) Vaccine Safety Smallpox Vaccine Safety Common Concerns Adjuvants Autism CDC Statement: 2004 Pediatrics Paper on MMR and Autism Fainting (Syncope) Febrile ...

  2. Food Safety Instruction Improves Knowledge and Behavior Risk and Protection Factors for Foodborne Illnesses in Pregnant Populations.

    Science.gov (United States)

    Kendall, Patricia; Scharff, Robert; Baker, Susan; LeJeune, Jeffrey; Sofos, John; Medeiros, Lydia

    2017-08-01

    Objective This study compared knowledge and food-handling behavior after pathogen-specific (experimental treatment) versus basic food safety instruction (active control) presented during nutrition education classes for low-income English- and Spanish-language pregnant women. Methods Subjects (n = 550) were randomly assigned to treatment groups in two different locations in the United States. Food safety instruction was part of an 8-lesson curriculum. Food safety knowledge and behavior were measured pre/post intervention. Descriptive data were analyzed by Chi-Square or ANOVA; changes after intervention were analyzed by regression analysis. Results Knowledge improved after intervention in the pathogen-specific treatment group compared to active control, especially among Spanish-language women. Behavior change after intervention for the pathogen-specific treatment group improved for thermometer usage, refrigeration and consumption of foods at high risk for safety; however, all other improvements in behavior were accounted for by intervention regardless of treatment group. As expected, higher pre-instruction behavioral competency limited potential gain in behavior post-instruction due to a ceiling effect. This effect was more dominant among English-language women. Improvements were also linked to formal education completed, a partner at home, and other children in the home. Conclusions for Practice This study demonstrated that pathogen-specific food safety instruction leads to enhance knowledge and food handling behaviors that may improve the public health of pregnant women and their unborn children, especially among Spanish-language women. More importantly, food safety instruction, even at the most basic level, benefited pregnant women's food safety knowledge and food-handling behavior after intervention.

  3. 合成氨厂液氨库安全因素分析及安全措施%ANALYSIS OF SAFETY FACTORS AND SAFETY MEASURES FOR TANK-FARM OF LIQUID AMMONIA IN AMMONIA PLANT

    Institute of Scientific and Technical Information of China (English)

    刘荣; 杨涛

    2012-01-01

    以某合成氨厂为例,对该合成氨厂液氨球罐可能发生的各种危险因素采用软件进行计算和分析,有针对性的在设计中提出安全设施和措施。%Both calculation and analysis for various dangerous factors possibly occurred on a tank-farm of liquid ammonia in an ammonia plant have been carded out and the targeted safety facilities measures are requested in design work..

  4. Are safety data sheets for cleaning products used in Norway a factor contributing to the risk of workers exposure to chemicals?

    Directory of Open Access Journals (Sweden)

    Abdulqadir M. Suleiman

    2014-10-01

    Full Text Available Objectives: Cleaning products are considered less hazardous than those used in other sectors. Suppliers and distributors are less conscientious when it comes to informing users on health risks. The aim of the study was to elaborate on the usefulness and clarity of information in the safety data sheets (SDS for cleaning products, and considering if the use of these SDSs can be seen as a risk factor towards occupational exposure to hazardous chemicals in the sector. Material and Methods: Safety data sheets were selected based on the risk level of the product assigned in an industrial sector scheme. 320 SDSs for cleaning products were reviewed. Constituent components found in the products over a given threshold were listed and available information thereof used to assess the perceived non-hazard consideration of the chemicals. Results: The contents of the SDSs was generic and mostly incomplete. Safety measures and health information lacked sufficient specificity despite varying compositions and concentrations of components. There is generally incompatibility between mentioned sections on the suggested non-hazardous nature of the products and health effects. Not all substances used in these products have harmonized classifications, which makes them open to various classification of the products and the suggested safety measures. This results in different companies classifying similar products differently. Risk management measures and suggested personal protective equipment (PPEs are given haphazardly. Physical properties relevant to risk assessment are not included. Conclusions: The safety data sheets are ambiguous, and they lack relevant and important information. Inadequate information and risk assessment concerning the products can lead to workers being exposed to hazardous chemicals. Underestimation of the hazard contribution of the components of the products and the insufficient, non-objective mention of appropriate control and protective

  5. The Impact of Organizational Factors on Safety. The Perspective of Experts from the Spanish Nuclear Sector; El Impacto de los Factores Organizativos en la Seguridad. La Vision de los Expertos del Sector Nuclear Espanol

    Energy Technology Data Exchange (ETDEWEB)

    German, S.; Silla, I.; Navajas, J.

    2014-07-01

    Previous research supports the importance of organizational factors on safety in high reliability organizations. This study aims to determine the impact of those factors in the Spanish nuclear sector. Particularly, this study focuses on examining the role of performance indicators, organizational culture, organizational factors, and organizational context. With that purpose, an electronic survey addressed to experts from the Spanish nuclear sector was carried out. Results showed that performance indicators are well-known among industry experts and are perceived as useful for improving performance. Behavioural norms that influence safety and some relevant factors that promote problem identification were identified. Additionally, findings suggested that organizational context must be taken into account to better understand the role of organizational culture. Moreover, industry experts pointed out organizational factors to be improved: organizational communication processes within the organization, positive reinforcement, and field supervisors practices. Finally, findings supported the influence of organizational context on safety. It is noteworthy the role of the social impact of international events (e.g., Chernobyl...), the relationship with the regulator and the legislative and governmental framework. (Author)

  6. Controlling Factors of Cell Design on Large-format Li-ion Battery Safety During Nail Penetration

    Directory of Open Access Journals (Sweden)

    Qing eWang

    2015-08-01

    Full Text Available In this paper we investigate the controlling design parameters of large-format Li-ion batteries on safety while undergoing nail penetration. We have identified three critical design parameters that control the safety during the nail penetration process: nail diameter, single sheet foil area, and cell capacity.Using commercial AutoLion software, we have investigated two typical design problems related to the selection of cell thickness and aspect ratio, namely: (1 the safety ramifications of increasing cell capacity via greater cell thickness for a fixed footprint, and (2 the effect of aspect ratio, or single sheet foil size, on safety at a given capacity. For a fixed footprint, our results indicate that the safety of the cell can be predicted by (Qcell Dnail^-0.5. For a given cell capacity, our results indicate that typically a larger single sheet foil area leads to a greater likelihood for thermal runaway due to its effect of making the heating more local in nature; however, for small cells (~ 5Ah and large nails (~ 20mm, the greater aspect ratio can lead to a safer cell, as the greater surface area strongly cools the global heating of the cell.

  7. Hurricane Safety

    Science.gov (United States)

    ... English Hurricane Safety Checklist - Arabic Hurricane Safety Checklist - Chinese Hurricane Safety Checklist - French Hurricane Safety Checklist - Haitian ... Cross serves in the US, its territories and military installations around the world. Please try again. Your ...

  8. Factors Influencing Learning Satisfaction of Migrant Workers in Korea with E-learning-Based Occupational Safety and Health Education

    Directory of Open Access Journals (Sweden)

    Young Joo Lee

    2015-09-01

    Conclusion: E-learning-based OSH education for migrant workers may be an effective way to increase their safety knowledge and behavior if the accuracy, credibility, and novelty of learning content; strategies to promote learners' motivation to learn; and interactions with learners and instructors are systematically applied during the development and implementation of e-learning programs.

  9. Adapting Extension Food Safety Programming for Vegetable Growers to Accommodate Differences in Ethnicity, Farming Scale, and Other Individual Factors

    Science.gov (United States)

    Kline, Terence R.; Kneen, Harold; Barrett, Eric; Kleinschmidt, Andy; Doohan, Doug

    2012-01-01

    Differences in vegetable production methods utilized by American growers create distinct challenges for Extension personnel providing food safety training to producer groups. A program employing computers and projectors will not be accepted by an Amish group that does not accept modern technology. We have developed an outreach program that covers…

  10. Factors Contributing to Safety and Health Performance of Malaysian Low-cost Housing: Partial Least Squares Approach

    Directory of Open Access Journals (Sweden)

    Azuin Ramli

    2014-05-01

    Full Text Available Sustainable development is fast emerging as one of the main priorities of construction industry in Malaysia. Malaysians of all income levels, particularly the low-income group, would have accessibility to adequate, affordable and quality shelter. As a result, safety and health performance in the low-cost housing has become a rising concern. This study attempts to explore the influence of architecture, building services, external environment, operation and maintenance and management approaches on the building safety and health performance among the construction practitioners in Malaysia and their subsequent personal responsibility. The study used the Partial Least Squares (PLS and Structural Equation Modelling (SEM tool to test the hypotheses generated. Findings from the Partial Least Squares analysis revealed that architecture, building services, external environment, operation and maintenance and management approaches are vital determinants contributing to safety and health performance of low-cost housing in the Malaysian context. In turn, this determinant that is formed will largely determine whether the construction practitioners engage in influencing personal responsibility towards building safety and health performance. Implications, limitations as well as suggestions for future research are accordingly discussed in this study.

  11. Attitudes towards the surgical safety checklist and factors associated with its use: A global survey of frontline medical professionals

    Directory of Open Access Journals (Sweden)

    Ravinder S. Vohra

    2015-06-01

    Conclusion: This study suggests the use of the WHO SSC is variable across countries, especially in LMICs where it has the most potential to improve patient safety. Critical appraisal of the documented benefits of the WHO SSC may improve its adoption by those not currently using it.

  12. Adapting Extension Food Safety Programming for Vegetable Growers to Accommodate Differences in Ethnicity, Farming Scale, and Other Individual Factors

    Science.gov (United States)

    Kline, Terence R.; Kneen, Harold; Barrett, Eric; Kleinschmidt, Andy; Doohan, Doug

    2012-01-01

    Differences in vegetable production methods utilized by American growers create distinct challenges for Extension personnel providing food safety training to producer groups. A program employing computers and projectors will not be accepted by an Amish group that does not accept modern technology. We have developed an outreach program that covers…

  13. 公路路线设计中交通安全影响因素探究%Explore the Traffic Safety Influence Factors in Highway Route Design

    Institute of Scientific and Technical Information of China (English)

    周杰; 解朝森

    2014-01-01

    交通事故对人们的生命财产安全有着不容忽视的危害。本文以影响交通安全的主要因素为切入点,对公路路线设计中的主要问题(沿线设计、设计速度以及运行速度)进行了讨论,并在结尾提出了详细地改善措施。%Traf ic accidents endanger people's life and prop-erty safety which not al owed ignoring. This article takes the main factors of traffic safety as the breakthrough point, disc-usses the main problems in the highway route design (along the line design, design speed and running speed) and put fo-rward the improvement measures in detail at the end.

  14. Nuclear safety in perspective

    DEFF Research Database (Denmark)

    Andersson, K.; Sjöberg, B.M.D.; Lauridsen, Kurt

    2003-01-01

    The aim of the NKS/SOS-1 project has been to enhance common understanding about requirements for nuclear safety by finding improved means of communicat-ing on the subject in society. The project, which has been built around a number of seminars, wassupported by limited research in three sub......-projects: Risk assessment Safety analysis Strategies for safety management The report describes an industry in change due to societal factors. The concepts of risk and safety, safety management and systems forregulatory oversight are de-scribed in the nuclear area and also, to widen the perspective, for other...

  15. Factors associated with the implementation of quality and safety requirements for cross-border care in acute myocardial infarction: Results from 315 hospitals in four countries.

    Science.gov (United States)

    Groene, Oliver; Suñol, Rosa

    2010-12-01

    Cross-border patients have specific quality and safety requirements for hospital care. Little is known to what extent hospitals meet these requirements. We aim to assess their current level, and the factors associated with their implementation. A cross-sectional survey of 315 hospitals and cardiology departments in the Czech Republic, France, Poland and Spain. Employing bi-variate statistics and logistic regression analysis, we assess quality and safety requirements for cross-border patients and their association with hospital characteristics, cross-border care arrangements, proximity to EU borders, the hospital's quality improvement system, and country. Certain quality and safety requirements are frequently met (administrative support or informed consent using forms in various EU languages) while others are widely absent (case-managers, contacts to patients' general practitioners). Due to communication problems, it is often not possible to inform patients about their condition and treatment. Discharge summaries are rarely available in other than the vernacular languages, and medication upon discharge and arranging back-transfer occur occasionally only. Logistic regression analysis suggests a strong effect of country-level covariates (followed by type of hospital, hospital size and hospital's quality improvement system), but covariates are not consistently associated with higher rates of implementation. Hospitals with existing cross-border care collaboration do not differ substantially from hospitals without such arrangements. Cross-border patients have specific quality and safety requirements that are not always met. Various factors are associated with these requirements; however, the trend is not systematic and the underlying mechanisms need to be studied further to inform policy decisions. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  16. RUBY-1: a randomized, double-blind, placebo-controlled trial of the safety and tolerability of the novel oral factor Xa inhibitor darexaban (YM150) following acute coronary syndrome

    DEFF Research Database (Denmark)

    Steg, Ph Gabriel; Mehta, Shamir R; Jukema, J Wouter

    2011-01-01

    To establish the safety, tolerability and most promising regimen of darexaban (YM150), a novel, oral, direct factor Xa inhibitor, for prevention of ischaemic events in acute coronary syndrome (ACS)....

  17. Safety Evaluation Model of Airport Operation Based on Factor Analysis%基于因子分析的机场运行安全评价模型

    Institute of Scientific and Technical Information of China (English)

    靳慧斌; 洪远; 蔡亚敏

    2015-01-01

    针对民用机场安全评估方法中存在的主观性和共线性问题,文章在利用人为因素分析与分类系统(HFACS )方法分析机场运行不安全事件 ,客观地提出安全评价指标基础上 ,采用因子分析方法建立综合评价因子 ,解决了各评价指标彼此间存在的共线性问题 ,并结合方差赋权法构建安全评价模型.以国内某大型机场为评价对象 ,将因子分析方法评价结果与模糊评价方法所得结果进行相关分析,验证了评价方法的有效性.%This paper uses human factors analysis and classification system to analyze unsafe events which has happened in airport operational field and puts forward safety evaluation index system .Then the factor analysis method is used to build several comprehensive evaluation factors ,information overlapping among all indexes has been solve and based on those fac-tors and variance weighting method ,a safety evaluation model is constructed .Finally ,taking one of domestic airports as an example ,the results from factors analysis and fuzzy evaluation method are conducted correlative analysis and its effectiveness is testified .

  18. Thermal reactor safety

    Energy Technology Data Exchange (ETDEWEB)

    1980-06-01

    Information is presented concerning new trends in licensing; seismic considerations and system structural behavior; TMI-2 risk assessment and thermal hydraulics; statistical assessment of potential accidents and verification of computational methods; issues with respect to improved safety; human factors in nuclear power plant operation; diagnostics and activities in support of recovery; LOCA transient analysis; unresolved safety issues and other safety considerations; and fission product transport.

  19. Space capsule recovery—Evaluation of risk factors, safety plans and procedures and design of experiments for systems qualification

    Science.gov (United States)

    Narasaiah, N.; Varaprasad, R.; Seshagiri Rao, V.; Krishnamurty, V.; Sanyal, M. K.

    2009-11-01

    The Indian Space capsule (SRE-1) launched aboard PSLV-C7 rocket, was recovered successfully in the Bay of Bengal on January 22, 2007 after its orbital sojourn of 12 days. Apart from serving as a platform for micro-gravity experiments, SRE-1 demonstrated ISRO's capability in the field of orbital reentry and recovery technologies. Satish Dhawan Space Centre (SDSC SHAR), the Spaceport of India was given the prime responsibility of assessment of mission risk, formulation and execution of safety plans and procedures, design and conduct of trials for validating the mission-critical sub-systems as well as the physical recovery of the capsule. To achieve these objectives, a number of drop tests were designed and conducted by SDSC SHAR involving real time computer network, ground-based tracking and telemetry stations, communication systems, safety and material handling systems, target identification and recovery systems. Dissemination of relevant information and coordination with multiple external organizations such as Indian Coast Guard, Indian Air Force and Indian Navy is an important aspect of these experiments. This paper delineates the methodologies designed and implemented at SDSC SHAR for validating those critical systems whose functionality finally culminated in the success of the mission, enabling India to join the elite group of nations with reentry module recovery capability.

  20. Safety culture

    Energy Technology Data Exchange (ETDEWEB)

    Keen, L.J. [Canadian Nuclear Safety Commission, Ottawa, Ontario (Canada)

    2003-07-01

    Safety culture has become a topic of increasing interest for industry and regulators as issues are raised on safety problems around the world. The keys to safety culture are organizational effectiveness, effective communications, organizational learning, and a culture that encourages the identification and resolution of safety issues. The necessity of a strong safety culture places an onus on all of us to continually question whether the safety measures already in place are sufficient, and are being applied. (author)

  1. SAFETY FACTORS FOR XYLEM FAILURE BY IMPLOSION AND AIR-SEEDING WITHIN ROOTS, TRUNKS AND BRANCHES OF YOUNG AND OLD CONIFER TREES

    Energy Technology Data Exchange (ETDEWEB)

    Domec, Jean-Christophe [North Carolina State University; Warren, Jeffrey M. [Oak Ridge National Laboratory (ORNL); Meinzer, Rick [USDA Forest Service; Lachenbruch, Barbara [Oregon State University, Corvallis

    2009-01-01

    The cohesion-tension theory of water transport states that hydrogen bonds hold water molecules together and that they are pulled through the xylem under tension. This tension could cause transport failure in at least two ways: collapse of the conduit walls (implosion), or rupture of the water column through air-seeding. The objective of this research was to elucidate the functional significance of variations in tracheid anatomical features, earlywood to latewood ratios and wood densities with position in young and old Douglas-fir and ponderosa pine trees in terms of their consequences for the safety factors for tracheid implosion and air-seeding. For both species, wood density increased linearly with percent latewood for root, trunk and branch samples. However, the relationships between anatomy and hydraulic function in trunks differed from those in roots and branches. In roots and branches increased hydraulic efficiency was achieved at the cost of increased vulnerability to air-seeding. Mature wood of trunks had earlywood with wide tracheids that optimized water transport and had a high percentage of latewood that optimized structural support. Juvenile wood had higher resistance to air-seeding and cell wall implosion. The two safety factors followed similar axial trends from roots to terminal branches and were similar for both species studied and between juvenile and mature wood.

  2. Safety KPIs - Monitoring of safety performance

    Directory of Open Access Journals (Sweden)

    Andrej Lališ

    2014-09-01

    Full Text Available This paper aims to provide brief overview of aviation safety development focusing on modern trends represented by implementation of Safety Key Performance Indicators. Even though aviation is perceived as safe means of transport, it is still struggling with its complexity given by long-term growth and robustness which it has reached today. Thus nowadays safety issues are much more complex and harder to handle than ever before. We are more and more concerned about organizational factors and control mechanisms which have potential to further increase level of aviation safety. Within this paper we will not only introduce the concept of Key Performance Indicators in area of aviation safety as an efficient control mechanism, but also analyse available legislation and documentation. Finally we will propose complex set of indicators which could be applied to Czech Air Navigation Service Provider.

  3. 基于结构方程模型的安全文化影响因子分析%Analysis of Contributing Factors to Safety Culture Based on Structural Equation Model

    Institute of Scientific and Technical Information of China (English)

    傅贵; 王祥尧; 吉洪文; 邵难

    2011-01-01

    为进一步研究安全文化,采用结构方程模型(SEM)对安全文化的关键要素、构成因子以及因子间的因果关系进行研究.利用SPSS对山东4个国有煤矿355名员工安全文化定量测量数据进行分析.采用主成分抽取方法对安全文化关键要素进行因子分析,抽取特征根大于1的5个因子,解释变量的累积百分比为69.35%.同时运用结构方程模型软件(AMOS)构建安全文化结构模型以及安全文化因子间因果关系结构模型,证实领导责任因子对安全理念、安全认知和员工参与有直接正面影响.其中,对安全认知的影响最为显著(其路径系数为0.76);领导责任因子对安全业绩具有间接正面影响;安全理念、安全认知和员工参与对安全业绩具有直接正面影响.%In order to study safety culture further,SEM is constructed to analyze the key elements, component factors and the causal relationship among the factors of safety culture. The safety culture survey data of 355 staff in 4 slate-owned coal mines in Shandong province were analyzed by using SPSS. The safety culture key elements were analyzed and five component factors with eigenvalues above 1 were proposed by principle component method. The five factors totally explained 69.35% cumulative percentage of the whole variables. Meanwhile, safety culture structural model and structural model of causal relationship among safety culture factors were built by using AMOS. The results confirm that, firstly, leadership has a direct positive effect on safety concept, safety awareness and employee participation, among which, the influence on safety awareness is most significant ( its path coefficient is 0. 76). Secondly, leadership has an indirect positive effect on safety performance. Thirdly, safety concept, safety awareness, employee participation has a direct positive effect on safety performance.

  4. 基于因子分析法的军车驾驶员安全意识评价研究%Evaluation of Military Vehicle Driver's Safety Consciousness Based on Factor Analysis

    Institute of Scientific and Technical Information of China (English)

    王亚军; 徐梅; 刘声标

    2012-01-01

    In order to solve the existing problem in traditional vehicle safety management and improve the training pertinence of driver' s safety consciousness, this paper establishes indexes in four parts including safety consciousness, safety attitude, safety will and safety behavior, then evaluates the safety consciousness of drivers based on factor analysis theory , and finds the main factors that affect driver's safety consciousness.%针对传统驾驶员安全管理中存在的问题,从安全认知、安全态度、安全意志、安全行为4个维度构建了军车驾驶员安全意识评价指标体系;以因子分析理论为支撑,通过对驾驶员安全意识的调查评价,分析得出影响驾驶员安全意识的主要因素,以提高驾驶员安全意识培养的针对性。

  5. Demographic factors associated with perceptions about water safety and tap water consumption among adults in Santa Clara County, California, 2011.

    Science.gov (United States)

    van Erp, Brianna; Webber, Whitney L; Stoddard, Pamela; Shah, Roshni; Martin, Lori; Broderick, Bonnie; Induni, Marta

    2014-06-12

    The objective of this study was to examine differences in tap water consumption and perceptions of bottle versus tap water safety for Hispanics and non-Hispanic whites, as well as associations with other demographic characteristics. Data are from the Santa Clara County, California, Dietary Practices Survey (2011; N = 306). We used logistic regression to examine associations between demographic characteristics and 1) perceptions that bottled water is safer than tap and 2) primarily consuming tap water. Hispanics were less likely than non-Hispanic whites to primarily drink tap water (OR = 0.33; 95% CI, 0.11-0.99), although there was no significant difference in perceptions that bottled water is safer between these groups (OR = 0.50; 95% CI, 0.11-2.27). Hispanics may be an important population for interventions promoting tap water consumption.

  6. Leadership and safety culture. Leadership for safety

    Energy Technology Data Exchange (ETDEWEB)

    Fischer, Erwin; Nithack, Eckhard [PreussenElektra GmbH, Hannover (Germany)

    2016-08-15

    The meaning of leadership for safety in the nuclear industry is pointed out. This topic has became an increasing rank since the German ''Energiewende''. Despite the phase-out of the German NPP's nuclear safety and the belonging safety culture needs to be well maintained. A challenge for the whole organisation. Following the challenge to operate nuclear power plants towards Operational Excellence a highly skilled and motivated organisation is needed. Therefore Leadership is a valuable success factor.

  7. Correction factors for estimating potassium concentrations in samples with in vitro hemolysis: a detriment to patient safety.

    Science.gov (United States)

    Mansour, Mai M H; Azzazy, Hassan M E; Kazmierczak, Steven C

    2009-06-01

    Correction factors have been proposed for estimating true potassium concentrations in blood samples with evidence of in vitro hemolysis. We used 2 different models of true (ie, nonsimulated) in vitro hemolysis to evaluate the clinical utility of correction factors for estimating potassium concentrations in samples with evidence of in vitro hemolysis. Potassium correction factors were derived using 2 different models. In model 1, potassium and plasma hemoglobin were measured with the Hitachi 747 analyzer in 132 paired blood samples, with each pair consisting of 1 sample with evidence of hemolysis and 1 without, collected during the same phlebotomy procedure. The change in measured potassium concentration was plotted versus the change in plasma hemoglobin concentration for each pair of samples. In model 2, the potassium levels of 142 784 blood samples and the corresponding hemolytic index values were measured with the Beckman LX20 analyzer. Potassium concentrations at the 10th, 25th, 50th, 75th, and 90th percentiles were calculated for each hemolysis index category. From our 2 models, we derived correction factors expressing an increase in potassium concentration of 0.51 and 0.40 mEq/L for every increase in plasma hemoglobin concentration of 0.1 g/dL. These correction factors are much higher than those reported in studies that simulated in vitro hemolysis by freeze-thaw lysis or osmotic disruption of whole blood. Use of correction factors for estimating the true potassium concentration in samples with evidence of in vitro hemolysis is not recommended. Derivation of correction factors by using samples with nonsimulated in vitro hemolysis suggests that the actual increase in potassium in hemolyzed samples is much higher than that reported in previous studies that produced hemolysis with artificial means.

  8. Campus Fire Safety Today.

    Science.gov (United States)

    Thompson, Mike

    2001-01-01

    Reviews information on recent college and university dormitory fire fatalities, and highlights five examples of building features reported to be major contributing factors in residence-hall fires. Explains how public awareness and expectations are affecting school dormitory safety. (GR)

  9. Perception of drinking water safety and factors influencing acceptance and sustainability of a water quality intervention in rural southern India.

    Science.gov (United States)

    Francis, Mark Rohit; Nagarajan, Guru; Sarkar, Rajiv; Mohan, Venkata Raghava; Kang, Gagandeep; Balraj, Vinohar

    2015-07-30

    Acceptance and long-term sustainability of water quality interventions are pivotal to realizing continued health benefits. However, there is limited research attempting to understand the factors that influence compliance to or adoption of such interventions. Eight focus group discussions with parents of young children--including compliant and not compliant households participating in an intervention study, and three key-informant interviews with village headmen were conducted between April and May 2014 to understand perceptions on the effects of unsafe water on health, household drinking water treatment practices, and the factors influencing acceptance and sustainability of an ongoing water quality intervention in a rural population of southern India. The ability to recognize health benefits from the intervention, ease of access to water distribution centers and the willingness to pay for intervention maintenance were factors facilitating acceptance and sustainability of the water quality intervention. On the other hand, faulty perceptions on water treatment, lack of knowledge about health hazards associated with drinking unsafe water, false sense of protection from locally available water, resistance to change in taste or odor of water and a lack of support from male members of the household were important factors impeding acceptance and long term use of the intervention. This study highlights the need to effectively involve communities at important stages of implementation for long term success of water quality interventions. Timely research on the factors influencing uptake of water quality interventions prior to implementation will ensure greater acceptance and sustainability of such interventions in low income settings.

  10. Post-marketing safety evaluation of the intravenous anti-influenza neuraminidase inhibitor peramivir: A drug-use investigation in patients with high risk factors.

    Science.gov (United States)

    Komeda, Takuji; Ishii, Shingo; Itoh, Yumiko; Sanekata, Masaki; Yoshikawa, Takayoshi; Shimada, Jingoro

    2016-10-01

    Peramivir, the only injectable anti-influenza neuraminidase inhibitor medically available in Japan at present, is considered first-line treatment in patients with high risk factors for influenza exacerbation. We conducted a drug-use investigation of peramivir in inpatients with high risk factors (old age, pregnancy, and underlying disease such as chronic respiratory disease) from January 2010 to March 2013. Data of 772 patients from 124 facilities across Japan were collected; peramivir's safety in 770 patients and effectiveness in 688 patients were examined. In total, 412 adverse events were observed in 219 patients (28.4%). Of these, 155 events were adverse drug reactions (ADRs) observed in 98 patients (12.7%). Major ADRs (≥2%) were increased aspartate aminotransferase (5.1%), increased alanine aminotransferase (3.8%) and decreased white blood cell count (2.5%). Fourteen serious ADRs were observed in 12 patients (1.6%). All serious ADRs were resolved or improved except for two events for which outcomes were unknown. Multivariate analyses revealed that ADR incidences were significantly associated with these four backgrounds of patients: medical history, no influenza vaccination, renal impairment and other infection(s). With regard to its effectiveness, the median time to alleviation of both influenza symptoms and fever was 3 days, including the first day of administration, which was the same as in other previous surveillance studies. This surveillance study indicated the safety of peramivir in the treatment of influenza inpatients with high risk factors under routine clinical settings. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

  11. Classification of Organizational Factors for Nuclear Power Plant Safety%核电厂安全相关的组织因素分类

    Institute of Scientific and Technical Information of China (English)

    戴立操; 李鹏程; 张力

    2011-01-01

    A comprehensive classification framework of organizational factors is developed by combining the existing categories and those from questionnaires. There are three main categories: organizational strategy and goals, organizational structure, and organizational culture. With the proposed classification framework ,71 reports of human factor incidents in a nuclear power plant from 2000 to 2003 are analyzed. Based on the analysis, the critical factors are identified. Moreover, the categories of organizational factors relative to safety are obtained with R-type clustering.%通过收集现有的组织因素分类并结合问卷调查,基于组织管理过程发展了一种比较全面的组织因素分类,其主体框架包括组织的目标和策略、组织结构、组织文化三大类,基本克服原有分类的缺陷.基于此分类框架,对某核电厂2000~2003年发生的71件人因事件报告进行再分析,通过描述性统计分析,识别出核电厂存在的主要组织管理缺陷.经R型聚类分析,得到影响核电厂安全的组织因素分类.

  12. Utilization of internal standard response factors to estimate the concentration of organic compounds leached from pharmaceutical packaging systems and application of such estimated concentrations to safety assessment.

    Science.gov (United States)

    Jenke, Dennis; Odufu, Alex

    2012-03-01

    Substances from packaging systems that are leached into packaged medical products may have a safety impact on patients to whom such medical products are administered. The potential safety impact depends on the identity and concentration of the leached substances. The concentration above which a leachable must be identified in order to assess its safety impact is frequently estimated using an internal standard to "calibrate" the analytical response of a chromatographic system. Such an estimate is accurate to the extent that the responses of the internal standard and leachables are similar. To establish the accuracy of the internal standard approach, a database of gas chromatography-flame ionization detection (GC-FID) and gas chromatography-mass spectrometry (GC-MS) responses was generated for thirty-eight leachables and eight internal standard candidates. Although the FID and MS responses of many of the leachables and internal standards fell within a narrow band, acidic and basic compounds produced responses that were discernibly different from those of neutral analytes. While most of the internal standards were suited for concentration estimation, three of the candidates, dimethylphthalate, triphenylphosphate and 4,4-dibromobiphenyl, produced the smallest mean error in estimated concentration for the analytes examined. As the FID and MS responses were linear, internal standards could be used to estimate leachables concentrations even when the difference in leachable versus internal standard concentrations was as great as a factor of 25. A multiplier may be appropriate to adjust an estimated concentration to its greatest possible value, and it is this value that is used to convert an estimated Analytical Evaluation Threshold (AET) into a working or final AET.

  13. Understanding Clinical Alarm Safety.

    Science.gov (United States)

    Lukasewicz, Carol L; Mattox, Elizabeth Andersson

    2015-08-01

    Patient safety organizations and health care accreditation agencies recognize the significance of clinical alarm hazards. The Association for the Advancement of Medical Instrumentation, a nonprofit organization focused on development and use of safe and effective medical equipment, identifies alarm management as a major issue for health care organizations. ECRI Institute, a nonprofit organization that researches approaches for improving patient safety and quality of care, identifies alarm hazards as the most significant of the "Top Ten Health Technology Hazards" for 2014. A new Joint Commission National Patient Safety Goal focusing on clinical alarm safety contains new requirements for accredited hospitals to be fully implemented by 2016. Through a fictional unfolding case study, this article reviews selected contributing factors to clinical alarm hazards present in inpatient, high-acuity settings. Understanding these factors improves contributions by nurses to clinical alarm safety practice.

  14. Safety and Effectiveness of Bubble Continuous Positive Airway Pressure in Neonates With Respiratory Distress and Its Failure Factors

    Directory of Open Access Journals (Sweden)

    Ajay Sethi

    2015-09-01

    Conclusion: Bubble Continuous Positive Airway Pressure is safe, efficacious and easy to use in preterm and term neonates with mild to moderate respiratory distress. The major failure factors in our study were sepsis, recurrent apnea, and shock. The survival rate in our study was 60%. [Natl J Med Res 2015; 5(3.000: 202-206

  15. Safety and efficacy of a single bolus administration of recombinant factor VIIa in liver transplantation due to chronic liver disease

    NARCIS (Netherlands)

    Planinsic, RM; van der Meer, J; Testa, G; Grande, L; Candela, A; Porte, RJ; Ghobrial, RM; Isoniemi, H; Schelde, PB; Erhardtsen, E; Klintmalm, G; Emre, S

    Orthotopic liver transplantation (OLT) can be associated with excessive blood loss. As a result, there may be increased risk of adverse outcomes. Activated recombinant factor VII (rFVIIa) has demonstrated the ability to improve hemostasis in a variety of disorders; however there has been a limited

  16. Safety and efficacy of a single bolus administration of recombinant factor VIIa in liver transplantation due to chronic liver disease

    NARCIS (Netherlands)

    Planinsic, RM; van der Meer, J; Testa, G; Grande, L; Candela, A; Porte, RJ; Ghobrial, RM; Isoniemi, H; Schelde, PB; Erhardtsen, E; Klintmalm, G; Emre, S

    2005-01-01

    Orthotopic liver transplantation (OLT) can be associated with excessive blood loss. As a result, there may be increased risk of adverse outcomes. Activated recombinant factor VII (rFVIIa) has demonstrated the ability to improve hemostasis in a variety of disorders; however there has been a limited a

  17. 军用油料供应安全影响因素分析与控制研究%Analysis and Control of Safety Factors in Military POL Support

    Institute of Scientific and Technical Information of China (English)

    王耀; 雍歧东; 宋振宇

    2011-01-01

    The paper defines the concept of safety of military POL support, outlines the safety classes, analyzes the influence factors and proposes the safety management methods for different links of POL support.%界定了军用油料供应安全概念,划分了安全类别,分析了影响油料供应安全的因素,并针对油料供应的不同环节,提出了油料供应安全控制的方法.

  18. Efficacy and safety of nerve growth factor for the treatment of neurological diseases:a meta-analysis of 64 randomized controlled trials involving 6,297 patients

    Institute of Scientific and Technical Information of China (English)

    Meng Zhao; Xiao-yan Li; Chun-ying Xu; Li-ping Zou

    2015-01-01

    OBJECTIVE:China is the only country where nerve growth factor is approved for large-scale use as a clinical medicine. More than 10 years ago, in 2003, nerve growth factor injection was listed as a national drug. The goal of this article is to evaluate comprehensively the efifcacy and safety of nerve growth factor for the treatment of neurological diseases. DATA RETRIEVAL:A computer-based retrieval was performed from six databases, including the Cochrane Library, PubMed, EMBASE, Sino Med, CNKI, and the VIP database, searching from the clinical establishment of nerve growth factor for treatment until December 31, 2013. The key words for the searches were “nerve growth factor, randomized controlled trials” in Chinese and in English. DATA SELECTION:Inclusion criteria: any study published in English or Chinese referring to randomized controlled trials of nerve growth factor; patients with neurological diseases such as peripheral nerve injury, central nerve injury, cranial neuropathy, and nervous system infections;patients older than 7 years; similar research methods and outcomes assessing symptoms; and measurement of nerve conduction velocities. The meta-analysis was conducted using Review Manager 5.2.3 software. MAIN OUTCOME MEASURES:The total effective rate, the incidence of adverse effects, and the nerve conduction velocity were recorded for each study. RESULTS:Sixty-four studies involving 6,297 patients with neurological diseases were included. The total effective rate in the group treated with nerve growth factor was significantly higher than that in the control group (P < 0.0001,RR: 1.35, 95%CI: 1.30–1.40). The average nerve conduction velocity in the nerve growth factor group was signiifcantly higher than that in the control group (P < 0.00001,MD: 4.59 m/s, 95%CI: 4.12–5.06). The incidence of pain or sclero-ma at the injection site in the nerve growth factor group was also higher than that in the control group (P < 0.00001,RR: 6.30, 95%CI: 3.53–11

  19. Factors controlling the quality and safety of fish using mackerel (Scomber scombrus) shelf-life model in the context of sanitary and phytosanitary (SPS) measures for The Gambian fisheries.

    OpenAIRE

    Banja, Bamba A.M.

    2010-01-01

    Merged with duplicate record 10026.1/769 on 06.20.2017 by CS (TIS) Food quality, including safety, is a major concern facing the food industry today. The effects of sanitary and phytosanitary (SPS) measures in the fisheries sector of The Gambia including the factors affecting the safety and spoilage of fish were investigated. Effects of SPS measures are important impediments for exporting fish and fishery products originating from The Gambia to the international food commodity ...

  20. Pathways and factors for food safety and food security at PFOS contaminated sites within a problem based learning approach.

    Science.gov (United States)

    Brambilla, Gianfranco; D'Hollander, Wendy; Oliaei, Fardin; Stahl, Thorsten; Weber, Roland

    2015-06-01

    Perfluorooctanesulfonic acid (PFOS) and related substances have been listed in Annex B of the Stockholm Convention. The implementation requires inventories of use, stockpiles, and environmental contamination including contaminated sites and measures for (risk) reduction and phase out. In most countries monitoring capacity is not available and therefore other approaches for assessment of contaminated sites are needed. Available informations about PFOS contamination in hot spot areas and its bio-accumulation in the food webs have been merged to build up a worst-case scenario We model PFOS transfer from 1 to 100ngL(-1) range in water to extensive and free-range food producing animals, also via the spread of contaminated sludges on agriculture soils. The modeling indicates that forages represented 78% of the exposure in ruminants, while soil accounted for >80% in outdoor poultry/eggs and pigs. From the carry-over rates derived from literature, in pork liver, egg, and feral fish computed concentration falls at 101, 28 and 2.7ngg(-1), respectively, under the 1ngL(-1) PFOS scenario. Assuming a major consumption of food produced from a contaminated area, advisories on egg and fish, supported by good agriculture/farming practices could abate 75% of the human food intake. Such advisories would allow people to become resilient in a PFOS contaminated area through an empowerment of the food choices, bringing the alimentary exposure toward the current Tolerable Daily Intake (TDI) of 150ngkg(-1)bodyweightd(-1) proposed by the European Food Safety Authority (EFSA).

  1. Clinical efficacy and safety of moxifloxacin versus levofloxacin plus metronidazole for community-acquired pneumonia with aspiration factors

    Institute of Scientific and Technical Information of China (English)

    Sun Tieying; Sun Li; Wang Rongmei; Ren Xiaoping; Sui Dong-jiang; Pu Chun; Ren Yajuan

    2014-01-01

    Background Community-acquired pneumonia (CAP) is a common infectious disease throughout the world and the incidence continues to grow as the population ages.Aspiration is an important pathogenic mechanism for pneumonia in the elderly and the management of patients with community-acquired pneumonia with aspiration factors is a major medical problem.Our study aimed to assess whether moxifloxacin in comparison to levofloxacin plus metronidazole are effective and safe in the treatment of community-acquired pneumonia with aspiration factors.Methods In this prospective,multicenter,open-label,randomized controlled trial,77 patients with mild-to-moderate community-acquired pneumonia with aspiration factors were enrolled and randomly assigned to receive moxifloxacin or levofloxacin plus metronidazole.The primary efficacy variables were clinical outcomes in evaluable patients at a follow-up visit 7 to 14 days after the end of therapy.Results Seven days after the end of therapy a clinical cure was achieved for 76.7% (23 of 37) of efficacy-evaluable patients in the moxifloxacin group and 51.7% (15 of 40) of patients in the levofloxacin plus metronidazole group.There was a significant difference between the two groups (x2=4.002,P <0.05).Bacteriological success rates were similar in the moxifloxacin group (93.3%) and levofloxacin plus metronidazole group (96.4%),there was no significant difference between the two groups (P >0.05).The overall adverse event rate was 10.8% (4/37) in the moxifloxacin group versus 17.5% (7/40) in the levofloxacin plus metronidazole group,there was no significant difference between the two groups (P>0.05).No serious adverse events were observed.Conclusions Moxifloxacin is effective and safe for treatment of community-acquired pneumonia with aspiration factors.And the regimen of moxifloxacin monotherapy is more convenient compared with levofloxacin plus metronidazole.

  2. Safety and efficacy of recombinant activated factor VII: a randomized placebo-controlled trial in the setting of bleeding after cardiac surgery

    DEFF Research Database (Denmark)

    Gill, Ravi; Herbertson, Mike; Vuylsteke, Alain

    2009-01-01

    BACKGROUND: Blood loss is a common complication of cardiac surgery. Evidence suggests that recombinant activated factor VII (rFVIIa) can decrease intractable bleeding in patients after cardiac surgery. Our objective was to investigate the safety and possible benefits of rFVIIa in patients who bleed...... after cardiac surgery. METHODS AND RESULTS: In this phase II dose-escalation study, patients who had undergone cardiac surgery and were bleeding were randomized to receive placebo (n=68), 40 microg/kg rFVIIa (n=35), or 80 microg/kg rFVIIa (n=69). The primary end points were the number of patients...... for treating bleeding after cardiac surgery, but caution should be applied and further clinical trials are required because there is an increase in the number of critical serious adverse events, including stroke, in those patients randomized to receive rFVIIa....

  3. Determination of eye safety filter protection factors associated with retinal thermal hazard and blue light photochemical hazard for intense pulsed light sources

    Energy Technology Data Exchange (ETDEWEB)

    Clarkson, D McG [Department of Clinical Physics and Bioengineering, Arden Cancer Centre, Walsgrave Hospital, UHCW NHS Trust, Coventry, CV2 2DX (United Kingdom)

    2006-02-21

    An assessment is provided of protection factors afforded for retinal thermal hazard and blue light photochemical hazard for a range of filters used with intense pulsed light sources (IPLs). A characteristic IPL spectrum based on black body radiation at 5000 K with a low cut filter at 515 nm was identified as suitable for such estimations. Specific filters assessed included types with idealized transmission properties and also a range of types whose transmission characteristics were measured by means of a Bentham DMc150 spectroradiometer. Predicted behaviour based on these spectra is outlined which describes both the effectiveness of protection and the level of luminous transmittance afforded. The analysis showed it was possible to describe a figure of merit for a particular filter material relating the degree of protection provided and corresponding value of luminous transmittance. This consideration is important for providing users of IPL equipment with safety eyewear with adequate level of visual transmittance. (note)

  4. A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life.

    Science.gov (United States)

    Holden, Richard J; Scanlon, Matthew C; Patel, Neal R; Kaushal, Rainu; Escoto, Kamisha Hamilton; Brown, Roger L; Alper, Samuel J; Arnold, Judi M; Shalaby, Theresa M; Murkowski, Kathleen; Karsh, Ben-Tzion

    2011-01-01

    Nursing workload is increasingly thought to contribute to both nurses' quality of working life and quality/safety of care. Prior studies lack a coherent model for conceptualising and measuring the effects of workload in healthcare. In contrast, we conceptualised a human factors model for workload specifying workload at three distinct levels of analysis and having multiple nurse and patient outcomes. To test this model, we analysed results from a cross-sectional survey of a volunteer sample of nurses in six units of two academic tertiary care paediatric hospitals. Workload measures were generally correlated with outcomes of interest. A multivariate structural model revealed that: the unit-level measure of staffing adequacy was significantly related to job dissatisfaction (path loading=0.31) and burnout (path loading=0.45); the task-level measure of mental workload related to interruptions, divided attention, and being rushed was associated with burnout (path loading=0.25) and medication error likelihood (path loading=1.04). Job-level workload was not uniquely and significantly associated with any outcomes. The human factors engineering model of nursing workload was supported by data from two paediatric hospitals. The findings provided a novel insight into specific ways that different types of workload could affect nurse and patient outcomes. These findings suggest further research and yield a number of human factors design suggestions.

  5. The association of patient safety climate and nurse-related organizational factors with selected patient outcomes: a cross-sectional survey.

    Science.gov (United States)

    Ausserhofer, Dietmar; Schubert, Maria; Desmedt, Mario; Blegen, Mary A; De Geest, Sabina; Schwendimann, René

    2013-02-01

    Patient safety climate (PSC) is an important work environment factor determining patient safety and quality of care in healthcare organizations. Few studies have investigated the relationship between PSC and patient outcomes, considering possible confounding effects of other nurse-related organizational factors. The purpose of this study was to explore the relationship between PSC and patient outcomes in Swiss acute care hospitals, adjusting for major organizational variables. This is a sub-study of the Swiss arm of the multicenter-cross sectional RN4CAST (Nurse Forecasting: Human Resources Planning in Nursing) study. We utilized data from 1630 registered nurses (RNs) working in 132 surgical, medical and mixed surgical-medical units within 35 Swiss acute care hospitals. PSC was measured with the 9-item Safety Organizing Scale. Other organizational variables measured with established instruments included the quality of the nurse practice environment, implicit rationing of nursing care, nurse staffing, and skill mix levels. We performed multilevel multivariate logistic regression to explore relationships between seven patient outcomes (nurse-reported medication errors, pressure ulcers, patient falls, urinary tract infection, bloodstream infection, pneumonia; and patient satisfaction) and PSC. In none of our regression models was PSC a significant predictor for any of the seven patient outcomes. From our nurse-related organizational variables, the most robust predictor was implicit rationing of nursing care. After controlling for major organizational variables and hierarchical data structure, higher levels of implicit rationing of nursing care resulted in significant decrease in the odds of patient satisfaction (OR=0.276, 95%CI=0.113-0.675) and significant increase in the odds of nurse reported medication errors (OR=2.513, 95%CI=1.118-5.653), bloodstream infections (OR=3.011, 95%CI=1.429-6.347), and pneumonia (OR=2.672, 95%CI=1.117-6.395). We failed to confirm our

  6. Safety of ranibizumab therapy in wet AMD and the role of vascular endothelial growth factors in physiological angiogenesis.

    Science.gov (United States)

    Figurska, Małgorzata; Robaszkiewicz, Jacek; Wierzbowska, Joanna

    2010-01-01

    Vascular endothelial growth factor - A (VEGF-A), is a major factor implicated in choroidal neovascularisation (CNV) and therefore a target for therapeutic agents in wet age related macular degeneration (AMD). Ranibiuzumab (Lucentis) blocks all active isoforms of VEGF-A and the products of their degradation. It penetrates through all layers of the retina in order to reach the target tissue. It is quickly removed from the system and it is characterised by low level of immunogenicity. The essence of angiogenesis is formation of new vessels by branching and expansion of already existing ones. Angiogenesis is an important physiological process that takes place during the healing of wounds, reconstruction of hypoxic injury and reproduction. However some diseases such as cancer, arthritis, diabetes and neovascular AMD are associated with persistent unregulated angiogenesis. There is an important question whether binding vascular-endothelial growth factors in wet AMD therapies using ranibizumab is correlated with the increase of the incidence of systematic adverse effects (AEs), such as cardiovascular episodes or thrombosis. The aim of this article is to present ranibizumab as a safe drug in treating wet AMD patients. Even though the concentration of Lucentis administered in a dose of 0.3 or 0.5 mg into the vitreous body in the organism is very low, the incidence of AEs during the anti-VEGF therapy was traced. In MARINA and ANCHOR studies, occurrence of possible AEs was observed. No statistically significant differences were shown in the AEs frequency between the patients treated with ranibizumab and the control group, and in correlation with the general population of patients suffering from wet AMD.

  7. Dissipation Pattern, Processing Factors, and Safety Evaluation for Dimethoate and Its Metabolite (Omethoate) in Tea (Camellia Sinensis)

    OpenAIRE

    Rong Pan; Hong-Ping Chen; Ming-Lu Zhang; Qing-Hua Wang; Ying Jiang; Xin Liu

    2015-01-01

    Residue levels of dimethoate and its oxon metabolite (omethoate) during tea planting, manufacturing, and brewing were investigated using a modified QuEChERS sample preparation and gas chromatography. Dissipation of dimethoate and its metabolite in tea plantation followed the first-order kinetic with a half-life of 1.08-1.27 d. Tea manufacturing has positive effects on dimethoate dissipation. Processing factors of dimethoate are in the range of 2.11-2.41 and 1.41-1.70 during green tea and blac...

  8. A Risk Analysis Methodology to Address Human and Organizational Factors in Offshore Drilling Safety: With an Emphasis on Negative Pressure Test

    Science.gov (United States)

    Tabibzadeh, Maryam

    According to the final Presidential National Commission report on the BP Deepwater Horizon (DWH) blowout, there is need to "integrate more sophisticated risk assessment and risk management practices" in the oil industry. Reviewing the literature of the offshore drilling industry indicates that most of the developed risk analysis methodologies do not fully and more importantly, systematically address the contribution of Human and Organizational Factors (HOFs) in accident causation. This is while results of a comprehensive study, from 1988 to 2005, of more than 600 well-documented major failures in offshore structures show that approximately 80% of those failures were due to HOFs. In addition, lack of safety culture, as an issue related to HOFs, have been identified as a common contributing cause of many accidents in this industry. This dissertation introduces an integrated risk analysis methodology to systematically assess the critical role of human and organizational factors in offshore drilling safety. The proposed methodology in this research focuses on a specific procedure called Negative Pressure Test (NPT), as the primary method to ascertain well integrity during offshore drilling, and analyzes the contributing causes of misinterpreting such a critical test. In addition, the case study of the BP Deepwater Horizon accident and their conducted NPT is discussed. The risk analysis methodology in this dissertation consists of three different approaches and their integration constitutes the big picture of my whole methodology. The first approach is the comparative analysis of a "standard" NPT, which is proposed by the author, with the test conducted by the DWH crew. This analysis contributes to identifying the involved discrepancies between the two test procedures. The second approach is a conceptual risk assessment framework to analyze the causal factors of the identified mismatches in the previous step, as the main contributors of negative pressure test

  9. A grounded theory of female adolescents' dating experiences and factors influencing safety: the dynamics of the Circle

    Directory of Open Access Journals (Sweden)

    Toscano Sharyl E

    2007-09-01

    Full Text Available Abstract Background This paper describes the nature and characteristics of the dating relationships of adolescent females, including any of their experiences of abuse. Methods A grounded theory approach was used with 22 theoretically sampled female adolescents ages 15–18. Results Several important themes emerged: Seven stages of dating consistently described the relationships of female adolescents. A circle consisting of two interacting same sex peer groups provided structure for each teen as they navigated the dating course. The circle was the central factor affecting a female adolescent's potential for risk or harm in dating relationships. Teens defined abuse as an act where the intention is to hurt. Having once succumbed to sexual pressure, teens felt unable to refuse sex in subsequent situations. Conclusion An awareness of both the stages of dating and the dynamics of the circle will assist health care providers to plan and implement interventions in the female adolescent population. Study findings on factors and influences that support non-abusive versus abusive relationship might help identify female teens at risk and/or support interventions aimed at preventing dating violence.

  10. Hand Safety

    Science.gov (United States)

    ... Gardening Safety Turkey Carving Removing a Ring Español Artritis de la base del pulgar Dedo en gatillo ... Gardening Safety Turkey Carving Removing a Ring Español Artritis de la base del pulgar Dedo en gatillo ...

  11. Water Safety

    Science.gov (United States)

    ... Old Feeding Your 1- to 2-Year-Old Water Safety KidsHealth > For Parents > Water Safety Print A ... best measure of protection. previous continue Making Kids Water Wise It's important to teach your kids proper ...

  12. SAFETY FIRST

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Ensuring safety while peacefully utilizing nuclear energy is a top priority for China A fter a recent earthquake in Japan caused radioactive leaks at a nuclear power plant in Tokyo, the safety of nuclear energy has again aroused public attention.

  13. Safety Plan

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Swan Lake National Wildlife Refuge Safety Plan discusses policies for the safety of the station employees, volunteers, and public. This plan seeks to identify...

  14. Safety effects of road design standards in Europe. Contribution to the International Symposium on Highway Geometric Design Practices, Session on Safety and Human Factors Considerations, Boston, Massachusetts, August 30 - September 1, 1995.

    NARCIS (Netherlands)

    Wegman, F.C.M. & Slop, M.

    1996-01-01

    This paper deals with the result of a study carried out for the European Commission by the SWOV Institute for Road Safety Research, in co-operation with a number of other European institutes, and which was reported in 1994. The title of the study is "Safety Effects of Road Design Standards." The aim

  15. Safety effects of road design standards in Europe. Contribution to the International Symposium on Highway Geometric Design Practices, Session on Safety and Human Factors Considerations, Boston, Massachusetts, August 30 - September 1, 1995.

    NARCIS (Netherlands)

    Wegman, F.C.M. & Slop, M.

    1996-01-01

    This paper deals with the result of a study carried out for the European Commission by the SWOV Institute for Road Safety Research, in co-operation with a number of other European institutes, and which was reported in 1994. The title of the study is "Safety Effects of Road Design Standards." The aim

  16. Safety and risk factors for difficult endoscopist-directed ERCP sedation in daily practice: a hospital-based case-control study

    Directory of Open Access Journals (Sweden)

    Enrique Pérez-Cuadrado-Robles

    Full Text Available Background: There are limited data concerning endoscopist-directed endoscopic retrograde cholangiopancreatography deep sedation. The aim of this study was to establish the safety and risk factors for difficult sedation in daily practice. Patients and methods: Hospital-based, frequency matched case-control study. All patients were identified from a database of 1,008 patients between 2014 and 2015. The cases were those with difficult sedations. This concept was defined based on the combination of the receipt of high-doses of midazolam or propofol, poor tolerance, use of reversal agents or sedation-related adverse events. The presence of different factors was evaluated to determine whether they predicted difficult sedation. Results: One-hundred and eighty-nine patients (63 cases, 126 controls were included. Cases were classified in terms of high-dose requirements (n = 35, 55.56%, sedation-related adverse events (n = 14, 22.22%, the use of reversal agents (n = 13, 20.63% and agitation/discomfort (n = 8, 12.7%. Concerning adverse events, the total rate was 1.39%, including clinically relevant hypoxemia (n = 11, severe hypotension (n = 2 and paradoxical reactions to midazolam (n = 1. The rate of hypoxemia was higher in patients under propofol combined with midazolam than in patients with propofol alone (2.56% vs. 0.8%, p < 0.001. Alcohol consumption (OR: 2.674 [CI 95%: 1.098-6.515], p = 0.030, opioid consumption (OR: 2.713 [CI 95%: 1.096-6.716], p = 0.031 and the consumption of other psychoactive drugs (OR: 2.015 [CI 95%: 1.017-3.991], p = 0.045 were confirmed to be independent risk factors for difficult sedation. Conclusions: Endoscopist-directed deep sedation during endoscopic retrograde cholangiopancreatography is safe. The presence of certain factors should be assessed before the procedure to identify patients who are high-risk for difficult sedation.

  17. Ergonomic Factor and Safety Design in Beverage Packaging%基于人机因素的饮料包装安全性设计

    Institute of Scientific and Technical Information of China (English)

    黎英; 王建民

    2012-01-01

    针对饮料包装使用过程中的安全隐患,分析了饮料包装设计中的人体尺寸因素、动作因素和感知因素等,探讨了饮料包装视觉和触觉的导向安全设计、使用过程中的动作安全设计和可重复使用的安全设计方式,即在设计时应充分把握人机因素中的视触觉感知作用,明确地将操作信息在包装开启使用前传递给消费者,并保证在整个使用过程中消费者操作动作的便利性及安全性,同时还应考虑饮料在保质期内能安全存放,在开封后可再次密封及再次安全开启使用,以满足消费者再次使用的要求。%Aimed at the security problems, some factors in the handling process of beverage packaging are analyzed such as human body size factors, action factors and perception factors, which are useful in exploring the visual and tactile oriented security design of beverage packaging. Actions in the process of using and re-using security are also studied. The design should ensure the convenience and safety for consumers in the entire process. The operating information should be acknowledged before opening the package, drinks should be safely stored within the warranty period, the opened package can be sealed and opened again, in order to meet the requirements of consumers' need.

  18. CT fluoroscopy-guided preoperative short hook wire placement for small pulmonary lesions: evaluation of safety and identification of risk factors for pneumothorax

    Energy Technology Data Exchange (ETDEWEB)

    Iguchi, Toshihiro; Hiraki, Takao; Gobara, Hideo; Fujiwara, Hiroyasu; Matsui, Yusuke; Kanazawa, Susumu [Okayama University Medical School, Departments of Radiology, Okayama (Japan); Miyoshi, Shinichiro [Okayama University Medical School, General Thoracic Surgery, Okayama (Japan)

    2016-01-15

    To retrospectively evaluate the safety of computed tomography (CT) fluoroscopy-guided short hook wire placement for video-assisted thoracoscopic surgery and the risk factors for pneumothorax associated with this procedure. We analyzed 267 short hook wire placements for 267 pulmonary lesions (mean diameter, 9.9 mm). Multiple variables related to the patients, lesions, and procedures were assessed to determine the risk factors for pneumothorax. Complications (219 grade 1 and 4 grade 2 adverse events) occurred in 196 procedures. No grade 3 or above adverse events were observed. Univariate analysis revealed increased vital capacity (odds ratio [OR], 1.518; P = 0.021), lower lobe lesion (OR, 2.343; P = 0.001), solid lesion (OR, 1.845; P = 0.014), prone positioning (OR, 1.793; P = 0.021), transfissural approach (OR, 11.941; P = 0.017), and longer procedure time (OR, 1.036; P = 0.038) were significant predictors of pneumothorax. Multivariate analysis revealed only the transfissural approach (OR, 12.171; P = 0.018) and a longer procedure time (OR, 1.048; P = 0.012) as significant independent predictors. Complications related to CT fluoroscopy-guided preoperative short hook wire placement often occurred, but all complications were minor. A transfissural approach and longer procedure time were significant independent predictors of pneumothorax. (orig.)

  19. The Research Progress of Raw Milk Quality Safety and its Influencing Factors%生乳的质量安全及其影响因素的研究进展

    Institute of Scientific and Technical Information of China (English)

    杨梅

    2012-01-01

    生乳的质量安全一直以来是人们关注的焦点,加强生乳质量安全监管,确保生乳质量安全,保障消费者身体健康显得尤为重要.作者对优质安全生乳的内涵、影响因素、管理与控制措施等方面进行了综述,以期为生产和管理提供参考.%The quality and safety of raw milk is always the focus of attention,strengthen the quality and safety of raw milk supervision,to ensure the quality and safety of raw milk, the protective consumer health is particularly important. The author summarized connotation of raw milk quality safety, influencing factors and control measures, etc, in order to provide reference for the production and management.

  20. BAY 81-8973, a full-length recombinant factor VIII: Human heat shock protein 70 improves the manufacturing process without affecting clinical safety.

    Science.gov (United States)

    Maas Enriquez, Monika; Thrift, John; Garger, Stephen; Katterle, Yvonne

    2016-11-01

    BAY 81-8973 is a full-length, unmodified recombinant human factor VIII (FVIII) approved for the treatment of hemophilia A. BAY 81-8973 has the same amino acid sequence as the currently marketed sucrose-formulated recombinant FVIII (rFVIII-FS) product and is produced using additional advanced manufacturing technologies. One of the key manufacturing advances for BAY 81-8973 is introduction of the gene for human heat shock protein 70 (HSP70) into the rFVIII-FS cell line. HSP70 facilitates proper folding of proteins, enhances cell survival by inhibiting apoptosis, and potentially impacts rFVIII glycosylation. HSP70 expression in the BAY 81-8973 cell line along with other manufacturing advances resulted in a higher-producing cell line and improvements in the pharmacokinetics of the final product as determined in clinical studies. HSP70 protein is not detected in the harvest or in the final BAY 81-8973 product. However, because this is a new process, clinical trial safety assessments included monitoring for anti-HSP70 antibodies. Most patients, across all age groups, had low levels of anti-HSP70 antibodies before exposure to the investigational product. During BAY 81-8973 treatment, 5% of patients had sporadic increases in anti-HSP70 antibody levels above a predefined threshold (cutoff value, 239 ng/mL). No clinical symptoms related to anti-HSP70 antibody development occurred. In conclusion, addition of HSP70 to the BAY 81-8973 cell line is an innovative technology for manufacturing rFVIII aimed at improving protein folding and expression. Improved pharmacokinetics and no effect on safety of BAY 81-8973 were observed in clinical trials in patients with hemophilia A. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  1. The impact of masculinity on safety oversights, safety priority and safety violations in two male-dominated occupations

    DEFF Research Database (Denmark)

    Nielsen, Kent; Hansen, Claus D.; Bloksgaard, Lotte;

    2015-01-01

    outcomes, whereas trait-based theories do not show strong associations with safety outcomes. Implications The association between norm-based masculinity and safety measures might be used in tailoring and developing new preventive measures that specifically address masculinity and male role norms....... and safety violations in two male-dominated occupations using both a trait-based and a norm-based approach to masculinity. Methods Questionnaires covering trait-based (Bem Sex Role Inventory, BSRI) and norm-based (Male Role Norms Inventory – Revised, MRNI-R) measures of masculinity, three safety......-related context factors (safety leadership, commitment of the safety representative, and safety involvement) and three safety-related outcome factors (safety violations, safety oversights and safety priority) were administered twice 12 months apart to Danish ambulance workers (n = 1157) and slaughterhouse workers...

  2. Efficacy and safety of BAY 81-8973, a full-length recombinant factor VIII: results from the LEOPOLD I trial.

    Science.gov (United States)

    Saxena, K; Lalezari, S; Oldenburg, J; Tseneklidou-Stoeter, D; Beckmann, H; Yoon, M; Maas Enriquez, M

    2016-09-01

    BAY 81-8973 (Kovaltry(®) ) is a full-length, unmodified recombinant human factor VIII (FVIII) with the same amino acid sequence as sucrose-formulated recombinant FVIII and is produced using additional advanced manufacturing technologies. To demonstrate efficacy and safety of BAY 81-8973 for treatment of bleeds and as prophylaxis based on two different potency assignments. In LEOPOLD I (ClinicalTrials.gov identifier, NCT01029340), males aged 12-65 years with severe haemophilia A and ≥150 exposure days received BAY 81-8973 20-50 IU kg(-1) two or three times per week for 12 months. Potency was based on chromogenic substrate assay per European Pharmacopoeia and label adjusted to mimic one-stage assay potency. Patients were randomized for potency sequence and crossed over potency groups after 6 months, followed by an optional 12-month extension. Primary efficacy endpoint was annualized bleeding rate (ABR). Patients also received BAY 81-8973 during major surgeries. Sixty-two patients received BAY 81-8973 prophylaxis and were included in the analysis. Median ABR was 1.0 (quartile 1, 0; quartile 3, 5.1) without clinically relevant differences between potency periods. Median ABR was similar for twice-weekly vs. three times-weekly dosing (1.0 vs. 2.0). Haemostasis was maintained during 12 major surgeries. Treatment-related adverse event (AE) incidence was ≤7% overall; no patient developed inhibitors. One patient with risk factors for cardiovascular disease developed a myocardial infarction. BAY 81-8973 was efficacious in preventing and treating bleeding episodes, irrespective of the potency assignment method, with few treatment-related AEs. Caution should be used when treating older patients with cardiovascular risk factors. © 2016 Bayer. Haemophilia Published by John Wiley & Sons Ltd.

  3. National Safety Council

    Science.gov (United States)

    ... Defensive Driving Workplace Training NSC University International Knowledge Knowledge Introduction Safety at Home Safety at Work Safety on ... or contact us . Measure Measure Safety Measure Safety Introduction Safety Management Systems Workplace Safety Consulting Employee Perception Surveys Research ...

  4. Nuclear safety in perspective

    Energy Technology Data Exchange (ETDEWEB)

    Andersson, K. [Karinta-Konsult HB (Sweden); Sjoeberg, B.M.D. [Norwegian Univ. of Scince and Technology (Norway); Larudisen, K. [Risoe National Lab., Roskilde (Denmark); Wahlstroem, B. [VTT Automation (Finland)

    2002-06-01

    The aim of the NKS/SOS-1 project has been to enhance common understanding about requirements for nuclear safety by finding improved means of communicating on the subject in society. The project, which has been built around a number of seminars, was supported by limited research in three sub-projects: 1) Risk assessment, 2) Safety analysis, and 3) Strategies for safety management. The report describes an industry in change due to societal factors. The concepts of risk and safety, safety management and systems for regulatory oversight are described in the nuclear area and also, to widen the perspective, for other industrial areas. Transparency and public participation are described as key elements in good risk communication, and case studies are given. Environmental Impact Assessment and Strategic Environmental Assessment are described as important overall processes within which risk communication can take place. Safety culture, safety indicators and quality systems are important concepts in the nuclear safety area are very useful, but also offer important challenges for the future. They have been subject to special attention in the project. (au)

  5. Organizational culture, safety culture, and safety performance at research facilities

    Energy Technology Data Exchange (ETDEWEB)

    Brown, William S.

    2000-07-30

    Organizational culture surveys of research facilities conducted several years ago and archival occupational injury reports were used to determine whether differences in safety performance are related to general organizational factors or to ''safety culture'' as reflected in specific safety-related dimensions. From among the organizations surveyed, a pair of facilities was chosen that were similar in size and scientific mission while differing on indices of work-related injuries. There were reliable differences in organizational style between the facilities, especially among workers in environment, safety, and health functions; differences between the facilities (and among job categories) on the safety scale were more modest and less regular.

  6. Determinants for conducting food safety culture research

    NARCIS (Netherlands)

    Nyarugwe, Shingai P.; Linnemann, Anita; Hofstede, Gert Jan; Fogliano, Vincenzo; Luning, Pieternel A.

    2016-01-01

    Background Foodborne outbreaks continue to occur regardless of existing food safety measures indicating the shortcomings of these measures to assure food safety. This has led to the recognition of food safety culture as a key contributory factor to the food safety performance of food

  7. Determinants for conducting food safety culture research

    NARCIS (Netherlands)

    Nyarugwe, Shingai P.; Linnemann, Anita; Hofstede, Gert Jan; Fogliano, Vincenzo; Luning, Pieternel A.

    2016-01-01

    Background Foodborne outbreaks continue to occur regardless of existing food safety measures indicating the shortcomings of these measures to assure food safety. This has led to the recognition of food safety culture as a key contributory factor to the food safety performance of food establishmen

  8. Safety; Avertissement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-07-01

    This annual report of the Senior Inspector for the Nuclear Safety, analyses the nuclear safety at EDF for the year 1999 and proposes twelve subjects of consideration to progress. Five technical documents are also provided and discussed concerning the nuclear power plants maintenance and safety (thermal fatigue, vibration fatigue, assisted control and instrumentation of the N4 bearing, 1300 MW reactors containment and time of life of power plants). (A.L.B.)

  9. Visit safety

    CERN Multimedia

    2012-01-01

    Experiment areas, offices, workshops: it is possible to have co-workers or friends visit these places.     You already know about the official visits service, the VIP office, and professional visits. But do you know about the safety instruction GSI-OHS1, “Visits on the CERN site”? This is a mandatory General Safety Instruction that was created to assist you in ensuring safety for all your visits, whatever their nature—especially those that are non-official. Questions? The HSE Unit will be happy to answer them. Write to safety-general@cern.ch.   The HSE Unit

  10. Medication safety.

    Science.gov (United States)

    Keohane, Carol A; Bates, David W

    2008-03-01

    Patient safety is a state of mind, not a technology. The technologies used in the medical setting represent tools that must be properly designed, used well, and assessed on an on-going basis. Moreover, in all settings, building a culture of safety is pivotal for improving safety, and many nontechnologic approaches, such as medication reconciliation and teaching patients about their medications, are also essential. This article addresses the topic of medication safety and examines specific strategies being used to decrease the incidence of medication errors across various clinical settings.

  11. Safety Management Analysis In Construction Industry

    Directory of Open Access Journals (Sweden)

    T. Subramani

    2014-06-01

    Full Text Available The Indian society and economy have suffered human and financial losses as a result of the poor safety record in the construction industry. The purpose of this study is to examine safety management in the construction industry. The study will collects data from general contractors, who are involved in major types of construction. Collected data include information regarding organizational safety policy, safety training, safety meetings, safety equipment, safety inspections, safety incentives and penalties, workers’ attitude towards safety, labor turnover rates and compliance with safety legislation. The study will also reveal several factors of poor safety management. Thus the paper will conclude by providing a set of recommendations and strategies to contractors for improving their safety performance.

  12. Therapeutic induction of angiogenesis by direct myocardial administration of an adenovirus vector encoding human hepatocyte growth factor gene and its safety

    Institute of Scientific and Technical Information of China (English)

    WU Danli; ZHANG Yourong; LAO Miaofen; YUAN Lizhen; WANG Lan; HA Xiaoqin; WU Zuze(WU Cutse)

    2004-01-01

    After the study in vitro and in rats, we assessed further the effects and safety of local angiogen therapy using intramyocardial delivery of an adenovirus carrying hepatocyte growth factor gene (Ad-HGF) in a canine ischemia model. The angiogenic activity of Ad-HGF was evaluated from three aspects. First, the augmentation of collateral vessel development was assessed by angiography 30 d after surgery. The results showed that the density of collateral vessels in treated group was higher than that of control group. Secondly, infarct size was evaluated by TTC staining and image analysis. The results showed that the infarct size of treated group was smaller than that of control group. Thirdly, the myocardial regional blood flow was determined by the method of colored microspheres. The results showed that the blood flow recovered to the level before ligation in treated group, but that of the control group was lower than normal level. In addition, during the study of chronic toxicity, we tested the anti-adenovirus antibodies by neutralization method. The antibodies yielded after the fourth injection decreased slowly from peak level and disappeared 12 weeks after drug withdrawal. Overall, Ad-HGF can promote angiogenesis in ischemic myocardium and reduce infarct size.So this method may be considered as a therapeutic angiogenesis induction strategy for ischemic disease including myocardial infarction and peripheral artery disease. At the same time, Ad-HGF could induce the yield of anti-adenovirus antibodies to neutralize adenovirus, which may be the mechanism of adenovirus clearance.

  13. Methods for evaluation of the effects of organizational and seasonal factors considering chronobiology and biometeorology of man on occupational safety in underground mines

    Energy Technology Data Exchange (ETDEWEB)

    Mruk, K. (Akademia Gorniczo-Hutnicza, Cracow (Poland))

    1990-01-01

    Analyzes occupational safety and occupational accidents in underground black coal mines in Poland from 1968 to 1985. Selected factors that influence occupational accidents are analyzed: organizational models used in a coal mine (a three-shift system or a four-shift system), biorhythm of coal miners vis a vis accident risk, disturbances of magnetic field of the earth caused by solar activity and its effects on accidents, effects of meteorology on accidents (atmospheric pressure fluctuations, winds and their direction, weather changes). Probabilistic models and methods of mathematical statistics are used to describe complicated relations between coal miners and the natural environment. Indices that described probable effects of the environment on coal miners are calculated. Fluctuations of occupational accidents of underground coal miners are analyzed: daily, weekly, monthly and seasonal fluctuations. Forecast hazards of occupational accidents in underground coal mines in Poland from 1986 to 1996 are analyzed. Use of the biorhythm theory for reducing occupational hazards (especially during mine rescue operations) is discussed. 269 refs.

  14. Feasibility and Safety of Local Treatment with Recombinant Human Tissue Factor Pathway Inhibitor in a Rat Model of Streptococcus pneumoniae Pneumonia.

    Directory of Open Access Journals (Sweden)

    Florry E van den Boogaard

    Full Text Available Pulmonary coagulopathy is intrinsic to pulmonary injury including pneumonia. Anticoagulant strategies could benefit patients with pneumonia, but systemic administration of anticoagulant agents may lead to suboptimal local levels and may cause systemic hemorrhage. We hypothesized nebulization to provide a safer and more effective route for local administration of anticoagulants. Therefore, we aimed to examine feasibility and safety of nebulization of recombinant human tissue factor pathway inhibitor (rh-TFPI in a well-established rat model of Streptococcus (S. pneumoniae pneumonia. Thirty minutes before and every 6 hours after intratracheal instillation of S. pneumonia causing pneumonia, rats were subjected to local treatment with rh-TFPI or placebo, and sacrificed after 42 hours. Pneumonia was associated with local as well as systemic activation of coagulation. Nebulization of rh-TFPI resulted in high levels of rh-TFPI in bronchoalveolar lavage fluid, which was accompanied by an attenuation of pulmonary coagulation. Systemic rh-TFPI levels remained undetectable, and systemic TFPI activity and systemic coagulation were not affected. Histopathology revealed no bleeding in the lungs. We conclude that nebulization of rh-TFPI seems feasible and safe; local anticoagulant treatment with rh-TFPI attenuates pulmonary coagulation, while not affecting systemic coagulation in a rat model of S. pneumoniae pneumonia.

  15. Feasibility and Safety of Local Treatment with Recombinant Human Tissue Factor Pathway Inhibitor in a Rat Model of Streptococcus pneumoniae Pneumonia.

    Science.gov (United States)

    van den Boogaard, Florry E; Hofstra, Jorrit J; van 't Veer, Cornelis; Levi, Marcel M; Roelofs, Joris J T H; van der Poll, Tom; Schultz, Marcus J

    2015-01-01

    Pulmonary coagulopathy is intrinsic to pulmonary injury including pneumonia. Anticoagulant strategies could benefit patients with pneumonia, but systemic administration of anticoagulant agents may lead to suboptimal local levels and may cause systemic hemorrhage. We hypothesized nebulization to provide a safer and more effective route for local administration of anticoagulants. Therefore, we aimed to examine feasibility and safety of nebulization of recombinant human tissue factor pathway inhibitor (rh-TFPI) in a well-established rat model of Streptococcus (S.) pneumoniae pneumonia. Thirty minutes before and every 6 hours after intratracheal instillation of S. pneumonia causing pneumonia, rats were subjected to local treatment with rh-TFPI or placebo, and sacrificed after 42 hours. Pneumonia was associated with local as well as systemic activation of coagulation. Nebulization of rh-TFPI resulted in high levels of rh-TFPI in bronchoalveolar lavage fluid, which was accompanied by an attenuation of pulmonary coagulation. Systemic rh-TFPI levels remained undetectable, and systemic TFPI activity and systemic coagulation were not affected. Histopathology revealed no bleeding in the lungs. We conclude that nebulization of rh-TFPI seems feasible and safe; local anticoagulant treatment with rh-TFPI attenuates pulmonary coagulation, while not affecting systemic coagulation in a rat model of S. pneumoniae pneumonia.

  16. Safety and efficacy of flexible-dose fesoterodine in British subjects with overactive bladder: insights into factors associated with dose escalation.

    Science.gov (United States)

    Cardozo, Linda; Hall, Timothy; Ryan, John; Ebel Bitoun, Caty; Kausar, Imran; Darekar, Amanda; Wagg, Adrian

    2012-11-01

    This study evaluated the efficacy and safety of flexible-dose fesoterodine and factors associated with dose escalation in subjects with overactive bladder (OAB). In this 12-week, open-label study, 331 adults with OAB symptoms for ≥3 months, ≥8 micturitions and ≥3 urgency episodes per 24 h and who reported at least "some moderate" bladder-related problems were treated with fesoterodine 4 mg once daily for 4 weeks, with the option to escalate to 8 mg for the remaining 8 weeks based on discussion of efficacy and tolerability with the investigator. Factors influencing dose escalation were identified using stepwise logistic regression. Efficacy was assessed via 3-day bladder diaries and patient-reported outcomes. Of the subjects, 59 % dose escalated at week 4; 93 % of escalators cited insufficient clinical response. The decision to escalate was most often made by the subject (alone or with the investigator). Improvements from baseline were observed in diary and patient-reported outcomes at weeks 4 and 12. Smaller improvements in micturition frequency and worse bladder-related problems at week 4 were significantly associated with increased likelihood of dose escalation; baseline micturition frequency, age, sex, body mass index, antimuscarinic-associated adverse events and OAB symptom duration were not. Non-escalators had greater improvement from baseline to week 4 than escalators; by week 12, improvement was similar among escalators and non-escalators. Fesoterodine was well tolerated. Treatment with flexible-dose fesoterodine improved bladder diary and patient-reported outcomes. Lower clinical response was related to dose escalation; after escalation, response in escalators approached that of non-escalators.

  17. TJC: HCOs need to be on alert for HIT problems related to sociotechnical factors, take steps to improve safety culture, process, and leadership.

    Science.gov (United States)

    2015-06-01

    Noting that too many errors related to health information technology (HIT) are resulting in adverse consequences, The Joint Commission (TJC) has issued a Sentinel Event Alert, urging health care providers to take steps to improve their safety culture, approach to process improvement, and leadership in this area. In this latest alert, the accrediting agency is taking particular aim at risks posed by sociotechnical factors--or the ways in which HIT is implemented and used. Experts say that many of these risks are, in fact, exemplified at a higher level in the emergency setting, where providers are under constant pressure to see more patients and move them though the system faster. In an analysis of 3,375 sentinel events that resulted in permanent patient harm or death between January 1, 2010, and June 20, 2013, The Joint Commission (TJC) found that 120 events included HIT-related contributing factors. Many of the problems cited by TJC relate to orders or medicines being prescribed for the wrong patients. These can result from toggling errors or pop-up screens where providers are asked to click on the appropriate patient or medicine, and they mistakenly click on the wrong selection. In the ED, experts recommend the creation of a multidisciplinary performance improvement group to continuously monitor the ED information system (EDIS), recognize problems, and work with the vendor to resolve them. Also important is a quick and easy way for providers to report HIT-related problems. Experts add that emergency providers need to be fully engaged in the process of selecting HIT that they will be using, and that health care organizations should arrange for usability assessments before purchasing HIT.

  18. Safety Systems

    Science.gov (United States)

    Halligan, Tom

    2009-01-01

    Colleges across the country are rising to the task by implementing safety programs, response strategies, and technologies intended to create a secure environment for teachers and students. Whether it is preparing and responding to a natural disaster, health emergency, or act of violence, more schools are making campus safety a top priority. At…

  19. Safety Instructions

    CERN Multimedia

    2003-01-01

    Please note that the Safety Instructions N0 37 rev. 3 (IS 37 rev. 3) entitled ""LEVEL-3" SAFETY ALARMS AND ALARM SYSTEMS" Is available on the web at the following URL: http://edms.cern.ch/document/335802 Paper copies can also be obtained from the TIS divisional secretariat, e-mail: tis.secretariat@cern.ch TIS Secretariat

  20. Structural model of risk factors for safety accidents in coal mine based on CA-SEM%基于 CA -SEM 的煤矿安全事故风险因素结构模型

    Institute of Scientific and Technical Information of China (English)

    汪刘凯; 孟祥瑞; 何叶荣; 王向前; 李慧宗

    2015-01-01

    围绕煤矿安全风险管理的内涵,通过因子分析和层次聚类分析,识别煤矿安全事故风险主要包含人因风险、管理风险、信息风险、环境风险和设备风险5个风险因素层的22项风险因子。以人因风险层的6个风险因素为内源潜变量,其他4个风险层的16个风险因素为外源潜变量,构建煤矿安全事故风险因素的CA-SEM模型。运用SPASS17.0和AMOS7.0剖析各风险因素层以及各风险因子对煤矿安全事故风险的综合影响及其作用机理,从而为实现煤矿本质化安全提供决策依据。%Centering on the connotation of risk management for coal mine safety, through factor analysis and hierar-chical clustering analysis, the risk of safety accidents in coal mine was identified, which included 22 risk factors in 5 risk factor levels such as human factor risk, management risk, information risk, environment risk and equipment risk.Taking the 6 risk factors in human factor risk level as endogenous latent variable and the 16 risk factors in oth-er 4 levels as exogenous latent variables, a CA-SEM model of risk factors for safety accidents in coal mine was es-tablished.The comprehensive influence and effect mechanism of each risk factor level and each risk factor on risk of safety accidents in coal mine were analyzed by using SPASS17 .0 and AMOS7 .0 , so as to provide decision basis for realizing the essence safety of coal mine.

  1. Organizational Culture and Safety

    Science.gov (United States)

    Adams, Catherine A.

    2003-01-01

    '..only a fool perseveres in error.' Cicero. Humans will break the most advanced technological devices and override safety and security systems if they are given the latitude. Within the workplace, the operator may be just one of several factors in causing accidents or making risky decisions. Other variables considered for their involvement in the negative and often catastrophic outcomes include the organizational context and culture. Many organizations have constructed and implemented safety programs to be assimilated into their culture to assure employee commitment and understanding of the importance of everyday safety. The purpose of this paper is to examine literature on organizational safety cultures and programs that attempt to combat vulnerability, risk taking behavior and decisions and identify the role of training in attempting to mitigate unsafe acts.

  2. Archetypes for Organisational Safety

    Science.gov (United States)

    Marais, Karen; Leveson, Nancy G.

    2003-01-01

    We propose a framework using system dynamics to model the dynamic behavior of organizations in accident analysis. Most current accident analysis techniques are event-based and do not adequately capture the dynamic complexity and non-linear interactions that characterize accidents in complex systems. In this paper we propose a set of system safety archetypes that model common safety culture flaws in organizations, i.e., the dynamic behaviour of organizations that often leads to accidents. As accident analysis and investigation tools, the archetypes can be used to develop dynamic models that describe the systemic and organizational factors contributing to the accident. The archetypes help clarify why safety-related decisions do not always result in the desired behavior, and how independent decisions in different parts of the organization can combine to impact safety.

  3. Saxagliptin efficacy and safety in patients with type 2 diabetes mellitus stratified by cardiovascular disease history and cardiovascular risk factors: analysis of 3 clinical trials.

    Science.gov (United States)

    Cook, William; Minervini, Gianmaria; Bryzinski, Brian; Hirshberg, Boaz

    2014-10-01

    To test the effectiveness and safety of saxagliptin 5 mg/d in patients with type 2 diabetes mellitus (T2DM) with and without history of cardiovascular disease (CVD) or cardiovascular (CV) risk factors. The authors conducted a post hoc analysis of data from 3 randomized studies that compared saxagliptin versus placebo as initial combination therapy with metformin for 24 weeks (N = 648) and versus placebo as an add-on to insulin with and without metformin for 24 weeks (N = 455), and assessed noninferiority to glipizide as an add-on to metformin for 52 weeks (N = 858). Efficacy outcomes were the adjusted mean change from baseline in glycated hemoglobin (HbA1c) level, fasting plasma glucose concentration, and body weight and the proportion of patients achieving an HbA1c level history/no history of CVD, 2) ≥ 2 versus 0 to 1 CV risk factors, 3) hypertension/no hypertension, and 4) statin use/no statin use. Adverse events (AE) and hypoglycemia were monitored. In the initial combination therapy study, reductions in HbA1c level from baseline were greater with saxagliptin versus placebo in all subgroups (difference [saxagliptin - placebo], -0.38% to -0.67%). In the add-on to insulin ± metformin study, differences in adjusted mean change in HbA1c level versus placebo ranged from -0.23% to -0.58% across subgroups. In the noninferiority to glipizide study, adjusted mean changes in HbA1c level were comparable between saxagliptin and glipizide, across subgroups (difference, 0.08%-0.21%). No evidence suggested clinically relevant treatment-by-subgroup interactions in pairwise comparison. Incidences of ≥ 1 AE were comparable across subgroups. Incidences of confirmed hypoglycemia with saxagliptin were 0 in both metformin add-on studies and 1.2% to 7.8% with saxagliptin + insulin ± metformin. In patients with T2DM, saxagliptin 5 mg/d was similarly effective in improving glycemic control, with an AE profile similar to that of placebo, irrespective of CVD history, number of CV

  4. 新形势下食品安全事故流行病学调查处置影响因素分析%Influencing Factors Analysis of Epidemiological Investigation of Food Safety Incidents Disposal Under the New Situation

    Institute of Scientific and Technical Information of China (English)

    杨海霞

    2013-01-01

    根据当前甘肃省食品安全管理现状,结合近年来食品安全事故调查处置实践,分析新形势下食品安全事故流行病学调查处置的影响因素,提出针对性的解决措施和建议.%According to the current food safety management situation of Gansu province, combined with the investigation of food safety accident disposal practice in recent years, influencing factors of the epidemiological investigation of food safety incidents disposal under the new situation were analyzed, and some measures and suggestions were put forward.

  5. Microbiological Food Safety Surveillance in China

    OpenAIRE

    Xiaoyan Pei; Ning Li; Yunchang Guo; Xiumei Liu; Lin Yan; Ying Li; Shuran Yang; Jing Hu; Jianghui Zhu; Dajin Yang

    2015-01-01

    Microbiological food safety surveillance is a system that collects data regarding food contamination by foodborne pathogens, parasites, viruses, and other harmful microbiological factors. It helps to understand the spectrum of food safety, timely detect food safety hazards, and provide relevant data for food safety supervision, risk assessment, and standards-setting. The study discusses the microbiological surveillance of food safety in China, and introduces the policies and history of the na...

  6. Nuclear Safety

    Energy Technology Data Exchange (ETDEWEB)

    Silver, E G [ed.

    1989-01-01

    This document is a review journal that covers significant developments in the field of nuclear safety. Its scope includes the analysis and control of hazards associated with nuclear energy, operations involving fissionable materials, and the products of nuclear fission and their effects on the environment. Primary emphasis is on safety in reactor design, construction, and operation; however, the safety aspects of the entire fuel cycle, including fuel fabrication, spent-fuel processing, nuclear waste disposal, handling of radioisotopes, and environmental effects of these operations, are also treated.

  7. Novel, human cell line-derived recombinant factor VIII (Human-cl rhFVIII, Nuwiq(®) ) in children with severe haemophilia A: efficacy, safety and pharmacokinetics.

    Science.gov (United States)

    Klukowska, A; Szczepański, T; Vdovin, V; Knaub, S; Jansen, M; Liesner, R

    2015-09-14

    Nuwiq(®) (Human-cl rhFVIII) is a new-generation recombinant factor VIII (rFVIII) protein, without chemical modification or fusion to any other protein, produced in a human cell line. This prospective, open-label, multinational phase III study assessed the efficacy and safety of Human-cl rhFVIII in 59 previously treated patients (PTPs) with severe haemophilia A aged 2-12 years (2-5 [N = 29]; 6-12 [N = 30]) during standard prophylaxis (≥50 exposure days and ≥6 months). Efficacy in treating breakthrough bleeds and during surgical prophylaxis was also assessed. An initial pharmacokinetic assessment (N = 13 per age subgroup) demonstrated comparable results with the one-stage and chromogenic assays. Mean (SD) half-life was 11.9 (5.4) and 13.1 (2.6) hours in children aged 2-5 years and 6-12 years respectively (one-stage assay). Prophylactic efficacy, based on mean monthly bleeding rate, was 'excellent' or 'good' in 91.5% of children for all bleeds and in 96.6% of children for spontaneous bleeds. Mean (SD) annualized bleeding rate was 4.12 (5.22) [median 1.9] for all bleeds, 1.50 (3.32) [median 0] for spontaneous bleeds and 2.34 (3.54) [median 1.57] for traumatic bleeds. There were no major, life-threatening bleeds. Efficacy was 'excellent' or 'good' in the treatment of 82.4% of breakthrough bleeds. Overall efficacy during five major surgeries was rated as 'excellent'. There were no FVIII inhibitors or treatment-related serious adverse events. These results in paediatric PTPs indicate that Human-cl rhFVIII is effective for the prevention and treatment of bleeds. © 2015 The Authors. Haemophilia Published by John Wiley & Sons Ltd.

  8. The influence of human factor to aviation maintenance safety%解析人为因素对航空维修安全的影响

    Institute of Scientific and Technical Information of China (English)

    马莹

    2015-01-01

    In the entire transportation system, air transport with more and more prominent.The progress of scientific and technological strength,to ensure that the aviation industry has powerful hardware equipment, which can withstand general accident impact, but all crash prone to improve the vigilance of the people of aviation,improve the quality of aviation maintenance,increase the inspection,supervision,promptly eliminate all kinds of potential safety problems,to reduce the frequency of accidents,which suggests that human factors in aviation maintenance occupies a pivotal position,to promote aviation employee security awareness,the level of science and technology and emergency handling ability.This paper will be explored in detail.%在整个运输体系中,航空运输的贡献越来越突出,科技力量的进步,保证了航空业具备强大的硬件设备,其能够承受一般性意外事故的打击,但各类空难频发提高了人们对航空的警惕性,提高航空维修质量,加大检查、监督力度,及时排除各类安全隐患,以减少意外事故发生的频率,这表明人为因素在航空维修中占据举足轻重的地位,提升航空员工的安全意识,科技水平与应急处理能力等,对此本文将进行详细探究。

  9. Home Safety

    Science.gov (United States)

    ... October 2015) Preventing accidental injuries to children in India. Video Changing the News with Neal McDonough: Fire ... Our Mailing List Global Road Safety Sponsors Recalls Media Center Blog Videos Newsletter facebook twitter instagram pinterest ...

  10. Influence Factors Analysis of Chongqing Residents’ Satisfaction Degree on Food Safety%影响重庆市居民食品安全满意度因素分析

    Institute of Scientific and Technical Information of China (English)

    肖枝洪; 赵忠校

    2015-01-01

    We investigated the food safety by the questionnaires to the residents in Chongqing and studied the residents’satisfaction degree to the food safety.And we obtained the correlation coeffi-cients between internal factors on public satisfaction of the food safety by the exploratory factor analysis and establishing structure equation model,which provides theoretical evidences for scientific decision on the food safety.%采用问卷调查方式获得重庆市居民对食品安全问题的满意程度的第一手数据,然后运用探索性因子分析和构建结构方程模型,得到影响居民食品安全满意度内在因素之间的相关系数,从而为食品安全管理部门对食品卫生安全进行科学决策提供理论依据。

  11. Obstacles to Laser Safety

    Energy Technology Data Exchange (ETDEWEB)

    Barat, K

    2005-04-25

    The growth of laser development & technology has been remarkable. Unfortunately, a number of traps or obstacles to laser safety have also developed with that growth. The goal of this article is to highlight those traps, in the hope that an aware laser user will avoid them. These traps have been the cause or contributing factor of many a preventable laser accident.

  12. Safety first!

    CERN Multimedia

    2016-01-01

    Among the many duties I assumed at the beginning of the year was the ultimate responsibility for Safety at CERN: the responsibility for the physical safety of the personnel, the responsibility for the safe operation of the facilities, and the responsibility to ensure that CERN acts in accordance with the highest standards of radiation and environmental protection.   The Safety Policy document drawn up in September 2014 is an excellent basis for the implementation of Safety in all areas of CERN’s work. I am happy to commit during my mandate to help meet its objectives, not least by ensuring the Organization makes available the necessary means to achieve its Safety objectives. One of the main objectives of the HSE (Occupational Health and Safety and Environmental Protection) unit in the coming months is to enhance the measures to minimise CERN’s impact on the environment. I believe CERN should become a role model for an environmentally-aware scientific research laboratory. Risk ...

  13. 应力-强度干涉模型在安全系数选取中的研究与应用%Study and Application of Stress and Strength Interference Model in the Selection of Safety Factor

    Institute of Scientific and Technical Information of China (English)

    丛秀娟

    2011-01-01

    通过对安全系数选取中的冲突进行分析和定义,在发明问题解决理论(TRIZ)中选择相应的冲突解决原理,提出一种解决此冲突的建议方案。将应力-强度干涉模型的干涉区和安全系数的选取相结合,得出干涉区与安全系数的关系。分析得到,当应力和强度的标准差一定时,均值安全系数越高或均值差越高,干涉区的面积越小,要得到相同的可靠度,则所选取的安全系数应偏小,这样即可满足要求;反之,所选取的安全系数应偏大。当应力和强度的均值一定时,标准差越大,分布的离散程度就越大,干涉区的面积越大,要得到相同的可靠度,所选取的安全系数应偏大;反之,所选取的安全系数应偏小。最后,通过起重机新旧设计规范中安全系数选取的对比验证了此方法的可行性。%Through analysis and definition of the conflict in the selection of safety factor,and selection of the appropriate principles of conflict resolution in the Theory of Inventive Problem Solving(TRIZ),a kind of proposal has been put forward to resolve this conflict.Combined the load-strength interference model of intervention areas with the selection of safety factor,the relationship between them is obtained.So,when the stress and strength standard deviation is constant,the higher the safety factor mean or the higher the mean difference,the smaller the size of interference area.To get the same reliability,safety factor is selected to be smaller,so you can meet the requirements;otherwise,the larger safety factor should be selected.When the stress force and strength of the mean is fixed,the greater the standard deviation,the greater the degree of dispersion distribution,the greater the size of interference area;to get the same reliability,the selected safety factor should be larger;if not,the selected safety factor should be smaller.Finally,through contrast the old and new design of crane in the selection of safety

  14. SAFETY INSTRUCTION AND SAFETY NOTE

    CERN Multimedia

    TIS Secretariat

    2002-01-01

    Please note that the SAFETY INSTRUCTION N0 49 (IS 49) and the SAFETY NOTE N0 28 (NS 28) entitled respectively 'AVOIDING CHEMICAL POLLUTION OF WATER' and 'CERN EXHIBITIONS - FIRE PRECAUTIONS' are available on the web at the following urls: http://edms.cern.ch/document/335814 and http://edms.cern.ch/document/335861 Paper copies can also be obtained from the TIS Divisional Secretariat, email: TIS.Secretariat@cern.ch

  15. Systematic review and network meta-analysis of the efficacy and safety of tumour necrosis factor inhibitor–methotrexate combination therapy versus triple therapy in rheumatoid arthritis

    Science.gov (United States)

    Fleischmann, Roy; Tongbram, Vanita; van Vollenhoven, Ronald; Tang, Derek H; Chung, James; Collier, David; Urs, Shilpa; Ndirangu, Kerigo; Wells, George; Pope, Janet

    2017-01-01

    Objective Clinical trials have not consistently demonstrated differences between tumour necrosis factor inhibitor (TNFi) plus methotrexate and triple therapy (methotrexate plus hydroxychloroquine plus sulfasalazine) in rheumatoid arthritis (RA). The study objective was to estimate the efficacy, radiographic benefits, safety and patient-reported outcomes of TNFi–methotrexate versus triple therapy in patients with RA. Methods A systematic review and network meta-analysis (NMA) of randomised controlled trials of TNFi–methotrexate or triple therapy as one of the treatment arms in patients with an inadequate response to or who were naive to methotrexate was conducted. American College of Rheumatology 70% response criteria (ACR70) at 6 months was the prespecified primary endpoint to evaluate depth of response. Data from direct and indirect comparisons between TNFi–methotrexate and triple therapy were pooled and quantitatively analysed using fixed-effects and random-effects Bayesian models. Results We analysed 33 studies in patients with inadequate response to methotrexate and 19 in patients naive to methotrexate. In inadequate responders, triple therapy was associated with lower odds of achieving ACR70 at 6 months compared with TNFi–methotrexate (OR 0.35, 95% credible interval (CrI) 0.19 to 0.64). Most secondary endpoints tended to favour TNFi–methotrexate in terms of OR direction; however, no clear increased likelihood of achieving these endpoints was observed for either therapy. The odds of infection were lower with triple therapy than with TNFi−methotrexate (OR 0.08, 95% CrI 0.00 to 0.57). There were no differences observed between the two regimens in patients naive to methotrexate. Conclusions In this NMA, triple therapy was associated with 65% lower odds of achieving ACR70 at 6 months compared with TNFi–methotrexate in patients with inadequate response to methotrexate. Although secondary endpoints numerically favoured TNFi–methotrexate, no

  16. Efficacy and safety of adjuvant intravitreal injection of anti-vascular endothelial growth factors prior to vitrectomy in the treatment of proliferative diabetic retinopathy: A Meta-analysis

    Directory of Open Access Journals (Sweden)

    Jun Li

    2017-08-01

    Full Text Available AIM: To investigate the effectiveness and safety of intravitreal injection of anti-vascular endothelial growth factors(VEGFdrugs to the patients with proliferative diabetic retinopathy before vitrectomy treatment.METHODS: A Meta-analysis. A comprehensive retrieval was conducted using the database including EMbase, the Cochrane Library, Pubmed, CBM, WanFang Database, CNKI and so on. The retrieval time was limited from the building time of database to Jan. 2017. The randomized controlled trial was adopted with no requirements on languages. The Jadad scale and Cochrance cooperation were used as the tool of the risk and bias evaluation to analyze the literature quality. Quality estimation of evidence-based medicine on the parameters of each evaluation index was made via GRADEpro Software. The publishing biases of enclosed documents were inspected with funnel plot. At last, the Meta analysis was conducted with Review Manager 5.3.RESULTS: Totally 16 literatures published from 2008-2016 were finally put into randomized controlled trial. A total of 923 cases were included, among which 493 cases were grouped as intravitreal injection of anti-VEGF before the combined operation of PPV group(the experimental group, and 430 cases were involved in simple PPV group(the control group. The results of Meta-analysis show:(1The probability of intraoperative bleeding was remarkably lower than the control group \\〖OR=0.06, 95%CI(0.02, 0.15, PWMD=-29.13, 95% CI(-36.95, -21.30, POR=0.34, 95%CI(0.20, 0.58, PWMD=-0.51(LogMAR, 95%CI(-1.10, 0.08, P=0.09\\〗 with no statistical significance.(5The occurrence of iatrogenic retinal rupture was lower than that of the control group\\〖OR=0.24, 95%CI(0.14, 0.40, PCONCLUSION: It is effective and safe for the patients with proliferative diabetic retinopathy to inject anti-VEGF drugs into vitreous cavity before vitrectomy. And it can reduce the occurrence of complications during and after surgery, improving the general treatment

  17. First Aid and Safety

    Science.gov (United States)

    ... Playground Safety Preventing Children's Sports Injuries Safety Tips: Baseball Safety Tips: Basketball Safety Tips: Hockey Safety Tips: ... it a Medical Emergency? Knowing Your Child's Medical History Nosebleeds Seizures Serious Allergic Reactions (Anaphylaxis) Teaching Your ...

  18. A comparison of dose and dose-rate conversion factors from the Soviet Union, United Kingdom, US Department of Energy, and the Idaho National Engineering Laboratory Fusion Safety Program

    Energy Technology Data Exchange (ETDEWEB)

    Rood, A.S.; Abbott, M.L.

    1991-12-01

    Several independent data sets of radiological dose and dose-rate conversion factors (DCF/DRCF) have been tabulated or developed by the international community both for fission and fusion safety purposes. This report compares sets from the US Department of Energy, the Soviet Union, and the United Kingdom with those calculated by the Idaho National Engineering Laboratory Fusion Safety Program. The objectives were to identify trends and potential outlying values for specific radionuclides and contribute to a future benchmark evaluation of the CARR computer code. Fifty-year committed effective dose equivalent factors were compared for the inhalation and ingestion pathways. External effective dose equivalent rates were compared for the air immersion and ground surface exposure pathways. Comparisons were made by dividing dose factors in the different data bases by the values in the FSP data base. Differences in DCF/DRCF values less than a factor of 2 were considered to be in good agreement and are likely due to the use of slightly different decay data, variations in the number of organs considered for calculating CEDE, and rounding errors. DCF/DRCF values that differed by greater than a factor of 10 were considered to be significant. These differences are attributed primarily to the use of different radionuclide decay data, selection and nomenclature for different isomeric states, treatment of progeny radionuclides, differences in calculational methodology, and assumptions on a radionuclide`s chemical form.

  19. A comparison of dose and dose-rate conversion factors from the Soviet Union, United Kingdom, US Department of Energy, and the Idaho National Engineering Laboratory Fusion Safety Program

    Energy Technology Data Exchange (ETDEWEB)

    Rood, A.S.; Abbott, M.L.

    1991-12-01

    Several independent data sets of radiological dose and dose-rate conversion factors (DCF/DRCF) have been tabulated or developed by the international community both for fission and fusion safety purposes. This report compares sets from the US Department of Energy, the Soviet Union, and the United Kingdom with those calculated by the Idaho National Engineering Laboratory Fusion Safety Program. The objectives were to identify trends and potential outlying values for specific radionuclides and contribute to a future benchmark evaluation of the CARR computer code. Fifty-year committed effective dose equivalent factors were compared for the inhalation and ingestion pathways. External effective dose equivalent rates were compared for the air immersion and ground surface exposure pathways. Comparisons were made by dividing dose factors in the different data bases by the values in the FSP data base. Differences in DCF/DRCF values less than a factor of 2 were considered to be in good agreement and are likely due to the use of slightly different decay data, variations in the number of organs considered for calculating CEDE, and rounding errors. DCF/DRCF values that differed by greater than a factor of 10 were considered to be significant. These differences are attributed primarily to the use of different radionuclide decay data, selection and nomenclature for different isomeric states, treatment of progeny radionuclides, differences in calculational methodology, and assumptions on a radionuclide's chemical form.

  20. Relationship between organizational justice and organizational safety climate: do fairness perceptions influence employee safety behaviour?

    Science.gov (United States)

    Gyekye, Seth Ayim; Haybatollahi, Mohammad

    2014-01-01

    This study investigated the relationships between organizational justice, organizational safety climate, job satisfaction, safety compliance and accident frequency. Ghanaian industrial workers participated in the study (N = 320). Safety climate and justice perceptions were assessed with Hayes, Parender, Smecko, et al.'s (1998) and Blader and Tyler's (2003) scales respectively. A median split was performed to dichotomize participants into 2 categories: workers with positive and workers with negative justice perceptions. Confirmatory factors analysis confirmed the 5-factor structure of the safety scale. Regression analyses and t tests indicated that workers with positive fairness perceptions had constructive perspectives regarding workplace safety, expressed greater job satisfaction, were more compliant with safety policies and registered lower accident rates. These findings provide evidence that the perceived level of fairness in an organization is closely associated with workplace safety perception and other organizational factors which are important for safety. The implications for safety research are discussed.

  1. 新形势下影响护理安全的相关因素及对策%Related factors affecting nursing safety and countermeasurses under the new situation

    Institute of Scientific and Technical Information of China (English)

    沈秀萍; 王爱勤

    2012-01-01

    分析新形势下影响护理安全的相关因素,提出三大举措即构建合理管理体系;营造安全文化氛围;管理体系、护理管理主体和客体三者密切配合.从宏观及微观角度防范各类医疗、护理差错事故的发生,确保医患安全.%This paper analyzes the related factors affecting nursing safety, and proposes three major measures for improving nursing safety, which is to build a reasonable management system, to create culture climate for nursing safety, and to relate closely the management system, the subject and the object of nursing management. We should prevent the occurrence of medical and nursing errors from the macroscopic and microscopic angle in order to ensure patient safety.

  2. Another look at safety climate and safety behavior: deepening the cognitive and social mediator mechanisms.

    Science.gov (United States)

    Fugas, Carla S; Silva, Sílvia A; Meliá, José L

    2012-03-01

    In this study, safety climate literature and the theory of planned behavior were combined to explore the cognitive and social mechanisms that mediate the relationship between organizational safety climate and compliance and proactive safety behaviors. The sample consisted of 356 workers from a transportation organization. Using a multiple mediation design, the results revealed that proactive and compliance safety behaviors are explained by different patterns of combinations of individual and situational factors related to safety. On the one hand, the relationship between organizational safety climate and proactive safety behaviors was mediated by coworkers' descriptive norms and attitudes toward safety. On the other hand, supervisors' injunctive safety norms and perceived behavioral control were the mediator variables between organizational safety climate and compliance safety behaviors. Theoretical and practical implications of the findings are discussed.

  3. 城市消费者食品安全评价影响因素调查%Influencing Factors of Urban Consumers on Food Safety Assessment

    Institute of Scientific and Technical Information of China (English)

    马琳

    2013-01-01

    对郑州市区205名消费者进行调查获得数据,并通过计量模型分析了消费者对食品安全评价的影响因素。得出结论:男性消费者、年龄大的消费者、家中没有12岁以下小孩的消费者、对政府制定食品安全监管政策满意度高的消费者和对食品安全事件关注度低的消费者对食品安全评价较高。%The article obtains data from a questionnaire survey made on 205 Zhengzhou urban consumers and analyses the effects of consumer evaluation on food safety assessment using an econometric model . The conclusion indicates that male consumers , elder consumers , and consumers whose household does not include children under the age of 12, have a high satisfaction level on government regulatory policies for food safety;consumers who have low food safety awareness also have a high opinion on food safety .

  4. Electronic Informational and Educational Environment as a Factor of Competence-Oriented Higher Pedagogical Education in the Sphere of Health, Safety and Environment

    Science.gov (United States)

    Kamerilova, Galina S.; Kartavykh, Marina A.; Ageeva, Elena L.; Veryaskina, Marina A.; Ruban, Elena M.

    2016-01-01

    The authors consider the question of computerisation in health, safety and environment teachers' training in the context of the general approaches and requirements of the Federal National Standard of Higher Education, which is realised through designing of electronic informational and educational environment. The researchers argue indispensability…

  5. Water Safety

    Science.gov (United States)

    ... Families International Services Who We Are Mission & Values History Governance Red Cross Stories Celebrity Supporters News & Events ... use. Alcohol impairs judgment, balance and coordination; affects swimming and diving skills; and ... and use barriers around your home pool or hot tub . Safety covers and pool alarms ...

  6. SAFETY BULLETIN

    CERN Multimedia

    TIS Secretariat

    2002-01-01

    Please note that the Safety Bulletin no 4 (TIS 2002-04) entitled 'KNOW THE RISKS' is available on the web. Paper copies can also be obtained from the TIS Divisional Secretariat, e-mail: TIS.Secretariat@cern.ch TIS Secretariat

  7. Online Safety.

    Science.gov (United States)

    Levine, Elliott

    2001-01-01

    Describes provisions of Children's Internet Protection Act, which school districts are required to implement on or before October 31, 2001, involving the development and public dissemination of federally mandated Internet-safety policy to prevent minors from accessing inappropriate and harmful material. Provides suggestions to protect children…

  8. Safety Resources.

    Science.gov (United States)

    Hoot, James L.; Bartkowiak, Elaine T.

    1994-01-01

    Lists 72 organizations and programs that deal with child safety, grouped by the following categories: (1) general; (2) general violence; (3) gun violence; (4) media violence; (5) drugs and alcohol; (6) child abuse and at-risk children; (7) parenting programs; (8) community service programs; (9) leadership programs; (10) peer counseling; (11)…

  9. Safety climate practice in Korean manufacturing industry

    Energy Technology Data Exchange (ETDEWEB)

    Baek, Jong-Bae [Department of Safety Engineering, Chungju National University, Chungju 380-702 (Korea, Republic of); Bae, Sejong [Department of Biostatistics, University of North Texas Health Science Center, 3500 Camp Bowie Boulevard, Fort Worth, TX 76107 (United States)], E-mail: sbae@hsc.unt.edu; Ham, Byung-Ho [Department of Industrial Safety, Ministry of Labor (Korea, Republic of); Singh, Karan P. [Department of Biostatistics, University of North Texas Health Science Center, 3500 Camp Bowie Boulevard, Fort Worth, TX 76107 (United States)

    2008-11-15

    Safety climate survey was sent to 642 plants in 2003 to explore safety climate practices in the Korean manufacturing plants, especially in hazardous chemical treating plants. Out of 642 plants contacted 195 (30.4%) participated in the surveys. Data were collected by e-mail using SQL-server and mail. The main objective of this study was to explore safety climate practices (level of safety climate and the underlying problems). In addition, the variables that may influence the level of safety climate among managers and workers were explored. The questionnaires developed by health and safety executive (HSE) in the UK were modified to incorporate differences in Korean culture. Eleven important factors were summarized. Internal reliability of these factors was validated. Number of employees in the company varied from less than 30 employees (9.2%) to over 1000 employees (37.4%). Both managers and workers showed generally high level of safety climate awareness. The major underlying problems identified were inadequate health and safety procedures/rules, pressure for production, and rule breaking. The length of employment was a significant contributing factor to the level of safety climate. In this study, participants showed generally high level of safety climate, and length of employment affected the differences in the level of safety climate. Managers' commitment to comply safety rules, procedures, and effective safety education and training are recommended.

  10. Fuzzy multi-factor decision-making model for fire safety based on synergistic theory%基于协同理论的模糊多因素消防安全决策模型

    Institute of Scientific and Technical Information of China (English)

    曹奇; 管佳林; 肖修昆; 况凯骞

    2014-01-01

    为了选择降低火灾风险的消防安全隐患治理方案,针对消防安全决策具有多因素制约的特征,结合协同理论和模糊数学方法,构建了消防安全隐患治理方案的多因素决策模型。通过确定消防安全隐患治理方案的评选因素及各评选因素的权重,采用消防安全隐患治理方案决策模型获得最优的消防安全隐患治理方案。以苏州市古城区为研究对象,提出了三种消防安全隐患治理方案,采用构建的决策模型进行消防安全决策。结果表明:该决策模型能够反映消防安全隐患治理方案的效果、投资和工期。采用该决策模型优选获得的消防安全隐患治理方案符合古城区区域火灾风险实际,验证了其实用性。%To choose a fire safety hidden trouble control scheme to reduce fire risks, a decision-making model for fire safety hidden trouble control schemes is established here according to the char-acteristics of fire safety decision-making of multi-factor constraint and based on synergistic theory and fuzzy mathematics. By choosing reasonable evaluation factors and confirming the factors’ weights,an optimal fire safety hidden trouble control scheme can be obtained by using the fire safety hidden trouble control scheme decision-making model. The Old Town district of Suzhou city is taken as an object. Three fire safety hidden trouble control schemes are proposed,and fire safety decision is made by the decision-making model. The results show that,the decision-making model can reveal not only the safety performances but also the investments and time limits of the fire safety hidden trouble control schemes. The fire safety hidden trouble control scheme selected by the decision-making model proposed here can meet the actual fire risk of the Old Town district,and its practicability is verified.

  11. Measuring Safety Culture on Ships Using Safety Climate: A Study among Indian Officers

    Directory of Open Access Journals (Sweden)

    Yogendra Bhattacharya

    2015-12-01

    Full Text Available Workplace safety continues to be an area of concern in the maritime industry due to the international nature of the operations. The effectiveness of extensive legislation to manage shipboard safety remains in doubt. The focus must therefore shift towards the human element - seafarers and their perceptions of safety. The study aims to understand the alignment that exists between safety culture and safety climate on board ships as perceived by seafarers. The underlying factors of safety climate were identified using factor analysis which isolated seven factors - Support on Safety, Organizational Support, Resource Availability, Work Environment, Job Demands, ‘Just’ Culture, and Safety Compliance. The perception of safety level of seafarers was found to be low indicating the existence of misalignments between safety culture values and the actual safety climate. The study also reveals that the safety perceptions of officers employed directly by ship owners and those by managers do not differ significantly, nor do they differ between senior and junior officers. A shift in perspective towards how seafarers themselves feel towards safety might provide more effective solutions – instead of relying on regulations - and indeed aid in reducing incidents on board. This paper details practical suggestions on how to identify the factors that contribute towards a better safety climate on board ships.

  12. 煤炭企业 PSC 与员工心理健康关系研究∗%Study on relations between coal enterprises employees'psychologicalhealth factors and psychosocial safety climate

    Institute of Scientific and Technical Information of China (English)

    胡远哲; 陈红; 何国家

    2015-01-01

    This study was designed to investigate the relationship between the psychosocial safety climate of coal enterprise and the individual mental health factors verifying the structure e-quation model. Using random sampling method,we select 900 coal employees with psychosocial safety climate (PSC)table and mental health symptoms self-rating investigated scale (SCL-90) . The results showed that the score of the psychosocial safety of the organization was negatively related to depression,anxiety and hostility factor in SCL-90. The path analysis showed that the relationship between the scores of interpersonal sensitivity and depression was directly related. Conclusion:individual mental health factors play intermediary role in the relationship between other mental health factors and psychosocial safety climate,the individual psychological health level can predict psychosocial safety climate.%探讨煤炭企业社会心理安全氛围与员工个体心理健康之间的关系,并使用结构方程模型进行验证。采用随机抽样法选取900名煤炭企业员工,运用社会心理安全氛围量表PSC 和心理健康症状自评量表进行调查。路径分析结果表明:社会心理安全氛围与 SCL-90量表中抑郁,焦虑,敌对因子分均呈负相关。人际关系敏感与抑郁直接相关,抑郁因子在人际关系敏感因子与社会心理安全氛围的影响之间起间接作用,个体心理健康因子能够预测群体社会心理安全氛围。

  13. [Evaluation of the risk of delayed adverse effects of chronic combined exposure to radiation and chemical factors with the purpose to ensure safety in orbital and exploration space missions].

    Science.gov (United States)

    Shafirkin, A V; Mukhamedieva, L N; Tatarkin, S V; Barantseva, M Iu

    2012-01-01

    The work had the aim to anatomize the existing issues with providing safety in extended orbital and exploration missions for ensuing estimation of actual values of the total radiation risk for the crew, and risks of other delayed effects of simultaneous exposure to ionizing radiation and chemical pollutants in cabin air, and a number of other stressful factors inevitable in space flight. The flow of chronic experiments for separate and combined studies with reproduction of air makeup and radiation doses in actual orbital and predicted exploration missions is outlined. To set safety limits, new approaches should be applied to the description of gradual norm degradation to pathologies in addition to several generalized quantitative indices of adaptation and straining of the regulatory systems, as well as of effectiveness of the compensatory body reserve against separate and combined exposure.

  14. 公路设计中需要考虑的交通安全因素分析%Analysis of Traffic Safety Factors Need to be Considered in Design of Highway

    Institute of Scientific and Technical Information of China (English)

    陈苏; 周杰

    2014-01-01

    本文从行车视距、平面线形、纵断面线形、平面交叉和平纵组合等五个方面,对公路设计中需要考虑的主要交通安全因素进行了分析研究,以期为提高公路设计质量、保障行车安全提供参考。%This paper, from five aspects of driving sight dista-nce, horizontal alignment, vertical alignment, plane intersect-tion and combination of cross and vertical, analyzed the main traffic safety factors need to be considered in the design of hi-ghway, in order to improve the quality of highway design, en-suring the driving safety and provide reference.

  15. Another Approach to Enhance Airline Safety: Using Management Safety Tools

    Science.gov (United States)

    Lu, Chien-tsug; Wetmore, Michael; Przetak, Robert

    2006-01-01

    The ultimate goal of conducting an accident investigation is to prevent similar accidents from happening again and to make operations safer system-wide. Based on the findings extracted from the investigation, the "lesson learned" becomes a genuine part of the safety database making risk management available to safety analysts. The airline industry is no exception. In the US, the FAA has advocated the usage of the System Safety concept in enhancing safety since 2000. Yet, in today s usage of System Safety, the airline industry mainly focuses on risk management, which is a reactive process of the System Safety discipline. In order to extend the merit of System Safety and to prevent accidents beforehand, a specific System Safety tool needs to be applied; so a model of hazard prediction can be formed. To do so, the authors initiated this study by reviewing 189 final accident reports from the National Transportation Safety Board (NTSB) covering FAR Part 121 scheduled operations. The discovered accident causes (direct hazards) were categorized into 10 groups Flight Operations, Ground Crew, Turbulence, Maintenance, Foreign Object Damage (FOD), Flight Attendant, Air Traffic Control, Manufacturer, Passenger, and Federal Aviation Administration. These direct hazards were associated with 36 root factors prepared for an error-elimination model using Fault Tree Analysis (FTA), a leading tool for System Safety experts. An FTA block-diagram model was created, followed by a probability simulation of accidents. Five case studies and reports were provided in order to fully demonstrate the usefulness of System Safety tools in promoting airline safety.

  16. Factors Affecting the Participation Behavior of Netizen in Food Safety Online Public Sentiment%食品安全网络舆情网民参与行为调查

    Institute of Scientific and Technical Information of China (English)

    洪巍; 吴林海

    2014-01-01

    As the core subject of food safety online public sentiment , netizens'participation behavior di-rectly affects the formation and development of food safety online public sentiment .A questionnaire sur-vey was carried out and data was analyzed using the Logistic regression analysis to study the factors signif -icantly related to netizens'participation behavior in food safety online public sentiment .The results show that, the attention of negative reports on food safety incidents , the evaluation of rapid survey and timely response of government , are important factors influencing netizens'participation behavior in food safety online public sentiment .The government should strengthen supervision and guidance on the news media , improve and bring the function of media to play , enhance the capacity to respond to food safety online public sentiment , and improve the relevant laws and regulations .%网民作为食品安全网络舆情的核心主体,其参与行为直接影响舆情的形成与发展过程。通过问卷调查对食品安全网络舆情网民参与行为的影响因素进行实证研究,并利用Logistic回归分析的方法对调查数据进行分析。分析结果显示:网民对食品安全事件负面报道的关注度,对政府“快速调查网民质疑的行为”的评价,对政府“及时回应行为”的评价等是影响其舆情参与行为的重要因素。政府应加强对新闻媒体的监督与引导,完善与发挥媒体的议题设置功能,提高食品安全网络舆情应对能力,并进一步完善相关法律法规。

  17. Safety Note

    CERN Multimedia

    SC Secretariat

    2004-01-01

    Please note that the Safety Note no 29 (NS 29) entitled 'Fire Prevention for Insulating Core (Sandwich) Panel Structures for Inside Use Guidelines for Selection, Installation and Use' is available on the web at the following url: https://edms.cern.ch/document/475438/LAST_RELEASED Paper copies can also be obtained from the SC Unit secretariat, e-mail : sc.secretariat@cern.ch SC Secretariat

  18. Patient safety culture among nurses.

    Science.gov (United States)

    Ammouri, A A; Tailakh, A K; Muliira, J K; Geethakrishnan, R; Al Kindi, S N

    2015-03-01

    Patient safety is considered to be crucial to healthcare quality and is one of the major parameters monitored by all healthcare organizations around the world. Nurses play a vital role in maintaining and promoting patient safety due to the nature of their work. The purpose of this study was to investigate nurses' perceptions about patient safety culture and to identify the factors that need to be emphasized in order to develop and maintain the culture of safety among nurses in Oman. A descriptive and cross-sectional design was used. Patient safety culture was assessed by using the Hospital Survey on Patient Safety Culture among 414 registered nurses working in four major governmental hospitals in Oman. Descriptive statistics and general linear regression were employed to assess the association between patient safety culture and demographic variables. Nurses who perceived more supervisor or manager expectations, feedback and communications about errors, teamwork across hospital units, and hospital handoffs and transitions had more overall perception of patient safety. Nurses who perceived more teamwork within units and more feedback and communications about errors had more frequency of events reported. Furthermore, nurses who had more years of experience and were working in teaching hospitals had more perception of patient safety culture. Learning and continuous improvement, hospital management support, supervisor/manager expectations, feedback and communications about error, teamwork, hospital handoffs and transitions were found to be major patient safety culture predictors. Investing in practices and systems that focus on improving these aspects is likely to enhance the culture of patient safety in Omani hospitals and others like them. Strategies to nurture patient safety culture in Omani hospitals should focus upon building leadership capacity that support open communication, blame free, team work and continuous organizational learning. © 2014 International

  19. Pesticides and food safety

    OpenAIRE

    Ötegen, Volkan Recai; Akbaba, Muhsin; Nazlıcan, Ersin; Kurt, Burak

    2017-01-01

    Besidesprevention of tropical diseases, pesticides are also used to make agriculturalactivities fertile. But pesticides are potentially harmful to our health andmay be toxic to the immune, reproductive and nervous systems. Afterapplication; pesticide residues consist depending on factors such as plantspecies, time of administration, how it applied. While pesticides make foodsupply sustainable, there are concerns about residues in food that peopleconsume. Therefore food safety concept introduc...

  20. The current status of the patient safety culture in intensive care unit nurses and influencing factors%ICU护士患者安全文化认知水平现状及其影响因素研究

    Institute of Scientific and Technical Information of China (English)

    刘文婷; 尹安春

    2016-01-01

    目的 了解ICU护士对患者安全文化的认知现状,并分析其影响因素.方法 采用一般资料调查表、患者安全文化调查问卷、护理不良事件报告障碍问卷、工作授能条件量表,对大连市6家综合性医院373名ICU护士进行调查.结果 ICU护士患者安全文化各维度积极反应率均值为68.08%,其中科室内团队合作的积极反应率最高(89.95%),人员配置的积极反应率最低(35.53%).多元回归分析显示,报告意义、惩罚性文化、正式授权、机会授权、资源授权、急诊ICU科室对ICU护士患者安全文化有显著影响(P<0.05).结论 ICU护士患者安全文化平均积极反应率总体呈中等水平,仍有待进一步提升;护理管理者应结合影响因素,合理制订干预措施,提高ICU护士患者安全文化水平,增强安全文化意识,进而提升危重症护理服务质量.%Objective To investigate the current status of cognitive level of patient safety culture in intensive care unit (ICU) nurses and analyze the influencing factors.Methods Totally 373 ICU nurses were investigated with the general information questionnaire,the Hospital Survey on Patient Safety Culture instrument (HSOPSC),the Report Barriers Questionnaire and the Condition of Work Effectiveness Questionnaire (CWEQ-Ⅱ).Results The mean rate of positive response on safety culture dimensions was 68.08% in ICU nurses,Organizational learning-continuous improvement was the safety culture dimension with the highest positive response(89.95%),the lowest positive response was staffing(35.53%).Multiple regression analysis showed that the meaning of report,punitive culture,resources,opportunity,formal empowerment and ICU department were influencing factors of patient safety culture (P < 0.05).Conclusions The level of patient safety culture in ICU nurses was medium,it remains a further improvement.Nursing managers should take targeted measures according to the influencing factors to

  1. [Somnology and occupational safety].

    Science.gov (United States)

    Dorokhov, V B

    2013-01-01

    Somnology has saved up enough great volume of objective knowledge of negative effects of a lack of the sleep, the raised drowsiness and sleep pathologies for health of people and occupational safety to formulate this knowledge in the accessible form for a society and acceptance by the state of acts and the organizational actions preventing these negative effects. The necessity of the salvation of these problems has led to occurrence of a new area of occupational sleep medicine, which problem is the analysis of influence of physiological mechanisms ofa sleep and functioning circadian systems on efficiency of professional activity and health of people. For a designation of the various items causing infringements of professional work use the term fatique. It is believed that fatigue development is connected with three major factors: deficiency of a sleep - defined by duration of previous wakefulness and a sleep, time-of-day and at last, task-related factors. Within the limits of approaches developed the occupational sleep medicine had been formulated the Fatigue Risk Management System. In the Russian literature there is a lack of the information on influence of mechanisms of a sleep on occupational safety, therefore the review will be interesting to a wide range of the experts dealing with the analysis of the human factor, health and an occupational safety

  2. Japan reforms its nuclear safety

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    2013-11-15

    The Fukushima Daiichi NPP accident deeply questioned the bases of nuclear safety and nuclear safety regulation in Japan. It also resulted in a considerable loss of public confidence in the safety of nuclear power across the world. Although the accident was caused by natural phenomena, institutional and human factors also largely contributed to its devastating consequences, as shown by the Japanese Diet's and Government's investigation reports. 'Both regulators and licensees were held responsible and decided to fully reconsider the existing approaches to nuclear safety. Consequently, the regulatory system underwent extensive reform based on the lessons learned from the accident,' Yoshihiro Nakagome, the President of Japan Nuclear Energy Safety Organisation, an ETSON member TSO, explains. (orig.)

  3. Block diagram simulation and analysis approach to dam safety under multiple factors influences%多因素作用下大坝安全响应结构图仿真与分析

    Institute of Scientific and Technical Information of China (English)

    李明超; 刘菲; 陈卫国

    2011-01-01

    Aiming at the dam safety risk analysis,a new solution scheme is presented. Firstly,the complex constraint relationship among internal and external influence factors to reservoir safety was analyzed. Based on the different operation conditions,some main factors were considered such as flood-carrying capacity,water holding capacity,dam seepage and operation management. Secondly,a general block diagram-oriented simulation model for the dam safety system under multi-factors was set up. Then,a corresponding numerical simulation method and platform were developed. The method was applied to a practical hydraulic project. The result shows that the modeling process is convenient. The computation and the visual analysis can be coupled effectively,and the results conform to practical state.%针对水库安全风险分析问题,分析了影响大坝安全的内外部复杂因素,以不同工况下的洪水条件为前提,综合考虑泄洪能力、蓄水能力、坝体渗漏、运行管理等方面的约束关系,建立了多因素作用下大坝安全响应的结构图仿真模型,提出了面向结构图的大坝安全风险数值仿真分析方法。工程实例应用表明,该方法建模过程便捷,仿真计算与数据可视化分析能有效地耦合,仿真分析结果符合客观实际,为分析复杂因素条件下大坝安全风险分析问题提供了新的方法。

  4. Railway safety climate: a study on organizational development.

    Science.gov (United States)

    Cheng, Yung-Hsiang

    2017-09-07

    The safety climate of an organization is considered a leading indicator of potential risk for railway organizations. This study adopts the perceptual measurement-individual attribute approach to investigate the safety climate of a railway organization. The railway safety climate attributes are evaluated from the perspective of railway system staff. We identify four safety climate dimensions from exploratory factor analysis, namely safety communication, safety training, safety management and subjectively evaluated safety performance. Analytical results indicate that the safety climate differs at vertical and horizontal organizational levels. This study contributes to the literature by providing empirical evidence of the multilevel safety climate in a railway organization, presents possible causes of the differences under various cultural contexts and differentiates between safety climate scales for diverse workgroups within the railway organization. This information can be used to improve the safety sustainability of railway organizations and to conduct safety supervisions for the government.

  5. A literature review of safety culture.

    Energy Technology Data Exchange (ETDEWEB)

    Cole, Kerstan Suzanne; Stevens-Adams, Susan Marie; Wenner, Caren A.

    2013-03-01

    Workplace safety has been historically neglected by organizations in order to enhance profitability. Over the past 30 years, safety concerns and attention to safety have increased due to a series of disastrous events occurring across many different industries (e.g., Chernobyl, Upper Big-Branch Mine, Davis-Besse etc.). Many organizations have focused on promoting a healthy safety culture as a way to understand past incidents, and to prevent future disasters. There is an extensive academic literature devoted to safety culture, and the Department of Energy has also published a significant number of documents related to safety culture. The purpose of the current endeavor was to conduct a review of the safety culture literature in order to understand definitions, methodologies, models, and successful interventions for improving safety culture. After reviewing the literature, we observed four emerging themes. First, it was apparent that although safety culture is a valuable construct, it has some inherent weaknesses. For example, there is no common definition of safety culture and no standard way for assessing the construct. Second, it is apparent that researchers know how to measure particular components of safety culture, with specific focus on individual and organizational factors. Such existing methodologies can be leveraged for future assessments. Third, based on the published literature, the relationship between safety culture and performance is tenuous at best. There are few empirical studies that examine the relationship between safety culture and safety performance metrics. Further, most of these studies do not include a description of the implementation of interventions to improve safety culture, or do not measure the effect of these interventions on safety culture or performance. Fourth, safety culture is best viewed as a dynamic, multi-faceted overall system composed of individual, engineered and organizational models. By addressing all three components of

  6. Safety and efficacy of intra-articular anti-tumor necrosis factor α agents compared to corticosteroids in a treat-to-target strategy in patients with inflammatory arthritis and monoarthritis flare.

    Science.gov (United States)

    Carubbi, Francesco; Zugaro, Luigi; Cipriani, Paola; Conchiglia, Armando; Gregori, Lorenzo; Danniballe, Cristino; Letizia Pistoia, Maria; Liakouli, Vasiliki; Ruscitti, Piero; Ciccia, Francesco; Triolo, Giovanni; Masciocchi, Carlo; Giacomelli, Roberto

    2016-06-01

    The aim of this study was to assess safety and efficacy of ultrasonography (US)-guided intra-articular injections using tumor necrosis factor (TNF) blockers compared to corticosteroids in rheumatoid arthritis (RA) or psoriatic arthritis (PsA) patients, experiencing refractory monoarthritis despite the current systemic therapy. Eighty-two patients were randomized to receive three intra-articular injections monthly of either corticosteroid or TNF blockers. Primary endpoints were the safety and an improvement greater than 20% for visual analogic scales of involved joint pain in patients injected with anti-TNFα. Further clinical, US, and magnetic resonance imaging (MRI) evaluations were considered secondary endpoints. Intra-articular TNF blockers are a safe strategy, determining a significant reduction of patient and physician reported clinical outcomes and US/MRI scores, in RA and PsA patients, when compared to intra-articular injections of corticosteroids. US guidance excluded the possibility to inject the drug in the wrong site, maximizing local effects, reducing systemic effects, and increasing the safety of the procedure. Patients with inflammatory monoarthritis could be successfully treated with US-guided intra-articular TNF blockers that are a safe and well tolerated procedure, to achieve a longstanding clinical and radiological good clinical response and/or disease remission.

  7. A Product Safety Primer

    Science.gov (United States)

    Brown, Mary Anne Symons

    1975-01-01

    The article offers an overview of the product safety issue and offers ideas for helping students develop product safety awareness. The role of the Consumer Product Safety Commission and safety legislation are discussed. (MW)

  8. SAFETY NOTES

    CERN Document Server

    TIS Secretariat

    2001-01-01

    Please note that the revisions of safety notes no 3 (NS 3 Rev. 2) and no 24 (NS 24 REV.) entitled respectively 'FIRE PREVENTION FOR ENCLOSED SPACES IN LARGE HALLS' and 'REMOVING UNBURIED ELV AND LVA ELECTRIC CONDUITS' are available on the web at the following urls: http://edmsoraweb.cern.ch:8001/cedar/doc.download?document_id=322811&version=1&filename=version_francaise.pdf http://edmsoraweb.cern.ch:8001/cedar/doc.download?document_id=322861&version=2&filename=version_francaise.pdf Paper copies can also be obtained from the TIS Divisional Secretariat, email tis.secretariat@cern.ch

  9. Safety training

    CERN Multimedia

    SC Unit

    2009-01-01

    Habilitation électrique A course entitled "Habilitation électrique pour personnel de laboratoire" (electrical safety qualification for laboratory personnel) will be held on 22 and 23 June. Registration by e-mail to isabelle.cusato@cern.ch. Explosion Hazards in the handling of flammable solvents and gases A course entitled "Explosion Hazards in the handling of flammable solvents and gases" given in French will be held on 18-19 June 2009. This course is obligatory for all FGSOs at CERN, and it is recommended for anyone handling flammable gas or solvents. To sign up please visit this page. For more information please contact Isabelle Cusato, tel. 73811.

  10. Landscape Safety Degree Value Was Studied on the Mountain Factors Differentiation%基于地形因子空间分异的景观安全等级评价

    Institute of Scientific and Technical Information of China (English)

    张春英; 兰思仁; 董建文; 李文英; 杨文欣

    2015-01-01

    Using ArcGIS and Fragstats software,Landscape safety degree value was studied on the first order mountain factors differ-entiation.The result showed that:with the slope increasing,landscape safety degree was increase slightly;descending order of aspect landscape safety degree was east aspect,west aspect,north aspect,northeast aspect,northwest aspect,southwest aspect,south aspect, southeast aspect,plain;descending order of altitude landscape safety degree was H>2000 m,1600 m

  11. Industrial hazard and safety handbook

    CERN Document Server

    King, Ralph W

    1979-01-01

    Industrial Hazard and Safety Handbook (Revised Impression) describes and exposes the main hazards found in industry, with emphasis on how these hazards arise, are ignored, are identified, are eliminated, or are controlled. These hazard conditions can be due to human stresses (for example, insomnia), unsatisfactory working environments, as well as secret industrial processes. The book reviews the cost of accidents, human factors, inspections, insurance, legal aspects, planning for major emergencies, organization, and safety measures. The text discusses regulations, codes of practice, site layou

  12. Regulatory Expectations for Safety Culture

    Energy Technology Data Exchange (ETDEWEB)

    Jung, Su Jin; Oh, Jang Jin; Choi, Young Sung [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)

    2014-05-15

    The oversight of licensee's safety culture becomes an important issue that attracts great public and political concerns recently in Korea. Beginning from the intended violation of rules, a series of corruptions, documents forgery and disclosure of wrong-doings made the public think that the whole mindset of nuclear workers has been inadequate. Thus, they are demanding that safety culture shall be improved and that regulatory body shall play more roles and responsibilities for the improvements and oversight for them. This paper introduces, as an effort of regulatory side, recent changes in the role of regulators in safety culture, regulatory expectations on the desired status of licensee's safety culture, the pilot inspection program for safety culture and research activity for the development of oversight system. After the Fukushima accident in Japan 2011, many critics has searched for cultural factors that caused the unacceptable negligence pervaded in Japan nuclear society and the renewed emphasis has been placed on rebuilding safety culture by operators, regulators, and relevant institutions globally. Significant progress has been made in how to approach safety culture and led to a new perspective different from the existing normative assessment method both in operators and regulatory side. Regulatory expectations and oversight of them are based on such a new holistic concept for human, organizational and cultural elements to maintain and strengthen the integrity of defense in depth and consequently nuclear safety.

  13. Introduction to Preharvest Food Safety.

    Science.gov (United States)

    Torrence, Mary E

    2016-10-01

    This introductory article provides an overview of preharvest food safety activities and initiatives for the past 15 years. The section on traditional areas of preharvest food safety focuses on significant scientific advancements that are a culmination of collaborative efforts (both public health and agriculture) and significant research results. The highlighted advancements provide the foundation for exploring future preharvest areas and for improving and focusing on more specific intervention/control/prevention strategies. Examples include Escherichia coli and cattle, Salmonella and Campylobacter in poultry, and interventions and prevention and control programs. The section on "nontraditional" preharvest food safety areas brings attention to potential emerging food safety issues and to future food safety research directions. These include organic production, the FDA's Produce Rule (water and manure), genomic sequencing, antimicrobial resistance, and performance metrics. The concluding section emphasizes important themes such as strategic planning, coordination, epidemiology, and the need for understanding food safety production as a continuum. Food safety research, whether at the pre- or postharvest level, will continue to be a fascinating complex web of foodborne pathogens, risk factors, and scientific and policy interactions. Food safety priorities and research must continue to evolve with emerging global issues, emerging technologies, and methods but remain grounded in a multidisciplinary, collaborative, and systematic approach.

  14. Factors associated with regulatory action involving investigation of illnesses associated with Shiga toxin-producing Escherichia coli in products regulated by the Food Safety and Inspection Service.

    Science.gov (United States)

    Green, Alice L; Seys, Scott; Douris, Aphrodite; Levine, Jeoff; Robertson, Kis

    2014-07-01

    We described characteristics of the Escherichia coli O157 and Escherichia coli non-O157 illness investigations conducted by the United States Department of Agriculture's Food Safety and Inspection Service (FSIS) during the 5-year period from 2006 through 2010. We created a multivariable logistic regression model to determine characteristics of these investigations that were associated with FSIS regulatory action, which was defined as having occurred if a product recall occurred or if FSIS personnel performed an environmental health assessment (Food Safety Assessment) at the implicated establishment. During this period, FSIS took regulatory action in 38 of 88 (43%) investigations. Illness investigations in which FoodNet states were involved were more likely to result in regulatory action. Illness investigations in which state and local traceback, or FSIS traceback occurred were more likely to result in regulatory action. Reasons for lack of action included evidence of cross-contamination after the product left a regulated establishment, delayed notification, lack of epidemiological information, and insufficient product information.

  15. Comparison of efficacy, safety and brain derived neurotrophic factor (BDNF) levels in patients of major depressive disorder, treated with fluoxetine and desvenlafaxine.

    Science.gov (United States)

    Ghosh, R; Gupta, R; Bhatia, M S; Tripathi, A K; Gupta, L K

    2015-12-01

    This randomized, open label, prospective, observational study compared clinical efficacy, safety alongwith plasma BDNF levels in outpatients of depression treated with fluoxetine and desvenlafaxine. Patients (aged 18-60 years) with moderate to severe major depressive disorder (MDD) diagnosed by DSM-IV criteria, and Hamilton Rating Scale for Depression (HAM-D) score ≥14, who were prescribed fluoxetine or desvenlafaxine were included (n=30 in each group). Patients were followed up for 12 weeks for evaluation of clinical efficacy, safety along with BDNF levels. In the fluoxetine group, HAM-D scores at the start of treatment was 19±4.09 which significantly (pBDNF levels in the fluoxetine group were 775.32±30.38pg/ml at the start of treatment which significantly (pBDNF levels in the desvenlafaxine group were 760.5±28.53pg/ml at the start of treatment which significantly (pBDNF levels were significantly increased post-treatment with both the antidepressive agents. Whether BDNF may have a prognostic value in predicting treatment response to antidepressant drugs needs to be investigated in a larger patient population.

  16. 台州市医疗机构辐射安全现状及影响因素分析%Analysis on the Influential Factors of Medical Institutions’ Radiation Safety, Taizhou

    Institute of Scientific and Technical Information of China (English)

    赵辰星; 林丹君; 胡珈铭

    2015-01-01

    Objective: To investigate the situation and influential factors of medical institutions’ radiation safety.Methods: Questionnaires were used to survey the situation and influential factors of radiation safety of 200 people in some medical units of Taizhou city .The situation of re-spondents’ general data, related factors of radiation safety, the knowledge of radiation safety, radiation safety work experience exchange, the at-tention to security, participating in radiation safety training, and wearing personal dosimeter were statistically analyzed.Results: Economy and culture, productivity development and employee empowerment had low correlation with radiation safety (all R 0.7); Radiation safety and the exchange of experience working in the tertiary hospitals was better than that in the secondary hospital or other hospitals , and the secondary hospitals’ was better than that in other hospitals (all P0.05) among sen-ior and intermediate titles.Participating in safety training courses at the undergraduate and graduate degrees were better than that in college educa-tion and below (all P0.05). Conclusion:Factors concerning hospital management and personal security awareness are highly correlated with radiation safety , which should be given attention.It should be strengthened between hospitals and radiation workers to communicate and learn about radiation safety.%目的:探讨医疗机构辐射安全现状及影响因素。方法:对浙江省台州市部分医疗单位共200人进行辐射安全现状及其影响因素的问卷调查。统计分析调查对象的一般资料、辐射安全的相关因素、辐射安全知晓、辐射安全工作经验交流、对安全防护的重视、参加辐射安全培训班和佩戴个人剂量计的情况。结果:经济文化与生产力发展、员工授权与辐射安全低度相关(均R<0.5);组织承诺、激励约束、沟通报告等与辐射安全中度相关(均0.5<R<0.7);管理者安

  17. Safety first

    CERN Multimedia

    2012-01-01

    Safety is a priority for CERN. That is a message I conveyed in my New Year’s address and that I reiterated at one of the first Enlarged Directorate meetings of 2012 when I outlined five key safety objectives for the year, designed and implemented according to accepted international standards.   As we move from spring to summer, it’s time to take stock of how we are doing. Objective number one for 2012, which overarches everything else, is to limit the number of incidents in the workplace. That means systematically investigating and acting on every incident that involves work stoppage, along with all the most frequent workplace accidents: falls, trips and slips. The performance indicator we set ourselves is the percentage of investigations and follow-ups completed. Year on year, these figures are rising but we can never be complacent, and must strive to reach and sustain 100% follow-up. The second objective is to improve hazard control, with a focus in 2012 on chemical ha...

  18. Dimensions of Safety Climate among Iranian Nurses

    Directory of Open Access Journals (Sweden)

    Z Naghavi Konjin

    2015-10-01

    Full Text Available Background: Workplace safety has been a concern of workers and managers for decades. Measuring safety climate is crucial in improving safety performance. It is also a method of benchmarking safety perception.Objective: To develop and validate a psychometrics scale for measuring nurses' safety climate.Methods: Literature review, subject matter experts and nurse's judgment were used in items developing. Content validity and reliability for new tool were tested by content validity index (CVI and test-retest analysis, respectively. Exploratory factor analysis (EFA with varimax rotation was used to improve the interpretation of latent factors.Results: A 40-item scale in 6 factors was developed, which could explain 55% of the observed variance. The 6 factors included employees' involvement in safety and management support, compliance with safety rules, safety training and accessibility to personal protective equipment, hindrance to safe work, safety communication and job pressure, and individual risk perception.Conclusion: The proposed scale can be used in identifying the needed areas to implement interventions in safety climate of nurses.

  19. 综采工作面安全可靠性影响因素分析%Analysis of Safety and Reliability Influencing Factors in the Fully Mechanized Face

    Institute of Scientific and Technical Information of China (English)

    刘有哲

    2012-01-01

    综采工作面是煤矿生产系统的重要组成部分,其系统安全可靠性直接影响着煤矿生产效率。通过对煤矿综采工作面安全可靠性进行了分析,将其视为由人、机和环境组成的逻辑系统,并从这3个组成要素出发对综采工作面的安全可靠性进行了详细探讨。分析认为,应当对造成综采系统灾害主要因素的人因失误进行影响分析,需要全面考虑个人因素和组织管理因素。同时,设备故障事故以及环境影响因素也会导致综采出现安全隐患。综合考虑人机环境关联特性,可以确保综采工作面高效安全生产。%The fully mechanized mining face is an indispensable part of the coal mine production system and the safety and reliability of the system has a direct influence on the production efficiency of coal mine. This paper regards the fully mechanized face of coal mine as a logical system composed of man, machine and environment factors, and discusses the safety and reliability of the fully - mechanized face from the three elements in detail. It is thought that the human mistakes of the main factors caused the mechanized mining systems disasters should be analyzed, and the personal factor and the organization management factor should be considered comprehensively. At the same time, the equipment failure accidents and environmental impact factors can lead to reliability inadequate disasters of mecha- nized mining. Comprehensive consideration of the man - machine - environment related characteristics, the efficient and safety produc- tion of fully mechanized mining face can be achieved.

  20. Subway Construction Safety Early Warning Research Based on Factor Analysis and BP Network%基于因子分析与BP网络的地铁施工安全预警研究

    Institute of Scientific and Technical Information of China (English)

    陈帆; 谢洪涛

    2012-01-01

    为了解决当前我国地铁施工过程的安全预警问题,构建因子分析与BP神经网络相结合的地铁施工安全预警模型.在分析地铁施工安全预警指标的基础上,采用SPSS因子分析法对调查数据进行降维,采用Visual Basic 6.0软件编写BP网络程序,并通过工程实际数据实现模型的训练及检测.研究结果表明,通过因子分析能使BP网络的输入数据从37个减少至7个,经因子分析降维后的收敛速度和计算精度均高于未经因子分析的神经网络,且误差均在10%以内.通过因子分析与BP神经网络相结合构建的耦合模型识别地铁施工过程中的不安全因素,进而有针对性地完善地铁施工的相关预警技术.%In order to solve the urgent problem of safety early warning in current subway construction in China, a safety warning model was built by factor analysis combined with BP neural network. Based on safety early warning indicators analysis of subway construction, SPSS factor analysis method was used to reduce the dimension of survey data, Visual Basic 6. 0 software was used to write BP network program, and the model training and testing were achieved through actual project data. The results show that the input data of BP network can be reduced from 37 to 7 by factor analysis, and the convergence speed and calculation accuracy are higher than those of the neural network having not underwent factor analysis, and the errors are less than 10%. So using this coupling model, dangerous factors affecting subway construction can be identified, and relevant early warning technique can be improved.

  1. Central safety factor and β N control on NSTX-U via beam power and plasma boundary shape modification, using TRANSP for closed loop simulations

    Energy Technology Data Exchange (ETDEWEB)

    Boyer, M. D.; Andre, R.; Gates, D. A.; Gerhardt, S.; Goumiri, I. R.; Menard, J.

    2015-04-24

    The high-performance operational goals of NSTX-U will require development of advanced feedback control algorithms, including control of ßN and the safety factor profile. In this work, a novel approach to simultaneously controlling ßN and the value of the safety factor on the magnetic axis, q0, through manipulation of the plasma boundary shape and total beam power, is proposed. Simulations of the proposed scheme show promising results and motivate future experimental implementation and eventual integration into a more complex current profile control scheme planned to include actuation of individual beam powers, density, and loop voltage. As part of this work, a flexible framework for closed loop simulations within the high-fidelity code TRANSP was developed. The framework, used here to identify control-design-oriented models and to tune and test the proposed controller, exploits many of the predictive capabilities of TRANSP and provides a means for performing control calculations based on user-supplied data (controller matrices, target waveforms, etc.). The flexible framework should enable high-fidelity testing of a variety of control algorithms, thereby reducing the amount of expensive experimental time needed to implement new control algorithms on NSTX-U and other devices.

  2. Safety for Users

    CERN Document Server

    HR Department

    2008-01-01

    CERN welcomes more than 8000 Users every year. The PH Department as host to these scientific associates requires the highest safety standards. The PH Safety Office has published a Safety Flyer for Users. Important safety topics and procedures are presented. Although the Flyer is intended primarily to provide safety information for Users, the PH Safety Office invites all those on the CERN sites to keep a copy of the flyer as it gives guidance in matters of safety and explains what to do in the event of an emergency. Link: http://ph-dep.web.cern.ch/ph-dep/Safety/SafetyOffice.html PH-Safety Office PH Department

  3. Safety for Users

    CERN Document Server

    HR Department

    2008-01-01

    CERN welcomes more than 8000 Users every year. The PH Department as host to these scientific associates requires the highest safety standards. The PH Safety Office has published a safety flyer for Users. Important safety topics and procedures are presented. Although the flyer is intended primarily to provide safety information for Users, the PH Safety Office invites all those on the CERN sites to keep a copy of the flyer as it gives guidance in matters of safety and explains what to do in the event of an emergency. The flyer is available at: http://ph-dep.web.cern.ch/ph-dep/Safety/SafetyOffice.html PH-Safety Office PH Department

  4. IMPROVING PATIENT SAFETY:

    DEFF Research Database (Denmark)

    Bagger, Bettan; Taylor Kelly, Hélène; Hørdam, Britta

    2013-01-01

    , social and cultural factors have resulted in a greater emphasis upon digital technology. Attempts to improve patient safety by optimizing students’ competencies in relation to the reporting of clinical errors, has resulted in the development of an interdisciplinary e-learning concept. The program makes......Improving patient safety is both a national and international priority as millions of patients Worldwide suffer injury or death every year due to unsafe care. University College Zealand employs innovative pedagogical approaches in educational design. Regional challenges related to geographic...... it possible for the students to train and test their knowledge and understanding independent of time and place. Data accumulated from the e-learning program will be used to further develop digital learning initiatives....

  5. 三级甲等医院护士安全文化认知及影响因素调查%Investigation of nurses' perception of patient safety culture and relevant factors in 3A-grade general hospitals

    Institute of Scientific and Technical Information of China (English)

    刘玉娥; 欧阳庆; 罗敏; 王波兰; 王晖; 谢惠兰; 戴利

    2013-01-01

    Objective To investigate nurses' perception of patient safety culture and relevant factors in 3A-grade general hospitals,so as to provide an empirical evidence for the developmental measures to improve patient safety culture.Methods Clinical Nurses Questionnaire about Patient Safety Culture Assessment Scale was used to survey 1 866 nurses in six 3A-grade general hospitals.Results Nurses' perception score of patient safety culture was (3.57 ± 0.42).Five factors in descending order according to the questionnaire score were teamwork climate(4.20 ± 0.61),safety climate (3.72 ± 0.50),job satisfaction (3.61 ± 0.83),perception of management(3.44 ±0.89) and stress perception(2.31 ±0.69).No significant difference was found in score of the safety climate among nurses with different education background and titles (P > 0.05).Different ages nurses had significantly different scores of safety climate,job satisfaction,perception of management,and stress perception (F =3.964,4.808,2.831,5.652,respectively ;P < 0.05).And significant difference was found in the stress perception score among nurses with different education background(F =11.341,P < 0.01).So,there were statistically significant difference in nurses' perception of patient safety culture among different age,education background,technical title,position,service years and department (P < 0.05).Multiple linear regression analysis with nurses' perceptions of patient safety culture showed that technical title and position entered into the regression equation.Conclusions Technical title and position are the influence factors of nurses' perception of patient safety culture.It is necessary to consider the perception of different technical title and position of nurses into the targeted training and management,when nursing administrators improving their patient safety culture in hospital.%目的 调查护士的患者安全文化认知水平及其影响因素,为制定改善护士的患者安全文化的

  6. Appliancation of plastic limit analysis upper bound method on the calculation of safety factor on slope%塑性极限分析上限法在边坡安全系数求解中的应用

    Institute of Scientific and Technical Information of China (English)

    王江营; 文世新; 曹文贵; 尚守平; 曹喜仁

    2009-01-01

    基于塑性极限分析上限法在边坡中建立一个合理的速度场,取滑动面为对数螺旋曲面,分别求得边坡滑动体、外荷载所做外功率和滑动面上内能消散率的计算表达式.然后定义材料强度储备安全系数为边坡的稳定安全系数,即边坡中岩土体的c和φ按同一比例折减后边坡达到极限平衡状态,由此可求得边坡处于极限状态时的外功率与内能消散率.再结合虚功率方程得出边坡安全系数的表达式,进而求得其最小上限解,便能确定边坡最不利滑动面的位置以及其最小安全系数.最后,以一个边坡安全系数求解为算例,把本文的计算结果与多种传统方法的计算结果比较,证明本文所提出的方法合理可行.%A reasonable velocity fields in the slope on the base of plastic limit analysis upper bound method was established,and the sliding surface was supposed as logarithmic spiral surface,the computation expression of work rate was calculated by the body forces and surface loads as well as rate of internal energy dissipations of slope can be obtained; then the material safety margin factor was defined as the safety factor of slope,that is c and φ of soil and rock in the slope reduced by the same percentage,and the slope reaches the state of limit balance,the rate of external energy and internal energy dissipations can be gotten while the slope is in the limit state. The expression of safety factor can be obtained via virtual work-rate equation,and its smallest upper bound solution is derived,and the most disadvantageous sliding surface's position and smallest safety factor of the slope are presented. Finally,taking a slope's safety factor solution as an example,the comparisons among the analytical results of various traditional methods were made,then the method proposed by this paper was proved reasonable and feasible.

  7. Nuclear criticality safety: 2-day training course

    Energy Technology Data Exchange (ETDEWEB)

    Schlesser, J.A. [ed.] [comp.

    1997-02-01

    This compilation of notes is presented as a source reference for the criticality safety course. At the completion of this training course, the attendee will: be able to define terms commonly used in nuclear criticality safety; be able to appreciate the fundamentals of nuclear criticality safety; be able to identify factors which affect nuclear criticality safety; be able to identify examples of criticality controls as used as Los Alamos; be able to identify examples of circumstances present during criticality accidents; have participated in conducting two critical experiments; be asked to complete a critique of the nuclear criticality safety training course.

  8. High-performance work systems and occupational safety.

    Science.gov (United States)

    Zacharatos, Anthea; Barling, Julian; Iverson, Roderick D

    2005-01-01

    Two studies were conducted investigating the relationship between high-performance work systems (HPWS) and occupational safety. In Study 1, data were obtained from company human resource and safety directors across 138 organizations. LISREL VIII results showed that an HPWS was positively related to occupational safety at the organizational level. Study 2 used data from 189 front-line employees in 2 organizations. Trust in management and perceived safety climate were found to mediate the relationship between an HPWS and safety performance measured in terms of personal-safety orientation (i.e., safety knowledge, safety motivation, safety compliance, and safety initiative) and safety incidents (i.e., injuries requiring first aid and near misses). These 2 studies provide confirmation of the important role organizational factors play in ensuring worker safety.

  9. 桥梁设计中的安全性影响因素探讨%Exploration of the Safety Influence Factors in the Bridge Design

    Institute of Scientific and Technical Information of China (English)

    陈文阁

    2013-01-01

    With the increasingly rapid development of urbani-zation, the security of bridge design is becoming more and mo-re at ention. In recent years, the construction of bridges has in-creasingly common, while the accidents are also increasing. If not improved, then the safety of the bridge wil have a severe effect on people's normal life.%随着城市化发展的越来越迅速,桥梁设计的安全性也越来越受到关注。近几年来桥梁的建设越来越普遍,发生的事故也越来越多。如果对桥梁的安全不加以改进,则必然会对人们的正常生活带来严重的影响。

  10. Safety first

    Energy Technology Data Exchange (ETDEWEB)

    Harvie, W.

    1997-06-01

    Expansion of international business opportunities for Canadian producers and service companies brings with it a dimension almost never considered on home base - security. It was pointed out that once abroad, safety and defence of people and equipment can become significant problems in many parts of the world. The nature of the security risks involved, and how best to deal with them, were discussed. The use of consultants, mostly foreign ones to date, and the kind of assistance they can provide, everything from written reports on the local situation to counter surveillance training, and bodyguard services, have been described. Examples of recent involvements with guerilla groups demanding `revolutionary war taxes`, kidnapping executives for ransom, due diligence investigations of potential partners, and the like, have been provided to illustrate the unique character of the problem, and the constant need for being alert, educated to risks, and being prepared to react to risk situations.

  11. Construction safety

    CERN Document Server

    Li, Rita Yi Man

    2013-01-01

    A close-to-ideal blend of suburb and city, speedy construction of towers of Babylon, the sparkling proportion of glass and steel buildings’ facade at night showcase the wisdom of humans. They also witness the footsteps, sweats and tears of architects and engineers. Unfortunately, these signatures of human civilizations are swathed in towering figures of construction accidents. Fretting about these on sites, different countries adopt different measures on sites. This book firstly sketches the construction accidents on sites, followed by a review on safety measures in some of the developing countries such as Bermuda, Egypt, Kuwait and China; as well as developed countries, for example, the United States, France and Singapore. It also highlights the enormous compensation costs with the courts’ experiences in the United Kingdom and Hong Kong.

  12. The Impact of Transformational Leadership on Safety Climate and Individual Safety Behavior on Construction Sites.

    Science.gov (United States)

    Shen, Yuzhong; Ju, Chuanjing; Koh, Tas Yong; Rowlinson, Steve; Bridge, Adrian J

    2017-01-05

    Unsafe acts contribute dominantly to construction accidents, and increasing safety behavior is essential to reduce accidents. Previous research conceptualized safety behavior as an interaction between proximal individual differences (safety knowledge and safety motivation) and distal contextual factors (leadership and safety climate). However, relatively little empirical research has examined this conceptualization in the construction sector. Given the cultural background of the sample, this study makes a slight modification to the conceptualization and views transformational leadership as an antecedent of safety climate. Accordingly, this study establishes a multiple mediator model showing the mechanisms through which transformational leadership translates into safety behavior. The multiple mediator model is estimated by the structural equation modeling (SEM) technique, using individual questionnaire responses from a random sample of construction personnel based in Hong Kong. As hypothesized, transformational leadership has a significant impact on safety climate which is mediated by safety-specific leader-member exchange (LMX), and safety climate in turn impacts safety behavior through safety knowledge. The results suggest that future safety climate interventions should be more effective if supervisors exhibit transformational leadership, encourage construction personnel to voice safety concerns without fear of retaliation, and repeatedly remind them about safety on the job.

  13. The Impact of Transformational Leadership on Safety Climate and Individual Safety Behavior on Construction Sites

    Directory of Open Access Journals (Sweden)

    Yuzhong Shen

    2017-01-01

    Full Text Available Unsafe acts contribute dominantly to construction accidents, and increasing safety behavior is essential to reduce accidents. Previous research conceptualized safety behavior as an interaction between proximal individual differences (safety knowledge and safety motivation and distal contextual factors (leadership and safety climate. However, relatively little empirical research has examined this conceptualization in the construction sector. Given the cultural background of the sample, this study makes a slight modification to the conceptualization and views transformational leadership as an antecedent of safety climate. Accordingly, this study establishes a multiple mediator model showing the mechanisms through which transformational leadership translates into safety behavior. The multiple mediator model is estimated by the structural equation modeling (SEM technique, using individual questionnaire responses from a random sample of construction personnel based in Hong Kong. As hypothesized, transformational leadership has a significant impact on safety climate which is mediated by safety-specific leader–member exchange (LMX, and safety climate in turn impacts safety behavior through safety knowledge. The results suggest that future safety climate interventions should be more effective if supervisors exhibit transformational leadership, encourage construction personnel to voice safety concerns without fear of retaliation, and repeatedly remind them about safety on the job.

  14. The Impact of Transformational Leadership on Safety Climate and Individual Safety Behavior on Construction Sites

    Science.gov (United States)

    Shen, Yuzhong; Ju, Chuanjing; Koh, Tas Yong; Rowlinson, Steve; Bridge, Adrian J.

    2017-01-01

    Unsafe acts contribute dominantly to construction accidents, and increasing safety behavior is essential to reduce accidents. Previous research conceptualized safety behavior as an interaction between proximal individual differences (safety knowledge and safety motivation) and distal contextual factors (leadership and safety climate). However, relatively little empirical research has examined this conceptualization in the construction sector. Given the cultural background of the sample, this study makes a slight modification to the conceptualization and views transformational leadership as an antecedent of safety climate. Accordingly, this study establishes a multiple mediator model showing the mechanisms through which transformational leadership translates into safety behavior. The multiple mediator model is estimated by the structural equation modeling (SEM) technique, using individual questionnaire responses from a random sample of construction personnel based in Hong Kong. As hypothesized, transformational leadership has a significant impact on safety climate which is mediated by safety-specific leader–member exchange (LMX), and safety climate in turn impacts safety behavior through safety knowledge. The results suggest that future safety climate interventions should be more effective if supervisors exhibit transformational leadership, encourage construction personnel to voice safety concerns without fear of retaliation, and repeatedly remind them about safety on the job. PMID:28067775

  15. PATIENT SAFETY CULTURE AND PATIENT SAFETY IMPLEMENTATION IN STELLA MARIS HOSPITAL DURING NATIONAL HEALTH INSURANCE ERA

    OpenAIRE

    Rivai, Fridawaty

    2017-01-01

    Implementation of patient safety in hospital is influenced by several factors such as culture of patient safety. The aim of the research was to analyze the effect of patient safety culture on the implementation of patient safety in Stella Maris Hospital in 2016. The research was a quantitative studyusinganalytic operationaldesign withcross-sectional approach. The samples consisted of 234people selected using proportional stratified random sampling technique. The results of the research ...

  16. 临床护士在工作中的危险因素和安全防护%Risk factors and safety protection of clinical nurses in work

    Institute of Scientific and Technical Information of China (English)

    马秀琴

    2015-01-01

    目的:探讨临床护士在日常护理工作中的危险因素及安全防护措施。方法:通过临床观察和分析,认识到临床护士在工作中长期受生物因素、化学因素、机械损伤等因素的影响,采用了加强管理,避免生物污染、化学污染,防止机械损伤等一系列防范措施。结果:增强了临床护士在工作中的自我防护意识,护士的健康状况有了很大的提高。结论:了解临床职业危险因素,增强防护意识,加强护理安全教育,做好日常防护,可有效减少或杜绝职业危险因素对护士的伤害,有利于护士的身心健康。%Objective:To investigate the risk factors and safety protection measures of clinical nurses in the daily nursing work. Methods:Through clinical observation and analysis,to realize the influence factors of biological factors,chemical factors, mechanical damage and other factors in the long-term work of clinical nurses,we took the strengthen management,avoid biological pollution and chemical pollution,prevent mechanical damage and a series of preventive measures.Results:Enhance the self protection awareness of clinical nurses in the work,and the health status had been improved greatly.Conclusion:To understand the clinical occupational risk factors,enhance the protection awareness,strengthen the nursing safety education,make the daily protection,that can effectively reduce or eliminate the occupational risk factors to the nurses,it is conducive to the physical and mental health of nurses.

  17. 影响血液净化护理安全管理因素的分析和应对策略%Analysis and countermeasures of management factors affecting blood purification nursing safety

    Institute of Scientific and Technical Information of China (English)

    杨泽曼

    2014-01-01

    Objective:To explore the management factors affecting blood purification nursing safety and countermeasures.Methods:12467 cases with blood purification were selected from January 2013 to December 2013.We analyzed the nursing safety management factors in blood purification.Results:In this group,there were 176 cases of nursing adverse events.The occurence rate was 1.41% .Complications occurred in 75 cases,including hypotension,disequilibrium syndrome,muscle cramps and so on. 39 cases ad anxiety,depression and other negative emotions.34 cases had hemorrhage and hematoma puncture fistula.Treatment of that had not been recorded in 16 cases.12 cases had puncture needle factors.The reason was related to many factors,including not strong responsibility heart of nurses,patient safety management not in place,the violation of operating process,environment and safety accident and so on.Conclusion:Blood purification room should strictly implement the core system and process,strengthen the management,strengthen the professional knowledge and psychological quality training,to ensure the safety of blood purification therapy.%目的:探讨血液净化护理安全管理因素及应对措施。方法:2013年1月-2013年12月收治行血液净化患者,共计12467例次,分析血液净化护理安全管理因素。结果:本组发生176例次护理不良事件,发生率1.41%。低血压、失衡综合征、肌肉痛性痉挛等并发症75例,焦虑、抑郁等不良情绪39例,穿刺内瘘血肿、出血34例,治疗告知未及时记录16例,穿刺针管因素12例。分析原因与护士责任心不强、患者安全管理不到位、违反操作流程、环境安全意外等多种因素有关。结论:血液净化室要严格执行核心制度及操作流程,加强环节管理,加强专科知识及心理素质培训,保证血液净化治疗安全进行。

  18. Patient safety culture in Norwegian nursing homes.

    Science.gov (United States)

    Bondevik, Gunnar Tschudi; Hofoss, Dag; Husebø, Bettina Sandgathe; Deilkås, Ellen Catharina Tveter

    2017-06-20

    Patient safety culture concerns leader and staff interaction, attitudes, routines, awareness and practices that impinge on the risk of patient-adverse events. Due to their complex multiple diseases, nursing home patients are at particularly high risk of adverse events. Studies have found an association between patient safety culture and the risk of adverse events. This study aimed to investigate safety attitudes among healthcare providers in Norwegian nursing homes, using the Safety Attitudes Questionnaire - Ambulatory Version (SAQ-AV). We studied whether variations in safety attitudes were related to professional background, age, work experience and mother tongue. In February 2016, 463 healthcare providers working in five nursing homes in Tønsberg, Norway, were invited to answer the SAQ-AV, translated and adapted to the Norwegian nursing home setting. Previous validation of the Norwegian SAQ-AV for nursing homes identified five patient safety factors: teamwork climate, safety climate, job satisfaction, working conditions and stress recognition. SPSS v.22 was used for statistical analysis, which included estimations of mean values, standard deviations and multiple linear regressions. P-values homes. In multiple linear regression analysis, we found that increasing age and job position among the healthcare providers were associated with significantly increased mean scores for the patient safety factors teamwork climate, safety climate, job satisfaction and working conditions. Not being a Norwegian native speaker was associated with a significantly higher mean score for job satisfaction and a significantly lower mean score for stress recognition. Neither professional background nor work experience were significantly associated with mean scores for any patient safety factor. Patient safety factor scores in nursing homes were poorer than previously found in Norwegian general practices, but similar to findings in out-of-hours primary care clinics. Patient safety culture

  19. Economic issues on food safety

    Directory of Open Access Journals (Sweden)

    Felice Adinolfi

    2016-03-01

    Full Text Available A globalised food trade, with a huge increase of the exchanged volume, extensive production and complex supply chains are contributing towards an increased number of microbiological food safety outbreaks. All of these factors are putting pressure on the stakeholders, either public or private, in terms of rule and control. In fact, this scenario could force manufacturers to be lenient towards food safety control intentionally, or unintentionally, and result in a major foodborne outbreak that causes health problems and economic loss. As a response to emerging calls for the adoption of a systemic approach to food safety, we try to identify and discuss the several related economics issue in this field. Based on an extensive analysis of academic and policy literatures on the economic effects of global environmental change at different stages of the food system, we highlight the main issues involving economists in the field of food safety. In the first part, we assessed the several approaches and problems related to the evaluation of food safety improvements, followed by an overview of drivers of food safety demand in the second part. The third section is devoted to discussing changes occurred at the institutional level in building and managing food safety policies. The last section summarises the main considerations aroused from the work.

  20. Economic Issues on Food Safety

    Science.gov (United States)

    Adinolfi, Felice; Capitanio, Fabian

    2016-01-01

    A globalised food trade, with a huge increase of the exchanged volume, extensive production and complex supply chains are contributing towards an increased number of microbiological food safety outbreaks. All of these factors are putting pressure on the stakeholders, either public or private, in terms of rule and control. In fact, this scenario could force manufacturers to be lenient towards food safety control intentionally, or unintentionally, and result in a major foodborne outbreak that causes health problems and economic loss. As a response to emerging calls for the adoption of a systemic approach to food safety, we try to identify and discuss the several related economics issue in this field. Based on an extensive analysis of academic and policy literatures on the economic effects of global environmental change at different stages of the food system, we highlight the main issues involving economists in the field of food safety. In the first part, we assessed the several approaches and problems related to the evaluation of food safety improvements, followed by an overview of drivers of food safety demand in the second part. The third section is devoted to discussing changes occurred at the institutional level in building and managing food safety policies. The last section summarises the main considerations aroused from the work. PMID:27800432

  1. Economic Issues on Food Safety.

    Science.gov (United States)

    Adinolfi, Felice; Di Pasquale, Jorgelina; Capitanio, Fabian

    2016-01-18

    A globalised food trade, with a huge increase of the exchanged volume, extensive production and complex supply chains are contributing towards an increased number of microbiological food safety outbreaks. All of these factors are putting pressure on the stakeholders, either public or private, in terms of rule and control. In fact, this scenario could force manufacturers to be lenient towards food safety control intentionally, or unintentionally, and result in a major foodborne outbreak that causes health problems and economic loss. As a response to emerging calls for the adoption of a systemic approach to food safety, we try to identify and discuss the several related economics issue in this field. Based on an extensive analysis of academic and policy literatures on the economic effects of global environmental change at different stages of the food system, we highlight the main issues involving economists in the field of food safety. In the first part, we assessed the several approaches and problems related to the evaluation of food safety improvements, followed by an overview of drivers of food safety demand in the second part. The third section is devoted to discussing changes occurred at the institutional level in building and managing food safety policies. The last section summarises the main considerations aroused from the work.

  2. Linking Safety Analysis to Safety Requirements

    DEFF Research Database (Denmark)

    Hansen, Kirsten Mark

    the same system model and that this model is formalized in a real-time, interval logic, based on a conventional dynamic systems model with a state over time. The three safety analysis techniques are interpreted in this model and it is shown how to derive safety requirements for components of a system.......Software for safety critical systems must deal with the hazards identified by safety analysistechniques: Fault trees, event trees,and cause consequence diagrams can be interpreted as safety requirements and used in the design activity. We propose that the safety analysis and the system design use...

  3. CERN's new safety policy

    CERN Multimedia

    2014-01-01

    The documents below, published on 29 September 2014 on the HSE website, together replace the document SAPOCO 42 as well as Safety Codes A1, A5, A9, A10, which are no longer in force. As from the publication date of these documents any reference made to the document SAPOCO 42 or to Safety Codes A1, A5, A9 and A10 in contractual documents or CERN rules and regulations shall be deemed to constitute a reference to the corresponding provisions of the documents listed below.   "The CERN Safety Policy" "Safety Regulation SR-SO - Responsibilities and organisational structure in matters of Safety at CERN" "General Safety Instruction GSI-SO-1 - Departmental Safety Officer (DSO)" "General Safety Instruction GSI-SO-2 - Territorial Safety Officer (TSO)" "General Safety Instruction GSI-SO-3 - Safety Linkperson (SLP)" "General Safety Instruction GSI-SO-4 - Large Experiment Group Leader In Matters of Safety (LEXGLI...

  4. 外科护士在工作中的危险因素和安全防护%Risk Factors of Surgical Nurses in the Work and Safety Protection

    Institute of Scientific and Technical Information of China (English)

    张丽; 侯晓丽; 张慧培

    2015-01-01

    The hospital environment is special, there are many safe hidden trouble, the nurse unique working environment and service objectdetermines the nurses often faced all kinds of danger in the work process, in order to improve the nurses' knowledge of the work of risk factors, reduce the occurrence of accident, has very important significance to do the safety protection. The au-thor will study the dangerfactors in the work environment of surgical nurses, and combined with the personal point of view, puts forward some measures of safety protection, the aim is to enhance the ability of identification and protection of surgical nurses' a-bility of risk factors, the surgical nurses in their daily work, from the dangerous factors of poison.%医院环境特殊,存在诸多安全隐患,护士独特的工作环境及服务对象决定了护士在工作过程中常常面临各种各样的危险,为提高护士对工作中危险因素的认识,降低意外事故的发生,做好安全防护具有非常重要的意义。该研究将对外科护士工作环境中存在的危险因素进行研究,并结合个人观点,提出几点安全防护措施,旨在增强外科护士对危险因素的鉴别能力与防护能力,使外科护士在日常工作中,免遭危险因素的荼毒。

  5. Fire safety

    Energy Technology Data Exchange (ETDEWEB)

    Keski-Rahkonen, O.; Bjoerkman, J.; Hostikka, S.; Mangs, J. [VTT Building Technology, Espoo (Finland); Huhtanen, R. [VTT Energy, Espoo (Finland); Palmen, H.; Salminen, A.; Turtola, A. [VTT Automation, Espoo (Finland)

    1998-07-01

    According to experience and probabilistic risk assessments, fires present a significant hazard in a nuclear power plant. Fires may be initial events for accidents or affect safety systems planned to prevent accidents and to mitigate their consequences. The project consists of theoretical work, experiments and simulations aiming to increase the fire safety at nuclear power plants. The project has four target areas: (1) to produce validated models for numerical simulation programmes, (2) to produce new information on the behavior of equipment in case of fire, (3) to study applicability of new active fire protecting systems in nuclear power plants, and (4) to obtain quantitative knowledge of ignitions induced by important electric devices in nuclear power plants. These topics have been solved mainly experimentally, but modelling at different level is used to interpret experimental data, and to allow easy generalisation and engineering use of the obtained data. Numerical fire simulation has concentrated in comparison of CFD modelling of room fires, and fire spreading on cables on experimental data. So far the success has been good to fair. A simple analytical and numerical model has been developed for fire effluents spreading beyond the room of origin in mechanically strongly ventilated compartments. For behaviour of equipment in fire several full scale and scaled down calorimetric experiments were carried out on electronic cabinets, as well as on horizontal and vertical cable trays. These were carried out to supply material for CFD numerical simulation code validation. Several analytical models were developed and validated against obtained experimental results to allow quick calculations for PSA estimates as well as inter- and extrapolations to slightly different objects. Response times of different commercial fire detectors were determined for different types of smoke, especially emanating from smoldering and flaming cables to facilitate selection of proper detector

  6. Demographic, clinical and psychosocial factors identify a high-risk group for depression screening among predominantly Hispanic patients with Type 2 diabetes in safety net care.

    Science.gov (United States)

    Ell, Kathleen; Katon, Wayne; Lee, Pey-Jiuan; Guterman, Jeffrey; Wu, Shinyi

    2015-01-01

    Identify biopsychosocial factors associated with depression for patients with Type 2 diabetes. A quasi-experimental clinical trial of 1293 patients was predominantly Hispanic (91%) female (62%), mean age 53 and average diabetes duration 10 years; 373 (29%) patients were depressed and assessed by Patient Health Questionnaire-9. Demographic, baseline clinical and psychosocial variables were compared between depressed and nondepressed patients. Bivariate analyses found depression significantly associated (pidentified six key risk factors: greater disability, diabetes symptoms and regimen distress, female gender, less diabetes self-care and lack of A1C. In addition, after controlling for identified six factors, the number of psychosocial stressors significantly associated with increased risk of depression (adjusted odds ratio=1.37, 95% confidence intervals: 1.18-1.58, pidentify a high-risk group of patients needing depression screening. Copyright © 2015 Elsevier Inc. All rights reserved.

  7. The advancement of a new human factors report--'The Unique Report'--facilitating flight crew auditing of performance/operations as part of an airline's safety management system.

    Science.gov (United States)

    Leva, M C; Cahill, J; Kay, A M; Losa, G; McDonald, N

    2010-02-01

    This paper presents the findings of research relating to the specification of a new human factors report, conducted as part of the work requirements for the Human Integration into the Lifecycle of Aviation Systems project, sponsored by the European Commission. Specifically, it describes the proposed concept for a unique report, which will form the basis for all operational and safety reports completed by flight crew. This includes all mandatory and optional reports. Critically, this form is central to the advancement of improved processes and technology tools, supporting airline performance management, safety management, organisational learning and knowledge integration/information-sharing activities. Specifically, this paper describes the background to the development of this reporting form, the logic and contents of this form and how reporting data will be made use of by airline personnel. This includes a description of the proposed intelligent planning process and the associated intelligent flight plan concept, which makes use of airline operational and safety analyses information. Primarily, this new reporting form has been developed in collaboration with a major Spanish airline. In addition, it has involved research with five other airlines. Overall, this has involved extensive field research, collaborative prototyping and evaluation of new reports/flight plan concepts and a number of evaluation activities. Participants have included both operational and management personnel, across different airline flight operations processes. Statement of Relevance: This paper presents the development of a reporting concept outlined through field research and collaborative prototyping within an airline. The resulting reporting function, embedded in the journey log compiled at the end of each flight, aims at enabling employees to audit the operations of the company they work for.

  8. Education, teaching & training in patient safety.

    Science.gov (United States)

    Rall, Marcus; van Gessel, Elisabeth; Staender, Sven

    2011-06-01

    Patient Safety is not a side-effect of good patient care by skilled clinicians. Patient safety is a subject on its own, which was traditionally not taught to medical personnel. This must and will dramatically change in the future. The 2010 Helsinki Declaration for Patient Safety in Anaesthesiology states accordingly "Education has a key role to play in improving patient safety, and we fully support the development, dissemination and delivery of patient safety training". Patient safety training is a multidisciplinary topic and enterprise, which requires us to cooperate with safety experts from different fields (e.g. psychologists, educators, human factor experts). Anaesthesiology has been a model for the patient safety movement and its European organisations like ESA and EBA have pioneered the field up to now: Helsinki Patient Safety Declaration and the European Patient Safety Course are the newest establishments. But Anaesthesiology must continue in its efforts in order to stay at the top of the patient safety movement, as many other disciplines gain speed in this topic. We should strive to fulfill the Helsinki Declaration and move even beyond that. As the European Council states: "Education for patient-safety should be introduced at all levels within health-care systems"

  9. Efficacy and safety of tumor necrosis factor-α blockers for ulcerative colitis: A systematic review and meta-analysis of published randomized controlled trials

    Directory of Open Access Journals (Sweden)

    Yun-Na Song

    2015-03-01

    Full Text Available To evaluate the efficacy and safety of TNF-α blockers for ulcerative colitis. A systematic search for randomized controlled trials (RCTs of TNF-α blockers for treatment of ulcerative colitis (UC were performed in PubMed, Web of Science, Embase and cochrane clinical trial. We estimated Pooled estimates of the odds ratio (OR and relevant 95% confidence interval (CI using fixed effects model or random effects model as appropriate. Heterogeneity, publication bias, and subgroup analyses were conducted. Nine randomized controlled studies met the selection criteria with a total of 2518 patients. Five studies compared Infliximab with placebo. Two studies compared Infliximab to corticosteroids. Two studies compared Adalimumab to placebo. One study compared subcutaneous golimumab to placebo. Short-term response, short-term remission, long-term remission and mucosal healing were better in the TNF-α blocker group than in the control group (p < 0.05. TNF-α blockers decreased the colectomy rate and serious adverse reactions (p < 0.05. The TNF-α blockers were superior to controls in achieving short-term clinical response/remission, long-term remission and mucosal healing and decreased the colectomy rate and serious adverse reactions.

  10. Patient safety: Safety culture and patient safety ethics

    DEFF Research Database (Denmark)

    Madsen, Marlene Dyrløv

    2006-01-01

    and interviews with staff and management in four hospital departments. The appendix contains the Patient Safety Culture Questionnaire tool that I have developed, tested and revised for use in theDanish hospital setting based on the research projects on safety culture described in papers 3, 4 and 5. Paper 6......Patient safety - the prevention of medical error and adverse events - and the initiative of developing safety cultures to assure patients from harm have become one of the central concerns in quality improvement in healthcare both nationally andinternationally. This subject raises numerous...... the problems, and suggest possible solutions for improving patient safety through the promotion of safety culture and ethics. I seek to illuminate theissues of patient safety from several perspectives; the organizational healthcare system, in particular the healthcare workers perspectives and experiences...

  11. Attentional bias toward safety predicts safety behaviors.

    Science.gov (United States)

    Xu, Yaoshan; Li, Yongjuan; Wang, Guangxi; Yuan, Xiao; Ding, Weidong; Shen, Zhongxiang

    2014-10-01

    Safety studies have primarily focused on how explicit processes and measures affect safety behavior and subsequent accidents and injuries. Recently, safety researchers have paid greater attention to the role of implicit processes. Our research focuses on the role of attentional bias toward safety (ABS) in workplace safety. ABS is a basic, early-stage cognitive process involving the automatic and selective allocation of attentional resources toward safety cues, which reflect the implicit motivational state of employees regarding safety goal. In this study, we used two reaction time-based paradigms to measure the ABS of employees in three studies: two modified Stroop tasks (Studies 1 and 2) and a visual dot-probe task (Study 3). Results revealed that employees with better safety behavior showed significant ABS (Study 2), and greater ABS than employees with poorer safety behavior (Studies 1 and 2). Moreover, ABS was positively associated with the perceived safety climate and safety motivation of employees, both of which mediate the effect of ABS on safety behavior (Study 3). These results contributed to a deeper understanding of how early-stage automatic perceptual processing affects safety behavior. The practical implications of these results were also discussed. Copyright © 2014 Elsevier Ltd. All rights reserved.

  12. The Psychology of Safety

    Science.gov (United States)

    Anderson, Brenda Lindley

    2011-01-01

    Many studies of mishaps show that human error is a factor in a significant majority of accidents. Trying to decide how to change human behavior to be safer is generally the biggest challenge of any safety program. However, understanding the human psyche is the first step to changing behavior. Many studies focus on the before and after of an accident, but what about the thoughts of a person in the commission of an unsafe act? This is a less understood area. Examining it reveals why it is not well comprehended. This paper attempts to examine a part of the thought process, with an eye to helping influence people to less hurtful actions.

  13. Globalisation and blood safety.

    Science.gov (United States)

    Farrugia, Albert

    2009-05-01

    Globalisation may be viewed as the growing interdependence of countries worldwide through the increasing volume and variety of cross-border transactions in goods and services, and also through the more rapid and widespread diffusion of technology. Globalisation is not just an economic phenomenon, although it is frequently described as such, but includes commerce, disease and travel, and immigration, and as such it affects blood safety and supply in various ways. The relatively short travel times offered by modern aviation can result in the rapid spread of blood-borne pathogens before measures to counteract transmission can be put in place; this would have happened with SARS if the basic life cycle of the SARS virus included an asymptomatic viraemia. This risk can be amplified by ecological factors which effect the spread of these pathogens once they are transferred to a naïve ecosystem, as happened with West Nile Virus (WNV) in North America. The rationalization and contraction of the plasma products industry may be viewed as one aspect of globalisation imposed by the remorseless inevitability of the market; the effect of this development on the safety and supply of products has yet to be seen, but the oversight and assurance of a shrinking number of players will present particular challenges. Similarly, the monopolization of technology, through patent enforcement which puts access beyond the reach of developing countries, can have an effect on blood safety. The challenges presented to blood safety by globalisation are heightening the tensions between the traditional focus on the product safety - zero risk paradigm and the need to view the delivery of safe blood as an integrated process. As an illustration of this tension, donor deferral measures imposed by globalisation-induced risks such as vCJD and WNV have resulted in the loss of the safest and most committed portion of the blood donor population in many Western countries, leading to an increased risk to

  14. Nigerian Engineering Students' Compliance with Workshop Safety Measures

    OpenAIRE

    2013-01-01

    Proper evaluation of various risks involved in job specifications in the workshop, and appropriate implementation, and adherence to the correct safety rules by instructors and all workshop users is a determinant factor in achievement of absolute safety in the workshop. Acquaintance and compliance with the basic safety practices in engineering profession in the course of undergraduate training makes safety engineering professionals in the field. Observance of safety measures in workshop among ...

  15. A major safety overhaul

    CERN Multimedia

    2003-01-01

    A redefined policy, a revamped safety course, an environmental project... the TIS (Technical Inspection and Safety) Division has begun a major safety overhaul. Its new head, Wolfgang Weingarten, explains to the Bulletin why and how this is happening.

  16. Person autonomy and voluntariness as important factors in motivation, decision making, and astronaut safety: First results from the Mars500 LODGEAD study

    Science.gov (United States)

    Baarsen, Bernadette van

    2013-06-01

    The present study aims to explore the influence of person autonomy and voluntariness on the level and orientation of motivation and decision making of crew members who live and work in extreme isolated conditions such as during long-term space flights. Motivation has been related to positive behavioural (e.g., goal-orientation), cognitive (e.g., attention), and psychological (e.g., well-being) outcomes and is likely to be relevant for safe and favourable extraterrestrial life- and working-conditions. The study has been carried out within the scope of the Mars500 study which includes a Mars mission simulation of 105 (pilot study) and 520 (main study) days and involves a multi-national crew of 6 men who lived and worked in hermetically sealed modules in the IBMP facilities in Moscow. Data have been collected by the use of questionnaires that evaluate the Mars experiment in terms of, e.g. information received (e.g., "My experiences here are in line with what I was told during the selection and instruction procedure"), perceived social pressure (e.g., "I don't feel free to make my own decisions"), and personal challenge (e.g., "I think that joining the first Mars mission would be a major challenge for me"). It is hypothesised that stronger (1) perceived information consistency, (2) personal expectation consistency, (3) perceived voluntariness, and (4) experienced freedom of choice will be indicative of higher motivation levels. The results will be interpreted in the light of communication, decision making processes, and mission safety. Also, moral expectations and ethical considerations regarding future participation in long duration Human missions such as Mars will be discussed. We will make use of descriptive, longitudinal pattern analyses and correlations.

  17. Safety and efficacy of ocrelizumab in rheumatoid arthritis patients with an inadequate response to methotrexate or tumor necrosis factor inhibitors: a systematic review and meta-analysis.

    Science.gov (United States)

    Abushouk, Abdelrahman Ibrahim; Ahmed, Hussien; Ismail, Ammar; Elmaraezy, Ahmed; Badr, Ahmed Said; Gadelkarim, Mohamed; Elnenny, Mohammed

    2017-02-24

    We conducted this systematic reviews and meta-analysis to investigate the safety and efficacy of ocrelizumab in patients with active rheumatoid arthritis (RA) who exhibited resistance or intolerance to methotrexate or biological therapy. We performed a web-based literature search of PubMed, Google Scholar, EBSCO, Scopus, Embase, and Web of science for studies that compared ocrelizumab plus methotrexate versus methotrexate plus placebo in RA patients. Data were extracted from eligible studies and pooled as risk ratios (RR), using RevMan software. Pooling data from four RCTs (2230 patients) showed that ocrelizumab plus methotrexate were superior to methotrexate plus placebo at 24 weeks in terms of improvement on the American college of rheumatology (ACR20, ACR50, and ACR70) criteria (p < 0.00001), disease activity score 28-ESR (RR = 3.77, 95% CI [2.47, 5.74], p < 0.00001), and Sharp/van der Heijde radiological score (RR = 1.63, 95% CI [1.43, 1.85], p < 0.00001). These effects were consistent among all ocrelizumab doses. The rates of serious adverse events were comparable between the ocrelizumab and placebo containing groups (RR = 1, 95% CI [0.78, 1.28], p = 0.98). However, infusion related reactions were significantly higher in ocrelizumab group (RR = 2.13, 95% CI [1.69, 2.68], p < 0.00001), compared to placebo group. The combination of ocrelizumab plus methotrexate was superior to methotrexate plus placebo on all clinical and radiographic improvement scales. The incidence of adverse events, including serious adverse events, was comparable between both groups. Future trials should investigate the efficacy of ocrelizumab alone and develop strategies to alleviate its related infusion reactions.

  18. Bromine Safety

    Energy Technology Data Exchange (ETDEWEB)

    Meyers, B

    2001-04-09

    The production and handling in 1999 of about 200 million kilograms of bromine plus substantial derivatives thereof by Great Lakes Chemical Corp. and Albemarle Corporation in their southern Arkansas refineries gave OSHA Occupational Injury/Illness Rates (OIIR) in the range of 0.74 to 1.60 reportable OIIRs per 200,000 man hours. OIIRs for similar industries and a wide selection of other U.S. industries range from 1.6 to 23.9 in the most recent OSHA report. Occupational fatalities for the two companies in 1999 were zero compared to a range in the U.S.of zero for all computer manufacturing to 0.0445 percent for all of agriculture, forestry and fishing in the most recent OSHA report. These results show that bromine and its compounds can be considered as safe chemicals as a result of the bromine safety standards and practices at the two companies. The use of hydrobromic acid as an electrical energy storage medium in reversible PEM fuel cells is discussed. A study in 1979 of 20 megawatt halogen working fluid power plants by Oronzio de Nora Group found such energy to cost 2 to 2.5 times the prevailing base rate at that time. New conditions may reduce this relative cost. The energy storage aspect allows energy delivery at maximum demand times where the energy commands premium rates. The study also found marginal cost and performance advantages for hydrobromic acid over hydrochloric acid working fluid. Separate studies in the late 70s by General Electric also showed marginal performance advantages for hydrobromic acid.

  19. African Safety Promotion: A Journal of Injury and Violence ...

    African Journals Online (AJOL)

    African Safety Promotion: A Journal of Injury and Violence Prevention. ... Safety Initiative: Baseline results for risk factors for children in deprived communities ... abuse in parts of Zimbabwe: Is this a new form of child abuse or child labour?

  20. Global Food Safety-International Consumers' Rights?

    Science.gov (United States)

    Hussain, Malik Altaf

    2013-10-11

    Your submissions to this Special Issue "Food Microbiology and Safety" of Foods-a new open access journal-are welcome. We understand there are no foodborne illness-free zones in the world. Therefore, a proper understanding of foodborne pathogens and the factors that impact their growth, survival and pathogenesis would equip us with tools to ensure global food safety. This Special Issue publishes articles on different aspects of food microbiology and safety. [...].

  1. Human Factor Considered Safety Management of Maritime Transportation of Solid Bulk Concentrate%基于“人”的因素的海上运输易流态精选矿的安全管理

    Institute of Scientific and Technical Information of China (English)

    缪克银

    2012-01-01

    从介绍易流态精选矿的特性出发,深层次分析运输精选矿的风险致因,指出“人”的因素是所有事故原因中的主因,并具体提出保障易流态精选矿运输安全的管理措施.%Starting with an introduction of the property of solid bulk concentrate, we analyzed in—depth the causes of risks in its maritime transportation, pointed out that "human was the main factor in almost all the accidents discussed and finally proposed its safety management measures.

  2. Establishment and prioritization of relevant factors to the safety of fuel cycle facilities non reactor through dynamics archetypes evaluation; Estabelecimento e priorizacao de fatores relevantes para a seguranca de instalacoes do ciclo do combustivel exceto o reator atraves da avaliacao da dinamica de arquetipos

    Energy Technology Data Exchange (ETDEWEB)

    Sousa, Anna Leticia Barbosa de

    2012-07-01

    The present work aims to establish and prioritize factors that are important to the safety of nuclear fuel cycle facilities in order to model, analyze and design safety as a physical system, employing systemic models in an innovative way. This work takes into consideration the fact that models that use adaptations of methodologies for nuclear reactors will not properly work due to the specificities of fuel cycle facilities. Based on the fundamentals of the theory of systems, the four levels of system thinking, and the relationship of eight socio technical factors, a mental model has been developed for safety management in the nuclear fuel cycle context. From this conceptual model, safety archetypes were constructed in order to identify and highlight the processes of change and decision making that allow the system to migrate to a state of loss of safety. After that, stock and flow diagrams were created so that their behavior could be assessed by the system's dynamics. The results from the analysis using the model that simulates the dynamic behavior of the variables (socio technical factors) indicated, as expected, that the system's dynamics proved to be an appropriate and efficient tool for modeling fuel cycle safety as an emergent property. (author)

  3. Understanding the relationship between safety investment and safety performance of construction projects through agent-based modeling.

    Science.gov (United States)

    Lu, Miaojia; Cheung, Clara Man; Li, Heng; Hsu, Shu-Chien

    2016-09-01

    The construction industry in Hong Kong increased its safety investment by 300% in the past two decades; however, its accident rate has plateaued to around 50% for one decade. Against this backdrop, researchers have found inconclusive results on the causal relationship between safety investment and safety performance. Using agent-based modeling, this study takes an unconventional bottom-up approach to study safety performance on a construction site as an outcome of a complex system defined by interactions among a worksite, individual construction workers, and different safety investments. Instead of focusing on finding the absolute relationship between safety investment and safety performance, this study contributes to providing a practical framework to investigate how different safety investments interacting with different parameters such as human and environmental factors could affect safety performance. As a result, we could identify cost-effective safety investments under different construction scenarios for delivering optimal safety performance. Copyright © 2016 Elsevier Ltd. All rights reserved.

  4. Farm Health and Safety

    Science.gov (United States)

    ... jobs in the United States. Farms have many health and safety hazards, including Chemicals and pesticides Machinery, ... equipment can also reduce accidents. Occupational Safety and Health Administration

  5. Nuclear criticality safety guide

    Energy Technology Data Exchange (ETDEWEB)

    Pruvost, N.L.; Paxton, H.C. [eds.

    1996-09-01

    This technical reference document cites information related to nuclear criticality safety principles, experience, and practice. The document also provides general guidance for criticality safety personnel and regulators.

  6. New Safety rules

    CERN Multimedia

    Safety Commission

    2008-01-01

    The revision of CERN Safety rules is in progress and the following new Safety rules have been issued on 15-04-2008: Safety Procedure SP-R1 Establishing, Updating and Publishing CERN Safety rules: http://cern.ch/safety-rules/SP-R1.htm; Safety Regulation SR-S Smoking at CERN: http://cern.ch/safety-rules/SR-S.htm; Safety Regulation SR-M Mechanical Equipment: http://cern.ch/safety-rules/SR-M.htm; General Safety Instruction GSI-M1 Standard Lifting Equipment: http://cern.ch/safety-rules/GSI-M1.htm; General Safety Instruction GSI-M2 Standard Pressure Equipment: http://cern.ch/safety-rules/GSI-M2.htm; General Safety Instruction GSI-M3 Special Mechanical Equipment: http://cern.ch/safety-rules/GSI-M3.htm. These documents apply to all persons under the Director General’s authority. All Safety rules are available at the web page: http://www.cern.ch/safety-rules The Safety Commission

  7. A Study on the Enterprises' Safety Management System

    Institute of Scientific and Technical Information of China (English)

    王春芳; Zhulingyun

    2010-01-01

    1. The causes of safety issues in production In general, there are many reasons caused safety risks in production, some are material factors and the others are human's factors. 1) The safety awareness level is low Many local government officers put economic development on first priority,ignoring the importance of safety in production. Especially in recent years,many efforts are made to increase investment;a number of preferential policies being made, which lead to the establishment of many industrial parks.

  8. Influence of safety motivation and climate on safety behaviour and outcomes: evidence from the Saudi Arabian construction industry.

    Science.gov (United States)

    Panuwatwanich, Kriengsak; Al-Haadir, Saeed; Stewart, Rodney A

    2017-03-01

    Over the last three decades, safety literature has focused on safety climate and its role in forecasting injuries and accidents. However, research findings regarding the relationships between safety climate and other key outcome constructs are somewhat inconsistent. Recent safety climate literature suggests that examining the role of safety motivation may help provide a better explanation of such relationships. The research presented in this article aimed to empirically analyse the relationships among safety motivation, safety climate, safety behaviour and safety outcomes within the context of the Saudi Arabian construction industry. A conceptual model was developed to examine the relationships among four main constructs: safety motivation, safety climate, safety behaviour and safety outcomes. Based on the survey data collected in Saudi Arabia from site engineers and project managers (n = 295), statistical analyses were carried out, including confirmatory and exploratory factor analysis, and structural equation modelling to assess the model and test the hypotheses. The main results indicated that safety motivation could positively influence safety behaviour through safety climate, which plays a mediating role for this mechanism. The results also confirmed that safety behaviour could predict safety outcomes within the context of the Saudi Arabian construction industry.

  9. VARIAR Study: Assessment of short-term efficacy and safety of rituximab compared to an tumor necrosis factor alpha antagonists as second-line drug therapy in patients with rheumatoid arthritis refractory to a first tumor necrosis factor alpha antagonist.

    Science.gov (United States)

    Torrente-Segarra, Vicenç; Acosta Pereira, Asunción; Morla, Rosa; Ruiz, José Miguel; Clavaguera, Teresa; Figuls, Ramon; Corominas, Hector; Geli, Carme; Roselló, Rosa; de Agustín, Juan José; Alegre, Cayetano; Pérez, Carolina; García, Angel; Rodríguez de la Serna, Arturo

    to compare the short-term efficacy and safety of rituximab (RTX) therapy versus anti-TNF in rheumatoid arthritis (RA) patients after discontinuation of a first anti-TNF agent. prospective observational multicenter study in the clinical practice setting, involving patients with severe RA refractory to a first anti-TNF agent, who received either RTX or a second anti-TNF (2TNF), comparing the efficacy endpoints, EULAR response (Good/Moderate) and safety at 6 months. 103 patients enrolled, 82 completed 6-month follow-up, 73.7% women. Baseline data for RTX and 2TNF groups, respectively: TJC, 8.6 and 6.6; SJC, 8.8 and 7.5; DAS28 score, 5.45 (±1.28) and 5.18 (±1.21) (p=0.048), ESR, 41 and 38.7mmHg; and HAQ, 1.2 and 1.0. Improvement was observed in all parameters, with no significant differences (except for a more marked reduction in ESR with RTX). There were no serious adverse events. RTX use as second-line therapy after anti-TNF failure led to improvements in the efficacy and functional variables at 6 months, with no serious adverse events. These results were comparable to those observed in patients who used a second anti-TNF agent in the same clinical scenario. Copyright © 2015 Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología. All rights reserved.

  10. A novel supplemental approach to capturing post-marketing safety information on recombinant factor VIIa in acquired hemophilia: the Acquired Hemophilia Surveillance project

    Directory of Open Access Journals (Sweden)

    Lentz SR

    2014-01-01

    Full Text Available Steven R Lentz,1 Anand Tandra,2 Robert Z Gut,3 David L Cooper31Division of Hematology, Oncology and Blood and Marrow Transplantation, Department of Internal Medicine, University of Iowa, Iowa City, IA, USA; 2Hematology, Indiana Hemophilia and Thrombosis Center, Indianapolis, IN, USA; 3Clinical, Medical, and Regulatory Affairs, Novo Nordisk, Inc, Princeton, NJ, USAAcquired hemophilia (AH is a rare (incidence is 1 per 1.5 million but often severe bleeding disorder characterized by autoantibodies to coagulation factor VIII (FVIII. It is associated with life-threatening bleeding and ∼20% mortality.1,2 Recombinant factor VIIa (rFVIIa; NovoSeven® RT, Novo Nordisk A/S, Bagsværd, Denmark received an indication from the US Food and Drug Administration (FDA in October 2006 for the treatment of bleeding episodes and the prevention of bleeding in surgical interventions or invasive procedures in patients with AH.3View original paper by Collins and colleagues.

  11. Road safety issues for bus transport management.

    Science.gov (United States)

    Cafiso, Salvatore; Di Graziano, Alessandro; Pappalardo, Giuseppina

    2013-11-01

    Because of the low percentage of crashes involving buses and the assumption that public transport improves road safety by reducing vehicular traffic, public interest in bus safety is not as great as that in the safety of other types of vehicles. It is possible that less attention is paid to the significance of crashes involving buses because the safety level of bus systems is considered to be adequate. The purpose of this study was to evaluate the knowledge and perceptions of bus managers with respect to safety issues and the potential effectiveness of various technologies in achieving higher safety standards. Bus managers were asked to give their opinions on safety issues related to drivers (training, skills, performance evaluation and behaviour), vehicles (maintenance and advanced devices) and roads (road and traffic safety issues) in response to a research survey. Kendall's algorithm was used to evaluate the level of concordance. The results showed that the majority of the proposed items were considered to have great potential for improving bus safety. The data indicated that in the experience of the participants, passenger unloading and pedestrians crossing near bus stops are the most dangerous actions with respect to vulnerable users. The final results of the investigation showed that start inhibition, automatic door opening, and the materials and internal architecture of buses were considered the items most strongly related to bus passenger safety. Brake assistance and vehicle monitoring systems were also considered to be very effective. With the exception of driver assistance systems for passenger and pedestrian safety, the perceptions of the importance of other driver assistance systems for vehicle monitoring and bus safety were not unanimous among the bus company managers who participated in this survey. The study results showed that the introduction of new technologies is perceived as an important factor in improving bus safety, but a better understanding

  12. Microbial safety and sanitary quality of strawberry primary production in Belgium: risk factors for Salmonella and Shiga toxin-producing Escherichia coli contamination.

    Science.gov (United States)

    Delbeke, Stefanie; Ceuppens, Siele; Hessel, Claudia Titze; Castro, Irene; Jacxsens, Liesbeth; De Zutter, Lieven; Uyttendaele, Mieke

    2015-04-01

    Strawberries are an important fruit in Belgium in both production and consumption, but little information is available about the presence of Salmonella and Shiga toxin-producing Escherichia coli (STEC) in these berries, the risk factors in agricultural production, and possible specific mitigation options. In 2012, a survey was undertaken of three soil and three soilless cultivation systems in Belgium. No Salmonella spp. were isolated. No STEC was detected in the strawberry samples (0 of 72), but STEC was detected by PCR in 11 of 78 irrigation water and 2 of 24 substrate samples. Culture isolates were obtained for 2 of 11 PCR-positive irrigation water samples and 2 of 2 substrate samples. Multivariable logistic regression analysis revealed elevated generic E. coli numbers (the odds ratio [OR] for a 1 log increase being 4.6) as the most important risk factor for STEC, together with the berry-picking season (elevated risk in summer). The presence of generic E. coli in the irrigation water (≥1 CFU per 100 ml) was mainly influenced by the type of irrigation water (collected rainfall water stored in ponds was more often contaminated than groundwater pumped from boreholes [OR = 5.8]) and the lack of prior treatment (untreated water versus water subjected to sand filtration prior to use [OR = 19.2]). The follow-up study in 2013 at one of the producer locations indicated cattle to be the most likely source of STEC contamination of the irrigation water. Copyright © 2015, American Society for Microbiology. All Rights Reserved.

  13. Safety: Preventive Medicine.

    Science.gov (United States)

    Kotula, John R.; Digenakis, Anthony

    1985-01-01

    Underscores the need for community colleges to practice safety within the institutions and to instruct students in workplace safety procedures and requirements. Reviews Occupational Safety and Health Act (OSHA) regulations and their impact on industry and education. Looks at the legal responsibilities of colleges for safety. (DMM)

  14. Safety management of complex research operations

    Science.gov (United States)

    Brown, W. J.

    1981-01-01

    Complex research and technology operations present many varied potential hazards which must be addressed in a disciplined independent safety review and approval process. The research and technology effort at the Lewis Research Center is divided into programmatic areas of aeronautics, space and energy. Potential hazards vary from high energy fuels to hydrocarbon fuels, high pressure systems to high voltage systems, toxic chemicals to radioactive materials and high speed rotating machinery to high powered lasers. A Safety Permit System presently covers about 600 potentially hazardous operations. The Safety Management Program described in this paper is believed to be a major factor in maintaining an excellent safety record at the Lewis Research Center.

  15. 影响农民工职业安全健康需求的自身因素分析%The self-factors analysis of migrant workers' occupational safety requirement

    Institute of Scientific and Technical Information of China (English)

    朱琳; 刘素霞; 张赞赞

    2011-01-01

    农民工群体为国家经济发展做出了重要贡献,但其职业安全健康状况却令人担忧.通过文献整理发现,农民工自身职业安全需求低是造成这种现象的重要原因之一.从农民工自身角度来分析,来自以下四方面的原因共同制约着农民工对职业安全的需求:(1)农民工知识结构欠缺、工作年限普遍较短、缺乏对职业安全的认知意识,影响农民工对职业危害的认知;(2)来自家庭的增收压力和降低寻找工作的间接成本的要求造成了目前农民工经济压力大的状况;(3)自身技能水平较弱以及缺乏对就业信息的分析能力,削弱了他们的就业竞争力;(4)农民工群体之间缺乏沟通信任以及长期的低社会地位限制了他们的谈判能力.以上四方面原因相互作用,产生效力叠加,共同导致了目前农民工职业安全需求不足的状况.%Migrant Workers made tremendous contributions of economic development for our country, but their occupational safety status worrying.Through hunting literatures found that the Migrant Workers with low demand of Occupational Safety is one of the important reasons for this phenomenon.On the Migrant Workers' own perspective, the following four common reasons restricting the migrant workers' occupational safety requirements together.Firstly, unreasonable knowledge structure, working life is generally short, lack of awareness of occupational safety recognition influence the awareness of occupational hazards.Secondly, the pressure from increasing family's income and reducing the indirect cost of job hunting requirements bring about the high economic pressure status of current Migrant Workers.Their skill level is weak and lack of employment information analytical ability, weakening the employment compotitive power.There is two reasons limit their bargaining power:no enough communication and trust between groups of Migrant Workers and long-term low social status.The four factors

  16. 居家伤害相关因素的多水平模型分析%Relative factors in home safety evaluated by multilevel statistical models

    Institute of Scientific and Technical Information of China (English)

    王书梅; 邹金良; 徐文燕; 尹明敏

    2010-01-01

    Objective To understand the situations of home establishments and the related domestic behaviors that causing injuries. Methods A total of 9760 families with regular residents in a community in Shanghai were investigated. Questionnaire was designed bascd on the Guidelines for Conducting Community Surveys on Injuries and Violence and International Classification of External Causes of Injuries. Results Inside the home settings, relative factors were found on issues as fire protection and using of electricity. In terms of household settings, 14.85% of the families had smoke alarm systems in the kitchen; 40.75% had no windows set for emergence. 50% to 70% of the residents had the idea of safe behaviors, including 35.93% of the families stored cleaning products,other chemicals or medical substances in alternative containers, such as used drinking bottle. Only 1.81% of the people being investigated thought that home was also a high risk place where injury might occur and it was placed number 9 in a multiple choice questionnaire. Data from the multiple level model analysis showed that factors as number of family members, space, education, profession etc. were closely related to the situation of home settings and their resident's behaviors. Conclusion Many injury related factors were found related to home establishments and people' s daily behaviors at home which called for interventions to be taken.%目的 了解居家伤害发生的相关因素,分析居家伤害发生的条件.方法 调查上海市某街道常住居民9760户,根据WHO"社区伤害和暴力调查指南"以及"伤害外部原因国际分类"自行设计调查问卷.结果 社区居民居家设施中消防和用电安全方面隐患比较大,厨房煤气泄露报警器安装率仅有14.85%;有40.75%家庭没有设置紧急逃生时方便开启的窗.居民能够坚持居家生活时安全行为的比例为50%~70%,其中35.93%的家庭把洗涤剂或药物放在饮料瓶等容器中储存.仅有1.81%

  17. Food safety and consumer behaviour

    DEFF Research Database (Denmark)

    Frewer, Lynn; Fischer, Arnout; Scholderer, Joachim

    2005-01-01

    , public perceptions and attitudes about emerging bio-sciences and other new technologies applied to food production are among the most important factors determining the likelihood of the successful development and implementation of agri-food technology technologies (Frewer et al., 2004). Scientific...... communities have frequently bemoaned negative consumer attitudes towards some food technologies, such as genetic engineering, while failing to consider the origins of these consumer attitudes. The behaviour of consumers in relation to food safety issues can only be properly understood if there is systematic...... understanding of the way in which consumers perceive risks, and how these relate to an effective food safety and technology commercialisation policy....

  18. Safety at CERN

    CERN Multimedia

    2009-01-01

    Safety is an integral part of our working lives, and should be in our minds whatever job we do at CERN. Ultimately, safety is the responsibility of the Director General – your safety is my concern. That’s why I have this week appointed a new Safety Policy Committee (SAPOCO) that reflects the new Organizational structure of CERN. CERN’s Staff Rules and Regulations clearly lay out in chapter 3 the scope of safety at CERN as well as my responsibilities and yours in safety matters. At CERN, safety is considered in the broadest sense, encompassing occupational Health and Safety, environmental protection, and the safety of equipment and installations. It is my responsibility to put appropriate measures in place to ensure that these conditions are met. And it is the responsibility of us all to ensure that we are fully conversant with safety provisions applicable in our areas of work and that we comply with them. The appointment of a n...

  19. Modeling Safety of Urban Arterials and Identification of Impact Factors%城市主干道安全建模与影响因素分析∗

    Institute of Scientific and Technical Information of China (English)

    樊天翔; 王雪松

    2016-01-01

    Arterial roads are the framework of urban road network,where the crash occurs frequently due to com-plex traffic environment.It is necessary to conduct corresponding safety analysis,in order to propose constructive coun-termeasures.Geometric features,land use,traffic volume and average speed are gathered at a total of 1 76 road segments from 18 arterial roads in Shanghai.Average segment speed is calculated from floating car data (FCD),which solved the problems related to speed data collection with sensors installed on fixed locations.Considering correlations among seg-ments along an arterial roads,a set of Bayesian hierarchical Poisson log-normal models are developed.The Full Bayesian Method is used for parameter estimation and different prior distributions are tested.Crash features vary depending on time,so the models for peak and off-peak hours are developed separately.Results indicate that hierarchical models im-prove the goodness-of-fit of the data because deviance information criterion (DIC)values of hierarchical models are signifi-cantly less than maximum likelihood estimation (MLE)prior models.The reliability of parameter estimation can be im-proved by MLE prior.The standard deviations of parameters of the MLE prior models are less than those of non-informa-tive models.Along arterial roads,the longer the segment length,the more crashes.At the segment level,geometric fea-tures and land use are substantially associated with crash frequencies.Higher traffic volume is associated with increased crash frequencies especially during peak hours.Average segment speed contributes to increasing crash occurrence during peak hours.%主干道是城市路网的骨架,其复杂的道路交通环境造成事故频发。通过安全建模分析,识别事故的主要影响因素,有利于提出改善措施。基于上海市18条主干道176个路段,选取道路几何特征、用地性质、路段流量和路段平均车速作为影响因素。利用浮动车数据(floating car

  20. The renal kallikrein-kinin system: its role as a safety valve for excess sodium intake, and its attenuation as a possible etiologic factor in salt-sensitive hypertension.

    Science.gov (United States)

    Katori, Makoto; Majima, Masataka

    2003-02-01

    The distal tubules of the kidney express the full set of the components of the kallikrein-kinin system, which works independently from the plasma kallikrein-kinin system. Studies on the role of the renal kallikrein-kinin system, using congenitally kininogen-deficient Brown-Norway Katholiek rats and also bradykinin B2 receptor knockout mice, revealed that this system starts to function and to induce natriuresis and diuresis when sodium accumulates in the body as a result of excess sodium intake or aldosterone release, for example, by angiotensin II. Thus, it can be hypothesized that the system works as a safety valve for sodium accumulation. The large numbers of studies on hypertensive animal models and on essential hypertensive patients, particularly those with salt sensitivity, indicate a tendency toward the reduced excretion of urinary kallikrein, although this reduction is modified by potassium intake and impaired renal function. We hypothesize that the reduced excretion of the renal kallikrein may be attributable to a genetic defect of factor(s) in renal kallikrein secretion process and may cause salt-sensitive hypertension after salt intake.

  1. China's Work Safety Report

    Institute of Scientific and Technical Information of China (English)

    Liang Jiakun

    2005-01-01

    @@ General Situation of China's Work Safety in 2004 In 2004, the national work safety situation remained stable as a whole and gained momentum to improve. The totality of accidents held the line and began to drop. The safety conditions in industrial,mining, and commercial/trading enterprises improved. Progress was made in ensuring work safety in the relevant industries and fields. The safety situation in most provinces (autonomous regions, municipalities directly under the Central Government) kept stable.

  2. 浅谈影响妇产科护理安全的因素及防范对策%Discuss factors affecting the safety of gynecology and obstetrics nursing and prevention countermeasures

    Institute of Scientific and Technical Information of China (English)

    丁瑞芸

    2015-01-01

    妇产科主要工作内容包括各类妇科疾病的诊断、治疗、护理以及产妇分娩辅助、妊娠并发症处理、新生儿监护等,是医院的医疗事故、医疗纠纷高发科室。而由于妇产科护理对于保障产妇、新生儿的生命安全具有重要意义,如何通过规范、有效的管理措施及时发现、消除护理过程中存在的安全隐患以保证护理安全也是医院护理的基本要求。本文对影响妇产科护理安全的相关因素进行了全面、详细的分析,并提出了针对性的防范措施,旨在提高妇产科护理质量、减少医疗纠纷的发生。%Obstetrics and Gynecology main tasks include various types of gynecological diseases diagnosis, treatment, care and maternity assistance, treatment of pregnancy complications, neonatal intensive care, is the hospital of medical malpractice, a high incidence of medical disputes department. And because Obstetrics and Gynecology Nursing for the protection of mothers, newborns life safety is important, how to regulate, effective management measures to detect and eliminate the nursing process se-curity risks in order to ensure the care and safety of hospital care is a basic requirement. In this paper, factors affecting the care and safety of Obstetrics and Gynecology, a comprehensive and detailed analysis, and proposed specific preventive measures aimed at improving the quality of care of Obstetrics and Gynecology, reduce medical disputes occur.

  3. A phase I study evaluating the pharmacokinetics, safety and tolerability of an antibody-based tissue factor antagonist in subjects with acute lung injury or acute respiratory distress syndrome

    Directory of Open Access Journals (Sweden)

    Morris Peter E

    2012-02-01

    Full Text Available Abstract Background The tissue factor (TF-dependent extrinsic pathway has been suggested to be a central mechanism by which the coagulation cascade is locally activated in the lungs of patients with acute lung injury and acute respiratory distress syndrome (ALI/ARDS and thus represents an attractive target for therapeutic intervention. This study was designed to determine the pharmacokinetic and safety profiles of ALT-836, an anti-TF antibody, in patients with ALI/ARDS. Methods This was a prospective, randomized, placebo-controlled, dose-escalation Phase I clinical trial in adult patients who had suspected or proven infection, were receiving mechanical ventilation and had ALI/ARDS (PaO2/FiO2 ≤ 300 mm. Eighteen patients (6 per cohort were randomized in a 5:1 ratio to receive ALT-836 or placebo, and were treated within 48 hours after meeting screening criteria. Cohorts of patients were administered a single intravenously dose of 0.06, 0.08 or 0.1 mg/kg ALT-836 or placebo. Blood samples were taken for pharmacokinetic and immunogenicity measurements. Safety was assessed by adverse events, vital signs, ECGs, laboratory, coagulation and pulmonary function parameters. Results Pharmacokinetic analysis showed a dose dependent exposure to ALT-836 across the infusion range of 0.06 to 0.1 mg/kg. No anti-ALT-836 antibody response was observed in the study population during the trial. No major bleeding episodes were reported in the ALT-836 treated patients. The most frequent adverse events were anemia, observed in both placebo and ALT-836 treated patients, and ALT-836 dose dependent, self-resolved hematuria, which suggested 0.08 mg/kg as an acceptable dose level of ALT-836 in this patient population. Conclusions Overall, this study showed that ALT-836 could be safely administered to patients with sepsis-induced ALI/ARDS. Trial registration ClinicalTrials.gov: NCT01438853

  4. Efficacy and safety of a recombinant factor IX (Bax326) in previously treated patients with severe or moderately severe haemophilia B undergoing surgical or other invasive procedures: a prospective, open-label, uncontrolled, multicentre, phase III study.

    Science.gov (United States)

    Windyga, J; Lissitchkov, T; Stasyshyn, O; Mamonov, V; Ghandehari, H; Chapman, M; Fritsch, S; Wong, W-Y; Pavlova, B G; Abbuehl, B E

    2014-09-01

    Haemostatic management of haemophilia B patients undergoing surgery is critical to patient safety. The aim of this ongoing prospective trial was to investigate the haemostatic efficacy and safety of a recombinant factor IX (rFIX) (Bax326) in previously treated subjects (12-65 years, without history of FIX inhibitors) with severe or moderately severe haemophilia B, undergoing surgical, dental or other invasive procedures. Haemostatic efficacy was assessed according to a predefined scale. Blood loss was compared to the average and maximum blood loss predicted preoperatively. Haemostatic FIX levels were achieved peri- and postoperatively in 100% of subjects (n = 14). Haemostasis was 'excellent' intraoperatively in all patients and postoperatively in those without a drain, and 'excellent' or 'good' at the time of drain removal and day of discharge in those with a drain employed. Following the initial dose, the mean FIX activity level rose from 6.55% to 107.58% for major surgeries and from 3.60% to 81.4% for minor surgeries. Actual vs. predicted blood loss matched predicted intraoperative blood loss but was equal to or higher than (but less than 150%) the maximum predicted postoperative blood loss reflecting the severity of procedure and FIX requirements. There were no related adverse events, severe allergic reactions or thrombotic events. There was no evidence that BAX326 increased the risk of inhibitor or binding antibody development to FIX. BAX326 was safe and effective for peri-operative management of 14 subjects with severe and moderately severe haemophilia B.

  5. Demographic variables in coal miners’ safety attitude

    Science.gov (United States)

    Yin, Wen-wen; Wu, Xiang; Ci, Hui-Peng; Qin, Shu-Qi; Liu, Jia-Long

    2017-03-01

    To change unsafe behavior through adjusting people’s safety attitudes has become an important measure to prevent accidents. Demographic variables, as influential factors of safety attitude, are fundamental and essential for the research. This research does a questionnaire survey among coal mine industry workers, and makes variance analysis and correlation analysis of the results in light of age, length of working years, educational level and experiences of accidents. The results show that the coal miners’ age, length of working years and accident experiences correlate lowly with safety attitudes, and those older coal miners with longer working years have better safety attitude, as coal miners without experiences of accident do.However, educational level has nothing to do with the safety attitude. Therefore, during the process of safety management, coal miners with different demographic characteristics should be put more attention to.

  6. Objective and character of safety culture

    Energy Technology Data Exchange (ETDEWEB)

    Aastrand, K. [Radiation and Nuclear Safety Authority, Helsinki (Finland)

    2005-07-01

    The main topics of the lecture include: (1) concepts of safety culture introduced in INSAG-4, (2) stages of development of safety culture, (3) general practises to develop organizational effectiveness as a means of implementing and improving safety culture, (4) specific practises to develop safety culture applying to all stages of a nuclear installation's life cycle, (5) suggestions on assessing the progress of development of safety culture in an organization and on evaluating the influence of major environmental and internal organizational factors on that culture, and (6) guidance on the detection of incipient weaknesses in safety culture that may be of particular interest to regulators and those responsible for self-assessment in organization.

  7. Microbiological Food Safety Surveillance in China

    Directory of Open Access Journals (Sweden)

    Xiaoyan Pei

    2015-08-01

    Full Text Available Microbiological food safety surveillance is a system that collects data regarding food contamination by foodborne pathogens, parasites, viruses, and other harmful microbiological factors. It helps to understand the spectrum of food safety, timely detect food safety hazards, and provide relevant data for food safety supervision, risk assessment, and standards-setting. The study discusses the microbiological surveillance of food safety in China, and introduces the policies and history of the national microbiological surveillance system. In addition, the function and duties of different organizations and institutions are provided in this work, as well as the generation and content of the surveillance plan, quality control, database, and achievement of the microbiological surveillance of food safety in China.

  8. Microbiological Food Safety Surveillance in China.

    Science.gov (United States)

    Pei, Xiaoyan; Li, Ning; Guo, Yunchang; Liu, Xiumei; Yan, Lin; Li, Ying; Yang, Shuran; Hu, Jing; Zhu, Jianghui; Yang, Dajin

    2015-08-28

    Microbiological food safety surveillance is a system that collects data regarding food contamination by foodborne pathogens, parasites, viruses, and other harmful microbiological factors. It helps to understand the spectrum of food safety, timely detect food safety hazards, and provide relevant data for food safety supervision, risk assessment, and standards-setting. The study discusses the microbiological surveillance of food safety in China, and introduces the policies and history of the national microbiological surveillance system. In addition, the function and duties of different organizations and institutions are provided in this work, as well as the generation and content of the surveillance plan, quality control, database, and achievement of the microbiological surveillance of food safety in China.

  9. Identification of the significant factors in food safety using global sensitivity analysis and the accept-and-reject algorithm: application to the cold chain of ham.

    Science.gov (United States)

    Duret, Steven; Guillier, Laurent; Hoang, Hong-Minh; Flick, Denis; Laguerre, Onrawee

    2014-06-16

    Deterministic models describing heat transfer and microbial growth in the cold chain are widely studied. However, it is difficult to apply them in practice because of several variable parameters in the logistic supply chain (e.g., ambient temperature varying due to season and product residence time in refrigeration equipment), the product's characteristics (e.g., pH and water activity) and the microbial characteristics (e.g., initial microbial load and lag time). This variability can lead to different bacterial growth rates in food products and has to be considered to properly predict the consumer's exposure and identify the key parameters of the cold chain. This study proposes a new approach that combines deterministic (heat transfer) and stochastic (Monte Carlo) modeling to account for the variability in the logistic supply chain and the product's characteristics. The model generates a realistic time-temperature product history , contrary to existing modeling whose describe time-temperature profile Contrary to existing approaches that use directly a time-temperature profile, the proposed model predicts product temperature evolution from the thermostat setting and the ambient temperature. The developed methodology was applied to the cold chain of cooked ham including, the display cabinet, transport by the consumer and the domestic refrigerator, to predict the evolution of state variables, such as the temperature and the growth of Listeria monocytogenes. The impacts of the input factors were calculated and ranked. It was found that the product's time-temperature history and the initial contamination level are the main causes of consumers' exposure. Then, a refined analysis was applied, revealing the importance of consumer behaviors on Listeria monocytogenes exposure.

  10. A comparison of commercial/industry and nuclear weapons safety concepts

    Energy Technology Data Exchange (ETDEWEB)

    Bennett, R.R.; Summers, D.A.

    1996-07-01

    In this paper the authors identify factors which influence the safety philosophy used in the US commercial/industrial sector and compare them against those factors which influence nuclear weapons safety. Commercial/industrial safety is guided by private and public safety standards. Generally, private safety standards tend to emphasize product reliability issues while public (i.e., government) safety standards tend to emphasize human factors issues. Safety in the nuclear weapons arena is driven by federal requirements and memoranda of understanding (MOUs) between the Departments of Defense and Energy. Safety is achieved through passive design features integrated into the nuclear weapon. Though the common strand between commercial/industrial and nuclear weapons safety is the minimization of risk posed to the general population (i.e., public safety), the authors found that each sector tends to employ a different safety approach to view and resolve high-consequence safety issues.

  11. Developing Measures for Assessing the Causality of Safety Culture in a Petrochemical Industry

    Energy Technology Data Exchange (ETDEWEB)

    Wu, T.-C., E-mail: tcwu@sunrise.hk.edu.t [HungKuang University, Department of Safety, Health and Environmental Engineering (China); Lin, C.-H.; Shiau, S.-Y. [HungKuang University, Institute of Occupational Safety and Hazard Prevention (China)

    2009-12-15

    This paper discusses safety culture in the petrochemical sector and the causes and consequences of safety culture. A sample of 520 responses selected by simple random sampling completed questionnaires for this survey, the return rate was 86.75%. The research instrument comprises four sections: basic information, the safety leadership scale (SLS), the safety climate scale (SCS), and the safety performance scale (SPS). SPSS 12.0, a statistical software package, was used for item analysis, validity analysis, and reliability analysis. Exploratory factor analysis indicated that (1) SLS abstracted three factors such as safety caring, safety controlling, and safety coaching; (2) SCS comprised three factors such as emergency response, safety commitment, and risk perception; and (3) SPS was composed of accident investigation, safety training, safety inspections, and safety motivation. We conclude that the SLS, SCS, and SPS developed in this paper have good construct validity and internal consistency and can serve as the basis for future research.

  12. Gap Analysis Approach for Construction Safety Program Improvement

    Directory of Open Access Journals (Sweden)

    Thanet Aksorn

    2007-06-01

    Full Text Available To improve construction site safety, emphasis has been placed on the implementation of safety programs. In order to successfully gain from safety programs, factors that affect their improvement need to be studied. Sixteen critical success factors of safety programs were identified from safety literature, and these were validated by safety experts. This study was undertaken by surveying 70 respondents from medium- and large-scale construction projects. It explored the importance and the actual status of critical success factors (CSFs. Gap analysis was used to examine the differences between the importance of these CSFs and their actual status. This study found that the most critical problems characterized by the largest gaps were management support, appropriate supervision, sufficient resource allocation, teamwork, and effective enforcement. Raising these priority factors to satisfactory levels would lead to successful safety programs, thereby minimizing accidents.

  13. The safety issues of medical robotics

    Energy Technology Data Exchange (ETDEWEB)

    Fei Baowei; Ng, W.S.; Chauhan, Sunita; Kwoh, Chee Keong

    2001-08-01

    In this paper, we put forward a systematic method to analyze, control and evaluate the safety issues of medical robotics. We created a safety model that consists of three axes to analyze safety factors. Software and hardware are the two material axes. The third axis is the policy that controls all phases of design, production, testing and application of the robot system. The policy was defined as hazard identification and safety insurance control (HISIC) that includes seven principles: definitions and requirements, hazard identification, safety insurance control, safety critical limits, monitoring and control, verification and validation, system log and documentation. HISIC was implemented in the development of a robot for urological applications that was known as URObot. The URObot is a universal robot with different modules adaptable for 3D ultrasound image-guided interstitial laser coagulation, radiation seed implantation, laser resection, and electrical resection of the prostate. Safety was always the key issue in the building of the robot. The HISIC strategies were adopted for safety enhancement in mechanical, electrical and software design. The initial test on URObot showed that HISIC had the potential ability to improve the safety of the system. Further safety experiments are being conducted in our laboratory.

  14. Randomized controlled trial of a coordinated care intervention to improve risk factor control after stroke or transient ischemic attack in the safety net: Secondary stroke prevention by Uniting Community and Chronic care model teams Early to End Disparities (SUCCEED).

    Science.gov (United States)

    Towfighi, Amytis; Cheng, Eric M; Ayala-Rivera, Monica; McCreath, Heather; Sanossian, Nerses; Dutta, Tara; Mehta, Bijal; Bryg, Robert; Rao, Neal; Song, Shlee; Razmara, Ali; Ramirez, Magaly; Sivers-Teixeira, Theresa; Tran, Jamie; Mojarro-Huang, Elizabeth; Montoya, Ana; Corrales, Marilyn; Martinez, Beatrice; Willis, Phyllis; Macias, Mireya; Ibrahim, Nancy; Wu, Shinyi; Wacksman, Jeremy; Haber, Hilary; Richards, Adam; Barry, Frances; Hill, Valerie; Mittman, Brian; Cunningham, William; Liu, Honghu; Ganz, David A; Factor, Diane; Vickrey, Barbara G

    2017-02-06

    Recurrent strokes are preventable through awareness and control of risk factors such as hypertension, and through lifestyle changes such as healthier diets, greater physical activity, and smoking cessation. However, vascular risk factor control is frequently poor among stroke survivors, particularly among socio-economically disadvantaged blacks, Latinos and other people of color. The Chronic Care Model (CCM) is an effective framework for multi-component interventions aimed at improving care processes and outcomes for individuals with chronic disease. In addition, community health workers (CHWs) have played an integral role in reducing health disparities; however, their effectiveness in reducing vascular risk among stroke survivors remains unknown. Our objectives are to develop, test, and assess the economic value of a CCM-based intervention using an Advanced Practice Clinician (APC)-CHW team to improve risk factor control after stroke in an under-resourced, racially/ethnically diverse population. In this single-blind randomized controlled trial, 516 adults (≥40 years) with an ischemic stroke, transient ischemic attack or intracerebral hemorrhage within the prior 90 days are being enrolled at five sites within the Los Angeles County safety-net setting and randomized 1:1 to intervention vs usual care. Participants are excluded if they do not speak English, Spanish, Cantonese, Mandarin, or Korean or if they are unable to consent. The intervention includes a minimum of three clinic visits in the healthcare setting, three home visits, and Chronic Disease Self-Management Program group workshops in community venues. The primary outcome is blood pressure (BP) control (systolic BP factors including lipids and hemoglobin A1c, (3) inflammation (C reactive protein [CRP]), (4) medication adherence, (5) lifestyle factors (smoking, diet, and physical activity), (6) estimated relative reduction in risk for recurrent stroke or myocardial infarction (MI), and (7) cost

  15. TWRS safety program plan

    Energy Technology Data Exchange (ETDEWEB)

    Calderon, L.M., Westinghouse Hanford

    1996-08-01

    Management of Nuclear Safety, Industrial Safety, Industrial Hygiene, and Fire Protection programs, functions, and field support resources for Tank Waste Remediation Systems (TWRS) has, until recently, been centralized in TWRS Safety, under the Emergency, Safety, and Quality organization. Industrial hygiene technician services were also provided to support operational needs related to safety basis compliance. Due to WHC decentralization of safety and reengineering efforts in West Tank Farms, staffing and safety responsibilities have been transferred to the facilities. Under the new structure, safety personnel for TWRS are assigned directly to East Tank Farms, West Tank Farms, and a core Safety Group in TWRS Engineering. The Characterization Project Operations (CPO) safety organization will remain in tact as it currently exists. Personnel assigned to East Tank Farms, West Tank Farms, and CPO will perform facility-specific or project-specific duties and provide field implementation of programs. Those assigned to the core group will focus on activities having a TWRS-wide or programmatic focus. Hanford-wide activities will be the responsibility of the Safety Center of Expertise. In order to ensure an effective and consistent safety program for TWRS under the new organization program functions, goals, organizational structure, roles, responsibilities, and path forward must be clearly established. The purpose of the TWRS Safety Program Plan is to define the overall safety program, responsibilities, relationships, and communication linkages for safety personnel under the new structure. In addition, issues associated with reorganization transition are addressed, including training, project ownership, records management, and dissemination of equipment. For the purpose of this document ``TWRS Safety`` refers to all safety professionals and technicians (Industrial Safety, Industrial Hygiene, Fire Protection, and Nuclear Safety) within the TWRS organization, regardless of their

  16. Safety management, under different regimes

    Energy Technology Data Exchange (ETDEWEB)

    Weibye, B.S. [Norske Veritas, Oslo (Norway)

    1996-12-31

    The paper relates to safety management in the North Sea. This presentation will look at the interplay between the forces and factors driving political authorities representing the interest of society on one side and the owners/operators on the other. The maturation process or evolution from a prescriptive to an objective approach will be examined both in Norway with the implementation of the Internal Control philosophy and using the Piper Alpha disaster, Lord Cullen`s public Inquiry and the subsequent enactment of the Offshore Safety Case in the UK as case examples. The impact these regulatory changes had on the Safety Management Systems of operators in the Norwegian and UK sectors of the North Sea will be outlined. Finally the transitions in the North Sea will be examined to determine if they can if they can be used as a model for exporting to other ares or countries. 4 refs.

  17. Incorporating Traffic Control and Safety Hardware Performance Functions into Risk-based Highway Safety Analysis

    Directory of Open Access Journals (Sweden)

    Zongzhi Li

    2017-04-01

    Full Text Available Traffic control and safety hardware such as traffic signs, lighting, signals, pavement markings, guardrails, barriers, and crash cushions form an important and inseparable part of highway infrastructure affecting safety performance. Significant progress has been made in recent decades to develop safety performance functions and crash modification factors for site-specific crash predictions. However, the existing models and methods lack rigorous treatments of safety impacts of time-deteriorating conditions of traffic control and safety hardware. This study introduces a refined method for computing the Safety Index (SI as a means of crash predictions for a highway segment that incorporates traffic control and safety hardware performance functions into the analysis. The proposed method is applied in a computation experiment using five-year data on nearly two hundred rural and urban highway segments. The root-mean square error (RMSE, Chi-square, Spearman’s rank correlation, and Mann-Whitney U tests are employed for validation.

  18. 高频电刀使用安全与质量控制中关键因素的分析%Analysis on key factors of safety in use and quality control for high frequency surgical unit

    Institute of Scientific and Technical Information of China (English)

    徐恒; 田金; 许锋

    2014-01-01

    Objective: To analysis the key factors of quality control for high frequency surgical unit to provide reference to ensure accurate and standard. Methods:To analysis the details of quality control on protective earth impendence, resistor-capacitor network, test error on definition, structure, magnitude and other aspects. Results:To master the key factors of quality control is important for the promotion of operability of the quality control work and decrease the using risk, and then to improve the quality of medical services ensure the safety of patients and medical staff. Conclusion: To analysis the each key factor is important significance to the quality control for high frequency surgical unit.%目的:分析高频电刀质量控制中的各个关键因素,为质量控制工作提供具体参考,以保证质量控制的准确和规范。方法:从保护接地阻抗、阻容网络及测试误差等因素的定义、结构、量值及其他方面分析质量控制细节。结果:掌握高频电刀质量控制中的各个关键因素后,提高其可操作性,有效降低使用风险,提高医疗服务质量,保障患者和使用人员安全。结论:分析各个关键因素,对全面深入地做好高频电刀的质量控制工作具有重要意义。

  19. Safety-barrier diagrams

    DEFF Research Database (Denmark)

    Duijm, Nijs Jan

    2007-01-01

    are discussed. A simple method for quantification of safety-barrier diagrams is proposed, including situations where safety barriers depend on shared common elements. It is concluded that safety-barrier diagrams provide a useful framework for an electronic data structure that integrates information from risk......Safety-barrier diagrams and the related so-called "bow-tie" diagrams have become popular methods in risk analysis. This paper describes the syntax and principles for constructing consistent and valid safety-barrier diagrams. The relation with other methods such as fault trees and Bayesian networks...... analysis with operational safety management....

  20. Safety-in-numbers

    DEFF Research Database (Denmark)

    Elvik, Rune; Bjørnskau, Torkel

    2017-01-01

    Highlights •26 studies of the safety-in-numbers effect are reviewed. •The existence of a safety-in-numbers effect is confirmed. •Results are consistent. •Causes of the safety-in-numbers effect are incompletely known.......Highlights •26 studies of the safety-in-numbers effect are reviewed. •The existence of a safety-in-numbers effect is confirmed. •Results are consistent. •Causes of the safety-in-numbers effect are incompletely known....