Assessment of food safety practices of food service food handlers (risk assessment data): testing a communication intervention (evaluation of tools).

Science.gov (United States)

Chapman, Benjamin; Eversley, Tiffany; Fillion, Katie; Maclaurin, Tanya; Powell, Douglas

2010-06-01

Globally, foodborne illness affects an estimated 30% of individuals annually. Meals prepared outside of the home are a risk factor for acquiring foodborne illness and have been implicated in up to 70% of traced outbreaks. The Centers for Disease Control and Prevention has called on food safety communicators to design new methods and messages aimed at increasing food safety risk-reduction practices from farm to fork. Food safety infosheets, a novel communication tool designed to appeal to food handlers and compel behavior change, were evaluated. Food safety infosheets were provided weekly to food handlers in working food service operations for 7 weeks. It was hypothesized that through the posting of food safety infosheets in highly visible locations, such as kitchen work areas and hand washing stations, that safe food handling behaviors of food service staff could be positively influenced. Using video observation, food handlers (n = 47) in eight food service operations were observed for a total of 348 h (pre- and postintervention combined). After the food safety infosheets were introduced, food handlers demonstrated a significant increase (6.7%, P < 0.05, 95% confidence interval) in mean hand washing attempts, and a significant reduction in indirect cross-contamination events (19.6%, P < 0.05, 95% confidence interval). Results of the research demonstrate that posting food safety infosheets is an effective intervention tool that positively influences the food safety behaviors of food handlers.

Automated tools for safety-critical software

International Nuclear Information System (INIS)

Lapassat, A.M.

1993-01-01

The regulatory (DSIN), the utilities (EDF, CEA..) and the CEA-Institute for Protection and Nuclear Safety (IPSN) work together at the French nuclear safety. This paper presents a tool, called CLAIRE, for simulation and tests of different nuclear safety system. (TEC)

Left occipitotemporal cortex contributes to the discrimination of tool-associated hand actions: fMRI and TMS evidence.

Science.gov (United States)

Perini, Francesca; Caramazza, Alfonso; Peelen, Marius V

2014-01-01

Functional neuroimaging studies have implicated the left lateral occipitotemporal cortex (LOTC) in both tool and hand perception but the functional role of this region is not fully known. Here, by using a task manipulation, we tested whether tool-/hand-selective LOTC contributes to the discrimination of tool-associated hand actions. Participants viewed briefly presented pictures of kitchen and garage tools while they performed one of two tasks: in the action task, they judged whether the tool is associated with a hand rotation action (e.g., screwdriver) or a hand squeeze action (e.g., garlic press), while in the location task they judged whether the tool is typically found in the kitchen (e.g., garlic press) or in the garage (e.g., screwdriver). Both tasks were performed on the same stimulus set and were matched for difficulty. Contrasting fMRI responses between these tasks showed stronger activity during the action task than the location task in both tool- and hand-selective LOTC regions, which closely overlapped. No differences were found in nearby object- and motion-selective control regions. Importantly, these findings were confirmed by a TMS study, which showed that effective TMS over the tool-/hand-selective LOTC region significantly slowed responses for tool action discriminations relative to tool location discriminations, with no such difference during sham TMS. We conclude that left LOTC contributes to the discrimination of tool-associated hand actions.

An fMRI study of the neural basis hand postures specific to tool use. Presidential award proceedings

International Nuclear Information System (INIS)

Ohgami, Yuko; Uchida, Nobuko; Matsuo, Kayako; Nakai, Toshiharu

2007-01-01

Patients with apraxia are often unable to mimic the use of a tool, even when it is presented visually. Such mimicking involves various cognitive and motor processes, including the visual perception of a tool and the manipulation of imagined tools. Although previous studies reported the involvement of several brain areas, including the left inferior parietal lobule, in such tool-use action, the details of each process have not been well understood. To clarify the neural basis of the process involved in forming hand postures for using tools, we used functional magnetic resonance imaging (fMRI) in normal volunteers to investigate brain activation while they formed hand postures for tool manipulation. Three conditions were evaluated in separate block-designed fMRI series, formation of hand posture (A) using a tool, (B) imitating such a hand posture, and (C) to imitate the shape of a tool. Subjects formed their right hand in a manner specified according to the task conditions. Hand posturing for condition (A) induced activation in the left inferior frontal gyrus (BA 45), left inferior parietal lobule (BA 40), and the premotor area compared with the imitative posturing of condition (B). Activation in these areas might be related to processes shared by tool-use pantomime. On the other hand, comparison between conditions (A) and (C) demonstrated activation in the right superior parietal lobule (BA 7). This activation may reflect spatial regulation, in which the subject was prepared to hold and manipulate the tool. Formation of static hand postures to prepare for tool use may employ a neural network shared by various tool-use actions, such as pantomime. In addition, forming hand postures may require close coordination between the tool and hand. (author)

Machine and Woodworking Tool Safety. Module SH-24. Safety and Health.

Science.gov (United States)

Center for Occupational Research and Development, Inc., Waco, TX.

This student module on machine and woodworking tool safety is one of 50 modules concerned with job safety and health. This module discusses specific practices and precautions concerned with the efficient operation and use of most machine and woodworking tools in use today. Following the introduction, 13 objectives (each keyed to a page in the…

Quantifying system safety: A comparison of the SBOAT & Safety Barrier Manager tools

DEFF Research Database (Denmark)

Hansen, Zaza Nadja Lee; Duijm, Nijs Jan; Markert, Frank

2015-01-01

This paper presents two software tools for analyzing safety risks, SBOAT (Stochastic BPMN Optimisation and Analysis Tool) and SBM (SafetyBarrierManagerr). SBOAT employs principles from stochastic model checking to allow for the quantitative verification of workflows. SBM supports the creation...

Health Professionals and hand hygiene: a question of pediatric patient safety

Directory of Open Access Journals (Sweden)

Daisy Zanchi de Abreu Botene

Full Text Available This paper is a qualitative descriptive study, which aims to analyze how the academic education concerning hand hygiene contributes to the pediatric patient safety. This research was developed in an university hospital in Southern Brazil, in the pediatric unit, during the period of August to December, 2012. Sixteen healthcare professionals participated (doctors, nurses and physical therapists. A semi-structured interview was used to gather information. Data was organized by the software QSR Nvivo and analyzed using the content analysis technique. The results allowed us to list two thematic categories: "Hand hygiene and healthcare professionals' academic education"; and "Hand hygiene and professional life". The first thematic category will be presented in this paper. It was identified that the academic education contributes in an ineffective way to the creation of a patient safety culture. According to the professionals, there are gaps during the educational process regarding hand hygiene. The topic is treated in an ineffective and not very significant way to the learning and adhesion of hand hygiene in the professional life. It is recommended that, for the internalization of the practice by future professionals, a transversal, continuous and systematical approach is adopted during the professional's training, evaluations concerning the hand hygiene are done throughout the academic life as well as healthcare professors bethink the topic.

Left occipitotemporal cortex contributes to the discrimination of tool-associated hand actions: fMRI and TMS evidence

Directory of Open Access Journals (Sweden)

Francesca ePerini

2014-08-01

Full Text Available Functional neuroimaging studies have implicated the left lateral occipitotemporal cortex (LOTC in both tool and hand perception but the functional role of this region is not fully known. Here, by using a task manipulation, we tested whether tool-/hand-selective LOTC contributes to the discrimination of tool-associated hand actions. Participants viewed briefly presented pictures of kitchen and garage tools while they performed one of two tasks: in the action task, they judged whether the tool is associated with a hand rotation action (e.g., screwdriver or a hand squeeze action (e.g., garlic press, while in the location task they judged whether the tool is typically found in the kitchen (e.g., garlic press or in the garage (e.g., screwdriver. Both tasks were performed on the same stimulus set and were matched for difficulty. Contrasting fMRI responses between these tasks showed stronger activity during the action task than the location task in both tool- and hand-selective LOTC regions, which closely overlapped. No differences were found in nearby object- and motion-selective control regions. Importantly, these findings were confirmed by a TMS study, which showed that effective TMS over the tool-/hand-selective LOTC region significantly slowed responses for tool action discriminations relative to tool location discriminations, with no such difference during sham TMS. We conclude that left LOTC contributes to the discrimination of tool-associated hand actions.

Laser safety tools and training

CERN Document Server

Barat, Ken

2008-01-01

Lasers perform many unique functions in a plethora of applications, but there are many inherent risks with this continually burgeoning technology. Laser Safety: Tools and Training presents simple, effective ways for users in a variety of facilities to evaluate the hazards of any laser procedure and ensure they are following documented laser safety standards.Designed for use as either a stand-alone volume or a supplement to Laser Safety Management, this text includes fundamental laser and laser safety information and critical laser use information rarely found in a single source. The first lase

A tool for safety evaluations of road improvements.

Science.gov (United States)

Peltola, Harri; Rajamäki, Riikka; Luoma, Juha

2013-11-01

Road safety impact assessments are requested in general, and the directive on road infrastructure safety management makes them compulsory for Member States of the European Union. However, there is no widely used, science-based safety evaluation tool available. We demonstrate a safety evaluation tool called TARVA. It uses EB safety predictions as the basis for selecting locations for implementing road-safety improvements and provides estimates of safety benefits of selected improvements. Comparing different road accident prediction methods, we demonstrate that the most accurate estimates are produced by EB models, followed by simple accident prediction models, the same average number of accidents for every entity and accident record only. Consequently, advanced model-based estimates should be used. Furthermore, we demonstrate regional comparisons that benefit substantially from such tools. Comparisons between districts have revealed significant differences. However, comparisons like these produce useful improvement ideas only after taking into account the differences in road characteristics between areas. Estimates on crash modification factors can be transferred from other countries but their benefit is greatly limited if the number of target accidents is not properly predicted. Our experience suggests that making predictions and evaluations using the same principle and tools will remarkably improve the quality and comparability of safety estimations. Copyright © 2013 Elsevier Ltd. All rights reserved.

Safety-barrier diagrams as a tool for modelling safety of hydrogen applications

DEFF Research Database (Denmark)

Duijm, Nijs Jan; Markert, Frank

2009-01-01

Safety-barrier diagrams have proven to be a useful tool in documenting the safety measures taken to prevent incidents and accidents in process industry. Especially during the introduction of new hydrogen technologies or applications, as e.g. hydrogen refuelling stations, safety-barrier diagrams...... are considered a valuable supplement to other traditional risk analysis tools to support the communication with authorities and other stakeholders during the permitting process. Another advantage of safety-barrier diagrams is that they highlight the importance of functional and reliable safety barriers in any...... system and here is a direct focus on those barriers that need to be subject to safety management in terms of design and installation, operational use, inspection and monitoring, and maintenance. Safety-barrier diagrams support both quantitative and qualitative approaches. The paper will describe...

Distinct contribution of the parietal and temporal cortex to hand configuration and contextual judgements about tools.

Science.gov (United States)

Andres, Michael; Pelgrims, Barbara; Olivier, Etienne

2013-09-01

Neuropsychological studies showed that manipulatory and semantic knowledge can be independently impaired in patients with upper-limb apraxia, leading to different tool use disorders. The present study aimed to dissociate the brain regions involved in judging the hand configuration or the context associated to tool use. We focussed on the left supramarginalis gyrus (SMG) and left middle temporal gyrus (MTG), whose activation, as evidenced by functional magnetic resonance imaging (fMRI) studies, suggests that they may play a critical role in tool use. The distinctive location of SMG in the dorsal visual stream led us to postulate that this parietal region could play a role in processing incoming information about tools to shape hand posture. In contrast, we hypothesized that MTG, because of its interconnections with several cortical areas involved in semantic memory, could contribute to retrieving semantic information necessary to create a contextual representation of tool use. To test these hypotheses, we used neuronavigated transcranial magnetic stimulation (TMS) to interfere transiently with the function of either left SMG or left MTG in healthy participants performing judgement tasks about either hand configuration or context of tool use. We found that SMG virtual lesions impaired hand configuration but not contextual judgements, whereas MTG lesions selectively interfered with judgements about the context of tool use while leaving hand configuration judgements unaffected. This double dissociation demonstrates that the ability to infer a context of use or a hand posture from tool perception relies on distinct processes, performed in the temporal and parietal regions. The present findings suggest that tool use disorders caused by SMG lesions will be characterized by difficulties in selecting the appropriate hand posture for tool use, whereas MTG lesions will yield difficulties in using tools in the appropriate context. Copyright © 2012. Published by Elsevier Ltd.

Personnel radiation safety. A case of hand lesion in a radiologist

International Nuclear Information System (INIS)

Pilipenko, M.Yi.; Kulyinyich, G.V.; Stadnik, L.L.

2012-01-01

The work featured the questions of norma and rules of radiation safety at work with ionizing radiation. The history of the question about the permissible doses is dabbler's. The changes in the skin when exceeding the tolerant dose are described. A case of severe local lesions of the hand caused by chronic occupational over irradiation, when the safety rules were neglected, is described

Effects of glovebox gloves on grip and key pinch strength and contact forces for simulated manual operations with three commonly used hand tools.

Science.gov (United States)

Sung, Peng-Cheng

2014-01-01

This study examined the effects of glovebox gloves for 11 females on maximum grip and key pinch strength and on contact forces generated from simulated tasks of a roller, a pair of tweezers and a crescent wrench. The independent variables were gloves fabricated of butyl, CSM/hypalon and neoprene materials; two glove thicknesses; and layers of gloves worn including single, double and triple gloving. CSM/hypalon and butyl gloves produced greater grip strength than the neoprene gloves. CSM/hypalon gloves also lowered contact forces for roller and wrench tasks. Single gloving and thin gloves improved hand strength performances. However, triple layers lowered contact forces for all tasks. Based on the evaluating results, selection and design recommendations of gloves for three hand tools were provided to minimise the effects on hand strength and optimise protection of the palmar hand in glovebox environments. To improve safety and health in the glovebox environments where gloves usage is a necessity, this study provides recommendations for selection and design of glovebox gloves for three hand tools including a roller, a pair of tweezers and a crescent wrench based on the results discovered in the experiments.

Quantifying system safety: A comparison of the SBOAT & Safety Barrier Manager tools

OpenAIRE

Hansen, Zaza Nadja Lee; Duijm, Nijs Jan; Markert, Frank; Herbert, Luke Thomas

2015-01-01

This paper presents two software tools for analyzing safety risks, SBOAT (Stochastic BPMN Optimisation and Analysis Tool) and SBM (SafetyBarrierManagerr). SBOAT employs principles from stochastic model checking to allow for the quantitative verification of workflows. SBM supports the creation of valid safety-barrier diagrams and allows the quantitative analysis of the probability of all possible end states of the barrier diagram, i.e. the outcomes if one or several of the barriers fail to per...

Initial development of a practical safety audit tool to assess fleet safety management practices.

Science.gov (United States)

Mitchell, Rebecca; Friswell, Rena; Mooren, Lori

2012-07-01

Work-related vehicle crashes are a common cause of occupational injury. Yet, there are few studies that investigate management practices used for light vehicle fleets (i.e. vehicles less than 4.5 tonnes). One of the impediments to obtaining and sharing information on effective fleet safety management is the lack of an evidence-based, standardised measurement tool. This article describes the initial development of an audit tool to assess fleet safety management practices in light vehicle fleets. The audit tool was developed by triangulating information from a review of the literature on fleet safety management practices and from semi-structured interviews with 15 fleet managers and 21 fleet drivers. A preliminary useability assessment was conducted with 5 organisations. The audit tool assesses the management of fleet safety against five core categories: (1) management, systems and processes; (2) monitoring and assessment; (3) employee recruitment, training and education; (4) vehicle technology, selection and maintenance; and (5) vehicle journeys. Each of these core categories has between 1 and 3 sub-categories. Organisations are rated at one of 4 levels on each sub-category. The fleet safety management audit tool is designed to identify the extent to which fleet safety is managed in an organisation against best practice. It is intended that the audit tool be used to conduct audits within an organisation to provide an indicator of progress in managing fleet safety and to consistently benchmark performance against other organisations. Application of the tool by fleet safety researchers is now needed to inform its further development and refinement and to permit psychometric evaluation. Copyright © 2012 Elsevier Ltd. All rights reserved.

Agricultural Farm-Related Injuries in Bangladesh and Convenient Design of Working Hand Tools.

Science.gov (United States)

Parvez, M S; Shahriar, M M

2018-01-01

Injuries during cultivation of land are the significant causes of recession for an agricultural country like Bangladesh. Thousands of tools are used in agricultural farm having much probability of getting injury at their workplaces. For the injury prevention, proper hand tool designs need to be recommended with ergonomic evaluations. This paper represents the main causes of agricultural injuries among the Bangladeshi farmers. Effective interventions had been discussed in this paper to reduce the rate of injury. This study was carried out in the Panchagarh district of Bangladesh. Data on 434 agricultural injuries were collected and recorded. About 67% injuries of all incidents were due to hand tools, and the remaining 33% were due to machinery or other sources. Though most of the injuries were not serious, about 22% injuries were greater than or equal to AIS 2 (Abbreviated Injury Scale). The practical implication of this study is to design ergonomically fit agricultural hand tools for Bangladeshi farmers in order to avoid their injuries.

Agricultural Farm-Related Injuries in Bangladesh and Convenient Design of Working Hand Tools

Directory of Open Access Journals (Sweden)

M. S. Parvez

2018-01-01

Full Text Available Injuries during cultivation of land are the significant causes of recession for an agricultural country like Bangladesh. Thousands of tools are used in agricultural farm having much probability of getting injury at their workplaces. For the injury prevention, proper hand tool designs need to be recommended with ergonomic evaluations. This paper represents the main causes of agricultural injuries among the Bangladeshi farmers. Effective interventions had been discussed in this paper to reduce the rate of injury. This study was carried out in the Panchagarh district of Bangladesh. Data on 434 agricultural injuries were collected and recorded. About 67% injuries of all incidents were due to hand tools, and the remaining 33% were due to machinery or other sources. Though most of the injuries were not serious, about 22% injuries were greater than or equal to AIS 2 (Abbreviated Injury Scale. The practical implication of this study is to design ergonomically fit agricultural hand tools for Bangladeshi farmers in order to avoid their injuries.

Millwright Apprenticeship. Related Training Modules. 1.1-1.8 Safety.

Science.gov (United States)

Lane Community Coll., Eugene, OR.

This packet, part of the instructional materials for the Oregon apprenticeship program for millwright training, contains eight modules covering safety. The modules provide information on the following topics: general safety, hand tool safety, power tool safety, fire safety, hygiene, safety and electricity, types of fire and fire prevention, and…

IT-CARES: an interactive tool for case-crossover analyses of electronic medical records for patient safety.

Science.gov (United States)

Caron, Alexandre; Chazard, Emmanuel; Muller, Joris; Perichon, Renaud; Ferret, Laurie; Koutkias, Vassilis; Beuscart, Régis; Beuscart, Jean-Baptiste; Ficheur, Grégoire

2017-03-01

The significant risk of adverse events following medical procedures supports a clinical epidemiological approach based on the analyses of collections of electronic medical records. Data analytical tools might help clinical epidemiologists develop more appropriate case-crossover designs for monitoring patient safety. To develop and assess the methodological quality of an interactive tool for use by clinical epidemiologists to systematically design case-crossover analyses of large electronic medical records databases. We developed IT-CARES, an analytical tool implementing case-crossover design, to explore the association between exposures and outcomes. The exposures and outcomes are defined by clinical epidemiologists via lists of codes entered via a user interface screen. We tested IT-CARES on data from the French national inpatient stay database, which documents diagnoses and medical procedures for 170 million inpatient stays between 2007 and 2013. We compared the results of our analysis with reference data from the literature on thromboembolic risk after delivery and bleeding risk after total hip replacement. IT-CARES provides a user interface with 3 columns: (i) the outcome criteria in the left-hand column, (ii) the exposure criteria in the right-hand column, and (iii) the estimated risk (odds ratios, presented in both graphical and tabular formats) in the middle column. The estimated odds ratios were consistent with the reference literature data. IT-CARES may enhance patient safety by facilitating clinical epidemiological studies of adverse events following medical procedures. The tool's usability must be evaluated and improved in further research. © The Author 2016. Published by Oxford University Press on behalf of the American Medical Informatics Association.

Hand safety for specialty crop production workers: a pilot study investigating frequencies of minor open-wound hand injuries and presence of pathogenic bacteria.

Science.gov (United States)

Pate, M L; Nummer, B

2013-10-01

The purpose of this study was to quantify the presence of minor open-wound hand injuries in addition to Salmonella, Staphylococcus aureus, coliforms, and Escherichia coli on the hands of farm workers who hand-harvest fruit crops in Utah. Data collection was conducted on four farms without USDA Good Agricultural Practices (GAP) certification and on two farms with GAP certification. This study identified essential safety issues that need to be addressed for improving the effectiveness of safety training for migrant farm workers. Farms that have a food safety audit program in place are less likely to have farm workers exposed to pathogenic bacteria and open-wound injuries to their hands. High frequency of S. aureus may indicate a potentially higher risk for wound infection within this worker population. This could lead to infections that are resistant to the antibiotics commonly used to treat ordinary staph infections, resulting in greater work loss time and medical expenses for these workers. Higher frequencies of bacterial presence on workers' hands on non-certified farms indicate a need to identify essential practices to improve worker hygiene habits and on-farm management practices to promote healthy hygiene. Open-wound injuries to migrant farm workers during hand-harvesting could create additional health problems with the possibility of infection and the spread of diseases. Continued research is needed to understand workers' acceptance of these injuries and barriers to personal protection.

Three Software Tools for Viewing Sectional Planes, Volume Models, and Surface Models of a Cadaver Hand.

Science.gov (United States)

Chung, Beom Sun; Chung, Min Suk; Shin, Byeong Seok; Kwon, Koojoo

2018-02-19

The hand anatomy, including the complicated hand muscles, can be grasped by using computer-assisted learning tools with high quality two-dimensional images and three-dimensional models. The purpose of this study was to present up-to-date software tools that promote learning of stereoscopic morphology of the hand. On the basis of horizontal sectioned images and outlined images of a male cadaver, vertical planes, volume models, and surface models were elaborated. Software to browse pairs of the sectioned and outlined images in orthogonal planes and software to peel and rotate the volume models, as well as a portable document format (PDF) file to select and rotate the surface models, were produced. All of the software tools were downloadable free of charge and usable off-line. The three types of tools for viewing multiple aspects of the hand could be adequately employed according to individual needs. These new tools involving the realistic images of a cadaver and the diverse functions are expected to improve comprehensive knowledge of the hand shape. © 2018 The Korean Academy of Medical Sciences.

Electronic Safety Resource Tools -- Supporting Hydrogen and Fuel Cell Commercialization

Energy Technology Data Exchange (ETDEWEB)

Barilo, Nick F.

2014-09-29

The Pacific Northwest National Laboratory (PNNL) Hydrogen Safety Program conducted a planning session in Los Angeles, CA on April 1, 2014 to consider what electronic safety tools would benefit the next phase of hydrogen and fuel cell commercialization. A diverse, 20-person team led by an experienced facilitator considered the question as it applied to the eight most relevant user groups. The results and subsequent evaluation activities revealed several possible resource tools that could greatly benefit users. The tool identified as having the greatest potential for impact is a hydrogen safety portal, which can be the central location for integrating and disseminating safety information (including most of the tools identified in this report). Such a tool can provide credible and reliable information from a trustworthy source. Other impactful tools identified include a codes and standards wizard to guide users through a series of questions relating to application and specific features of the requirements; a scenario-based virtual reality training for first responders; peer networking tools to bring users from focused groups together to discuss and collaborate on hydrogen safety issues; and a focused tool for training inspectors. Table ES.1 provides results of the planning session, including proposed new tools and changes to existing tools.

Safety Culture Assessment Tools in Nuclear and Non-Nuclear Domains

International Nuclear Information System (INIS)

Mkrtchyan, L.; Turcanu, C.

2012-01-01

Over the last decades, in many domains especially in high risk industries, the authorities paid increasing attention to safety management systems and, in particular, to safety culture. Consequently, in the applied and academic literature a huge amount of studies explored the main challenges, issues and obstacles related with safety culture. We undertake a survey of safety culture experiences in the main safety-critical industries such as nuclear, railways, offshore, aviation, airlines, health care, etc. We review both academic and applied literature up to the year 2011. Our results help to establish a comprehensive view on the subject, its main terminologies, existing tools, and main difficulties. The purpose of this report is to raise awareness about the current tools of safety culture assessment, both in the nuclear as well as in the non-nuclear domain. The report provides also practical recommendations about the possible use of each tool given different circumstances and different factors. We do not aim to rank the tools pointing the best one, but we highlight instead the unique features of these tools, pointing their strong and weak sides

Safety Culture Assessment Tools in Nuclear and Non-Nuclear Domains

Energy Technology Data Exchange (ETDEWEB)

Mkrtchyan, L; Turcanu, C

2012-03-15

Over the last decades, in many domains especially in high risk industries, the authorities paid increasing attention to safety management systems and, in particular, to safety culture. Consequently, in the applied and academic literature a huge amount of studies explored the main challenges, issues and obstacles related with safety culture. We undertake a survey of safety culture experiences in the main safety-critical industries such as nuclear, railways, offshore, aviation, airlines, health care, etc. We review both academic and applied literature up to the year 2011. Our results help to establish a comprehensive view on the subject, its main terminologies, existing tools, and main difficulties. The purpose of this report is to raise awareness about the current tools of safety culture assessment, both in the nuclear as well as in the non-nuclear domain. The report provides also practical recommendations about the possible use of each tool given different circumstances and different factors. We do not aim to rank the tools pointing the best one, but we highlight instead the unique features of these tools, pointing their strong and weak sides.

Development of a Safety Management Web Tool for Horse Stables.

Science.gov (United States)

Leppälä, Jarkko; Kolstrup, Christina Lunner; Pinzke, Stefan; Rautiainen, Risto; Saastamoinen, Markku; Särkijärvi, Susanna

2015-11-12

Managing a horse stable involves risks, which can have serious consequences for the stable, employees, clients, visitors and horses. Existing industrial or farm production risk management tools are not directly applicable to horse stables and they need to be adapted for use by managers of different types of stables. As a part of the InnoEquine project, an innovative web tool, InnoHorse, was developed to support horse stable managers in business, safety, pasture and manure management. A literature review, empirical horse stable case studies, expert panel workshops and stakeholder interviews were carried out to support the design. The InnoHorse web tool includes a safety section containing a horse stable safety map, stable safety checklists, and examples of good practices in stable safety, horse handling and rescue planning. This new horse stable safety management tool can also help in organizing work processes in horse stables in general.

Three-dimensional stereophotogrammetry as an accurate tool for analyzing lymphedema of the hand

Directory of Open Access Journals (Sweden)

Inge A. Hoevenaren

2016-12-01

Conclusions: This pilot study shows that 3D photography is a reproducible and useful tool in volume measurements of edematous hands. Changes in hand volume can be easily detected, thus creating an opportunity for the timely initiation of treatment options and simplifying the follow-up process.

Patient Safety Culture and the Ability to Improve: A Proof of Concept Study on Hand Hygiene.

Science.gov (United States)

Caris, Martine G; Kamphuis, Pim G A; Dekker, Mireille; de Bruijne, Martine C; van Agtmael, Michiel A; Vandenbroucke-Grauls, Christina M J E

2017-11-01

OBJECTIVE To investigate whether the safety culture of a hospital unit is associated with the ability to improve. DESIGN Qualitative investigation of safety culture on hospital units following a before-and-after trial on hand hygiene. SETTING VU University Medical Center, a tertiary-care hospital in the Netherlands. METHODS With support from hospital management, we implemented a hospital-wide program to improve compliance. Over 2 years, compliance was measured through direct observation, twice before, and 4 times after interventions. We analyzed changes in compliance from baseline, and selected units to evaluate safety culture using a positive deviance approach: the hospital unit with the highest hand hygiene compliance and 2 units that showed significant improvement (21% and 16%, respectively) were selected as high performing. Another 2 units showed no improvement and were selected as low performing. A blinded, independent observer conducted interviews with unit management, physicians, and nurses, based on the Hospital Survey on Patient Safety Culture. Safety culture was categorized as pathological (lowest level), reactive, bureaucratic, proactive, or generative (highest level). RESULTS Overall, 3 units showed a proactive or generative safety culture and 2 units had bureaucratic or pathological safety cultures. When comparing compliance and interview results, high-performing units showed high levels of safety culture, while low-performing units showed low levels of safety culture. CONCLUSIONS Safety culture is associated with the ability to improve hand hygiene. Interventions may not be effective when applied in units with low levels of safety culture. Although additional research is needed to corroborate our findings, the safety culture on a unit can benefit from enhancement strategies such as team-building exercises. Strengthening the safety culture before implementing interventions could aid improvement and prevent nonproductive interventions. Infect Control

76 FR 52313 - Heavy Forged Hand Tools (i.e., Axes & Adzes, Bars & Wedges, Hammers & Sledges, and Picks...

Science.gov (United States)

2011-08-22

... DEPARTMENT OF COMMERCE International Trade Administration [A-570-803] Heavy Forged Hand Tools (i.e... Administration, Department of Commerce. SUMMARY: As a result of the determinations by the Department of Commerce... on heavy forged hand tools (i.e., [[Page 52314

Hand-actuated spring clip insertion tool

International Nuclear Information System (INIS)

Cuba, G.W.

1993-01-01

A hand-actuated insertion tool includes a handle assembly, an elongated hollow tubular outer support tube, an elongated inner pull rod, and a coupling arrangement. The handle assembly has a first handle member and a second handle member pivoted to a member for movement between unactuated and actuated positions. The tube is attached in a fixed relation to a handle member. The rod is mounted within the tube for sliding movement relative thereto between home and retracted positions. The coupling arrangement pivotally connects the rod to the second handle member such that the rod will undergo sliding movement from the home position to the retracted positions relative to the tube as the second handle member is moved from the unactuated position to the actuated position adjacent to the first handle member. (author)

Health and safety manual

International Nuclear Information System (INIS)

1980-02-01

The manual consists of the following chapters: general policies and administration; the Environmental Health and Safety Department; the Medical Services Department: biological hazards; chemical safety; confined space entry; cryogenic safety; electrical safety; emergency plans; engineering and construction; evacuations, trenching, and shoring; fire safety; gases, flammable and compressed; guarding, mechanical; ladders and scaffolds, work surfaces; laser safety; materials handling and storage; noise; personal protective equipment; pressure safety; radiation safety, ionizing and non-ionizing; sanitation; seismic safety; training, environmental health and safety; tools, power and hand-operated; traffic and transportation; and warning signs and devices

The Safety Assessment Framework Tool (SAFRAN) - Description, Overview and Applicability

International Nuclear Information System (INIS)

Alujevic, Luka

2014-01-01

The SAFRAN tool (Safety Assessment Framework) is a user-friendly software application that incorporates the methodologies developed in the SADRWMS (Safety Assessment Driven Radioactive Waste Management Solutions) project. The International Atomic Energy Agency (IAEA) organized the International Project on Safety Assessment Driving Radioactive Waste Management Solutions (SADRWMS) to examine international approaches to safety assessment for predisposal management of all types of radioactive waste, including disused sources, small volumes, legacy and decommissioning waste, operational waste, and large volume naturally occurring radioactive material residues. SAFRAN provides aid in: Describing the predisposal RW management activities in a systematic way, Conducting the SA (safety assessment) with clear documentation of the methodology, assumptions, input data and models, Establishing a traceable and transparent record of the safety basis for decisions on the proposed RW management solutions, Demonstrating clear consideration of and compliance with national and international safety standards and recommendations. The SAFRAN tool allows the user to visibly, systematically and logically address predisposal radioactive waste management and decommissioning challenges in a structured way. It also records the decisions taken in such a way that it constitutes a justifiable safety assessment of the proposed management solutions. The objective of this paper is to describe the SAFRAN architecture and features, properly define the terms safety case and safety assessment, and to predict the future development of the SAFRAN tool and assess its applicability to the construction of a future LILW (Low and Intermediate Level Waste) storage facility and repository in Croatia, taking into account all the capabilities and modelling features of the SAFRAN tool. (author)

Assessment of Food Safety Knowledge, Attitude, Self-Reported Practices, and Microbiological Hand Hygiene of Food Handlers

Science.gov (United States)

Lee, Hui Key; Abdul Halim, Hishamuddin; Thong, Kwai Lin; Chai, Lay Ching

2017-01-01

Institutional foodborne illness outbreaks continue to hit the headlines in the country, indicating the failure of food handlers to adhere to safe practices during food preparation. Thus, this study aimed to compare the knowledge, attitude, and self-reported practices (KAP) of food safety assessment and microbiological assessment of food handlers’ hands as an indicator of hygiene practices in food premises. This study involved 85 food handlers working in a university located in Kuala Lumpur, Malaysia. The food safety KAP among food handlers (n = 67) was assessed using a questionnaire; while the hand swabs (n = 85) were tested for the total aerobic count, coliforms, and Escherichia coli, Staphylococcus aureus, Salmonella, Vibrio cholerae and Vibrio parahaemolyticus. The food handlers had moderate levels of food safety knowledge (61.7%) with good attitude (51.9/60) and self-reported practices (53.2/60). It is noteworthy that the good self-reported practices were not reflected in the microbiological assessment of food handlers’ hands, in which 65% of the food handlers examined had a total aerobic count ≥20 CFU/cm2 and Salmonella was detected on 48% of the food handlers’ hands. In conclusion, the suggestion of this study was that the food handlers had adequate food safety knowledge, but perceived knowledge failed to be translated into practices at work.

Assessment of Food Safety Knowledge, Attitude, Self-Reported Practices, and Microbiological Hand Hygiene of Food Handlers

Directory of Open Access Journals (Sweden)

Hui Key Lee

2017-01-01

Full Text Available Institutional foodborne illness outbreaks continue to hit the headlines in the country, indicating the failure of food handlers to adhere to safe practices during food preparation. Thus, this study aimed to compare the knowledge, attitude, and self-reported practices (KAP of food safety assessment and microbiological assessment of food handlers’ hands as an indicator of hygiene practices in food premises. This study involved 85 food handlers working in a university located in Kuala Lumpur, Malaysia. The food safety KAP among food handlers (n = 67 was assessed using a questionnaire; while the hand swabs (n = 85 were tested for the total aerobic count, coliforms, and Escherichia coli, Staphylococcus aureus, Salmonella, Vibrio cholerae and Vibrio parahaemolyticus. The food handlers had moderate levels of food safety knowledge (61.7% with good attitude (51.9/60 and self-reported practices (53.2/60. It is noteworthy that the good self-reported practices were not reflected in the microbiological assessment of food handlers’ hands, in which 65% of the food handlers examined had a total aerobic count ≥20 CFU/cm2 and Salmonella was detected on 48% of the food handlers’ hands. In conclusion, the suggestion of this study was that the food handlers had adequate food safety knowledge, but perceived knowledge failed to be translated into practices at work.

77 FR 39997 - Heavy Forged Hand Tools, Finished or Unfinished, With or Without Handles From the People's...

Science.gov (United States)

2012-07-06

... DEPARTMENT OF COMMERCE International Trade Administration [A-570-803] Heavy Forged Hand Tools...) (Diamond Sawblades), the Department is notifying the public that the final judgment in this case is not in... review on heavy forged hand tools, finished or unfinished, with or without handles from the People's...

STARS software tool for analysis of reliability and safety

International Nuclear Information System (INIS)

Poucet, A.; Guagnini, E.

1989-01-01

This paper reports on the STARS (Software Tool for the Analysis of Reliability and Safety) project aims at developing an integrated set of Computer Aided Reliability Analysis tools for the various tasks involved in systems safety and reliability analysis including hazard identification, qualitative analysis, logic model construction and evaluation. The expert system technology offers the most promising perspective for developing a Computer Aided Reliability Analysis tool. Combined with graphics and analysis capabilities, it can provide a natural engineering oriented environment for computer assisted reliability and safety modelling and analysis. For hazard identification and fault tree construction, a frame/rule based expert system is used, in which the deductive (goal driven) reasoning and the heuristic, applied during manual fault tree construction, is modelled. Expert system can explain their reasoning so that the analyst can become aware of the why and the how results are being obtained. Hence, the learning aspect involved in manual reliability and safety analysis can be maintained and improved

Development of IFC based fire safety assesment tools

DEFF Research Database (Denmark)

Taciuc, Anca; Karlshøj, Jan; Dederichs, Anne

2016-01-01

Due to the impact that the fire safety design has on the building's layout and on other complementary systems, as installations, it is important during the conceptual design stage to evaluate continuously the safety level in the building. In case that the task is carried out too late, additional...... changes need to be implemented, involving supplementary work and costs with negative impact on the client. The aim of this project is to create a set of automatic compliance checking rules for prescriptive design and to develop a web application tool for performance based design that retrieves data from...... Building Information Models (BIM) to evacuate the safety level in the building during the conceptual design stage. The findings show that the developed tools can be useful in AEC industry. Integrating BIM from conceptual design stage for analyzing the fire safety level can ensure precision in further...

The use of GIS tools for road infrastructure safety management

Science.gov (United States)

Budzyński, Marcin; Kustra, Wojciech; Okraszewska, Romanika; Jamroz, Kazimierz; Pyrchla, Jerzy

2018-01-01

There are many factors that influence accidents and their severity. They can be grouped within the system of man, vehicle and environment. The article focuses on how GIS tools can be used to manage road infrastructure safety. To ensure a better understanding and identification of road factors, GIS tools help with the acquisition of road parameter data. Their other role is helping with a clear and effective presentation of risk ranking. GIS is key to identifying high-risk sections and supports the effective communication of safety levels. This makes it a vital element of safety management. The article describes the use of GIS for the collection and visualisation of road parameter data which are not available in any of the existing databases, i.e. horizontal curve parameters. As we know from research and statistics, they are important factors that determine the safety of road infrastructure. Finally, new research is proposed as well as the possibilities for applying GIS tools for the purposes of road safety inspection.

Biosensor: an emerging safety tool for meat industry.

Science.gov (United States)

Singh, Pradeep Kumar; Jairath, Gauri; Ahlawat, Satyavir Singh; Pathera, Ashok; Singh, Prashant

2016-04-01

The meat industry associated with the health hazards like deadly pathogens, veterinary drugs, pesticide residues, toxins and heavy metals is in need of a tool to tackle the awful situation and ensure safer product to consumer. The growth in the industry, global trade scenario, stringent laws and consumer awareness has placed an extra onus on the meat industry to meet out the expectations and demands. Biosensors are the latest tool of detection in the fast growing industries including the food industry. Hence an attempt is envisaged here to review the possibility of harnessing biosensors as tool of safety to safe guard the consumer health and address safety issues in reference to the common threats of concern in the meat industry.

Development of an observational measure of healthcare worker hand-hygiene behaviour: the hand-hygiene observation tool (HHOT).

Science.gov (United States)

McAteer, J; Stone, S; Fuller, C; Charlett, A; Cookson, B; Slade, R; Michie, S

2008-03-01

Previous observational measures of healthcare worker (HCW) hand-hygiene behaviour (HHB) fail to provide adequate standard operating procedures (SOPs), accounts of inter-rater agreement testing or evidence of sensitivity to change. This study reports the development of an observational tool in a way that addresses these deficiencies. Observational categories were developed systematically, guided by a clinical guideline, previous measures and pilot hand-hygiene behaviour observations (HHOs). The measure, a simpler version of the Geneva tool, consists of HHOs (before and after low-risk, high-risk or unobserved contact), HHBs (soap, alcohol hand rub, no action, unknown), and type of HCW. Inter-observer agreement for each category was assessed by observation of 298 HHOs and HHBs by two independent observers on acute elderly and intensive care units. Raw agreement (%) and Kappa were 77% and 0.68 for HHB; 83% and 0.77 for HHO; and 90% and 0.77 for HCW. Inter-observer agreement for overall compliance of a group of HCWs was assessed by observation of 1191 HHOs and HHBs by two pairs of independent observers. Overall agreement was good (intraclass correlation coefficient = 0.79). Sensitivity to change was examined by autoregressive time-series modelling of longitudinal observations for 8 months on the intensive therapy unit during an Acinetobacter baumannii outbreak and subsequent strengthening of infection control measures. Sensitivity to change was demonstrated by a rise in compliance from 80 to 98% with an odds ratio of increased compliance of 7.00 (95% confidence interval: 4.02-12.2) P < 0.001.

Use of a patient empowerment tool for hand hygiene.

Science.gov (United States)

Lastinger, Allison; Gomez, Kayeromi; Manegold, Ellen; Khakoo, Rashida

2017-08-01

Patient empowerment is recognized as an important component of a multimodal strategy to improve hand hygiene adherence. We examined the attitudes of adult patients and parents of pediatric patients toward a new patient empowerment tool (PET) at our hospital. We also surveyed physicians to determine their perceptions about the PET. A cross-sectional survey was performed of hospitalized children's parents and adult patients in a 531-bed tertiary care teaching hospital in West Virginia. Surveys were anonymous and self-administered. A separate survey was administered via e-mail to resident and attending physicians from the departments of internal medicine, pediatrics, and family medicine. Most parents and adult patients felt it was their role to speak up if a provider did not perform hand hygiene, but a smaller number actually felt comfortable using the PET. Only 54.9% of physicians felt that patients should be involved in reminding providers to perform hand hygiene. Overall, physicians indicated that they would prefer a patient to use words rather than the PET to remind them to perform hand hygiene. In our study, parents and adult patients supported use of the PET, but physicians were less supportive. As the patient empowerment movement grows, we should work to improve physician acceptance of patient involvement if it is to be successful. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

The Takei Handheld Dynamometer: An Effective Clinical Outcome Measure Tool for Hand and Wrist Function in Boxing.

Science.gov (United States)

Gatt, Ian; Smith-Moore, Sophie; Steggles, Charlie; Loosemore, Mike

2018-05-01

The aim of this article was to explore retrospectively the Takei dynamometer as a valid and reliable outcome measure tool for hand and wrist pathology in the Great Britain amateur boxing squad between 2010 and 2014. Longitudinal retrospective injury surveillance of the Great Britain boxing squad was performed from 2010 to 2014. The location, region affected, description, and duration of each injury were recorded by the team doctor and team physiotherapists. For each significant injury, we recorded hand grip scores using the Takei handheld dynamometer and compared the scores with baseline measures. At the hand, fractures and dislocations were highly detected with an average difference of 40.2% ( P 20% should be highly considered for significant pathology. The Takei dynamometer is a valid and reliable outcome measure tool for hand and wrist pathologies in boxing. Our study highlights the importance of appropriate clinical tools to guide injury management in this sport.

A tool for assessment of animal health laboratory safety and biosecurity: The safety module of the Food and Agriculture Organization’s laboratory mapping tool

OpenAIRE

Mouillé, B; Dauphin, G; Wiersma, L; Blacksell, SD; Claes, F; Kalpravidh, W; Kabore, Y; Hietala, S

2018-01-01

The Laboratory Management Tool (LMT) is a standardized spreadsheet-based assessment tool developed to help support national, regional, and global efforts to maintain an effective network of animal health and veterinary public health laboratories. The safety and biosecurity module of the LMT (LMT-S) includes 98 measures covering administrative, operational, engineering, and personal protective equipment practices used to provide laboratory safety and biosecurity. Performance aspects of laborat...

Eating tools in hand activate the brain systems for eating action: a transcranial magnetic stimulation study.

Science.gov (United States)

Yamaguchi, Kaori; Nakamura, Kimihiro; Oga, Tatsuhide; Nakajima, Yasoichi

2014-07-01

There is increasing neuroimaging evidence suggesting that visually presented tools automatically activate the human sensorimotor system coding learned motor actions relevant to the visual stimuli. Such crossmodal activation may reflect a general functional property of the human motor memory and thus can be operating in other, non-limb effector organs, such as the orofacial system involved in eating. In the present study, we predicted that somatosensory signals produced by eating tools in hand covertly activate the neuromuscular systems involved in eating action. In Experiments 1 and 2, we measured motor evoked response (MEP) of the masseter muscle in normal humans to examine the possible impact of tools in hand (chopsticks and scissors) on the neuromuscular systems during the observation of food stimuli. We found that eating tools (chopsticks) enhanced the masseter MEPs more greatly than other tools (scissors) during the visual recognition of food, although this covert change in motor excitability was not detectable at the behavioral level. In Experiment 3, we further observed that chopsticks overall increased MEPs more greatly than scissors and this tool-driven increase of MEPs was greater when participants viewed food stimuli than when they viewed non-food stimuli. A joint analysis of the three experiments confirmed a significant impact of eating tools on the masseter MEPs during food recognition. Taken together, these results suggest that eating tools in hand exert a category-specific impact on the neuromuscular system for eating. Copyright © 2014 Elsevier Ltd. All rights reserved.

PSA - a tool for the nuclear safety

International Nuclear Information System (INIS)

Himanen, R.

1992-01-01

The PSA-model for BWR-type reactors of Finnish power company, Teollisuuden Voima Oy (TVO) was finished in year 1989. This basic PSA model included all safety systems, normal operating systems and auxiliary systems. Today TVO is working to enlarge the PSA to level 2 (environmental effects, for the fires, for the floodings and the outages). The TVO's experiences has been showed the PSA an useful tool for the developing the safety of BWR's (orig.)

Use of the Home Safety Self-Assessment Tool (HSSAT) within Community Health Education to Improve Home Safety.

Science.gov (United States)

Horowitz, Beverly P; Almonte, Tiffany; Vasil, Andrea

2016-10-01

This exploratory research examined the benefits of a health education program utilizing the Home Safety Self-Assessment Tool (HSSAT) to increase perceived knowledge of home safety, recognition of unsafe activities, ability to safely perform activities, and develop home safety plans of 47 older adults. Focus groups in two senior centers explored social workers' perspectives on use of the HSSAT in community practice. Results for the health education program found significant differences between reported knowledge of home safety (p = .02), ability to recognize unsafe activities (p = .01), safely perform activities (p = .04), and develop a safety plan (p = .002). Social workers identified home safety as a major concern and the HSSAT a promising assessment tool. Research has implications for reducing environmental fall risks.

The use of case tools in OPG safety analysis code qualification

International Nuclear Information System (INIS)

Pascoe, J.; Cheung, A.; Westbye, C.

2001-01-01

Ontario Power Generation (OPG) is currently qualifying its critical safety analysis software. The software quality assurance (SQA) framework is described. Given the legacy nature of much of the safety analysis software the reverse engineering methodology has been adopted. The safety analysis suite of codes was developed over a period of many years to differing standards of quality and had sparse or incomplete documentation. Key elements of the reverse engineering process require recovery of design information from existing coding. This recovery, if performed manually, could represent an enormous effort. Driven by a need to maximize productivity and enhance the repeatability and objectivity of software qualification activities the decision was made to acquire or develop and implement Computer Aided Software Engineering (CASE) tools. This paper presents relevant background information on CASE tools and discusses how the OPG SQA requirements were used to assess the suitability of available CASE tools. Key findings from the application of CASE tools to the qualification of the OPG safety analysis software are discussed. (author)

A Tool for Assessment of Animal Health Laboratory Safety and Biosecurity: The Safety Module of the Food and Agriculture Organization’s Laboratory Mapping Tool

Directory of Open Access Journals (Sweden)

Beatrice Mouillé

2018-03-01

Full Text Available The Laboratory Management Tool (LMT is a standardized spreadsheet-based assessment tool developed to help support national, regional, and global efforts to maintain an effective network of animal health and veterinary public health laboratories. The safety and biosecurity module of the LMT (LMT-S includes 98 measures covering administrative, operational, engineering, and personal protective equipment practices used to provide laboratory safety and biosecurity. Performance aspects of laboratory infrastructure and technical compliance considered fundamental for ensuring that a laboratory is able to appropriately function in a safe and biosecure manner are systematically queried and scored for compliance on a four-point scale providing for a semi-quantitative assessment. Data collected is used to generate graphs and tables mapping levels of compliance with international standards and good practices, as well as for documenting progress over time. The LMT-S was employed by trained auditors in 34 laboratories located in 19 countries between 2015 and 2017. The tool is intended to help standardize animal health laboratory assessments, document compliance with recognized laboratory safety and biosecurity measures, serve as a self-help and training tool, and assist global laboratory development efforts by providing an accurate measurement of laboratory safety and biosecurity at local, national, and regional levels.

Reload safety analysis automation tools

International Nuclear Information System (INIS)

Havlůj, F.; Hejzlar, J.; Vočka, R.

2013-01-01

Performing core physics calculations for the sake of reload safety analysis is a very demanding and time consuming process. This process generally begins with the preparation of libraries for the core physics code using a lattice code. The next step involves creating a very large set of calculations with the core physics code. Lastly, the results of the calculations must be interpreted, correctly applying uncertainties and checking whether applicable limits are satisfied. Such a procedure requires three specialized experts. One must understand the lattice code in order to correctly calculate and interpret its results. The next expert must have a good understanding of the physics code in order to create libraries from the lattice code results and to correctly define all the calculations involved. The third expert must have a deep knowledge of the power plant and the reload safety analysis procedure in order to verify, that all the necessary calculations were performed. Such a procedure involves many steps and is very time consuming. At ÚJV Řež, a.s., we have developed a set of tools which can be used to automate and simplify the whole process of performing reload safety analysis. Our application QUADRIGA automates lattice code calculations for library preparation. It removes user interaction with the lattice code and reduces his task to defining fuel pin types, enrichments, assembly maps and operational parameters all through a very nice and user-friendly GUI. The second part in reload safety analysis calculations is done by CycleKit, a code which is linked with our core physics code ANDREA. Through CycleKit large sets of calculations with complicated interdependencies can be performed using simple and convenient notation. CycleKit automates the interaction with ANDREA, organizes all the calculations, collects the results, performs limit verification and displays the output in clickable html format. Using this set of tools for reload safety analysis simplifies

Tools for road infrastructure safety management in poland

Directory of Open Access Journals (Sweden)

Kustra Wojciech

2017-01-01

Full Text Available Road safety can be improved by implementing principles of road safety infrastructure management (RIS on the network of European roads as adopted in the Directive. The document recommends that member states should use tried and tested tools for road safety management such as: road safety impact assessment (RIA, road safety audit (RSA, safety management on existing road networks including road safety ranking (RSM and road safety inspection (RSI. The objective of the methods is to help road authorities to take rational decisions in the area of road safety and road infrastructure safety and understand the consequences occurring in the particular phases of road life cycle. To help with assessing the impact of a road project on the safety of related roads, a method was developed for long-term forecasts of accidents and accident cost estimation as well as a risk classification to identify risks that are not acceptable risks. With regard to road safety audits and road safety inspection, a set of principles was developed to identify risks and the basic classification of mistakes and omissions.

The Influence of Hand Immersion Duration on Manual Performance.

Science.gov (United States)

Ray, Matthew; Sanli, Elizabeth; Brown, Robert; Ennis, Kerri Ann; Carnahan, Heather

2017-08-01

To investigate the effect of hand immersion duration on manipulative ability and tactile sensitivity. Individuals in maritime settings often work with hands that have been immersed in water. Although research has shown that hand immersion duration differentially impacts skin adhesion and tactile sensitivity, the effect of hand immersion on manipulative ability has not been directly tested. Given how critical manipulative ability is for the safety and performance of those working at sea, the effect of hand immersion duration on manual performance was investigated. Tests of manipulative ability (Purdue Pegboard, Grooved Pegboard, reef knot untying) and tactile sensitivity (Touch-Test) were completed following no-exposure, short-exposure, and long-exposure hand immersions in thermoneutral water. Compared to the no immersion condition, the Purdue Pegboard performance was reduced in both immersion conditions (short exposure, -11%; long exposure, -8%). A performance decrement was only observed in the short exposure condition (+15% in time to complete task) for the reef knot untying task. There were no statistical differences in the Grooved Pegboard or Touch-Test scores between exposure conditions. Immersing the hands in water decreases manipulative ability except for when object properties reduce the slipperiness between the hand and object. Manual performance in a wet environment may be conserved by designing tools and objects with edges and textures that can offset the slipperiness of wet hands. To maintain safety, the time requirements for working with wet hands needs to be considered.

Test tools of physics radiography children as a support for safety radiation and safety patients

International Nuclear Information System (INIS)

Siti Masrochah; Yeti Kartikasari; Ardi Soesilo Wibowo

2013-01-01

Radiographic examination of the thorax children aged 1-3 years have a high sufficiently failure. This failure is caused by the movement and difficulty positioning the patient, resulting in the risk of repeat radiographs to patient safety particularly unnecessary radiation risks. It is therefore necessary to develop research on children design fixation devices. This research aims to create a design tool fixation on radiographs children to support radiation safety and patient safety. This research is a descriptive exploratory approach to tool design. The independent variables were the design tools, variable tool function test results, and radiographic variables controlled thorax. The procedure is done by designing data collection tools, further trials with 20 samples. Processing and analysis of data is done by calculating the performance assessment tool scores with range 1-3. The results showed that the design tool of fixation in the form of standard radiographic cassette equipped with chairs and some form of seat belt fixation. The procedure uses a tool fixation is routine radiographic follow thorax child in an upright position. Function test results aids fixation is to have an average score of 2.66, which means good. While the test results for each component, the majority of respondents stated that the reliability of the device is quite good with a score of 2.45 (60 %), convenience tool with a score of 2.60 (70 %), quality of the radiographs did not incontinence of the thorax radiograph with a score 2.55 (85 %), the child protection (security) with a score of 2.70 (70 %), good design aesthetic design with a score of 2.80 (80 %), addition of radiation from the others on the use of these tools do not need with a score of 2.80 (80 %), and there is no additional radiation due to repetitions with a score of 2.85 (90 %). (author)

A web-based tool for the Comprehensive Unit-based Safety Program (CUSP).

Science.gov (United States)

Pronovost, Peter J; King, Jay; Holzmueller, Christine G; Sawyer, Melinda; Bivens, Shauna; Michael, Michelle; Haig, Kathy; Paine, Lori; Moore, Dana; Miller, Marlene

2006-03-01

An organization's ability to change is driven by its culture, which in turn has a significant impact on safety. The six-step Comprehensive Unit-Based Safety Program (CUSP) is intended to improve local culture and safety. A Web-based project management tool for CUSP was developed and then pilot tested at two hospitals. HOW ECUSP WORKS: Once a patient safety concern is identified (step 3), a unit-level interdisciplinary safety committee determines issue criticality and starts up the projects (step 4), which are managed using project management tools within eCUSP (step 5). On a project's completion, the results are disseminated through a shared story (step 6). OSF St. Joseph's Medical Center-The Medical Birthing Center (Bloomington, Illinois), identified 11 safety issues, implemented 11 projects, and created 9 shared stories--including one for its Armband Project. The Johns Hopkins Hospital (Baltimore) Medical Progressive Care (MPC4) Unit identified 5 safety issues and implemented 4 ongoing projects, including the intravenous (IV) Tubing Compliance Project. The eCUSP tool's success depends on an organizational commitment to creating a culture of safety.

Navigation Tools and Equipment and How They Have Improved Aviation Safety

OpenAIRE

Sulaiman D. S Alsahli FadalahassanALfadala

2017-01-01

This paper highlights the impact of navigation tools and equipment, such as the GPS, navigation radar, and other communications tools, which aid in ensuring aviation safety. It emphasizes the need for aviation safety and how these navigation methods are of great help to reduce the hazards and clearly indicate the problems related to the aircraft, aircraft traffic management, weather disturbances, among others. It also recommends how these tools and equipment must be further developed to promo...

SafetyBarrierManager, a software tool to perform risk analysis using ARAMIS's principles

DEFF Research Database (Denmark)

Duijm, Nijs Jan

2017-01-01

of the ARAMIS project, Risø National Laboratory started developing a tool that could implement these methodologies, leading to SafetyBarrierManager. The tool is based on the principles of “safety‐barrier diagrams”, which are very similar to “bowties”, with the possibility of performing quantitative analysis......The ARAMIS project resulted in a number of methodologies, dealing with among others: the development of standard fault trees and “bowties”; the identification and classification of safety barriers; and including the quality of safety management into the quantified risk assessment. After conclusion....... The tool allows constructing comprehensive fault trees, event trees and safety‐barrier diagrams. The tool implements the ARAMIS idea of a set of safety barrier types, to which a number of safety management issues can be linked. By rating the quality of these management issues, the operational probability...

Food Safety Practices Assessment Tool: An Innovative Way to Test Food Safety Skills among Individuals with Special Needs

Science.gov (United States)

Carbone, Elena T.; Scarpati, Stanley E.; Pivarnik, Lori F.

2013-01-01

This article describes an innovative assessment tool designed to evaluate the effectiveness of a food safety skills curriculum for learners receiving special education services. As schools respond to the increased demand for training students with special needs about food safety, the need for effective curricula and tools is also increasing. A…

An Integrated Development Tool for a safety application using FBD language

Energy Technology Data Exchange (ETDEWEB)

Lee, Young Jun; Lee, Jang Soo; Lee, Dong Young [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

2012-05-15

Regarding digitalizing the Nuclear Instrumentation and Control Systems, the application program responsible for the safety functions of Nuclear I and C Systems shall ensure the robustness of the safety function through development, testing, and validation roles for a life cycle process during software development. The importance of software in nuclear systems increases continuously. The integrated engineering tools to develop, test, and validate safety application programs require increasingly more complex parts among a number of components within nuclear digital I and C systems. This paper introduces the integrated engineering tool (SafeCASE-PLC) developed by our project. The SafeCASE-PLC is a kind of software engineering tool to develop, test, and validate the nuclear application program performed in an automatic controller

THE CONFORMITY OF MACHINE TOOLS WITH RESPECT TO EUROPEAN SAFETY STANDARDS

CERN Multimedia

TIS/TE

2001-01-01

European regulations require that all motorized machine tools conform to the latest safety standards by the end of the year 2000. CERN must follow these regulations and has already modified most of its machine tools accordingly. However, there is still a small number of machine tools which have not yet been modified as required. These machines should not be used until they are brought up to the required safety standards, failing which the machines should be discarded. One can recognise which machine tools conform with the latest standards by the indication 'CS' on the identification plate of the machine, see foto below. In cases of doubt about the status of a machine tool you should contact K. Altherr/EST or C. Margaroli/TIS for advice.

THE CONFORMITY OF MACHINE TOOLS WITH RESPECT TO EUROPEAN SAFETY STANDARDS

CERN Multimedia

TIS/TE

2000-01-01

European regulations require that all motorized machine tools conform to the latest safety standards by the end of the year 2000. CERN must follow these regulations and has already modified most of its machine tools accordingly. However, there is still a small number of machine tools which have not yet been modified as required. These machines should not be used until they are brought up to the required safety standards, failing which the machines should be discarded. One can recognise which machine tools conform with the latest standards by the indication 'CS' on the identification plate of the machine, see foto below. In cases of doubt about the status of a machine tool you should contact K. Altherr/EST or C. Margaroli/TIS for advice.

A novel gripper design for multi hand tools grasping under tight clearance constraints and external torque effect

KAUST Repository

Shaqura, Mohammad; Shamma, Jeff S.

2017-01-01

A robotic multi tool gripper design and implementation is presented in this paper. The proposed design targets applications where an actuation task is performed using a wide selection of standard hand tools. The manipulation motion is assumed

Factors influencing power hand tool fastening accuracy and reaction forces.

Science.gov (United States)

Radwin, Robert G; Chourasia, Amrish O; Howery, Robert S; Fronczak, Frank J; Yen, Thomas Y; Subedi, Yashpal; Sesto, Mary E

2014-06-01

A laboratory study investigated the relationship between power hand tool and task-related factors affecting threaded fastener torque accuracy and associated handle reaction force. We previously developed a biodynamic model to predict handle reaction forces. We hypothesized that torque accuracy was related to the same factors that affect operator capacity to react against impulsive tool forces, as predicted by the model. The independent variables included tool (pistol grip on a vertical surface, right angle on a horizontal surface), fastener torque rate (hard, soft), horizontal distance (30 cm and 60 cm), and vertical distance (80 cm, 110 cm, and 140 cm). Ten participants (five male and five female) fastened 12 similar bolts for each experimental condition. Average torque error (audited - target torque) was affected by fastener torque rate and operator position. Torque error decreased 33% for soft torque rates, whereas handle forces greatly increased (170%). Torque error also decreased for the far horizontal distance 7% to 14%, when vertical distance was in the middle or high, but handle force decreased slightly 3% to 5%. The evidence suggests that although both tool and task factors affect fastening accuracy, they each influence handle reaction forces differently. We conclude that these differences are attributed to different parameters each factor influences affecting the dynamics of threaded faster tool operation. Fastener torque rate affects the tool dynamics, whereas posture affects the spring-mass-damping biodynamic properties of the human operator. The prediction of handle reaction force using an operator biodynamic model may be useful for codifying complex and unobvious relationships between tool and task factors for minimizing torque error while controlling handle force.

Pushing and pulling: an assessment tool for occupational health and safety practitioners.

Science.gov (United States)

Lind, Carl Mikael

2018-03-01

A tool has been developed for supporting practitioners when assessing manual pushing and pulling operations based on an initiative by two global companies in the manufacturing industry. The aim of the tool is to support occupational health and safety practitioners in risk assessment and risk management of pushing and pulling operations in the manufacturing and logistics industries. The tool is based on a nine-multiplier equation that includes a wide range of factors affecting an operator's health risk and capacity in pushing and pulling. These multipliers are based on psychophysical, physiological and biomechanical studies in combination with judgments from an expert group consisting of senior researchers and ergonomists. In order to consider usability, more than 50 occupational health and safety practitioners (e.g., ergonomists, managers, safety representatives and production personnel) participated in the development of the tool. An evaluation by 22 ergonomists supports that the push/pull tool is user friendly in general.

A novel gripper design for multi hand tools grasping under tight clearance constraints and external torque effect

KAUST Repository

Shaqura, Mohammad

2017-08-29

A robotic multi tool gripper design and implementation is presented in this paper. The proposed design targets applications where an actuation task is performed using a wide selection of standard hand tools. The manipulation motion is assumed to be rotational which requires a firm grip to account for external torque on the grasped tool. The setup is assumed to be a conventional workshop panel with hand tools being hanged close to each other, which constraints lateral clearance around the target, and near the wall of the panel, which constraints the depth clearance. Off the shelf grippers are mostly heavy and bulky which make them unsuitable for these requirements. Moreover, they are not optimized in terms of power consumption, simplicity and compactness. These generic grippers are mostly designed for pick and place tasks where no external torques other than those caused by the object weight affects the gripper. The design challenge involves building a gripper that is capable of operating in limited clearance space, firmly grip a variety of standard hand tools with different sizes and shapes. The proposed design is optimized for these objectives and offers a low cost and power consumption solution. The design has been validated in lab and outdoor experiments and has been deployed in real operating platform used in an international robotics competition.

Development, implementation and evaluation of a patient handoff tool to improve safety in orthopaedic surgery.

Science.gov (United States)

Gagnier, Joel J; Derosier, Joseph M; Maratt, Joseph D; Hake, Mark E; Bagian, James P

2016-06-01

To develop, implement and test the effect of a handoff tool for orthopaedic trauma residents that reduces adverse events associated with the omission of critical information and the transfer of erroneous information. Components of this project included a literature review, resident surveys and observations, checklist development and refinement, implementation and evaluation of impact on adverse events through a chart review of a prospective cohort compared with a historical control group. Large teaching hospital. Findings of a literature review were presented to orthopaedic residents, epidemiologists, orthopaedic surgeons and patient safety experts in face-to-face meetings, during which we developed and refined the contents of a resident handoff tool. The tool was tested in an orthopaedic trauma service and its impact on adverse events was evaluated through a chart review. The handoff tool was developed and refined during the face-to-face meetings and a pilot implementation. Adverse event data were collected on 127 patients (n = 67 baseline period; n = 60 test period). A handoff tool for use by orthopaedic residents. Adverse events in patients handed off by orthopaedic trauma residents. After controlling for age, gender and comorbidities, testing resulted in fewer events per person (25-27% reduction; P < 0.10). Preliminary evidence suggests that our resident handoff tool may contribute to a decrease in adverse events in orthopaedic patients. © The Author 2016. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.

Adherence to hand hygiene guidelines - significance of measuring fidelity.

Science.gov (United States)

Korhonen, Anne; Ojanperä, Helena; Puhto, Teija; Järvinen, Raija; Kejonen, Pirjo; Holopainen, Arja

2015-11-01

The aim was to evaluate the usability of fidelity measures in compliance evaluation of hand hygiene. Adherence to hand hygiene guidelines is important in terms of patient safety. Compliance measures seldom describe how exactly the guidelines are followed. A cross-sectional observation study in a university hospital setting was conducted. Direct observation by trained staff was performed using a standardised observation form supplemented by fidelity criteria. A total of 830 occasions were observed in 13 units. Descriptive statistics (frequency, mean, percentages and range) were used as well as compliance rate by using a standard web-based tool. In addition, the binomial standard normal deviate test was conducted for comparing different methods used in evaluation of hand hygiene and in comparison between professional groups. Measuring fidelity to guidelines was revealed to be useful in uncovering gaps in hand hygiene practices. The main gap related to too short duration of hand rubbing. Thus, although compliance with hand hygiene guidelines measured using a standard web-based tool was satisfactory, the degree of how exactly the guidelines were followed seemed to be critical. Combining the measurement of fidelity to guidelines with the compliance rate is beneficial in revealing inconsistency between optimal and actual hand hygiene behaviour. Evaluating fidelity measures is useful in terms of revealing the gaps between optimal and actual performance in hand hygiene. Fidelity measures are suitable in different healthcare contexts and easy to measure according to the relevant indicators of fidelity, such as the length of hand rubbing. Knowing the gap facilitates improvements in clinical practice. © 2015 John Wiley & Sons Ltd.

Basic Hand Tools for Bricklaying and Cement Masonry [and] Basic Hand Tools of the Carpenter.

Science.gov (United States)

Texas A and M Univ., College Station. Vocational Instructional Services.

Intended for student use, this unit discusses and illustrates the tools used in brick and masonry and carpentry. Contents of the brick and masonry section include informative materials on bricklaying tools (brick trowels, joint tools, levels, squares, line and accessories, rules, hammers and chisels, tool kits) and cement masonry tools (tampers,…

Independent accident investigation: a modern safety tool

International Nuclear Information System (INIS)

Stoop, John A.

2004-01-01

Historically, safety has been subjected to a fragmented approach. In the past, every department has had its own responsibility towards safety, focusing either on working conditions, internal safety, external safety, rescue and emergency, public order or security. They each issued policy documents, which in their time were leading statements for elaboration and regulation. They also addressed safety issues with tools of various nature, often specifically developed within their domain. Due to a series of major accidents and disasters, the focus of attention is shifting from complying with quantitative risk standards towards intervention in primary operational processes, coping with systemic deficiencies and a more integrated assessment of safety in its societal context. In The Netherlands recognition of the importance of independent investigations has led to an expansion of this philosophy from the transport sector to other sectors. The philosophy now covers transport, industry, defense, natural disaster, environment and health and other major occurrences such as explosions, fires, and collapse of buildings or structures. In 2003 a multi-sector covering law will establish an independent safety board in The Netherlands. At a European level, mandatory investigation agencies are recognized as indispensable safety instruments for aviation, railways and the maritime sector, for which EU Directives are in place or being progressed [Transport accident and incident investigation in the European Union, European Transport Safety Council, ISBN 90-76024-10-3, Brussel, 2001]. Due to a series of major events, attention has been drawn to the consequences of disasters, highlighting the involvement of rescue and emergency services. They also have become subjected to investigative efforts, which in return, puts demands on investigation methodology. This paper comments on an evolutionary development in safety thinking and of safety boards, highlighting some consequences for strategic

Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration.

Science.gov (United States)

Taylor, Jennifer A; Gerwin, Daniel; Morlock, Laura; Miller, Marlene R

2011-12-01

To evaluate the need for triangulating case-finding tools in patient safety surveillance. This study applied four case-finding tools to error-associated patient safety events to identify and characterise the spectrum of events captured by these tools, using puncture or laceration as an example for in-depth analysis. Retrospective hospital discharge data were collected for calendar year 2005 (n=48,418) from a large, urban medical centre in the USA. The study design was cross-sectional and used data linkage to identify the cases captured by each of four case-finding tools. Three case-finding tools (International Classification of Diseases external (E) and nature (N) of injury codes, Patient Safety Indicators (PSI)) were applied to the administrative discharge data to identify potential patient safety events. The fourth tool was Patient Safety Net, a web-based voluntary patient safety event reporting system. The degree of mutual exclusion among detection methods was substantial. For example, when linking puncture or laceration on unique identifiers, out of 447 potential events, 118 were identical between PSI and E-codes, 152 were identical between N-codes and E-codes and 188 were identical between PSI and N-codes. Only 100 events that were identified by PSI, E-codes and N-codes were identical. Triangulation of multiple tools through data linkage captures potential patient safety events most comprehensively. Existing detection tools target patient safety domains differently, and consequently capture different occurrences, necessitating the integration of data from a combination of tools to fully estimate the total burden.

Pneumatic tool torque reaction: reaction forces, displacement, muscle activity and discomfort in the hand-arm system.

Science.gov (United States)

Kihlberg, S; Kjellberg, A; Lindbeck, L

1993-06-01

Reaction forces, hand-arm displacement, muscle activity and discomfort ratings were studied during the securing of threaded fasteners with three angle nutrunners with different shut-off mechanisms, but with the same spindle torque (72-74 Nm). The three tools were tested according to the method specified in ISO 6544. One of the tools had an almost instantaneous shut-off. Another had a more slowly declining torque curve. For the third tool the maximum torque was maintained for a while before shut-off. Twelve male subjects participated in the study. A force platform measured the reaction force between the subject and the floor. The option of the hand-arm system and the shoulder was measured with an optoelectronic measuring system. The muscle activity (EMG) in six muscles in the arm and shoulder was measured with surface electrodes. Significant differences in the arm movements and ground reaction forces were found between the three tools. The smallest values were found with the fast shut-off tool while the delayed shut-off tool caused the largest values. The EMG measures gave inconsistent response patterns. Discomfort ratings were highly correlated with the time for which the tool torque exceeded 90% of peak preset torque, but the time for which the tool torque exceeded 90% of peak calculated by the method specified in ISO 6544. Nutrunners with a shut-off mechanism that causes a slowly decreasing torque or a torque that is maintained for a while before shut-off should be avoided. If no substitutes are available, then a torque reaction bar should be mounted on the tool.

The safety evaluation guide for laboratories and plants a tool for enhancing safety

International Nuclear Information System (INIS)

Lhomme, Veronique; Daubard, Jean-Paul

2013-01-01

The Institute for Radioprotection and Nuclear Safety (IRSN) acts as technical support for the French government Authorities competent in nuclear safety and radiation protection for civil and defence activities. In this frame, the Institute's performs safety assessments of the safety cases submitted by operators to these Authorities for each stage in the life cycle of a nuclear facility, including dismantling operations, which is subjected to a licensing procedure. In the fuel cycle field, this concerns a large variety of facilities. Very often, depending on facilities and on safety cases, safety assessment to be performed is multidisciplinary and involves the supervisor in charge of the facility and several safety experts, particularly to cover the whole set of risks (criticality, exposure to radiation, fire, handling, containment, human and organisational factors...) encountered during facility's operations. Taking these into account, and in order to formalize the assessment process of the fuel cycle facilities, laboratories, irradiators, particle accelerators, under-decommissioning reactors and radioactive waste management, the 'Plants, Laboratories, Transports and Waste Safety' Division of IRSN has developed an internal guide, as a tool: - To present the methodological framework, and possible specificities, for the assessment according to the 'Defence in Depth Concept' (Part 1); - To provide key questions associated to the necessary contradictory technical review of the safety cases (Part 2); - To capitalise on experience on the basis of technical examples (coming from incident reports, previous safety assessments...) demonstrating the questioning (Part 3). The guide is divided in chapters, each dedicated to a type of risk (dissemination of radioactive material, external or internal exposure from ionising radiation, criticality, radiolysis mechanisms, handling operations, earthquake, human or organisational factors...) or to a type

The Safety of Transnational Imported Second-Hand Cars: A Case Study on Vehicle-to-Vehicle Crashes in Romania

Directory of Open Access Journals (Sweden)

Anatolie Coșciug

2017-12-01

Full Text Available Certain features of imported second-hand cars (e.g., age, degree of wear and tear, technical design can increase their likelihood for traffic crashes. Three official datasets which cover an eight year period (2008–2015 are used to test the connection between importation of second-hand cars and different types of traffic crashes. The traffic crashes database was provided by the Traffic Department of the General Inspectorate of Romanian Police (GIRPTD. The car registration database was provided by Driving-License and Vehicles-Registration Direction (DLVRD. Right-hand driving (RHD cars database was provided by the Romanian Automotive Registry (RAR. A spatio-temporal visualization of data was performed using Geographic Information System (GIS while for the statistical analysis we use regression models and Pearson-Correlation-coefficient. The analysis suggests that a significant part of the variation in the volume of traffic accidents can be explained by the volume of imported second-hand cars at the county level. Moreover, an even stronger direct relation exists between the number of imported second-hand cars and Severe Traffic Accidents but also in the case of RHD imported second-hand cars. The overall impact of imported second-hand cars on the traffic safety in Romania is significant but small in comparison to other types of car registration. Study results belong to the category of empirical evidence production which can improve the quality of existing traffic regulations focused both on organizing and ensuring traffic safety, and on the policy of sustainable transport infrastructure development.

Measurement of Food Safety Culture using Survey and Maturity Profiling Tools

OpenAIRE

Jespersen, Lone; Griffiths, Mansel; Maclaurin, Tanya; Chapman, Ben; Wallace, Carol A.

2016-01-01

Organizational culture is defined by dimensions and characteristics that can be used to measure food safety culture in food manufacturing through a food safety maturity model. Maturity models from quality, health care, and information technology have been used since early 1970 and this work presents a novel food safety culture maturity model with five capability areas and food safety pinpointed behaviours specific to functions and levels in a food manufacturing company. A survey tool linked t...

Module Testing Techniques for Nuclear Safety Critical Software Using LDRA Testing Tool

International Nuclear Information System (INIS)

Moon, Kwon-Ki; Kim, Do-Yeon; Chang, Hoon-Seon; Chang, Young-Woo; Yun, Jae-Hee; Park, Jee-Duck; Kim, Jae-Hack

2006-01-01

The safety critical software in the I and C systems of nuclear power plants requires high functional integrity and reliability. To achieve those requirement goals, the safety critical software should be verified and tested according to related codes and standards through verification and validation (V and V) activities. The safety critical software testing is performed at various stages during the development of the software, and is generally classified as three major activities: module testing, system integration testing, and system validation testing. Module testing involves the evaluation of module level functions of hardware and software. System integration testing investigates the characteristics of a collection of modules and aims at establishing their correct interactions. System validation testing demonstrates that the complete system satisfies its functional requirements. In order to generate reliable software and reduce high maintenance cost, it is important that software testing is carried out at module level. Module testing for the nuclear safety critical software has rarely been performed by formal and proven testing tools because of its various constraints. LDRA testing tool is a widely used and proven tool set that provides powerful source code testing and analysis facilities for the V and V of general purpose software and safety critical software. Use of the tool set is indispensable where software is required to be reliable and as error-free as possible, and its use brings in substantial time and cost savings, and efficiency

Hand Therapy

Science.gov (United States)

... from conditions such as carpal tunnel syndrome and tennis elbow , as well as from chronic problems such as ... Tools Advice from a Certified Hand Therapist on Tennis Elbow Advice from a Certified Hand Therapist: Living with( ...

Construction safety in DOE. Part 1, Students guide

Energy Technology Data Exchange (ETDEWEB)

Handwerk, E C

1993-08-01

This report is the first part of a compilation of safety standards for construction activities on DOE facilities. This report covers the following areas: general safety and health provisions; occupational health and environmental control/haz mat; personal protective equipment; fire protection and prevention; signs, signals, and barricades; materials handling, storage, use, and disposal; hand and power tools; welding and cutting; electrical; and scaffolding.

Development of a non-expert risk assessment method for hand-arm related tasks (HARM)

NARCIS (Netherlands)

Douwes, M.; Kraker, H. de

2014-01-01

To support health and safety practitioners in their obligation of risk assessment the 'Hand Arm Risk Assessment Method' (HARM) was developed. This tool can be used by any type of company for risk assessment of developing arm, neck or shoulders symptoms (pain) resulting from light manual tasks.This

Lab Safety and Bioterrorism Readiness Curricula Using Active Learning and Hands-on Strategies as Continuing Education for Medical Technologists

Directory of Open Access Journals (Sweden)

Steven Fiester

2010-04-01

Full Text Available Frequent reports of laboratory- (and hospital- acquired infection suggest a deficiency in safety training or lack of compliance. To assess the need for continuing education (CE addressing this problem, an original education needs assessment survey was designed and administered to medical technologists (med-techs in Northeast Ohio. Survey results were used to design a learner-centered training curriculum (for example, Lab Safety and Bioterrorism Readiness trainings that engaged med-techs in active learning, integrative peer-to-peer teaching, and hands-on exercises in order to improve microbiology safety knowledge and associated laboratory techniques. The Lab Safety training was delivered six times and the Bioterrorism Readiness training was delivered five times. Pre/posttesting revealed significant gains in knowledge and techniques specific to laboratory safety, security, risk assessment, and bioterrorism readiness amongst the majority of med-techs completing the CE trainings. The majority of participants felt that the hands-on exercises met their needs and that their personal laboratory practices would change as a result of the training course, as measured by attitudinal surveys. We conclude that active learning techniques and peer education significantly enhance microbiology learning amongst participating med-techs.

Clean Hands Count

Medline Plus

Full Text Available ... 14. Lake Health 14,415 views 3:14 Safety Demo: The Importance of Hand Washing - Duration: 2: ... Copyright Creators Advertise Developers +YouTube Terms Privacy Policy & Safety Send feedback Test new features Loading... Working... Sign ...

A Tool for Safety Officers Investigating " simple" Accidents

DEFF Research Database (Denmark)

Jørgensen, Kirsten

2010-01-01

Most workplace accidents that happen in enterprises are simple and seldom result in serious injuries. Very often these kinds of workplace accidents are not investigated, and if they are, then the investigation is very brief, with comments such as that it was the victim’s own fault or just...... accidents normally caused by apparent banalities occur much more frequently and with a higher rate of fatalities, disablements and other serious injuries than the ostensibly most dangerous kinds of accidents. In 1999 a practical tool for use by safety officers was developed; this tool is based...... on the investigation methods applied in major accidents, but comprises a simpler and more user-friendly presentation. The tool involves three steps: Mapping the facts, analysing the events, and developing preventive solutions. Practical application of the tool has shown that it affords managers and workers...

Screening of Gas-Cooled Reactor Thermal-Hydraulic and Safety Analysis Tools and Experimental Database

International Nuclear Information System (INIS)

Lee, Won Jae; Kim, Min Hwan; Lee, Seung Wook

2007-08-01

This report is a final report of I-NERI Project, 'Screening of Gas-cooled Reactor Thermal Hydraulic and Safety Analysis Tools and Experimental Database 'jointly carried out by KAERI, ANL and INL. In this study, we developed the basic technologies required to develop and validate the VHTR TH/safety analysis tools and evaluated the TH/safety database information. The research tasks consist of; 1) code qualification methodology (INL), 2) high-level PIRTs for major nucleus set of events (KAERI, ANL, INL), 3) initial scaling and scoping analysis (ANL, KAERI, INL), 4) filtering of TH/safety tools (KAERI, INL), 5) evaluation of TH/safety database information (KAERI, INL, ANL) and 6) key scoping analysis (KAERI). The code qualification methodology identifies the role of PIRTs in the R and D process and the bottom-up and top-down code validation methods. Since the design of VHTR is still evolving, we generated the high-level PIRTs referencing 600MWth block-type GT-MHR and 400MWth pebble-type PBMR. Nucleus set of events that represents the VHTR safety and operational transients consists of the enveloping scenarios of HPCC (high pressure conduction cooling: loss of primary flow), LPCC/Air-Ingress (low pressure conduction cooling: loss of coolant), LC (load changes: power maneuvering), ATWS (anticipated transients without scram: reactivity insertion), WS (water ingress: water-interfacing system break) and HU (hydrogen-side upset: loss of heat sink). The initial scaling analysis defines dimensionless parameters that need to be reflected in mixed convection modeling and the initial scoping analysis provided the reference system transients used in the PIRTs generation. For the PIRTs phenomena, we evaluated the modeling capability of the candidate TH/safety tools and derived a model improvement need. By surveying and evaluating the TH/safety database information, a tools V and V matrix has been developed. Through the key scoping analysis using available database, the modeling

Screening of Gas-Cooled Reactor Thermal-Hydraulic and Safety Analysis Tools and Experimental Database

Energy Technology Data Exchange (ETDEWEB)

Lee, Won Jae; Kim, Min Hwan; Lee, Seung Wook (and others)

2007-08-15

This report is a final report of I-NERI Project, 'Screening of Gas-cooled Reactor Thermal Hydraulic and Safety Analysis Tools and Experimental Database 'jointly carried out by KAERI, ANL and INL. In this study, we developed the basic technologies required to develop and validate the VHTR TH/safety analysis tools and evaluated the TH/safety database information. The research tasks consist of; 1) code qualification methodology (INL), 2) high-level PIRTs for major nucleus set of events (KAERI, ANL, INL), 3) initial scaling and scoping analysis (ANL, KAERI, INL), 4) filtering of TH/safety tools (KAERI, INL), 5) evaluation of TH/safety database information (KAERI, INL, ANL) and 6) key scoping analysis (KAERI). The code qualification methodology identifies the role of PIRTs in the R and D process and the bottom-up and top-down code validation methods. Since the design of VHTR is still evolving, we generated the high-level PIRTs referencing 600MWth block-type GT-MHR and 400MWth pebble-type PBMR. Nucleus set of events that represents the VHTR safety and operational transients consists of the enveloping scenarios of HPCC (high pressure conduction cooling: loss of primary flow), LPCC/Air-Ingress (low pressure conduction cooling: loss of coolant), LC (load changes: power maneuvering), ATWS (anticipated transients without scram: reactivity insertion), WS (water ingress: water-interfacing system break) and HU (hydrogen-side upset: loss of heat sink). The initial scaling analysis defines dimensionless parameters that need to be reflected in mixed convection modeling and the initial scoping analysis provided the reference system transients used in the PIRTs generation. For the PIRTs phenomena, we evaluated the modeling capability of the candidate TH/safety tools and derived a model improvement need. By surveying and evaluating the TH/safety database information, a tools V and V matrix has been developed. Through the key scoping analysis using available database, the

Back to basics: hand hygiene and surgical hand antisepsis.

Science.gov (United States)

Spruce, Lisa

2013-11-01

Health care-associated infections (HAIs) are a significant issue in the United States and throughout the world, but following proper hand hygiene practices is the most effective and least expensive way to prevent HAIs. Hand hygiene is inexpensive and protects patients and health care personnel alike. The four general types of hand hygiene that should be performed in the perioperative environment are washing hands that are visibly soiled, hand hygiene using alcohol-based products, surgical hand scrubs, and surgical hand scrubs using an alcohol-based surgical hand rub product. Barriers to proper hand hygiene may include not thinking about it, forgetting, skin irritation, a lack of role models, or a lack of a safety culture. One strategy for improving hand hygiene practices is monitoring hand hygiene as part of a quality improvement project, but the most important aspect for perioperative team members is to set an example for other team members by following proper hand hygiene practices and reminding each other to perform hand hygiene. Copyright © 2013 AORN, Inc. Published by Elsevier Inc. All rights reserved.

Conception of a PWR simulator as a tool for safety analysis

International Nuclear Information System (INIS)

Lanore, J.M.; Bernard, P.; Romeyer Dherbey, J.; Bonnet, C.; Quilchini, P.

1982-09-01

A simulator can be a very useful tool for safety analysis to study accident sequences involving malfunctions of the systems and operator interventions. The main characteristics of the simulator SALAMANDRE (description of the systems, physical models, programming organization, control desk) have then been selected according tot he objectives of safety analysis

Die Sprache der Hande zu den Handen sprechen (Talking the Language of the Hands to the Hands). DB-LINK.

Science.gov (United States)

Miles, Barbara

This paper examines the importance of hands for the person who is deafblind, reviews hand development, and identifies specific teaching skills that facilitate hand development and expressiveness in persons who are deafblind. It notes that the hands of a deafblind individual serve not only as tools but also as sense organs (to compensate for their…

Development of an Evaluation Tool for Online Food Safety Training Programs

Science.gov (United States)

Neal, Jack A., Jr.; Murphy, Cheryl A.; Crandall, Philip G.; O'Bryan, Corliss A.; Keifer, Elizabeth; Ricke, Steven C.

2011-01-01

The objective of this study was to provide the person in charge and food safety instructors an assessment tool to help characterize, identify strengths and weaknesses, determine the completeness of the knowledge gained by the employee, and evaluate the level of content presentation and usability of current retail food safety training platforms. An…

MO-DE-BRA-04: Hands-On Fluoroscopy Safety Training with Real-Time Patient and Staff Dosimetry

International Nuclear Information System (INIS)

Vanderhoek, M; Bevins, N

2016-01-01

Purpose: Fluoroscopically guided interventions (FGI) are routinely performed across many different hospital departments. However, many involved staff members have minimal training regarding safe and optimal use of fluoroscopy systems. We developed and taught a hands-on fluoroscopy safety class incorporating real-time patient and staff dosimetry in order to promote safer and more optimal use of fluoroscopy during FGI. Methods: The hands-on fluoroscopy safety class is taught in an FGI suite, unique to each department. A patient equivalent phantom is set on the patient table with an ion chamber positioned at the x-ray beam entrance to the phantom. This provides a surrogate measure of patient entrance dose. Multiple solid state dosimeters (RaySafe i2 dosimetry systemTM) are deployed at different distances from the phantom (0.1, 1, 3 meters), which provide surrogate measures of staff dose. Instructors direct participating clinical staff to operate the fluoroscopy system as they view live fluoroscopic images, patient entrance dose, and staff doses in real-time. During class, instructors work with clinical staff to investigate how patient entrance dose, staff doses, and image quality are affected by different parameters, including pulse rate, magnification, collimation, beam angulation, imaging mode, system geometry, distance, and shielding. Results: Real-time dose visualization enables clinical staff to directly see and learn how to optimize their use of their own fluoroscopy system to minimize patient and staff dose, yet maintain sufficient image quality for FGI. As a direct result of the class, multiple hospital departments have implemented changes to their imaging protocols, including reduction of the default fluoroscopy pulse rate and increased use of collimation and lower dose fluoroscopy modes. Conclusion: Hands-on fluoroscopy safety training substantially benefits from real-time patient and staff dosimetry incorporated into the class. Real-time dose display helps

MO-DE-BRA-04: Hands-On Fluoroscopy Safety Training with Real-Time Patient and Staff Dosimetry

Energy Technology Data Exchange (ETDEWEB)

Vanderhoek, M; Bevins, N [Henry Ford Health System, Detroit, MI (United States)

2016-06-15

Purpose: Fluoroscopically guided interventions (FGI) are routinely performed across many different hospital departments. However, many involved staff members have minimal training regarding safe and optimal use of fluoroscopy systems. We developed and taught a hands-on fluoroscopy safety class incorporating real-time patient and staff dosimetry in order to promote safer and more optimal use of fluoroscopy during FGI. Methods: The hands-on fluoroscopy safety class is taught in an FGI suite, unique to each department. A patient equivalent phantom is set on the patient table with an ion chamber positioned at the x-ray beam entrance to the phantom. This provides a surrogate measure of patient entrance dose. Multiple solid state dosimeters (RaySafe i2 dosimetry systemTM) are deployed at different distances from the phantom (0.1, 1, 3 meters), which provide surrogate measures of staff dose. Instructors direct participating clinical staff to operate the fluoroscopy system as they view live fluoroscopic images, patient entrance dose, and staff doses in real-time. During class, instructors work with clinical staff to investigate how patient entrance dose, staff doses, and image quality are affected by different parameters, including pulse rate, magnification, collimation, beam angulation, imaging mode, system geometry, distance, and shielding. Results: Real-time dose visualization enables clinical staff to directly see and learn how to optimize their use of their own fluoroscopy system to minimize patient and staff dose, yet maintain sufficient image quality for FGI. As a direct result of the class, multiple hospital departments have implemented changes to their imaging protocols, including reduction of the default fluoroscopy pulse rate and increased use of collimation and lower dose fluoroscopy modes. Conclusion: Hands-on fluoroscopy safety training substantially benefits from real-time patient and staff dosimetry incorporated into the class. Real-time dose display helps

Evaluation of static analysis tools used to assess software important to nuclear power plant safety

Energy Technology Data Exchange (ETDEWEB)

Ourghanlian, Alain [EDF Lab CHATOU, Simulation and Information Technologies for Power Generation Systems Department, EDF R and D, Cedex (France)

2015-03-15

We describe a comparative analysis of different tools used to assess safety-critical software used in nuclear power plants. To enhance the credibility of safety assessments and to optimize safety justification costs, Electricit e de France (EDF) investigates the use of methods and tools for source code semantic analysis, to obtain indisputable evidence and help assessors focus on the most critical issues. EDF has been using the PolySpace tool for more than 10 years. Currently, new industrial tools based on the same formal approach, Abstract Interpretation, are available. Practical experimentation with these new tools shows that the precision obtained on one of our shutdown systems software packages is substantially improved. In the first part of this article, we present the analysis principles of the tools used in our experimentation. In the second part, we present the main characteristics of protection-system software, and why these characteristics are well adapted for the new analysis tools.

An Evaluation Tool for Agricultural Health and Safety Mobile Applications.

Science.gov (United States)

Reyes, Iris; Ellis, Tammy; Yoder, Aaron; Keifer, Matthew C

2016-01-01

As the use of mobile devices and their software applications, or apps, becomes ubiquitous, use amongst agricultural working populations is expanding as well. The smart device paired with a well-designed app has potential for improving workplace health and safety in the hands of those who can act upon the information provided. Many apps designed to assess workplace hazards and implementation of worker protections already exist. However, the abundance and diversity of such applications also presents challenges regarding evaluation practices and assignation of value. This is particularly true in the agricultural workspace, as there is currently little information on the value of these apps for agricultural safety and health. This project proposes a framework for developing and evaluating apps that have potential usefulness in agricultural health and safety. The evaluation framework is easily transferable, with little modification for evaluation of apps in several agriculture-specific areas.

Measurement tools and process indicators of patient safety culture in primary care. A mixed methods study by the LINNEAUS collaboration on patient safety in primary care

Science.gov (United States)

Parker, Dianne; Wensing, Michel; Esmail, Aneez; Valderas, Jose M

2015-01-01

ABSTRACT Background: There is little guidance available to healthcare practitioners about what tools they might use to assess the patient safety culture. Objective: To identify useful tools for assessing patient safety culture in primary care organizations in Europe; to identify those aspects of performance that should be assessed when investigating the relationship between safety culture and performance in primary care. Methods: Two consensus-based studies were carried out, in which subject matter experts and primary healthcare professionals from several EU states rated (a) the applicability to their healthcare system of several existing safety culture assessment tools and (b) the appropriateness and usefulness of a range of potential indicators of a positive patient safety culture to primary care settings. The safety culture tools were field-tested in four countries to ascertain any challenges and issues arising when used in primary care. Results: The two existing tools that received the most favourable ratings were the Manchester patient safety framework (MaPsAF primary care version) and the Agency for healthcare research and quality survey (medical office version). Several potential safety culture process indicators were identified. The one that emerged as offering the best combination of appropriateness and usefulness related to the collection of data on adverse patient events. Conclusion: Two tools, one quantitative and one qualitative, were identified as applicable and useful in assessing patient safety culture in primary care settings in Europe. Safety culture indicators in primary care should focus on the processes rather than the outcomes of care. PMID:26339832

Tools for the performance assessment and improvement of food safety management systems ; review

NARCIS (Netherlands)

Jacxsens, L.; Luning, P.A.; Marcelis, W.J.; Boekel, van M.A.J.S.; Rovira, J.; Oses Gomez, S.; Kousta, M.; Drosinos, E.H.; Jasson, V.; Uyttendaele, M.

2011-01-01

Food business operators are challenged to combine requirements from different stakeholders (e.g. government, retailers) into a company specific Food Safety Management System (FSMS). Tools to diagnose the performance of an implemented FSMS (diagnostic tools), tools to help a selection process

[Adaptation of the Medical Office Survey on Patient Safety Culture (MOSPSC) tool].

Science.gov (United States)

Silvestre-Busto, C; Torijano-Casalengua, M L; Olivera-Cañadas, G; Astier-Peña, M P; Maderuelo-Fernández, J A; Rubio-Aguado, E A

2015-01-01

To adapt the Medical Office Survey on Patient Safety Culture (MOSPSC) Excel(®) tool for its use by Primary Care Teams of the Spanish National Public Health System. The process of translation and adaptation of MOSPSC from the Agency for Healthcare and Research in Quality (AHRQ) was performed in five steps: Original version translation, Conceptual equivalence evaluation, Acceptability and viability assessment, Content validity and Questionnaire test and response analysis, and psychometric properties assessment. After confirming MOSPSC as a valid, reliable, consistent and useful tool for assessing patient safety culture in our setting, an Excel(®) worksheet was translated and adapted in the same way. It was decided to develop a tool to analyze the "Spanish survey" and to keep it linked to the "Original version" tool. The "Spanish survey" comparison data are those obtained in a 2011 nationwide Spanish survey, while the "Original version" comparison data are those provided by the AHRQ in 2012. The translated and adapted tool and the analysis of the results from a 2011 nationwide Spanish survey are available on the website of the Ministry of Health, Social Services and Equality. It allows the questions which are decisive in the different dimensions to be determined, and it provides a comparison of the results with graphical representation. Translation and adaptation of this tool enables a patient safety culture in Primary Care in Spain to be more effectively applied. Copyright © 2014 SECA. Published by Elsevier Espana. All rights reserved.

Analysing supercritical water reactor's (SCWR's) special safety systems using probabilistic tools

International Nuclear Information System (INIS)

Ituen, I.; Novog, D.R.

2011-01-01

The next generation of reactors, termed Generation IV, has very attractive features -- its superior safety characteristics, high thermal efficiency, and fuel cycle sustainability. A key element of the Generation IV designs is the improvement in safety, which in turn requires improvements in safety system performance and reliability, as well as a reduction in initiating event frequencies. This study compares the response of the systems important to safety in the CANDU-Supercritical Water Reactor to those of the generic CANDU under a main steamline break accident and loss of forced circulation events -- to quantify the improvements in safety for the pre-conceptual CANDU SCWR design. Probabilistic safety analysis is the tool used in this study to test the behavior of the pre- conceptual design during these events. (author)

Diagnostics of hand-arm system disorders in workers who use vibrating tools.

Science.gov (United States)

Gemne, G

1997-02-01

A hand-arm vibration syndrome occurs in some workers who use hand held vibrating tools. It is recognised to consist of white fingers, diffusely distributed finger neuropathy, pain in the arm and hand, and a small excess risk of osteoarthrosis from percussion to the wrist and elbow. Carpal tunnel syndrome is mainly due to ergonomic factors other than vibration, but certain factors related to vibration may contribute to its development. A decrease in muscle power induced by vibration, and excessive hearing deficit have been postulated. The assessment of a disorder suspected of being induced by vibration includes deciding whether there is a disorder and, if so, whether the symptoms can be caused by vibration. To decide whether the symptoms can be caused by vibration epidemiological documentation and pathogenically reasonable theories must exist. A causal diagnosis finally requires and epidemiological decision whether or not the factual exposure has elicited the patient's symptoms. Epidemiological data on the quantitative association between vibration and excessive risks of white fingers and diffusely distributed neuropathy are incomplete. The symptomatic diagnosis of white fingers is still mainly based on anamnestic information. Available laboratory tests are incapable of grading the severity of individual cases. Recording the finger systolic blood pressure during cold provocation is a method of symptomatic diagnosis with reasonable levels of specificity, sensitivity, and predictive value. For diffusely distributed neuropathy these levels are lower than desired. Electrodiagnostic tests for carpal tunnel syndrome have sufficient validity. Proper exposure evaluation must be based on an appreciation of the character of the vibration as well as effective duration and intermittency. If this is not taken into account, the number of hours of exposure and intensity of vibration are likely to be non-commensurable variables, and the simple product of them is a questionable dose

Ability of Hand Hygiene Interventions Using Alcohol-Based Hand Sanitizers and Soap To Reduce Microbial Load on Farmworker Hands Soiled during Harvest.

Science.gov (United States)

de Aceituno, Anna Fabiszewski; Bartz, Faith E; Hodge, Domonique Watson; Shumaker, David J; Grubb, James E; Arbogast, James W; Dávila-Aviña, Jorgé; Venegas, Fabiola; Heredia, Norma; García, Santos; Leon, Juan S

2015-11-01

Effective hand hygiene is essential to prevent the spread of pathogens on produce farms and reduce foodborne illness. The U.S. Food and Drug Administration Food Safety Modernization Act Proposed Rule for Produce Safety recommends the use of soap and running water for hand hygiene of produce handlers. The use of alcohol-based hand sanitizer (ABHS) may be an effective alternative hygiene intervention where access to water is limited. There are no published data on the efficacy of either soap or ABHS-based interventions to reduce microbial contamination in agricultural settings. The goal of this study was to assess the ability of two soap-based (traditional or pumice) and two ABHS-based (label-use or two-step) hygiene interventions to reduce microbes (coliforms, Escherichia coli, and Enterococcus spp.) and soil (absorbance of hand rinsate at 600 nm [A600]) on farmworker hands after harvesting produce, compared with the results for a no-hand-hygiene control. With no hand hygiene, farmworker hands were soiled (median A600, 0.48) and had high concentrations of coliforms (geometric mean, 3.4 log CFU per hand) and Enterococcus spp. (geometric mean, 5.3 log CFU per hand) after 1 to 2 h of harvesting tomatoes. Differences in microbial loads in comparison to the loads in the control group varied by indicator organism and hygiene intervention (0 to 2.3 log CFU per hand). All interventions yielded lower concentrations of Enterococcus spp. and E. coli (P hands (P hand washing with soap at reducing indicator organisms on farmworker hands. Based on these results, ABHS is an efficacious hand hygiene solution for produce handlers, even on soiled hands.

Risk monitor - a tool for operational safety assessment risk monitor - user's manual

International Nuclear Information System (INIS)

Hari Prasad, M.; Vinod, Gopika; Saraf, R.K.; Ghosh, A.K.

2006-06-01

Probabilistic Safety Assessment has become a key tool as on today to identify and understand Nuclear Power Plant vulnerabilities. As a result of the availability of these PSA studies, there is a desire to use them to enhance plant safety and to operate the nuclear stations in the most efficient manner. Risk Monitor is a PC based tool, which computes the real time safety level and assists plant personnel to manage day-to-day activities. Risk Monitor is a PC based user friendly software tool used for modification and re-analysis of a nuclear Power plant. Operation of Risk Monitor is based on PSA methods for assisting in day to day applications. Risk Monitoring programs can assess the risk profile and are used to optimize the operation of Nuclear Power Plants with respect to a minimum risk level over the operating time. This report presents the background activities of Risk Monitor, its application areas and the step by step procedure for the user.to interact with the software. This software can be used with the PSA model of any Nuclear Power Plant. (author)

QFD: a methodological tool for integration of ergonomics at the design stage.

Science.gov (United States)

Marsot, Jacques

2005-03-01

As a marked increase in the number of musculoskeletal disorders was noted in many industrialized countries and more specifically in companies that require the use of hand tools, the French National Research and Safety Institute launched in 1999 a research program on the topic of integrating ergonomics into hand tool design. After a brief review of the problems of integrating ergonomics at the design stage, the paper shows how the "Quality Function Deployment" method has been applied to the design of a boning knife and it highlights the difficulties encountered. Then, it demonstrates how this method can be a methodological tool geared to greater ergonomics consideration in product design.

Visual and visuomotor processing of hands and tools as a case study of cross talk between the dorsal and ventral streams.

Science.gov (United States)

Almeida, Jorge; Amaral, Lénia; Garcea, Frank E; Aguiar de Sousa, Diana; Xu, Shan; Mahon, Bradford Z; Martins, Isabel Pavão

2018-05-24

A major principle of organization of the visual system is between a dorsal stream that processes visuomotor information and a ventral stream that supports object recognition. Most research has focused on dissociating processing across these two streams. Here we focus on how the two streams interact. We tested neurologically-intact and impaired participants in an object categorization task over two classes of objects that depend on processing within both streams-hands and tools. We measured how unconscious processing of images from one of these categories (e.g., tools) affects the recognition of images from the other category (i.e., hands). Our findings with neurologically-intact participants demonstrated that processing an image of a hand hampers the subsequent processing of an image of a tool, and vice versa. These results were not present in apraxic patients (N = 3). These findings suggest local and global inhibitory processes working in tandem to co-register information across the two streams.

TEL4Health – Mobile tools to improve patient safety

NARCIS (Netherlands)

Drachsler, Hendrik; Kalz, Marco; Specht, Marcus

2013-01-01

Drachsler, H., Kalz, M., & Specht, M. (2013, 10 October). TEL4Health – Mobile tools to improve patient safety. Presentation given at the blended learning platform of the Netherlands Organisation for Hospitals (Nederlandse Vereniging van Ziekenhuizen), Utrecht, The Netherlands.

Uncertain added value of Global Trigger Tool for monitoring of patient safety in cancer care

DEFF Research Database (Denmark)

Lipczak, Henriette; Neckelmann, Kirsten; Steding-Jessen, Marianne

2011-01-01

Monitoring patient safety is a challenging task. The lack of a golden standard has contributed to the recommendation and introduction of several methods. In 2000 the Danish Lung Cancer Registry (DLCR) was established to monitor the clinical management of lung cancer. In 2008 the Global Trigger Tool...... (GTT) was recommended in Denmark as a tool for the monitoring of patient safety. Ideally, the recommendation of a new tool should be preceded by a critical assessment of its added value....

Choice and complexation of techniques and tools for assessment of NPP I and C systems safety

International Nuclear Information System (INIS)

Illiashenko, Oleg; Babeshko, Eugene

2011-01-01

There are a lot of techniques to analyze and assess reliability and safety of NPP Instrumentation and Control (I and C) systems (e.g. FMEA - Failure Modes and Effects Analysis and its modifications, FTA - Fault Tree Analysis, HAZOP - Hazard and Operability Analysis, RBD - Reliability Block Diagram, Markov Models, etc.) and quantity of tools based on these techniques is constantly increasing. Known ways of safety assessment, as well as problems of their choice and complexation are analyzed. Objective of the paper is the development of general 'technique of techniques choosing' and tool for support of such technique. The following criteria are used for analysis and comparison and their features are described: compliance to normative documents; experience of application in industry; methods used for assessment of system NPP I and C safety; tool architecture/framework; reporting; vendor support, etc. Comparative analysis results of existing T and T - Tools and Techniques for safety analysis are presented in matrix form ('Tools-Criterion') with example. Features of complexation of different safety assessment techniques (FMECA, FTA, RBD, Markov Models) are described. The proposed technique is implemented as special tool for decision-making. The proposed technique was used for development of RPC Radiy company standard CS 66. This guide contains requirements and procedures of FMECA analysis of developed and produced NPP I and C systems based on RADIY platform. (author)

BARC-risk monitor- a tool for operational safety assessment in nuclear power plants

International Nuclear Information System (INIS)

Vinod, Gopika; Saraf, R.K.; Babar, A.K.; Hadap, Nikhil

2000-12-01

Probabilistic safety assessment has become a key tool as on today to identify and understand nuclear power plant vulnerabilities. As a result of the availability of these PSA studies, there is a desire to use them to enhance plant safety and to operate the nuclear stations in the most efficient manner. Risk monitor is a PC based tool, which computes the real time safety level and assists plant personnel to manage day-to-day activities. Risk monitor is a PC based user friendly software tool used for modification and re-analysis of a nuclear power plant. Operation of risk monitor is based on PSA methods for assisting in day to day applications. Risk monitoring programs can assess the risk profile and are used to optimise the operation of nuclear power plants with respect to a minimum risk level over the operating time. This report presents the background activities of risk monitor, its application areas and also gives the status of such tools in international scenarios. The software is based on the PSA model of Kaiga generating station and would be applicable to similar design configuration. (author)

Maritime Safety and Security Challenges – 3D Simulation Based Training

OpenAIRE

Christoph Felsenstein; Knud Benedict; Michael Baldauf

2013-01-01

Maritime Safety and Security on board ships very much depends on well trained crews. That is why training and exercising emergency response procedures as well as efficiency in reliable management are extremely necessary. On the other hand research as well as technological development in safety and security, tools and other kinds of technical and organizational systems contribute to further improvement and guarantee high levels of safety and security in maritime transportation. Simulation faci...

Evaluation of methods and tools to develop safety concepts and to demonstrate safety for an HLW repository in salt. Final report

Energy Technology Data Exchange (ETDEWEB)

Bollingerfehr, W.; Buhmann, D.; Doerr, S.; and others

2017-03-15

safety demonstration are the integrity proofs for the geological and geotechnical barriers and analysis of backfill compaction. In addition, any possible radionuclide release from the repository to the environment has also to be assessed. The safety and demonstration concept developed in the course of the ISIBEL project was further evolved and applied in the course of the R and D project ''Vorlaeufige Sicherheitsanalyse Gorleben - VSG'' (preliminary safety analysis Gorleben) as an example for an HLW repository in a domal salt structure. The repository concepts also consider the requirement for retrievability of stored waste during the operational phase of the repository. The results of the R and D project VSG provide evidence that a safe HLW repository within a salt dome of a suitable geologic structure is feasible. The long-term safety can be ensured using state-of-the-art science and technology. In 2010, the Federal Ministry for the Environment, Nature Conservation and Nuclear Safety (BMU) issued new safety requirements for the disposal of heat-generating radioactive waste. These requirements have been included in the analysis. After completion of the VSG project in 2013 complementary work has been performed within the framework of the ISIBEL programme. In this context e.g. potential contributions of natural and antropogenic analogs to confidence building were addressed as well as the feasibility and limits of deriving a repository conc ept strictly from requirements. The report in hands provides a comprehensive summary of the results of R and D work regarding HLW disposal in domal salt formations that has been performed after launching the ISIBEL programme in 2005. This study shows the depth of the geological and technical knowledge on final disposal of HLW in a salt dome with a suitable geologic structure that had been gained up to now and demonstrates that the tools required for safety evaluations are available and allow reliable safety

Evaluation of methods and tools to develop safety concepts and to demonstrate safety for an HLW repository in salt. Final report

International Nuclear Information System (INIS)

Bollingerfehr, W.; Buhmann, D.; Doerr, S.

2017-03-01

safety demonstration are the integrity proofs for the geological and geotechnical barriers and analysis of backfill compaction. In addition, any possible radionuclide release from the repository to the environment has also to be assessed. The safety and demonstration concept developed in the course of the ISIBEL project was further evolved and applied in the course of the R and D project ''Vorlaeufige Sicherheitsanalyse Gorleben - VSG'' (preliminary safety analysis Gorleben) as an example for an HLW repository in a domal salt structure. The repository concepts also consider the requirement for retrievability of stored waste during the operational phase of the repository. The results of the R and D project VSG provide evidence that a safe HLW repository within a salt dome of a suitable geologic structure is feasible. The long-term safety can be ensured using state-of-the-art science and technology. In 2010, the Federal Ministry for the Environment, Nature Conservation and Nuclear Safety (BMU) issued new safety requirements for the disposal of heat-generating radioactive waste. These requirements have been included in the analysis. After completion of the VSG project in 2013 complementary work has been performed within the framework of the ISIBEL programme. In this context e.g. potential contributions of natural and antropogenic analogs to confidence building were addressed as well as the feasibility and limits of deriving a repository conc ept strictly from requirements. The report in hands provides a comprehensive summary of the results of R and D work regarding HLW disposal in domal salt formations that has been performed after launching the ISIBEL programme in 2005. This study shows the depth of the geological and technical knowledge on final disposal of HLW in a salt dome with a suitable geologic structure that had been gained up to now and demonstrates that the tools required for safety evaluations are available and allow reliable safety assessments of HLW

Department of Energy Construction Safety Reference Guide

Energy Technology Data Exchange (ETDEWEB)

1993-09-01

DOE has adopted the Occupational Safety and Health Administration (OSHA) regulations Title 29 Code of Federal Regulations (CFR) 1926 ``Safety and Health Regulations for Construction,`` and related parts of 29 CFR 1910, ``Occupational Safety and Health Standards.`` This nonmandatory reference guide is based on these OSHA regulations and, where appropriate, incorporates additional standards, codes, directives, and work practices that are recognized and accepted by DOE and the construction industry. It covers excavation, scaffolding, electricity, fire, signs/barricades, cranes/hoists/conveyors, hand and power tools, concrete/masonry, stairways/ladders, welding/cutting, motor vehicles/mechanical equipment, demolition, materials, blasting, steel erection, etc.

76 FR 24856 - Heavy Forged Hand Tools (i.e., Axes & Adzes, Bars & Wedges, Hammers & Sledges, and Picks...

Science.gov (United States)

2011-05-03

... DEPARTMENT OF COMMERCE International Trade Administration [A-570-803] Heavy Forged Hand Tools (i.e... Administration, International Trade Administration, Department of Commerce. SUMMARY: On January 3, 2011, the Department of Commerce (``Department'') initiated a sunset review of the antidumping duty orders on heavy...

Development of a multilevel health and safety climate survey tool within a mining setting.

Science.gov (United States)

Parker, Anthony W; Tones, Megan J; Ritchie, Gabrielle E

2017-09-01

This study aimed to design, implement and evaluate the reliability and validity of a multifactorial and multilevel health and safety climate survey (HSCS) tool with utility in the Australian mining setting. An 84-item questionnaire was developed and pilot tested on a sample of 302 Australian miners across two open cut sites. A 67-item, 10 factor solution was obtained via exploratory factor analysis (EFA) representing prioritization and attitudes to health and safety across multiple domains and organizational levels. Each factor demonstrated a high level of internal reliability, and a series of ANOVAs determined a high level of consistency in responses across the workforce, and generally irrespective of age, experience or job category. Participants tended to hold favorable views of occupational health and safety (OH&S) climate at the management, supervisor, workgroup and individual level. The survey tool demonstrated reliability and validity for use within an open cut Australian mining setting and supports a multilevel, industry specific approach to OH&S climate. Findings suggested a need for mining companies to maintain high OH&S standards to minimize risks to employee health and safety. Future research is required to determine the ability of this measure to predict OH&S outcomes and its utility within other mine settings. As this tool integrates health and safety, it may have benefits for assessment, monitoring and evaluation in the industry, and improving the understanding of how health and safety climate interact at multiple levels to influence OH&S outcomes. Copyright © 2017 National Safety Council and Elsevier Ltd. All rights reserved.

Accident prediction models for rural junctions on four European countries. Road Infrastructure Safety Management Evaluation Tools (RISMET), Deliverable No. 6.1.

NARCIS (Netherlands)

Azeredo Lopes, S. de & Lourenço Cardoso, J.

2014-01-01

The "Road Infrastructure Safety Management Evaluation Tools (RISMET)" project targets objective A (Development of evaluation tools) of the Joint Call for Proposals for Safety at the Heart of Road Design ("The Call"). This project aims at developing suitable road safety engineering evaluation tools

AN ADVANCED TOOL FOR APPLIED INTEGRATED SAFETY MANAGEMENT

Energy Technology Data Exchange (ETDEWEB)

Potts, T. Todd; Hylko, James M.; Douglas, Terence A.

2003-02-27

WESKEM, LLC's Environmental, Safety and Health (ES&H) Department had previously assessed that a lack of consistency, poor communication and using antiquated communication tools could result in varying operating practices, as well as a failure to capture and disseminate appropriate Integrated Safety Management (ISM) information. To address these issues, the ES&H Department established an Activity Hazard Review (AHR)/Activity Hazard Analysis (AHA) process for systematically identifying, assessing, and controlling hazards associated with project work activities during work planning and execution. Depending on the scope of a project, information from field walkdowns and table-top meetings are collected on an AHR form. The AHA then documents the potential failure and consequence scenarios for a particular hazard. Also, the AHA recommends whether the type of mitigation appears appropriate or whether additional controls should be implemented. Since the application is web based, the information is captured into a single system and organized according to the >200 work activities already recorded in the database. Using the streamlined AHA method improved cycle time from over four hours to an average of one hour, allowing more time to analyze unique hazards and develop appropriate controls. Also, the enhanced configuration control created a readily available AHA library to research and utilize along with standardizing hazard analysis and control selection across four separate work sites located in Kentucky and Tennessee. The AHR/AHA system provides an applied example of how the ISM concept evolved into a standardized field-deployed tool yielding considerable efficiency gains in project planning and resource utilization. Employee safety is preserved through detailed planning that now requires only a portion of the time previously necessary. The available resources can then be applied to implementing appropriate engineering, administrative and personal protective equipment

More than Solfège and Hand Signs: Philosophy, Tools, and Lesson Planning in the Authentic Kodály Classroom

Science.gov (United States)

Bowyer, James

2015-01-01

Four components of the Kodály concept are delineated here: philosophy, objectives, essential tools, and lesson planning process. After outlining the tenets of the Kodály philosophy and objectives, the article presents the Kodály concept's essential tools, including singing, movable "do" solfège, rhythm syllables, hand signs, singing on…

[Hand fine motor skills and use of both hand and arm in subjects after a stroke: a systematic review].

Science.gov (United States)

Ostolaza, M; Abudarham, J; Dilascio, S; Drault-Boedo, E; Gallo, S; Garcete, A; Kramer, M; Maiaru, M; Mendelevich, A; Modica, M; Peralta, F; Sanchez-Correa, C

2017-04-01

In clinical practice it is important to be able to assess the function of the upper limb of the patient who has suffered a stroke. There is currently no systemic review that could identify assessment tools for the 'fine use of the hand' and 'use of both hand and arm'. Primary, to identify observational tools which can assess the fine use of the hand and the use of both hand and arm in patients with stroke sequels. Secondary, to analyze the bias risk in the included articles, describing and categorizing the clinical utility, validity and reliability. A search was carried in Medline, LILACS, SciELO and Open Grey, which included articles published until October 2015. Studies that validate assessing tools of the upper limb in subjects with a stroke sequel which evaluate the fine use of the hand and the use of both hand and arm were included. Eleven tools in evaluate observational haven been selected, which assess the fine use of the hand and the use of hand and arm. In every case both validity and reliability have been reported, but clinical utility has been less considered for assessment. The studies that researched these tools showed a high risk of bias in their development. ARAT-19 showed a lower bias risk, but when it has to do with applicability and the reference trial is taken into account, the level of concern is high.

[Influence of promotional material on hand hygiene in the safety culture of a tertiary hospital].

Science.gov (United States)

Molina-Cabrillana, J; Dorta-Hung, M E; Otero Sanz, L; Henández Vera, J R; Martín-Rodríguez, M M; García de Carlos, P

2016-06-01

In order to increase safety culture about hand hygiene by means of messages and reminders about its importance in preventing nosocomial infections, we developed a new set of materials in the Complejo Hospitalario Universitario Insular Materno-Infantil of Las Palmas, Gran Canaria, constitued by two centres with 450 beds each and acredited for medical internal residents training. We hired a well-known caricaturist, who adapted the messages to the local way of speaking, by using characters that used to appear in his artwork in the local newspaper. Also, we continued to work with other graphic design professionals. We monitored adherence and consumption of products for hand rubbing. We noted an increase in both indicators in the following months after the implementation of this strategy. Moreover, we revised the infrastructures for hand hygiene, and were able to demonstrate improvements in most of the patient care areas. The material was well accepted by professionals, patients and visitors. No other interventions were made, so we think improvements can be attributable to this strategy in our setting. Copyright © 2016 SECA. Published by Elsevier Espana. All rights reserved.

Safety assessment driving radioactive waste management solutions (SADRWMS Methodology) implemented in a software tool (SAFRAN)

Energy Technology Data Exchange (ETDEWEB)

Kinker, M., E-mail: M.Kinker@iaea.org [International Atomic Energy Agency (IAEA), Vienna (Austria); Avila, R.; Hofman, D., E-mail: rodolfo@facilia.se [FACILIA AB, Stockholm (Sweden); Jova Sed, L., E-mail: jovaluis@gmail.com [Centro Nacional de Seguridad Nuclear (CNSN), La Habana (Cuba); Ledroit, F., E-mail: frederic.ledroit@irsn.fr [IRSN PSN-EXP/SSRD/BTE, (France)

2013-07-01

In 2004, the International Atomic Energy Agency (IAEA) organized the International Project on Safety Assessment Driving Radioactive Waste Management Solutions (SADRWMS) to examine international approaches to safety assessment for predisposal management of radioactive waste. The initial outcome of the SADRWMS Project was achieved through the development of flowcharts which could be used to improve the mechanisms for applying safety assessment methodologies to predisposal management of radioactive waste. These flowcharts have since been incorporated into DS284 (General Safety Guide on the Safety Case and Safety Assessment for Predisposal Management of Radioactive Waste), and were also considered during the early development stages of the Safety Assessment Framework (SAFRAN) Tool. In 2009 the IAEA presented DS284 to the IAEA Waste Safety Standards Committee, during which it was proposed that the graded approach to safety case and safety assessment be illustrated through the development of Safety Reports for representative predisposal radioactive waste management facilities and activities. To oversee the development of these reports, it was agreed to establish the International Project on Complementary Safety Reports: Development and Application to Waste Management Facilities (CRAFT). The goal of the CRAFT project is to develop complementary reports by 2014, which the IAEA could then publish as IAEA Safety Reports. The present work describes how the DS284 methodology and SAFRAN Tool can be applied in the development and review of the safety case and safety assessment to a range of predisposal waste management facilities or activities within the Region. (author)

Safety assessment driving radioactive waste management solutions (SADRWMS Methodology) implemented in a software tool (SAFRAN)

International Nuclear Information System (INIS)

Kinker, M.; Avila, R.; Hofman, D.; Jova Sed, L.; Ledroit, F.

2013-01-01

In 2004, the International Atomic Energy Agency (IAEA) organized the International Project on Safety Assessment Driving Radioactive Waste Management Solutions (SADRWMS) to examine international approaches to safety assessment for predisposal management of radioactive waste. The initial outcome of the SADRWMS Project was achieved through the development of flowcharts which could be used to improve the mechanisms for applying safety assessment methodologies to predisposal management of radioactive waste. These flowcharts have since been incorporated into DS284 (General Safety Guide on the Safety Case and Safety Assessment for Predisposal Management of Radioactive Waste), and were also considered during the early development stages of the Safety Assessment Framework (SAFRAN) Tool. In 2009 the IAEA presented DS284 to the IAEA Waste Safety Standards Committee, during which it was proposed that the graded approach to safety case and safety assessment be illustrated through the development of Safety Reports for representative predisposal radioactive waste management facilities and activities. To oversee the development of these reports, it was agreed to establish the International Project on Complementary Safety Reports: Development and Application to Waste Management Facilities (CRAFT). The goal of the CRAFT project is to develop complementary reports by 2014, which the IAEA could then publish as IAEA Safety Reports. The present work describes how the DS284 methodology and SAFRAN Tool can be applied in the development and review of the safety case and safety assessment to a range of predisposal waste management facilities or activities within the Region. (author)

Construction safety program for the National Ignition Facility, Appendix A

International Nuclear Information System (INIS)

Cerruti, S.J.

1997-01-01

Topics covered in this appendix include: General Rules-Code of Safe Practices; 2. Personal Protective Equipment; Hazardous Material Control; Traffic Control; Fire Prevention; Sanitation and First Aid; Confined Space Safety Requirements; Ladders and Stairways; Scaffolding and Lift Safety; Machinery, Vehicles, and Heavy Equipment; Welding and Cutting-General; Arc Welding; Oxygen/Acetylene Welding and Cutting; Excavation, Trenching, and Shoring; Fall Protection; Steel Erection; Working With Asbestos; Radiation Safety; Hand Tools; Electrical Safety; Nonelectrical Work Performed Near Exposed High-Voltage Power-Distribution Equipment; Lockout/Tagout Requirements; Rigging; A-Cranes; Housekeeping; Material Handling and Storage; Lead; Concrete and Masonry Construction

Construction safety program for the National Ignition Facility, Appendix A

Energy Technology Data Exchange (ETDEWEB)

Cerruti, S.J.

1997-06-26

Topics covered in this appendix include: General Rules-Code of Safe Practices; 2. Personal Protective Equipment; Hazardous Material Control; Traffic Control; Fire Prevention; Sanitation and First Aid; Confined Space Safety Requirements; Ladders and Stairways; Scaffolding and Lift Safety; Machinery, Vehicles, and Heavy Equipment; Welding and Cutting-General; Arc Welding; Oxygen/Acetylene Welding and Cutting; Excavation, Trenching, and Shoring; Fall Protection; Steel Erection; Working With Asbestos; Radiation Safety; Hand Tools; Electrical Safety; Nonelectrical Work Performed Near Exposed High-Voltage Power-Distribution Equipment; Lockout/Tagout Requirements; Rigging; A-Cranes; Housekeeping; Material Handling and Storage; Lead; Concrete and Masonry Construction.

Safety culture competition - expectations of a regulatory authority

International Nuclear Information System (INIS)

Keil, D.; Gloeckle, W.

2000-01-01

The accident at the Chernobyl nuclear power station on April 26, 1986 influenced the development of reactor safety and promulgated two basic concepts especially in Germany. On the one hand, extensive measures of in-plant accident management have greatly reduced the so-called residual risk. On the other hand, a comprehensive safety approach has been initiated which comprises the nuclear power plant as a system together with people, technology, and organization and also includes safety culture. In a modern regulatory concept based on the dynamic development of safety, the authority's classical regulatory function of controlling is supplemented by the objective of promoting safety. While preserving the division of responsibilities between the regulatory authority and plant operators, the authority uses 'constructive critical dialog' as a tool to enhance safety. Besides the regulatory assessment of safety culture on the basis of indications or indicators, also the continuous promotion of safety culture in a dialog with plant operators is seen as one of the duties of a regulatory authority. Continued efforts are necessary to maintain the high level of safety culture in German nuclear power plants. Operators are expected to establish a safety management which assigns top priority to safety issues, and which pursues the goal of supervising and promoting safety culture. Developments on the deregulated electricity markets must not lead to safety aspects ranking second to economic aspects. Moreover, also under changed boundary conditions, only the safe operation of nuclear power plants ensures economic viability. (orig.) [de

Experiences with the implementation of measures and tools for road safety improvement

Energy Technology Data Exchange (ETDEWEB)

Mikusova, M.

2016-07-01

The paper presents an overview on the road safety measures implemented in the framework of the “SOL – Save our lives” project. It contains summarization of general knowledge regarding the efficiency of the measures applied and conclusions from the analyses of developed strategies and action plans, including common issues, strengths and weaknesses of developed tools and puts these in the context of wider European Road Safety strategies. The purpose of the paper is to provide recommendations for an effective professional development of road safety programs at community level in the context of sustainable mobility. (Author)

[Hands well - all's well : Prevention campaign of the Austrian General Accident Insurance Institution (AUVA) to reduce hand injuries].

Science.gov (United States)

Leixnering, M; Pezzei, C; Schenk, C; Szolarz, C; Jurkowitsch, J; Quadlbauer, S

2017-06-01

Overall, 41% of all work-related accidents lead to a hand injury. In the younger generation, the incidence rate even rises to 50%. In Austria, these accidents result in approximately half a million sick leave days per annum, an average of 12.5 days per accident. In comparison, leisure-time hand injuries show a significantly higher accident rate: 60% of hand injuries occur during leisure time. Far fewer safety measures are taken and a lack of adequate training and a disregard for safety recommendations are observed.This large number of hand injuries led to the launch of a campaign in Austria in 2014-2015 called "Hände gut - Alles Gut", (Hands well - all's well). This campaign was aimed at reducing the costs, a sum of 309 million Euros, incurred solely from work-related hand accidents, by at least 5-10%.These exorbitantly high costs are not only due to severe hand trauma, most result from a multitude of slight and superficial wounds.

Increased earthquake safety through optimised mounting concept

International Nuclear Information System (INIS)

Kollmann, Dieter; Senechal, Holger

2013-01-01

Since Fukushima, there has been intensive work on earthquake safety in all nuclear power plants. A large part of these efforts aim at the earthquake safety of safety-relevant pipeline systems. The problem with earthquake safety here is not the pipeline system itself but rather its mountings and connections to components. This is precisely the topic that the KAE dealt with in years of research and development work. It has developed an algorithm that determines the optimal mounting concept with a few iteration steps depending on arbitrary combinations of loading conditions whilst maintaining compliance with relevant regulations for any pipeline systems. With this tool at hand, we are now in a position to plan and realise remedial measures accurately with minimum time and hardware expenditure, and so distinctly improve the earthquake safety of safety-relevant systems. (orig.)

Role of parents in the promotion of hand hygiene in the paediatric setting: a systematic literature review.

Science.gov (United States)

Bellissimo-Rodrigues, F; Pires, D; Zingg, W; Pittet, D

2016-06-01

When a child is hospitalized, parents have to share their role to protect the child with the hospital, and establish a partnership with healthcare workers to deliver safe care to the child, including undertaking good hand hygiene practices. To review the scientific evidence about the participation of parents in the promotion of hand hygiene in paediatric settings. A systematic search of MEDLINE, EMBASE and SciELO databases was undertaken using the following terms: ('hand hygiene'[MeSH] OR 'hand hygiene' OR 'hand disinfection'[MeSH] OR hand disinf* OR hand wash* OR handwash* OR hand antisep*) AND (parent OR caregiver OR mother OR father OR family OR families OR relatives). The Integrated Quality Criteria for Review of Multiple Study Designs tool was used for quality assessment. The literature search yielded 1645 articles, and 11 studies met the inclusion criteria for the final analysis. Most studies were observational, and were based on questionnaires or interviews. Most parents had little knowledge about the indications to perform hand hygiene, but recognized hand hygiene as a relevant tool for the prevention of healthcare-associated infections. Their willingness to remind healthcare workers about a failed opportunity to perform hand hygiene was variable and, overall, rather low. Parents felt more comfortable about reminding healthcare workers about hand hygiene if they had previously been invited to do so. Literature on the subject is scarce. The promotion of hand hygiene by parents should be further explored by research as a potential intervention for enhancing patient safety in paediatric settings. Copyright © 2016. Published by Elsevier Ltd.

Clean Hands Count

Medline Plus

Full Text Available ... Washing Video from CDC called "Put Your Hands Together" - Duration: 3:40. Patrick Boshell 27,834 views ... Policy & Safety Send feedback Test new features Loading... Working... Sign in to add this to Watch Later ...

Clean Hands Count

Medline Plus

Full Text Available ... myths and misperceptions about hand hygiene and empower patients to play a role in their care by ... Copyright Creators Advertise Developers +YouTube Terms Privacy Policy & Safety Send feedback Test new features Loading... Working... Sign ...

Clean Hands Count

Medline Plus

Full Text Available ... 52 Hand Sanitizers and Soaps Put to the Test - Duration: 2:26. ABC News 42,006 views ... Developers +YouTube Terms Privacy Policy & Safety Send feedback Test new features Loading... Working... Sign in to add ...

Assessment of the global trigger tool to measure, monitor and evaluate pateint safety in cancer patients

DEFF Research Database (Denmark)

Otto Mattsson, Thea; Lehmann-Knudsen, Janne; Lauritsen, Jens M

2013-01-01

BACKGROUND: Countries around the world are currently aiming to improve patient safety by means of the Institute for Healthcare Improvement global trigger tool (GTT), which is considered a valid tool for evaluating and measuring patient safety within organisations. So far, only few data....... RESULTS: Only 31% of adverse events (AE) were identified by both teams, and further differences in categorisation of identical events was found. Moderate interrater agreement (κ=0.45) between teams gave rise to different conclusions on the patient safety process when monitoring using SPC charts. The Bland......-Altman plot suggests little systematic error but large random error. CONCLUSIONS: Review teams may identify different AE and reach different conclusions on the safety process when using the GTT on identical charts. Tracking true change in the safety level is difficult due to measurement error of the GTT...

Development of the status of W and T for the realization of a long-term safety demonstration for the final repository using the examples VSG and Konrad. Report on the Working package 2. Review and development of safety-related assessments of disposal facilities of wastes with negligible heat generation; development and provision of the necessary set of tools using the example of the final repository Konrad

International Nuclear Information System (INIS)

Larue, Juergen; Fischer-Appelt, Klaus; Hartwig-Thurat, Eva

2015-09-01

In the research project on the ''Review and development of safety-related assessments of disposal facilities with negligible heat generation; development and provision of the necessary set of tools, using the example of the Konrad disposal facility'' (3612R03410), the state of the art in science and technology of the safety-related assessments and sets of tools for building a safety case was examined. The reports pertaining to the two work packages described the further development of the methodology for accident analyses (WP 1) and of building a safety case (WP 2); also, comparisons were drawn on a national and international scale with the methods applied in the licensing procedure of the Konrad disposal facility. A safety case as well as its underlying analyses and methods always has to be brought up to date with the development of the state of the art in science and technology. In Germany, two safety cases regarding the long-term safety of disposal facilities have been prepared. These are the licensing documentation for the Konrad disposal facility in the year 1990 and the research project regarding the preliminary safety case for the Gorleben site (Vorlaeufige Sicherheitsanalyse Gorleben - VSG) in the year 2013, both reflecting the state of development of building a safety case at the respective time. Comparing the two above-mentioned examples of safety cases and taking recent international recommendations and national regulations into account, this report on Work Package 2 presents the development of the international state of the art in science and technology. This has been done by summarising the essential differences and similarities of each element of the safety case for the Konrad disposal facility on the one hand and the VSG and the international status on the other hand.

Advances in industrial ergonomics and safety I

Energy Technology Data Exchange (ETDEWEB)

Mital, A. (ed.) (University of Cincinnati, Cincinnati, OH (USA). Dept. of Mechanical and Industrial Engineering, Ergonomics Research Lab.)

1989-01-01

125 papers are presented under the session headings: industrial ergonomics - programs and applications; applied work physiology; occupational biomechanics; engineering anthropometry; work and protective clothing; hand tools; human-computer interface; theory and practice of industrial safety; human perception and performance; human strengths; industrial noise and vibration; machine guarding and industrial machine safety; manual materials handling; modelling for safety and health; occupational injuries and health problems; policies and standards; quality control and inspection; rehabilitation and designing for the disabled; work duration and fatigue; and work and work place design. Includes papers on static and dynamic back strength of underground coal miners, and slip and fall accidents during equipment maintenance in the surface mining industry.

Probabilistic Safety Assessment: An Effective Tool to Support “Systemic Approach” to Nuclear Safety and Analysis of Human and Organizational Aspects

International Nuclear Information System (INIS)

Kuzmina, I.

2016-01-01

The Probabilistic Safety Assessment (PSA) represents a comprehensive conceptual and analytical tool for quantitative evaluation of risk of undesirable consequences from nuclear facilities and drawing on qualitative insights for nuclear safety. PSA considers various technical, human, and organizational factors in an integral manner thus explicitly pursuing a true ‘systemic approach’ to safety and enabling holistic insights for further safety improvement. Human Reliability Analysis (HRA) is one of the major tasks within PSA. The poster paper provides an overview of the objectives and scope of PSA and HRA and discusses on further needs in the area of HRA. (author)

Assessment of the safety of injection practices and injection-related procedures in family health units and centers in Alexandria.

Science.gov (United States)

Elhoseeny, Taghareed A; Mourad, Juidan K

2014-08-01

The Safe Injection Global Network (SIGN) developed an intervention strategy for reducing overuse of injections and promoting the administration of safe injections. Tool C--Revised is designed to assess the safety of the most common procedures that puncture the skin within health services. The aim of the study was to assess injection safety within the primary healthcare facilities in Alexandria using Tool C--Revised. A total of 45 family health units and centers in Alexandria were selected by proportional allocation from the eight regions of Alexandria. The Tool C--Revised of the WHO was used for observation of the entire facility, injection practices and injection-related procedures, and sterilization practices. Interview of different health providers and immediate supervisor of injections was carried out. Indicators that reflect risk included: deficiency of alcohol-based hand rub for cleansing hands (13.3%), compliance with hand wash before preparing a procedure (56.9% before injection practices, 61.3% before phlebotomy, and 67.6% before lancet puncture), and wearing a new pair of gloves before new procedures (48.6% before injection practices, 9.7% for phlebotomy, 11.8% for lancet puncture, and 80% for both intravenous injections and infusions). Enough disposable equipment in all facilities for at least 2 weeks dependent on the statement of the average numbers of procedures per week was shown. Only 38% of the providers had received training regarding injection safety in the last 2 years and 62.5% had completed their three doses of hepatitis B vaccine. Only 42.2% of staffs who handled healthcare waste had access to heavy gloves. Indicators related to injection and injection-related practices that reflect risk to patients include deficiency of alcohol-based hand rub tools, nonadherence to hand hygiene before preparing an injection, and inadequate adherence to using a clean barrier when opening a glass ampule and use of gloves. Indicators that may reflect risk to

Hand in Hand: A Journey toward Readiness for Profoundly At-Risk Preschoolers.

Science.gov (United States)

Parke, Beverly N.; Agness, Phyllis

2002-01-01

Discusses the seven principles of the Hand in Hand early childhood program for at-risk preschoolers designed to furnish the children with the tools they need to lessen their risk for failure on entry to kindergarten. Notes risk factors under which the students live, including violence, abandonment, homelessness, starvation, and abuse. (Author/SD)

Safety-barrier diagrams as a safety management tool

DEFF Research Database (Denmark)

Duijm, Nijs Jan

2009-01-01

Safety-barrier diagrams and “bow-tie” diagrams have become popular methods in risk analysis and safety management. This paper describes the syntax and principles for constructing consistent and valid safety-barrier diagrams. The latter's relation to other methods such as fault trees and Bayesian...

The 7 basic tools of quality applied to radiological safety

International Nuclear Information System (INIS)

Gonzalez F, J.A.

1991-01-01

This work seeks to establish a series of correspondences among the search of the quality and the optimization of the doses received by the occupationally exposed personnel. There are treated about the seven basic statistic tools of the quality: the Pareto technique, Cause effect diagrams, Stratification, Verification sheet, Histograms, Dispersion diagrams and Graphics and control frames applied to the Radiological Safety

Aviation’s Normal Operations Safety Audit: a safety management and educational tool for health care? Results of a small-scale trial

Directory of Open Access Journals (Sweden)

Bennett SA

2017-08-01

Full Text Available Simon A Bennett Civil Safety and Security Unit, School of Business, University of Leicester, Leicester, UK Background: A National Health Service (NHS contingent liability for medical error claims of over £26 billion. Objectives: To evaluate the safety management and educational benefits of adapting aviation’s Normal Operations Safety Audit (NOSA to health care. Methods: In vivo research, a NOSA was performed by medical students at an English NHS Trust. After receiving training from the author, the students spent 6 days gathering data under his supervision. Results: The data revealed a threat-rich environment, where errors – some consequential – were made (359 threats and 86 errors were recorded over 2 weeks. The students claimed that the exercise improved their observational, investigative, communication, teamworking and other nontechnical skills. Conclusion: NOSA is potentially an effective safety management and educational tool for health care. It is suggested that 1 the UK General Medical Council mandates that all medical students perform a NOSA in fulfillment of their degree; 2 the participating NHS Trusts be encouraged to act on students’ findings; and 3 the UK Department of Health adopts NOSA as a cornerstone risk assessment and management tool. Keywords: aviation, safety audit, health care, management benefits, educational benefits

Survey on the use of configuration risk and safety management tools at nuclear power plants. Final report

International Nuclear Information System (INIS)

Fleming, K.N.; Read, J.W.; Dagan, W.J.; Bidwell, D.A.

1998-09-01

In order to provide input to Electricite de France's (EDF) evaluation of the use of configuration safety and risk management tools in the French plants and to collect information to guide the EPRI efforts to provide useful tools for the EPRI member utilities and international partners, a joint effort to survey US and selected non-US nuclear power stations was conducted. This survey examined the use of various approaches, techniques, and software tools that are being used to evaluate the safety and risk aspects of plant configuration changes and configuration changes during plant outages as well as during power operation. The use of these tools has increased in recent years as a result of efforts to optimize plant maintenance programs, improve plant safety, and increase plant reliability and availability. This report provides the results of the survey of 37 organizations covering 54 nuclear plant sites and 97 reactor units

Trends in HFE Methods and Tools and Their Applicability to Safety Reviews

Energy Technology Data Exchange (ETDEWEB)

O' Hara, J.M.; Plott, C.; Milanski, J.; Ronan, A.; Scheff, S.; Laux, L.; and Bzostek, J.

2009-09-30

The U.S. Nuclear Regulatory Commission's (NRC) conducts human factors engineering (HFE) safety reviews of applicant submittals for new plants and for changes to existing plants. The reviews include the evaluation of the methods and tools (M&T) used by applicants as part of their HFE program. The technology used to perform HFE activities has been rapidly evolving, resulting in a whole new generation of HFE M&Ts. The objectives of this research were to identify the current trends in HFE methods and tools, determine their applicability to NRC safety reviews, and identify topics for which the NRC may need additional guidance to support the NRC's safety reviews. We conducted a survey that identified over 100 new HFE M&Ts. The M&Ts were assessed to identify general trends. Seven trends were identified: Computer Applications for Performing Traditional Analyses, Computer-Aided Design, Integration of HFE Methods and Tools, Rapid Development Engineering, Analysis of Cognitive Tasks, Use of Virtual Environments and Visualizations, and Application of Human Performance Models. We assessed each trend to determine its applicability to the NRC's review by considering (1) whether the nuclear industry is making use of M&Ts for each trend, and (2) whether M&Ts reflecting the trend can be reviewed using the current design review guidance. We concluded that M&T trends that are applicable to the commercial nuclear industry and are expected to impact safety reviews may be considered for review guidance development. Three trends fell into this category: Analysis of Cognitive Tasks, Use of Virtual Environments and Visualizations, and Application of Human Performance Models. The other trends do not need to be addressed at this time.

Trends in HFE Methods and Tools and Their Applicability to Safety Reviews

International Nuclear Information System (INIS)

O'Hara, J.M.; Plott, C.; Milanski, J.; Ronan, A.; Scheff, S.; Laux, L.; Bzostek, J.

2009-01-01

The U.S. Nuclear Regulatory Commission's (NRC) conducts human factors engineering (HFE) safety reviews of applicant submittals for new plants and for changes to existing plants. The reviews include the evaluation of the methods and tools (M and T) used by applicants as part of their HFE program. The technology used to perform HFE activities has been rapidly evolving, resulting in a whole new generation of HFE M and Ts. The objectives of this research were to identify the current trends in HFE methods and tools, determine their applicability to NRC safety reviews, and identify topics for which the NRC may need additional guidance to support the NRC's safety reviews. We conducted a survey that identified over 100 new HFE M and Ts. The M and Ts were assessed to identify general trends. Seven trends were identified: Computer Applications for Performing Traditional Analyses, Computer-Aided Design, Integration of HFE Methods and Tools, Rapid Development Engineering, Analysis of Cognitive Tasks, Use of Virtual Environments and Visualizations, and Application of Human Performance Models. We assessed each trend to determine its applicability to the NRC's review by considering (1) whether the nuclear industry is making use of M and Ts for each trend, and (2) whether M and Ts reflecting the trend can be reviewed using the current design review guidance. We concluded that M and T trends that are applicable to the commercial nuclear industry and are expected to impact safety reviews may be considered for review guidance development. Three trends fell into this category: Analysis of Cognitive Tasks, Use of Virtual Environments and Visualizations, and Application of Human Performance Models. The other trends do not need to be addressed at this time.

Development Of Dynamic Probabilistic Safety Assessment: The Accident Dynamic Simulator (ADS) Tool

International Nuclear Information System (INIS)

Chang, Y.H.; Mosleh, A.; Dang, V.N.

2003-01-01

The development of a dynamic methodology for Probabilistic Safety Assessment (PSA) addresses the complex interactions between the behaviour of technical systems and personnel response in the evolution of accident scenarios. This paper introduces the discrete dynamic event tree, a framework for dynamic PSA, and its implementation in the Accident Dynamic Simulator (ADS) tool. Dynamic event tree tools generate and quantify accident scenarios through coupled simulation models of the plant physical processes, its automatic systems, the equipment reliability, and the human response. The current research on the framework, the ADS tool, and on Human Reliability Analysis issues within dynamic PSA, is discussed. (author)

Development Of Dynamic Probabilistic Safety Assessment: The Accident Dynamic Simulator (ADS) Tool

Energy Technology Data Exchange (ETDEWEB)

Chang, Y.H.; Mosleh, A.; Dang, V.N

2003-03-01

The development of a dynamic methodology for Probabilistic Safety Assessment (PSA) addresses the complex interactions between the behaviour of technical systems and personnel response in the evolution of accident scenarios. This paper introduces the discrete dynamic event tree, a framework for dynamic PSA, and its implementation in the Accident Dynamic Simulator (ADS) tool. Dynamic event tree tools generate and quantify accident scenarios through coupled simulation models of the plant physical processes, its automatic systems, the equipment reliability, and the human response. The current research on the framework, the ADS tool, and on Human Reliability Analysis issues within dynamic PSA, is discussed. (author)

Use of reliability engineering tools in safety and risk assessment of nuclear facilities

Energy Technology Data Exchange (ETDEWEB)

Raso, Amanda Laureano; Vasconcelos, Vanderley de; Marques, Raíssa Oliveira; Soares, Wellington Antonio; Mesquita, Amir Zacarias, E-mail: amandaraso@hotmail.com, E-mail: vasconv@cdtn.br, E-mail: raissaomarques@gmail.com, E-mail: soaresw@cdtn.br, E-mail: amir@cdtn.br [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil). Serviço de Tecnologia de Reatores

2017-07-01

Safety, reliability and availability are fundamental criteria in design, construction and operation of nuclear facilities, as nuclear power plants. Deterministic and probabilistic risk assessments of such facilities are required by regulatory authorities in order to meet licensing regulations, contributing to assure safety, as well as reduce costs and environmental impacts. Probabilistic Risk Assessment has become an important part of licensing requirements of the nuclear power plants in Brazil and in the world. Risk can be defined as a qualitative and/or quantitative assessment of accident sequence frequencies (or probabilities) and their consequences. Risk management is a systematic application of management policies, procedures and practices to identify, analyze, plan, implement, control, communicate and document risks. Several tools and computer codes must be combined, in order to estimate both probabilities and consequences of accidents. Event Tree Analysis (ETA), Fault Tree Analysis (FTA), Reliability Block Diagrams (RBD), and Markov models are examples of evaluation tools that can support the safety and risk assessment for analyzing process systems, identifying potential accidents, and estimating consequences. Because of complexity of such analyzes, specialized computer codes are required, such as the reliability engineering software develop by Reliasoft® Corporation. BlockSim (FTA, RBD and Markov models), RENO (ETA and consequence assessment), Weibull++ (life data and uncertainty analysis), and Xfmea (qualitative risk assessment) are some codes that can be highlighted. This work describes an integrated approach using these tools and software to carry out reliability, safety, and risk assessment of nuclear facilities, as well as, and application example. (author)

Use of reliability engineering tools in safety and risk assessment of nuclear facilities

International Nuclear Information System (INIS)

Raso, Amanda Laureano; Vasconcelos, Vanderley de; Marques, Raíssa Oliveira; Soares, Wellington Antonio; Mesquita, Amir Zacarias

2017-01-01

Safety, reliability and availability are fundamental criteria in design, construction and operation of nuclear facilities, as nuclear power plants. Deterministic and probabilistic risk assessments of such facilities are required by regulatory authorities in order to meet licensing regulations, contributing to assure safety, as well as reduce costs and environmental impacts. Probabilistic Risk Assessment has become an important part of licensing requirements of the nuclear power plants in Brazil and in the world. Risk can be defined as a qualitative and/or quantitative assessment of accident sequence frequencies (or probabilities) and their consequences. Risk management is a systematic application of management policies, procedures and practices to identify, analyze, plan, implement, control, communicate and document risks. Several tools and computer codes must be combined, in order to estimate both probabilities and consequences of accidents. Event Tree Analysis (ETA), Fault Tree Analysis (FTA), Reliability Block Diagrams (RBD), and Markov models are examples of evaluation tools that can support the safety and risk assessment for analyzing process systems, identifying potential accidents, and estimating consequences. Because of complexity of such analyzes, specialized computer codes are required, such as the reliability engineering software develop by Reliasoft® Corporation. BlockSim (FTA, RBD and Markov models), RENO (ETA and consequence assessment), Weibull++ (life data and uncertainty analysis), and Xfmea (qualitative risk assessment) are some codes that can be highlighted. This work describes an integrated approach using these tools and software to carry out reliability, safety, and risk assessment of nuclear facilities, as well as, and application example. (author)

Evaluation of protective gloves and working techniques for reducing hand-arm vibration exposure in the workplace.

Science.gov (United States)

Milosevic, Matija; McConville, Kristiina M Valter

2012-01-01

Operation of handheld power tools results in exposure to hand-arm vibrations, which over time lead to numerous health complications. The objective of this study was to evaluate protective equipment and working techniques for the reduction of vibration exposure. Vibration transmissions were recorded during different work techniques: with one- and two-handed grip, while wearing protective gloves (standard, air and anti-vibration gloves) and while holding a foam-covered tool handle. The effect was examined by analyzing the reduction of transmitted vibrations at the wrist. The vibration transmission was recorded with a portable device using a triaxial accelerometer. The results suggest large and significant reductions of vibration with appropriate safety equipment. Reductions of 85.6% were achieved when anti-vibration gloves were used. Our results indicated that transmitted vibrations were affected by several factors and could be measured and significantly reduced.

The Department of Energy nuclear criticality safety program

International Nuclear Information System (INIS)

Felty, J.R.

2004-01-01

This paper broadly covers key events and activities from which the Department of Energy Nuclear Criticality Safety Program (NCSP) evolved. The NCSP maintains fundamental infrastructure that supports operational criticality safety programs. This infrastructure includes continued development and maintenance of key calculational tools, differential and integral data measurements, benchmark compilation, development of training resources, hands-on training, and web-based systems to enhance information preservation and dissemination. The NCSP was initiated in response to Defense Nuclear Facilities Safety Board Recommendation 97-2, Criticality Safety, and evolved from a predecessor program, the Nuclear Criticality Predictability Program, that was initiated in response to Defense Nuclear Facilities Safety Board Recommendation 93-2, The Need for Critical Experiment Capability. This paper also discusses the role Dr. Sol Pearlstein played in helping the Department of Energy lay the foundation for a robust and enduring criticality safety infrastructure.

[Safety Walkround as a risk assessment tool: the first Italian experience].

Science.gov (United States)

Levati, A; Amato, S; Adrario, E; De Flaviis, C; Delia, C; Milesi, S; Petrini, F; Bevilacqua, L

2009-01-01

In 2007 the Study Group "Clinical Risk Management" of the Italian Society of Anaesthesia and Intensive Care Unit (SIAARTI) performed a multicentric study in Intensive Care Unit (ICU) to assess the feasibility and efficacy of the Safety WalkRound (SWR) as a tool for the risk assessment. As the environment and organization of ICU are more complex than anaesthesia ones, mainly due to the severity of patients, high number of involved healthcare givers and different kinds of procedures, the Study Group decided that a check list is not fit for ICU and , after a careful review of the literature, chose to test the Safety WalkRound. in four Italian General ICUs. The SWR was born in 2003 when Frankel plans a structured interview of 15 questions (about 50% open) to collect operators' opinion about rate and type of errors, near misses, communication, problems regarding the report of adverse events and suggestions to increase patient safety. Consequently SWR is a tool of risk assessment alternative to the Incident Reporting which is marked by a diffuse underreporting of operators. Although the SWR is a new tool not validated in Italian language neither published in Italy on PubMed journals , the Study Group has decided that it might be fit for the organization of Italian Healthcare System. A back translation of the validated model of Joint Commission was provided and the translated version has been lightly changed to be employed in hospitals with and without Incident Reporting . The questions have been changed or introduced on the basis of the organization vulnerabilities detected with observational techniques or Focus Group. The interview performed in Italy contains 16 questions classified into five groups: a) error, b) error prevention, c) communication, teamwork and leadership, d) error discussion and e) relationship with patients and their families. The answers collected have been analyzed to detect the vulnerabilities in the organizations and specify the improvements to

Valid screening questions useful to diagnose hand and forearm eczema are available in the Spanish language, a new tool for global research.

Science.gov (United States)

Martí-Margarit, Anna; Manresa, Josep M; Herdman, Mike; Pujol, Ramon; Serra, Consol; Flyvholm, Mary-Ann; Giménez-Arnau, Ana M

2015-04-01

Hand eczema is an impacting cutaneous disease. Globally valid tools that help to diagnose hand and forearm eczema are required. To validate the questions to detect hand and/or forearm eczema included in the "Nordic Occupational Skin Questionnaire" (NOSQ-2002) in the Spanish language. A prospective pilot study was conducted with 80 employees of a cleaning company and a retrospective one involving 2,546 individuals. The responses were analysed for sensitivity, specificity and positive and negative predictive values. The final diagnosis according to the patients' hospital records, the specialty care records and the physical examination was taken as gold standard. The Dermatology Life Quality Index (DLQI) was also evaluated. Sensitivity and specificity, in a worst case scenario (WC) combining both questions, were 96.5% and 66.7%, respectively, and in a per protocol (PP) analysis, were 96.5% and 75.2%. The questions validated detected eczema effectively, making this tool suitable for use e.g. in multicentre epidemiological studies or clinical trials.

1950-nm diode laser-assisted microanastomoses (LAMA): an innovative surgical tool for hand surgery emergencies.

Science.gov (United States)

Leclère, Franck Marie; Schoofs, Michel; Vogt, Peter; Casoli, Vincent; Mordon, Serge

2015-05-01

Based on previous observations, the 1950-nm diode laser seems to be an ideal wavelength for laser microvascular anastomoses. The data presented here, part of a larger ongoing study, assess its use in emergency hand surgery. Between 2011 and 2014, 11 patients were operated on for hand trauma with laser-assisted microanastomoses (LAMA) and prospectively analysed. LAMA was performed with a 1950-nm diode laser after placement of equidistant stitches. For vessel size laser parameters were used: spot size 400 μm, five spots for each wall, power 125 mW, and arterial/venous fluence 100/90 J/cm(2) (spot duration 1/0.9 s). Mean operating time for arterial and venous microanastomoses was 7.3 ± 1.4 and 8.7 ± 1.0 min, respectively. Three anastomoses required a secondary laser application. Arterial and venous patency rates were 100 % at the time of surgery. The success rate for the 11 procedures assessed clinically and with the Doppler was 100 %. The technique is compared to the current literature. The 1950-nm LAMA is a reliable tool with excellent results in emergency hand surgery. The system is very compact and transportable for utilization in the emergency operating room.

The fault tree as a tool in safety analysis in nuclear power plants

International Nuclear Information System (INIS)

Waddington, J.G.; Wild, A.

1981-01-01

Modern safety analysis must be able to identify realistic failure modes based on realistic operation and system malfunction, demonstrate rigorously that adequate independence exists between a malfunctioning system and those other systems required to mitigate the effects of the malfunction, design adequate reliability into systems important to plant safety and to demonstrate rigorously that the design reliability is met in operation, and identify the realistic actions expected of the operator. Fault trees, which have proved to be a powerful tool to achieve these objectives, are inevitably large and must be computerized. However, the computerized system must be simple, must allow merging of branches developed independently, must provide for easy modification and the processing must be economical and easily accessible. A new system for displaying, plotting and analysing fault trees has been developed and implemented on a small computer at AECB to demonstrate the viability of the approach to designers, and to provide a tool to assess licensee's submissions on failure modes of support systems such as electrical, service water and air, and to assess reliability predictions for special safety systems. (author)

Technology and Tool Development to Support Safety and Mission Assurance

Science.gov (United States)

Denney, Ewen; Pai, Ganesh

2017-01-01

The Assurance Case approach is being adopted in a number of safety-mission-critical application domains in the U.S., e.g., medical devices, defense aviation, automotive systems, and, lately, civil aviation. This paradigm refocuses traditional, process-based approaches to assurance on demonstrating explicitly stated assurance goals, emphasizing the use of structured rationale, and concrete product-based evidence as the means for providing justified confidence that systems and software are fit for purpose in safely achieving mission objectives. NASA has also been embracing assurance cases through the concepts of Risk Informed Safety Cases (RISCs), as documented in the NASA System Safety Handbook, and Objective Hierarchies (OHs) as put forth by the Agency's Office of Safety and Mission Assurance (OSMA). This talk will give an overview of the work being performed by the SGT team located at NASA Ames Research Center, in developing technologies and tools to engineer and apply assurance cases in customer projects pertaining to aviation safety. We elaborate how our Assurance Case Automation Toolset (AdvoCATE) has not only extended the state-of-the-art in assurance case research, but also demonstrated its practical utility. We have successfully developed safety assurance cases for a number of Unmanned Aircraft Systems (UAS) operations, which underwent, and passed, scrutiny both by the aviation regulator, i.e., the FAA, as well as the applicable NASA boards for airworthiness and flight safety, flight readiness, and mission readiness. We discuss our efforts in expanding AdvoCATE capabilities to support RISCs and OHs under a project recently funded by OSMA under its Software Assurance Research Program. Finally, we speculate on the applicability of our innovations beyond aviation safety to such endeavors as robotic, and human spaceflight.

A demonstration of the transition from ready-to-hand to unready-to-hand.

Directory of Open Access Journals (Sweden)

Dobromir G Dotov

Full Text Available The ideas of continental philosopher Martin Heidegger have been influential in cognitive science and artificial intelligence, despite the fact that there has been no effort to analyze these ideas empirically. The experiments reported here are designed to lend empirical support to Heidegger's phenomenology and more specifically his description of the transition between ready-to-hand and unready-to-hand modes in interactions with tools. In experiment 1, we found that a smoothly coping cognitive system exhibits type positively correlated noise and that its correlated character is reduced when the system is perturbed. This indicates that the participant and tool constitute a self-assembled, extended device during smooth coping and this device is disrupted by the perturbation. In experiment 2, we examine the re-organization of awareness that occurs when a smoothly coping, self-assembled, extended cognitive system is perturbed. We found that the disruption is accompanied by a change in attention which interferes with participants' performance on a simultaneous cognitive task. Together these experiments show that a smoothly coping participant-tool system can be temporarily disrupted and that this disruption causes a change in the participant's awareness. Since these two events follow as predictions from Heidegger's work, our study offers evidence for the hypothesized transition from readiness-to-hand to unreadiness-to-hand.

Assessing organisational culture for quality and safety improvement: a national survey of tools and tool use.

Science.gov (United States)

Mannion, R; Konteh, F H; Davies, H T O

2009-04-01

There is growing international interest in managing organisational culture as a lever for healthcare improvement. This has prompted a practical need to understand what instruments and tools exist for assessing cultures in healthcare contexts. The present study was undertaken to determine the culture assessment tools being used in the English NHS and assess their fitness for purpose. Postal questionnaire survey of clinical governance leads in 275 English NHS organisations, with a response rate of 77%. A third of the organisations were currently using a culture assessment instrument to support their clinical governance activity. Although we found a high degree of satisfaction with existing instruments, in terms of ease of use and relevance, there is an immediate practical need to develop new and better bespoke culture assessment tools to bridge the gap between the cultural domains covered by extant instruments and the broader range of concerns of clinical governance managers. There is growing interest in understanding and shaping local cultures in healthcare, which is not yet matched by widespread use of available instruments. Even though extant tools cover many of the most important cultural attributes identified by clinical governance managers, the over-riding focus of tools in use is on safety rather than a holistic assessment of the dimensions of healthcare quality and performance.

Getting nowhere fast: trade-off between speed and precision in training to execute image-guided hand-tool movements

Directory of Open Access Journals (Sweden)

Anil Ufuk Batmaz

2016-11-01

Full Text Available Abstract Background The speed and precision with which objects are moved by hand or hand-tool interaction under image guidance depend on a specific type of visual and spatial sensorimotor learning. Novices have to learn to optimally control what their hands are doing in a real-world environment while looking at an image representation of the scene on a video monitor. Previous research has shown slower task execution times and lower performance scores under image-guidance compared with situations of direct action viewing. The cognitive processes for overcoming this drawback by training are not yet understood. Methods We investigated the effects of training on the time and precision of direct view versus image guided object positioning on targets of a Real-world Action Field (RAF. Two men and two women had to learn to perform the task as swiftly and as precisely as possible with their dominant hand, using a tool or not and wearing a glove or not. Individuals were trained in sessions of mixed trial blocks with no feed-back. Results As predicted, image-guidance produced significantly slower times and lesser precision in all trainees and sessions compared with direct viewing. With training, all trainees get faster in all conditions, but only one of them gets reliably more precise in the image-guided conditions. Speed-accuracy trade-offs in the individual performance data show that the highest precision scores and steepest learning curve, for time and precision, were produced by the slowest starter. Fast starters produced consistently poorer precision scores in all sessions. The fastest starter showed no sign of stable precision learning, even after extended training. Conclusions Performance evolution towards optimal precision is compromised when novices start by going as fast as they can. The findings have direct implications for individual skill monitoring in training programmes for image-guided technology applications with human operators.

Developing tools for the safety specification in risk management plans: lessons learned from a pilot project.

Science.gov (United States)

Cooper, Andrew J P; Lettis, Sally; Chapman, Charlotte L; Evans, Stephen J W; Waller, Patrick C; Shakir, Saad; Payvandi, Nassrin; Murray, Alison B

2008-05-01

Following the adoption of the ICH E2E guideline, risk management plans (RMP) defining the cumulative safety experience and identifying limitations in safety information are now required for marketing authorisation applications (MAA). A collaborative research project was conducted to gain experience with tools for presenting and evaluating data in the safety specification. This paper presents those tools found to be useful and the lessons learned from their use. Archive data from a successful MAA were utilised. Methods were assessed for demonstrating the extent of clinical safety experience, evaluating the sensitivity of the clinical trial data to detect treatment differences and identifying safety signals from adverse event and laboratory data to define the extent of safety knowledge with the drug. The extent of clinical safety experience was demonstrated by plots of patient exposure over time. Adverse event data were presented using dot plots, which display the percentages of patients with the events of interest, the odds ratio, and 95% confidence interval. Power and confidence interval plots were utilised for evaluating the sensitivity of the clinical database to detect treatment differences. Box and whisker plots were used to display laboratory data. This project enabled us to identify new evidence-based methods for presenting and evaluating clinical safety data. These methods represent an advance in the way safety data from clinical trials can be analysed and presented. This project emphasises the importance of early and comprehensive planning of the safety package, including evaluation of the use of epidemiology data.

Tool to manage Road Safety Deficiencies and risk of highway crashes

Energy Technology Data Exchange (ETDEWEB)

Lopez Maldonado, G.; Baena Ruiz, L.; Garach Morcillo, L.; Oña Lopez, J. de

2016-07-01

In order to facilitate the management of the results obtained in the project “Analysis of the relationship between Road Safety Deficiencies, crashes and hazardous sections” financed by Public Works Agency of the Regional Government of Andalusia (AOPJA) and led by the research group TRYSE from University of Granada, a safety management tool has been developed. This application allows safety managers to consult some factors affecting crashes on two-lane rural highways.The main aim of that project was to analyze the influence of some road deficiencies on crashes and hazardous sections in the Complementary Road Network of Andalusia. These deficiencies were defined in a checklist and were identified by a road inspection. Decision Trees (DTs), that are a data mining technique that allows the extraction of Decision Rules (DRs), were used. DRs revealed the relationship between road deficiencies and crashes.The application allows two different analyses. A specific analysis of the Complementary Road Network of Andalusia, in which, particular safety problems can be identified, and the location of roads with those problems can be obtained. A more general analysis in which some characteristics related to road safety can be selected in order to know the combination of factors contributing to traffic crashes. Safety problems are based on data from Complementary Road Network of Andalusia but results can be extrapolated to other rural highways in Spain. (Author)

APMS: An Integrated Set of Tools for Measuring Safety

Science.gov (United States)

Statler, Irving C.; Reynard, William D. (Technical Monitor)

1996-01-01

This is a report of work in progress. In it, I summarize the status of the research and development of the Aviation Performance Measuring System (APMS) for managing, processing, and analyzing digital flight-recorded data. The objectives of the NASA-FAA APMS research project are to establish a sound scientific and technological basis for flight-data analysis, to define an open and flexible architecture for flight-data-analysis systems, and to articulate guidelines for a standardized database structure on which to continue to build future flight-data-analysis extensions. APMS will offer to the air transport community an open, voluntary standard for flight-data-analysis software, a standard that will help to ensure suitable functionality, and data interchangeability, among competing software programs. APMS will develop and document the methodologies, algorithms, and procedures for data management and analyses to enable users to easily interpret the implications regarding safety and efficiency of operations. APMS does not entail the implementation of a nationwide flight-data-collection system. It is intended to provide technical tools to ease the large-scale implementation of flight-data analyses at both the air-carrier and the national-airspace levels in support of their Flight Operations and Quality Assurance (FOQA) Programs and Advanced Qualifications Programs (AQP). APMS cannot meet its objectives unless it develops tools that go substantially beyond the capabilities of the current commercially available software and supporting analytic methods that are mainly designed to count special events. These existing capabilities, while of proven value, were created primarily with the needs of air crews in mind. APMS tools must serve the needs of the government and air carriers, as well as air crews, to fully support the FOQA and AQP programs. They must be able to derive knowledge not only through the analysis of single flights (special-event detection), but through

The design of hands and feet contamination monitor

International Nuclear Information System (INIS)

Song Jiangxue; Shen Yang; Deng Changming; Zhang Jia; Hou Lei; Meng Dan

2011-01-01

In order to protect the hands and feet of personnel engaged in nuclear, draw on advanced hands and feet contamination monitor, we design a new radiation protection instrumentation. It describes the composition of the hands and feet contamination monitor, and software program design. It describes the hardware monitor software, firmware and computer programming techniques. If device found your hand and foot surface is contamination, it will prompt you to decontamination, to protect your hands and feet of safety. (authors)

Hand hygiene in reducing transient flora on the hands of healthcare workers: an educational intervention.

Science.gov (United States)

Kapil, R; Bhavsar, H K; Madan, M

2015-01-01

Hand hygiene has now been recognised as one of the most effective intervention to control the transmission of infections in a hospital and education is an important tool to ensure its implementation. In order to convince the users and as a part of education, it is important to generate evidence on the role of hand hygiene in reducing the bacterial flora on their hands. The present study was undertaken in a tertiary care hospital to demonstrate the presence of bacterial flora on the hands of healthcare workers (HCW) in different categories, to teach them proper hand hygiene technique using alcohol-based hand rub and determine the outcome for reduction of bacteria. A total sample size of 60 subjects including resident doctors, medical students, nurses and hospital attendants were included in the study after obtaining informed consent. Each person was educated on the technique of hand hygiene with alcohol-based hand rub and hand impressions were cultured before and after hand hygiene. All the subjects were also given a questionnaire to assess their perception on hand hygiene. The WHO posters on proper hand hygiene were displayed in the appropriate areas of the hospital in addition, as an educational tool. Majority (42 out of 60) of the HCWs had bacterial count up to 100 colonies or more on both hands before the application of hand rub while working in the hospital. After use of alcohol hand rub with a proper hand hygiene technique, it was found that the percentage reduction was 95-99% among doctors and nurses, 70% among hospital attendants and 50% among sanitary attendants. Staphylococcus aureus was present on the hands of eight persons of which three were methicillin-resistant Staphylococcus aureus. The study demonstrates that transient bacteria are present on the hands of HCWs but majority could be removed by proper hand hygiene, which needs continuous education to be effective. It also shows that active education by demonstrating the proper hand hygiene technique

Clean Hands Count

Medline Plus

Full Text Available ... reminding healthcare providers to clean their hands. See: https://www.cdc.gov/handhygiene/campa... . Comments on this ... are allowed in accordance with our comment policy: http://www.cdc.gov/SocialMedia/Tools/... This video can ...

Network analytical tool for monitoring global food safety highlights China.

Directory of Open Access Journals (Sweden)

Tamás Nepusz

Full Text Available BACKGROUND: The Beijing Declaration on food safety and security was signed by over fifty countries with the aim of developing comprehensive programs for monitoring food safety and security on behalf of their citizens. Currently, comprehensive systems for food safety and security are absent in many countries, and the systems that are in place have been developed on different principles allowing poor opportunities for integration. METHODOLOGY/PRINCIPAL FINDINGS: We have developed a user-friendly analytical tool based on network approaches for instant customized analysis of food alert patterns in the European dataset from the Rapid Alert System for Food and Feed. Data taken from alert logs between January 2003-August 2008 were processed using network analysis to i capture complexity, ii analyze trends, and iii predict possible effects of interventions by identifying patterns of reporting activities between countries. The detector and transgressor relationships are readily identifiable between countries which are ranked using i Google's PageRank algorithm and ii the HITS algorithm of Kleinberg. The program identifies Iran, China and Turkey as the transgressors with the largest number of alerts. However, when characterized by impact, counting the transgressor index and the number of countries involved, China predominates as a transgressor country. CONCLUSIONS/SIGNIFICANCE: This study reports the first development of a network analysis approach to inform countries on their transgressor and detector profiles as a user-friendly aid for the adoption of the Beijing Declaration. The ability to instantly access the country-specific components of the several thousand annual reports will enable each country to identify the major transgressors and detectors within its trading network. Moreover, the tool can be used to monitor trading countries for improved detector/transgressor ratios.

Hablar el Lenguaje de las Manos Hacia las Manos (Talking the Language of the Hands to the Hands). DB-LINK.

Science.gov (United States)

Miles, Barbara

This paper examines the importance of hands for the person who is deafblind, reviews hand development, and identifies specific teaching skills that facilitate hand development and expressiveness in persons who are deafblind. It notes that the hands of a deafblind individual serve not only as tools but also as sense organs (to compensate for their…

REVEAL - A tool for rule driven analysis of safety critical software

International Nuclear Information System (INIS)

Miedl, H.; Kersken, M.

1998-01-01

As the determination of ultrahigh reliability figures for safety critical software is hardly possible, national and international guidelines and standards give mainly requirements for the qualitative evaluation of software. An analysis whether all these requirements are fulfilled is time and effort consuming and prone to errors, if performed manually by analysts, and should instead be dedicated to tools as far as possible. There are many ''general-purpose'' software analysis tools, both static and dynamic, which help analyzing the source code. However, they are not designed to assess the adherence to specific requirements of guidelines and standards in the nuclear field. Against the background of the development of I and C systems in the nuclear field which are based on digital techniques and implemented in high level language, it is essential that the assessor or licenser has a tool with which he can automatically and uniformly qualify as many aspects as possible of the high level language software. For this purpose the software analysis tool REVEAL has been developed at ISTec and the Halden Reactor Project. (author)

Evaluation of a survey tool to measure safety climate in Australian hospital pharmacy staff.

Science.gov (United States)

Walpola, Ramesh L; Chen, Timothy F; Fois, Romano A; Ashcroft, Darren M; Lalor, Daniel J

Safety climate evaluation is increasingly used by hospitals as part of quality improvement initiatives. Consequently, it is necessary to have validated tools to measure changes. To evaluate the construct validity and internal consistency of a survey tool to measure Australian hospital pharmacy patient safety climate. A 42 item cross-sectional survey was used to evaluate the patient safety climate of 607 Australian hospital pharmacy staff. Survey responses were initially mapped to the factor structure previously identified in European community pharmacy. However, as the data did not adequately fit the community pharmacy model, participants were randomly split into two groups with exploratory factor analysis performed on the first group (n = 302) and confirmatory factor analyses performed on the second group (n = 305). Following exploratory factor analysis (59.3% variance explained) and confirmatory factor analysis, a 6-factor model containing 28 items was obtained with satisfactory model fit (χ 2 (335) = 664.61 p  0.643) and model nesting between the groups (Δχ 2 (22) = 30.87, p = 0.10). Three factors (blame culture, organisational learning and working conditions) were similar to those identified in European community pharmacy and labelled identically. Three additional factors (preoccupation with improvement; comfort to question authority; and safety issues being swept under the carpet) highlight hierarchical issues present in hospital settings. This study has demonstrated the validity of a survey to evaluate patient safety climate of Australian hospital pharmacy staff. Importantly, this validated factor structure may be used to evaluate changes in safety climate over time. Copyright © 2016 Elsevier Inc. All rights reserved.

Road safety audit tools, procedures, and experiences : a literature review and recommendations : research in the framework of the European research project Safety Standards for Road Design and Redesign SAFESTAR, Workpackage 8.

NARCIS (Netherlands)

Kooi, R.M. van der

1999-01-01

This report describes tools and procedures established in different countries which apply Road Safety Audits (RSA). These RSAs are utilized to identify potential safety problems and they concentrate on safety measures to overcome these problems. This technique is used to detect possible safety

The Surgical Safety Checklist and Teamwork Coaching Tools: a study of inter-rater reliability.

Science.gov (United States)

Huang, Lyen C; Conley, Dante; Lipsitz, Stu; Wright, Christopher C; Diller, Thomas W; Edmondson, Lizabeth; Berry, William R; Singer, Sara J

2014-08-01

To assess the inter-rater reliability (IRR) of two novel observation tools for measuring surgical safety checklist performance and teamwork. Data surgical safety checklists can promote adherence to standards of care and improve teamwork in the operating room. Their use has been associated with reductions in mortality and other postoperative complications. However, checklist effectiveness depends on how well they are performed. Authors from the Safe Surgery 2015 initiative developed a pair of novel observation tools through literature review, expert consultation and end-user testing. In one South Carolina hospital participating in the initiative, two observers jointly attended 50 surgical cases and independently rated surgical teams using both tools. We used descriptive statistics to measure checklist performance and teamwork at the hospital. We assessed IRR by measuring percent agreement, Cohen's κ, and weighted κ scores. The overall percent agreement and κ between the two observers was 93% and 0.74 (95% CI 0.66 to 0.79), respectively, for the Checklist Coaching Tool and 86% and 0.84 (95% CI 0.77 to 0.90) for the Surgical Teamwork Tool. Percent agreement for individual sections of both tools was 79% or higher. Additionally, κ scores for six of eight sections on the Checklist Coaching Tool and for two of five domains on the Surgical Teamwork Tool achieved the desired 0.7 threshold. However, teamwork scores were high and variation was limited. There were no significant changes in the percent agreement or κ scores between the first 10 and last 10 cases observed. Both tools demonstrated substantial IRR and required limited training to use. These instruments may be used to observe checklist performance and teamwork in the operating room. However, further refinement and calibration of observer expectations, particularly in rating teamwork, could improve the utility of the tools. Published by the BMJ Publishing Group Limited. For permission to use (where not already

Development of Application Programming Tool for Safety Grade PLC (POSAFE-Q)

International Nuclear Information System (INIS)

Koo, Kyungmo; You, Byungyong; Kim, Tae-Wook; Cho, Sengjae; Lee, Jin S.

2006-01-01

The pSET (POSAFE-Q Software Engineering Tool) is an application programming tool of the POSAFE-Q which is a safety graded programmable logic controller (PLC) developed for the reactor protect system of the nuclear power plant. The pSET provides an integrated development environment (IDE) which includes editors, compiler, simulator, down loader, debugger, and monitor. The pSET supports the IEC61131-3 standard software model and languages such as LD (ladder diagram) and FBD (function block diagram) which are two of the most widely used PLC programming languages in industry fields. The pSET will also support SFC (sequential function chart) language. The pSET is developed as a part of a Korea Nuclear Instrumentation and Control System (KNICS) project

Advancement of Tools Supporting Improvement of Work Safety in Selected Industrial Company

Science.gov (United States)

Gembalska-Kwiecień, Anna

2018-03-01

In the presented article, the advancement of tools to improve the safety of work in the researched industrial company was taken into consideration. Attention was paid to the skillful analysis of the working environment, which includes the available technologies, work organization and human capital. These factors determine the development of the best prevention activities to minimize the number of accidents.

Two NextGen Air Safety Tools: An ADS-B Equipped UAV and a Wake Turbulence Estimator

Science.gov (United States)

Handley, Ward A.

Two air safety tools are developed in the context of the FAA's NextGen program. The first tool addresses the alarming increase in the frequency of near-collisions between manned and unmanned aircraft by equipping a common hobby class UAV with an ADS-B transponder that broadcasts its position, speed, heading and unique identification number to all local air traffic. The second tool estimates and outputs the location of dangerous wake vortex corridors in real time based on the ADS-B data collected and processed using a custom software package developed for this project. The TRansponder based Position Information System (TRAPIS) consists of data packet decoders, an aircraft database, Graphical User Interface (GUI) and the wake vortex extension application. Output from TRAPIS can be visualized in Google Earth and alleviates the problem of pilots being left to imagine where invisible wake vortex corridors are based solely on intuition or verbal warnings from ATC. The result of these two tools is the increased situational awareness, and hence safety, of human pilots in the National Airspace System (NAS).

MO-AB-210-02: Ultrasound Imaging and Therapy-Hands On Workshop

International Nuclear Information System (INIS)

Sammet, S.

2015-01-01

The goal of this ultrasound hands-on workshop is to demonstrate advancements in high intensity focused ultrasound (HIFU) and to demonstrate quality control (QC) testing in diagnostic ultrasound. HIFU is a therapeutic modality that uses ultrasound waves as carriers of energy. HIFU is used to focus a beam of ultrasound energy into a small volume at specific target locations within the body. The focused beam causes localized high temperatures and produces a well-defined regions of necrosis. This completely non-invasive technology has great potential for tumor ablation and targeted drug delivery. At the workshop, attendees will see configurations, applications, and hands-on demonstrations with on-site instructors at separate stations. The involvement of medical physicists in diagnostic ultrasound imaging service is increasing due to QC and accreditation requirements. At the workshop, an array of ultrasound testing phantoms and ultrasound scanners will be provided for attendees to learn diagnostic ultrasound QC in a hands-on environment with live demonstrations of the techniques. Target audience: Medical physicists and other medical professionals in diagnostic imaging and radiation oncology with interest in high-intensity focused ultrasound and in diagnostic ultrasound QC. Learning Objectives: Learn ultrasound physics and safety for HIFU applications through live demonstrations Get an overview of the state-of-the art in HIFU technologies and equipment Gain familiarity with common elements of a quality control program for diagnostic ultrasound imaging Identify QC tools available for testing diagnostic ultrasound systems and learn how to use these tools List of supporting vendors for HIFU and diagnostic ultrasound QC hands-on workshop: Philips Healthcare Alpinion Medical Systems Verasonics, Inc Zonare Medical Systems, Inc Computerized Imaging Reference Systems (CIRS), Inc. GAMMEX, Inc., Cablon Medical BV Steffen Sammet: NIH/NCI grant 5R25CA132822, NIH/NINDS grant 5R25NS

MO-AB-210-01: Ultrasound Imaging and Therapy-Hands On Workshop

International Nuclear Information System (INIS)

Lu, Z.

2015-01-01

The goal of this ultrasound hands-on workshop is to demonstrate advancements in high intensity focused ultrasound (HIFU) and to demonstrate quality control (QC) testing in diagnostic ultrasound. HIFU is a therapeutic modality that uses ultrasound waves as carriers of energy. HIFU is used to focus a beam of ultrasound energy into a small volume at specific target locations within the body. The focused beam causes localized high temperatures and produces a well-defined regions of necrosis. This completely non-invasive technology has great potential for tumor ablation and targeted drug delivery. At the workshop, attendees will see configurations, applications, and hands-on demonstrations with on-site instructors at separate stations. The involvement of medical physicists in diagnostic ultrasound imaging service is increasing due to QC and accreditation requirements. At the workshop, an array of ultrasound testing phantoms and ultrasound scanners will be provided for attendees to learn diagnostic ultrasound QC in a hands-on environment with live demonstrations of the techniques. Target audience: Medical physicists and other medical professionals in diagnostic imaging and radiation oncology with interest in high-intensity focused ultrasound and in diagnostic ultrasound QC. Learning Objectives: Learn ultrasound physics and safety for HIFU applications through live demonstrations Get an overview of the state-of-the art in HIFU technologies and equipment Gain familiarity with common elements of a quality control program for diagnostic ultrasound imaging Identify QC tools available for testing diagnostic ultrasound systems and learn how to use these tools List of supporting vendors for HIFU and diagnostic ultrasound QC hands-on workshop: Philips Healthcare Alpinion Medical Systems Verasonics, Inc Zonare Medical Systems, Inc Computerized Imaging Reference Systems (CIRS), Inc. GAMMEX, Inc., Cablon Medical BV Steffen Sammet: NIH/NCI grant 5R25CA132822, NIH/NINDS grant 5R25NS

MO-AB-210-02: Ultrasound Imaging and Therapy-Hands On Workshop

Energy Technology Data Exchange (ETDEWEB)

Sammet, S. [University of Chicago Medical Center (United States)

2015-06-15

The goal of this ultrasound hands-on workshop is to demonstrate advancements in high intensity focused ultrasound (HIFU) and to demonstrate quality control (QC) testing in diagnostic ultrasound. HIFU is a therapeutic modality that uses ultrasound waves as carriers of energy. HIFU is used to focus a beam of ultrasound energy into a small volume at specific target locations within the body. The focused beam causes localized high temperatures and produces a well-defined regions of necrosis. This completely non-invasive technology has great potential for tumor ablation and targeted drug delivery. At the workshop, attendees will see configurations, applications, and hands-on demonstrations with on-site instructors at separate stations. The involvement of medical physicists in diagnostic ultrasound imaging service is increasing due to QC and accreditation requirements. At the workshop, an array of ultrasound testing phantoms and ultrasound scanners will be provided for attendees to learn diagnostic ultrasound QC in a hands-on environment with live demonstrations of the techniques. Target audience: Medical physicists and other medical professionals in diagnostic imaging and radiation oncology with interest in high-intensity focused ultrasound and in diagnostic ultrasound QC. Learning Objectives: Learn ultrasound physics and safety for HIFU applications through live demonstrations Get an overview of the state-of-the art in HIFU technologies and equipment Gain familiarity with common elements of a quality control program for diagnostic ultrasound imaging Identify QC tools available for testing diagnostic ultrasound systems and learn how to use these tools List of supporting vendors for HIFU and diagnostic ultrasound QC hands-on workshop: Philips Healthcare Alpinion Medical Systems Verasonics, Inc Zonare Medical Systems, Inc Computerized Imaging Reference Systems (CIRS), Inc. GAMMEX, Inc., Cablon Medical BV Steffen Sammet: NIH/NCI grant 5R25CA132822, NIH/NINDS grant 5R25NS

MO-AB-210-01: Ultrasound Imaging and Therapy-Hands On Workshop

Energy Technology Data Exchange (ETDEWEB)

Lu, Z. [University of Chicago (United States)

2015-06-15

The goal of this ultrasound hands-on workshop is to demonstrate advancements in high intensity focused ultrasound (HIFU) and to demonstrate quality control (QC) testing in diagnostic ultrasound. HIFU is a therapeutic modality that uses ultrasound waves as carriers of energy. HIFU is used to focus a beam of ultrasound energy into a small volume at specific target locations within the body. The focused beam causes localized high temperatures and produces a well-defined regions of necrosis. This completely non-invasive technology has great potential for tumor ablation and targeted drug delivery. At the workshop, attendees will see configurations, applications, and hands-on demonstrations with on-site instructors at separate stations. The involvement of medical physicists in diagnostic ultrasound imaging service is increasing due to QC and accreditation requirements. At the workshop, an array of ultrasound testing phantoms and ultrasound scanners will be provided for attendees to learn diagnostic ultrasound QC in a hands-on environment with live demonstrations of the techniques. Target audience: Medical physicists and other medical professionals in diagnostic imaging and radiation oncology with interest in high-intensity focused ultrasound and in diagnostic ultrasound QC. Learning Objectives: Learn ultrasound physics and safety for HIFU applications through live demonstrations Get an overview of the state-of-the art in HIFU technologies and equipment Gain familiarity with common elements of a quality control program for diagnostic ultrasound imaging Identify QC tools available for testing diagnostic ultrasound systems and learn how to use these tools List of supporting vendors for HIFU and diagnostic ultrasound QC hands-on workshop: Philips Healthcare Alpinion Medical Systems Verasonics, Inc Zonare Medical Systems, Inc Computerized Imaging Reference Systems (CIRS), Inc. GAMMEX, Inc., Cablon Medical BV Steffen Sammet: NIH/NCI grant 5R25CA132822, NIH/NINDS grant 5R25NS

Development of a Nursing Handoff Tool: A Web-Based Application to Enhance Patient Safety

Science.gov (United States)

Goldsmith, Denise; Boomhower, Marc; Lancaster, Diane R.; Antonelli, Mary; Kenyon, Mary Anne Murphy; Benoit, Angela; Chang, Frank; Dykes, Patricia C.

2010-01-01

Dynamic and complex clinical environments present many challenges for effective communication among health care providers. The omission of accurate, timely, easily accessible vital information by health care providers significantly increases risk of patient harm and can have devastating consequences for patient care. An effective nursing handoff supports the standardized transfer of accurate, timely, critical patient information, as well as continuity of care and treatment, resulting in enhanced patient safety. The Brigham and Women’s/Faulkner Hospital Healthcare Information Technology Innovation Program (HIP) is supporting the development of a web based nursing handoff tool (NHT). The goal of this project is to develop a “proof of concept” handoff application to be evaluated by nurses on the inpatient intermediate care units. The handoff tool would enable nurses to use existing knowledge of evidence-based handoff methodology in their everyday practice to improve patient care and safety. In this paper, we discuss the results of nursing focus groups designed to identify the current state of handoff practice as well as the functional and data element requirements of a web based Nursing Handoff Tool (NHT). PMID:21346980

Development of a Methodology to Conduct Usability Evaluation for Hand Tools that May Reduce the Amount of Small Parts that are Dropped During Installation while Processing Space Flight Hardware

Science.gov (United States)

Miller, Darcy

2000-01-01

Foreign object debris (FOD) is an important concern while processing space flight hardware. FOD can be defined as "The debris that is left in or around flight hardware, where it could cause damage to that flight hardware," (United Space Alliance, 2000). Just one small screw left unintentionally in the wrong place could delay a launch schedule while it is retrieved, increase the cost of processing, or cause a potentially fatal accident. At this time, there is not a single solution to help reduce the number of dropped parts such as screws, bolts, nuts, and washers during installation. Most of the effort is currently focused on training employees and on capturing the parts once they are dropped. Advances in ergonomics and hand tool design suggest that a solution may be possible, in the form of specialty hand tools, which secure the small parts while they are being handled. To assist in the development of these new advances, a test methodology was developed to conduct a usability evaluation of hand tools, while performing tasks with risk of creating FOD. The methodology also includes hardware in the form of a testing board and the small parts that can be installed onto the board during a test. The usability of new hand tools was determined based on efficiency and the number of dropped parts. To validate the methodology, participants were tested while performing a task that is representative of the type of work that may be done when processing space flight hardware. Test participants installed small parts using their hands and two commercially available tools. The participants were from three groups: (1) students, (2) engineers / managers and (3) technicians. The test was conducted to evaluate the differences in performance when using the three installation methods, as well as the difference in performance of the three participant groups.

Disentangling quality and safety indicator data: a longitudinal, comparative study of hand hygiene compliance and accreditation outcomes in 96 Australian hospitals

Science.gov (United States)

Mumford, Virginia; Greenfield, David; Hogden, Anne; Debono, Deborah; Gospodarevskaya, Elena; Forde, Kevin; Westbrook, Johanna; Braithwaite, Jeffrey

2014-01-01

Objectives The study aims are twofold. First, to investigate the suitability of hand hygiene as an indicator of accreditation outcomes and, second, to test the hypothesis that hospitals with better accreditation outcomes achieve higher hand hygiene compliance rates. Design A retrospective, longitudinal, multisite comparative survey. Setting Acute public hospitals in New South Wales, Australia. Participants 96 acute hospitals with accreditation survey results from two surveys during 2009–2012 and submitted data for more than four hand hygiene audits between 2010 and 2013. Outcomes Our primary outcome comprised observational hand hygiene compliance data from eight audits during 2010–2013. The explanatory variables in our multilevel regression model included: accreditation outcomes and scores for the infection control standard; timing of the surveys; and hospital size and activity. Results Average hand hygiene compliance rates increased from 67.7% to 80.3% during the study period (2010–2013), with 46.7% of hospitals achieving target compliance rates of 70% in audit 1, versus 92.3% in audit 8. Average hand hygiene rates at small hospitals were 7.8 percentage points (pp) higher than those at the largest hospitals (phand hygiene rates, accreditation outcomes and infection control scores is less clear. Conclusions Our results indicate that accreditation outcomes and hand hygiene audit data are measuring different parts of the quality and safety spectrum. Understanding what is being measured when selecting indicators to assess the impact of accreditation is critical as focusing on accreditation results would discount successful hand hygiene implementation by smaller hospitals. Conversely, relying on hand hygiene results would discount the infection control related research and leadership investment by larger hospitals. Our hypothesis appears to be confounded by an accreditation programme that makes it more difficult for smaller hospitals to achieve high infection

Development, use, and validation of the CFD tool FLACS for hydrogen safety studies

Energy Technology Data Exchange (ETDEWEB)

Middha, Prankul

2010-07-01

Computational Fluid Dynamics (CFD) calculations for gas explosion safety have been widely used for doing risk assessments within the oil and gas industry for more than a decade. Based on predicted consequences of a range of potential accident scenarios a risk level is predicted. The development of applications using hydrogen as a clean energy carrier has accelerated in recent years, and hydrogen may be used widely in future. Due to the very high reactivity of hydrogen, safe handling is critical. To be able to perform proper consequence modeling as a part of a risk assessment, it is essential to be able to model the physical processes well. CFD tools have the potential to model the relevant physics and predict well, but without proper user guidelines based on extensive validation work, very mixed prediction capability can be expected. This paper deals with the development and validation of the CFD tool FLACS for hydrogen safety applications. Significant validation work against several experiments has been carried out in order to increase the confidence of predictions of scenarios relevant to hydrogen safety. The validation studies have included dispersion, explosion and combined dispersion and explosion studies. A range of different dispersion experiments is simulated, including low momentum releases in a garage, sub-sonic jets in a garage with stratification effects and subsequent slow diffusion, low momentum and subsonic horizontal jets influenced by buoyancy, and free jets from high-pressure vessels. LH2 releases are also considered. Some of the simulations are performed as blind predictions. FLACS uses a utility program in order to model releases from high-pressure reservoirs. Work has been carried out in order to extend the models in the utility program in order to include real gas effects. Validation against explosion experiments in geometries ranging from smooth and obstructed pipes, refueling station, tunnel, vented vessels, jet-ignited lane, etc. have been

Development and application of a living probabilistic safety assessment tool: Multi-objective multi-dimensional optimization of surveillance requirements in NPPs considering their ageing

International Nuclear Information System (INIS)

Kančev, Duško; Čepin, Marko; Gjorgiev, Blaže

2014-01-01

The benefits of utilizing the probabilistic safety assessment towards improvement of nuclear power plant safety are presented in this paper. Namely, a nuclear power plant risk reduction can be achieved by risk-informed optimization of the deterministically-determined surveillance requirements. A living probabilistic safety assessment tool for time-dependent risk analysis on component, system and plant level is developed. The study herein focuses on the application of this living probabilistic safety assessment tool as a computer platform for multi-objective multi-dimensional optimization of the surveillance requirements of selected safety equipment seen from the aspect of the risk-informed reasoning. The living probabilistic safety assessment tool is based on a newly developed model for calculating time-dependent unavailability of ageing safety equipment within nuclear power plants. By coupling the time-dependent unavailability model with a commercial software used for probabilistic safety assessment modelling on plant level, the frames of the new platform i.e. the living probabilistic safety assessment tool are established. In such way, the time-dependent core damage frequency is obtained and is further on utilized as first objective function within a multi-objective multi-dimensional optimization case study presented within this paper. The test and maintenance costs are designated as the second and the incurred dose due to performing the test and maintenance activities as the third objective function. The obtained results underline, in general, the usefulness and importance of a living probabilistic safety assessment, seen as a dynamic probabilistic safety assessment tool opposing the conventional, time-averaged unavailability-based, probabilistic safety assessment. The results of the optimization, in particular, indicate that test intervals derived as optimal differ from the deterministically-determined ones defined within the existing technical specifications

29 CFR 780.312 - “Hand harvest laborer” defined.

Science.gov (United States)

2010-07-01

... tools, soil grown crops such as cotton, tobacco, grains, fruits, and vegetables. The term would not... (drying shed). (2) The picking up of tomatoes by hand after hand pulling from the vines is “hand...) Employees who hand pick small undesirable fruit prior to harvesting in order to insure a better crop would...

Mojo Hand, a TALEN design tool for genome editing applications.

Science.gov (United States)

Neff, Kevin L; Argue, David P; Ma, Alvin C; Lee, Han B; Clark, Karl J; Ekker, Stephen C

2013-01-16

Recent studies of transcription activator-like (TAL) effector domains fused to nucleases (TALENs) demonstrate enormous potential for genome editing. Effective design of TALENs requires a combination of selecting appropriate genetic features, finding pairs of binding sites based on a consensus sequence, and, in some cases, identifying endogenous restriction sites for downstream molecular genetic applications. We present the web-based program Mojo Hand for designing TAL and TALEN constructs for genome editing applications (http://www.talendesign.org). We describe the algorithm and its implementation. The features of Mojo Hand include (1) automatic download of genomic data from the National Center for Biotechnology Information, (2) analysis of any DNA sequence to reveal pairs of binding sites based on a user-defined template, (3) selection of restriction-enzyme recognition sites in the spacer between the TAL monomer binding sites including options for the selection of restriction enzyme suppliers, and (4) output files designed for subsequent TALEN construction using the Golden Gate assembly method. Mojo Hand enables the rapid identification of TAL binding sites for use in TALEN design. The assembly of TALEN constructs, is also simplified by using the TAL-site prediction program in conjunction with a spreadsheet management aid of reagent concentrations and TALEN formulation. Mojo Hand enables scientists to more rapidly deploy TALENs for genome editing applications.

Mojo Hand, a TALEN design tool for genome editing applications

Directory of Open Access Journals (Sweden)

Neff Kevin L

2013-01-01

Full Text Available Abstract Background Recent studies of transcription activator-like (TAL effector domains fused to nucleases (TALENs demonstrate enormous potential for genome editing. Effective design of TALENs requires a combination of selecting appropriate genetic features, finding pairs of binding sites based on a consensus sequence, and, in some cases, identifying endogenous restriction sites for downstream molecular genetic applications. Results We present the web-based program Mojo Hand for designing TAL and TALEN constructs for genome editing applications (http://www.talendesign.org. We describe the algorithm and its implementation. The features of Mojo Hand include (1 automatic download of genomic data from the National Center for Biotechnology Information, (2 analysis of any DNA sequence to reveal pairs of binding sites based on a user-defined template, (3 selection of restriction-enzyme recognition sites in the spacer between the TAL monomer binding sites including options for the selection of restriction enzyme suppliers, and (4 output files designed for subsequent TALEN construction using the Golden Gate assembly method. Conclusions Mojo Hand enables the rapid identification of TAL binding sites for use in TALEN design. The assembly of TALEN constructs, is also simplified by using the TAL-site prediction program in conjunction with a spreadsheet management aid of reagent concentrations and TALEN formulation. Mojo Hand enables scientists to more rapidly deploy TALENs for genome editing applications.

Establishing the value of occupational health nurses' contributions to worker health and safety: a pilot test of a user-friendly estimation tool.

Science.gov (United States)

Graeve, Catherine; McGovern, Patricia; Nachreiner, Nancy M; Ayers, Lynn

2014-01-01

Occupational health nurses use their knowledge and skills to improve the health and safety of the working population; however, companies increasingly face budget constraints and may eliminate health and safety programs. Occupational health nurses must be prepared to document their services and outcomes, and use quantitative tools to demonstrate their value to employers. The aim of this project was to create and pilot test a quantitative tool for occupational health nurses to track their activities and potential cost savings for on-site occupational health nursing services. Tool developments included a pilot test in which semi-structured interviews with occupational health and safety leaders were conducted to identify currents issues and products used for estimating the value of occupational health nursing services. The outcome was the creation of a tool that estimates the economic value of occupational health nursing services. The feasibility and potential value of this tool is described.

Pharmacokinetics and safety of imiquimod 5% cream in the treatment of actinic keratoses of the face, scalp, or hands and arms.

Science.gov (United States)

Harrison, Lester I; Skinner, Shari L; Marbury, Thomas C; Owens, Mary L; Kurup, Sarala; McKane, Scott; Greene, Robert J

2004-06-01

The safety and efficacy of imiquimod 5% cream is being evaluated for the treatment of dysplastic lesions of the epidermis (actinic keratoses, AK). The objective of this clinical study was to describe the pharmacokinetics and safety of topical imiquimod during multiple dosing of AK subjects. A total of 58 adult subjects with 5 to 20 AK lesions at the treatment site applied imiquimod cream three times per week for up to 16 weeks as follows: 12 males and 11 females applied 12.5 mg imiquimod to the face; 11 males applied 25 mg to the entire balding area of the scalp; and 12 males and 12 females applied 75 mg to both hands and forearms. Pharmacokinetics and safety were assessed after the first and last doses, as well as biweekly. Imiquimod and its metabolites were measured in the serum and urine using sensitive liquid chromatography/mass spectrometry methods. Less than 0.6% of the applied doses was recovered in the urine of all subjects. Serum imiquimod levels were low, reflecting minimal dermal absorption, and increased with dose, although not proportionally. Peak levels at the end of dosing were 0.1, 0.2, and 1.6 ng/ml for the face, scalp, and hands/arms groups, respectively. A two- to fourfold accumulation was seen at the end of dosing. Local application site reactions were the most common adverse event, reported by approximately 50% of the subjects in each treatment group. The small number of systemic adverse events, including 'flu-like symptoms, were mostly mild and did not show a dose response. Thus, minimal systemic absorption and good safety margins for topical imiquimod were seen in AK subjects with doses as high as 75 mg three times per week for 16 weeks.

Application of Modern Tools and Techniques for Mine Safety & Disaster Management

Science.gov (United States)

Kumar, Dheeraj

2016-04-01

The implementation of novel systems and adoption of improvised equipment in mines help mining companies in two important ways: enhanced mine productivity and improved worker safety. There is a substantial need for adoption of state-of-the-art automation technologies in the mines to ensure the safety and to protect health of mine workers. With the advent of new autonomous equipment used in the mine, the inefficiencies are reduced by limiting human inconsistencies and error. The desired increase in productivity at a mine can sometimes be achieved by changing only a few simple variables. Significant developments have been made in the areas of surface and underground communication, robotics, smart sensors, tracking systems, mine gas monitoring systems and ground movements etc. Advancement in information technology in the form of internet, GIS, remote sensing, satellite communication, etc. have proved to be important tools for hazard reduction and disaster management. This paper is mainly focused on issues pertaining to mine safety and disaster management and some of the recent innovations in the mine automations that could be deployed in mines for safe mining operations and for avoiding any unforeseen mine disaster.

Chapter 03: Correct use of a hand lens

Science.gov (United States)

Alex Wiedenhoeft

2011-01-01

A hand lens is a powerful tool for the identification of wood, but like all tools it must be used correctly to take full advantage of its powers. The hand lens has two main parts, a lens that magnifies the object of interest (generally we use 10X or 14X lenses in wood identification; a 14X lens is recommended for use with this manual) and a housing to hold and protect...

Evaluation of hand-arm and whole-body vibrations in construction and property management.

Science.gov (United States)

Coggins, Marie A; Van Lente, Eric; McCallig, Margaret; Paddan, Gurmail; Moore, Ken

2010-11-01

s⁻²) and the highest WBV magnitudes were measured on an excavator with a rock breaking attachment (5.81 m s⁻²). HAV magnitudes were found to be particularly strongly influenced by tool age, while WBV magnitudes varied with work activity and terrain. Within the construction and management company, few hand tools (3 of 20) exceeded the exposure action values (EAV) specified in the European Physical Agents (Vibration) Directive 2002/44/EC [On the minimum health and safety requirements regarding the exposure of works to the risks arising form physical agents (vibration)], when used for an 8-h period. HAV magnitudes were found to be very dependent on tool age, highlighting the importance of a tool maintenance programme incorporating tool work life prediction supported by regular vibration exposure measurements. Most of the vehicles (10 of 11) tested in this study exceeded the EAV specified for WBV, when operated for 8 h. WBV magnitudes were found to be dependent on the work task and thus, job rotation could be employed to control WBV exposures to acceptable levels.

Contingency learning deficits and generalization in chronic unilateral hand pain patients.

Science.gov (United States)

Meulders, Ann; Harvie, Daniel S; Bowering, Jane K; Caragianis, Suzanne; Vlaeyen, Johan W S; Moseley, G Lorimer

2014-10-01

Contingency learning, in particular the formation of danger beliefs, underpins conditioned fear and avoidance behavior, yet equally important is the formation of safety beliefs. That is, when threat beliefs and accompanying fear/avoidance spread to technically safe cues, it might cause disability. Indeed, such over generalization has been advanced as a trans-diagnostic pathologic marker, but it has not been investigated in chronic pain. Using a novel hand pain scenario contingency learning task, we tested the hypotheses that chronic hand pain patients demonstrate less differential pain expectancy judgments because of poor safety learning and demonstrate broader generalization gradients than healthy controls. Participants viewed digitized 3-dimensional hands in different postures presented in random order (conditioned stimulus [CS]) and rated the likelihood that a fictive patient would feel pain when moving the hand into that posture. Subsequently, the outcome (pain/no pain) was presented on the screen. One hand posture was followed by pain (CS+), another was not (CS-). Generalization was tested using novel hand postures (generalization stimuli) that varied in how similar they were to the original conditioned stimuli. Patients, but not healthy controls, demonstrated a contingency learning deficit determined by impaired safety learning, but not by exaggerated pain expectancy toward the CS+. Patients showed flatter, asymmetric generalization gradients than the healthy controls did, with higher pain expectancy for novel postures that were more similar to the original CS-. The results clearly uphold our hypotheses and suggest that contingency learning deficits might be important in the development and maintenance of the chronic pain-related disability. Chronic hand pain patients demonstrate 1) reduced differential contingency learning determined by a lack of safety belief formation, but not by exaggerated threat belief formation, and 2) flatter, asymmetric

Total safety management: An approach to improving safety culture

International Nuclear Information System (INIS)

Blush, S.M.

1993-01-01

A little over 4 yr ago, Admiral James D. Watkins became Secretary of Energy. President Bush, who had appointed him, informed Watkins that his principal task would be to clean up the nuclear weapons complex and put the US Department of Energy (DOE) back in the business of producing tritium for the nation's nuclear deterrent. Watkins recognized that in order to achieve these objectives, he would have to substantially improve the DOE's safety culture. Safety culture is a relatively new term. The International Atomic Energy Agency (IAEA) used it in a 1986 report on the root causes of the Chernobyl nuclear accident. In 1990, the IAEA's International Nuclear Safety Advisory Group issued a document focusing directly on safety culture. It provides guidelines to the international nuclear community for measuring the effectiveness of safety culture in nuclear organizations. Safety culture has two principal aspects: an organizational framework conducive to safety and the necessary organizational and individual attitudes that promote safety. These obviously go hand in hand. An organization must create the right framework to foster the right attitudes, but individuals must have the right attitudes to create the organizational framework that will support a good safety culture. The difficulty in developing such a synergistic relationship suggests that achieving and sustaining a strong safety culture is not easy, particularly in an organization whose safety culture is in serious disrepair

Methods and tools used at the IPSN for the safety assessment of critical software

International Nuclear Information System (INIS)

Regnier, P.; Henry, J.Y.

1998-01-01

A significant feature of EDF's latest 1400MWe ''N4'' generation of pressurized water reactor (PWR) is the extensive use of computerized instrumentation and control, including a fully digital system for the reactor protection function. For the safety assessment of the software driving the operation of this digital reactor protection called SPIN, IPSN has developed and implemented a set of methods and tools. Using the lessons learned from this experience, IPSN has worked at improving those methods and tools, mainly trying to make them more automatic to use, and has participated in an international assessment exercise to test some other methods and tools, either new products on the market or self-developed products. As a result of these works, this paper presents an up to date overview of the IPSN methods and tools used for the assessment of safety critical software. This assessment, which consists of an analysis of all the documentation associated with the technical specifications and of a representative set of functions, is usually carried out in five steps: (1) critical examination of the documents, (2) evaluation of the quality of the code, (3) determination of the critical software components, (4) development of test cases and choice of testing strategy, (5) dynamic analysis (consistency and robustness). This paper also presents methods and tools developed or implemented by IPSN in order to: evaluate the completeness and consistency of specification and design documents written in natural language; build a model and simulate specification or design items; evaluate the quality of the source code; carry out FMEA analysis; run the binary code and perform tests (CLAIRE); perform random or mutational tests. (author)

Using game technologies to improve the safety of construction plant operations.

Science.gov (United States)

Guo, Hongling; Li, Heng; Chan, Greg; Skitmore, Martin

2012-09-01

Many accidents occur world-wide in the use of construction plant and equipment, and safety training is considered by many to be one of the best approaches to their prevention. However, current safety training methods/tools are unable to provide trainees with the hands-on practice needed. Game technology-based safety training platforms have the potential to overcome this problem in a virtual environment. One such platform is described in this paper - its characteristics are analysed and its possible contribution to safety training identified. This is developed and tested by means of a case study involving three major pieces of construction plant, which successfully demonstrates that the platform can improve the process and performance of the safety training involved in their operation. This research not only presents a new and useful solution to the safety training of construction operations, but illustrates the potential use of advanced technologies in solving construction industry problems in general. Copyright © 2011 Elsevier Ltd. All rights reserved.

Science and regulation 50 years hand in hand in radiation safety work in Finland

International Nuclear Information System (INIS)

Laaksonen, Jukka; Mustonen, Raimo; Ikaheimonen, Tarja

2008-01-01

The first predecessor of the present Nuclear and Radiation Safety Authority of Finland (STUK) was founded in 1958 to regulate the use of radiation and to study artificial radiation in the environment. In those days radiation was used only in medical and industrial applications and there were also first indications that atmospheric nuclear tests might cause significant exposure to radiation, especially in the Northern Finland. Focusing activities of the new Institute of Radiation Physics, as STUK was called in those days, to these two activities laid foundation for the operations culture where regulators and scientists work together to achieve the optimum level of safety. Since those early days STUK has continued this operations model and developed it to include also other activities. Today STUK is the national regulatory body for both radiation protection and nuclear safety, but at the same time it is a research organisation and an expert body, supporting for instance the national emergency preparedness for nuclear and radiation accidents. This has brought great synergy benefits and given STUK an opportunity to use the limited national resources in the most effective way. This paper describes the main functions of STUK in its fifty years' operation and highlights the arguments favouring to keep regulatory and research activities as close to each other as possible. In today's world nuclear safety, radiation protection, and radiological preparedness and security issues are so closely connected with each other that organisations dealing with them should have comprehensive knowledge about all of them. (author)

Application of the QFD as a design approach to ensure comfort in using hand tools: can the design team complete the House of Quality appropriately?

Science.gov (United States)

Kuijt-Evers, L F M; Morel, K P N; Eikelenberg, N L W; Vink, P

2009-05-01

Quality Function Deployment is proposed as an effective design method to integrate ergonomics needs and comfort into hand tool design because it explicitly addresses the translation of customer needs into engineering characteristics. A crucial step during QFD concerns the linking of engineering characteristics to customer needs in the House of Quality by the design team. It is generally assumed (looking at all the QFD success stories) that design teams can accurately predict the correlations between customer needs and engineering characteristics (also referred to as "Whats"/"Hows" correlations). This paper explicitly tests this assumption by comparing the "Whats"/"Hows" correlations estimated by a design team with those observed in a systematic user evaluation study, which has not been done before. Testing the assumption is important, because inaccurate estimates may lead to ergonomically ineffective (re)design of hand tools and a waste of company resources. Results revealed that the design team's correlation estimates were not as accurate as is generally assumed. Twenty-five percent of the estimates differed significantly with those observed in the user evaluation study. Thus, QFD is a useful method to assist design teams in designing ergonomically more comfortable hand tools, but only on the condition that the correlations between customer needs and engineering characteristics are validated, preferably by means of a systematic user evaluation study.

Tool for assistance in testing the safety logic section of nuclear plants

International Nuclear Information System (INIS)

Boulc'h, J.; Meur, M. le; Collart, J.M.; Segalard, J.; Uberschlag, J.

1986-01-01

The analysis of the protection system logic section (SPIN) of the PALUEL plant performed manually have led to the study of a logical tool for testing the safety logic section having or having not failures. It is a dynamic analyser which from a terminal in a sharing time system will be able to generate testing sequences, to simulate a processor and its environment and to analyse the logic sections with their workable code

Accidental hand grenade blast injuries in the Transkei region of ...

African Journals Online (AJOL)

Case Study: Accidental hand grenade blast injuries in the Transkei region of South Africa. 348. Vol 51 No 4. SA Fam ... There is some evidence that a substantial number of small arms and hand grenades ... Unfortunately, the safety device was ...

3D Printed Robotic Hand

Science.gov (United States)

Pizarro, Yaritzmar Rosario; Schuler, Jason M.; Lippitt, Thomas C.

2013-01-01

Dexterous robotic hands are changing the way robots and humans interact and use common tools. Unfortunately, the complexity of the joints and actuations drive up the manufacturing cost. Some cutting edge and commercially available rapid prototyping machines now have the ability to print multiple materials and even combine these materials in the same job. A 3D model of a robotic hand was designed using Creo Parametric 2.0. Combining "hard" and "soft" materials, the model was printed on the Object Connex350 3D printer with the purpose of resembling as much as possible the human appearance and mobility of a real hand while needing no assembly. After printing the prototype, strings where installed as actuators to test mobility. Based on printing materials, the manufacturing cost of the hand was $167, significantly lower than other robotic hands without the actuators since they have more complex assembly processes.

The power tool

International Nuclear Information System (INIS)

HAYFIELD, J.P.

1999-01-01

POWER Tool--Planning, Optimization, Waste Estimating and Resourcing tool, a hand-held field estimating unit and relational database software tool for optimizing disassembly and final waste form of contaminated systems and equipment

APMS: An Integrated Suite of Tools for Measuring Performance and Safety

Science.gov (United States)

Statler, Irving C.; Lynch, Robert E.; Connors, Mary M. (Technical Monitor)

1997-01-01

This is a report of work in progress. In it, I summarize the status of the research and development of the Aviation Performance Measuring System (APMS) for managing, processing, and analyzing digital flight-recorded data. The objectives of the NASA-FAA APMS research project are to establish a sound scientific and technological basis for flight-data analysis, to define an open and flexible architecture for flight-data-analysis systems, and to articulate guidelines for a standardized database structure on which to continue to build future flight-data-analysis extensions. APMS will offer to the air transport community an open, voluntary standard for flight-data-analysis software, a standard that will help to ensure suitable functionality, and data interchangeability, among competing software programs. APMS will develop and document the methodologies, algorithms, and procedures for data management and analyses to enable users to easily interpret the implications regarding safety and efficiency of operations. APMS does not entail the implementation of a nationwide flight-data-collection system. It is intended to provide technical tools to ease the large-scale implementation of flight-data analyses at both the air-carrier and the national-airspace levels in support of their Flight Operations and Quality Assurance (FOQA) Programs and Advanced Qualifications Programs (AQP). APMS cannot meet its objectives unless it develops tools that go substantially beyond the capabilities of the current commercially available software and supporting analytic methods that are mainly designed to count special events. These existing capabilities, while of proven value, were created primarily with the needs of air crews in mind. APMS tools must serve the needs of the government and air carriers, as well as air crews, to fully support the FOQA and AQP programs. They must be able to derive knowledge not only through the analysis of single flights (special-event detection), but through

Hand-arm vibration syndrome in South African gold miners.

Science.gov (United States)

Nyantumbu, Busi; Barber, Chris M; Ross, Mary; Curran, Andrew D; Fishwick, David; Dias, Belinda; Kgalamono, Spo; Phillips, James I

2007-01-01

Hand-arm vibration syndrome (HAVS) is associated with the use of hand-held vibrating tools. Affected workers may experience symptoms of tingling, numbness, loss of grip strength and pain. Loss of dexterity may impair everyday activities, and potentially increase the risk of occupational accidents. Although high vibration levels (up to 31 m/s(2)) have been measured in association with rock drills, HAVS has not been scientifically evaluated in the South African mining industry. The aim of this study was to determine the prevalence and severity of HAVS in South African gold miners, and to identify the tools responsible. A cross-sectional study was conducted in a single South African gold-mine. Participants were randomly selected from mineworkers returning from annual leave, comprising 156 subjects with occupational exposure to vibration, and 140 workers with no exposure. Miners who consented to participate underwent a clinical HAVS assessment following the UK Health and Safety Laboratory protocol. The prevalence of HAVS in vibration-exposed gold miners was 15%, with a mean latent period of 5.6 years. Among the non-exposed comparison group, 5% had signs and symptoms indistinguishable from HAVS. This difference was statistically significant (P < 0.05). All the cases of HAVS gave a history of exposure to rock drills. The study has diagnosed the first cases of HAVS in the South African mining industry. The prevalence of HAVS was lower than expected, and possible explanations for this may include a survivor population, and lack of vascular symptom reporting due to warm-ambient temperatures.

Traceability of Software Safety Requirements in Legacy Safety Critical Systems

Science.gov (United States)

Hill, Janice L.

2007-01-01

How can traceability of software safety requirements be created for legacy safety critical systems? Requirements in safety standards are imposed most times during contract negotiations. On the other hand, there are instances where safety standards are levied on legacy safety critical systems, some of which may be considered for reuse for new applications. Safety standards often specify that software development documentation include process-oriented and technical safety requirements, and also require that system and software safety analyses are performed supporting technical safety requirements implementation. So what can be done if the requisite documents for establishing and maintaining safety requirements traceability are not available?

Development of a tool of probabilistic safety analysis for advanced nuclear reactors

International Nuclear Information System (INIS)

Hidalgo H, F.E.; Fran N, P.

2007-01-01

It is developing a tool to explain in a simple way in that it consists the Probabilistic Safety Analysis (APS) and at the same time to facilitate the comparison among the different designs of advanced nuclear reactors starting from their safety systems. This tool for teaching contemplates all the workspaces in an APS, but it is deepened only in what is the development of accident sequences and systems models. At the moment its have incorporated three types of advanced reactors, ABWR, ESBWR, and the HTGR and they are compared among if and with a BWR like that of Laguna Verde. This tool is carried out in Visual Basic code because it is a platform that can be used in any Windows atmosphere and for their easy programming. The system includes a tree of events developed for this purpose for a research HTGR built in Japan (HTTR) to have a point of comparison of the same one with other reactors of previous generations. It is that in the fourth generation reactors the measure of frequency of core damage doesn't make the same sense that for reactors of previous generations, which is due to its passive safety systems and its design type of the fuel, that which makes indispensable the development of another type of risk measure. The tree of events is presented for the initiator event 'the rupture of the main pipe' that causes the depressurization of the HTTR reactor. In this article it was concluded that it is necessary to evaluate the accident until reaching to the liberation of fission products that one knows in APS like an APS study level 1 and level 2 together. The final states developed starting from the possible phenomena that happen in these scenarios are presented. For this, its are considered flaws of all the mitigation systems that intervene in this accident. The tree of events developed for this work and the definition of the final states contributes to the development of as carrying out an APS for fourth generation reactors, with the purpose of developing an APS

Electrical hand tools and techniques: A compilation. [utilization of space technology for tools and adapters

Science.gov (United States)

1974-01-01

Space technology utilization for developing tools, adapters, and fixtures and procedures for assembling, installing, and servicing electrical components and equipment are discussed. Some of the items considered are: (1) pivotal screwdriver, (2) termination locator tool for shielded cables, (3) solder application tools, (4) insulation and shield removing tool, and (5) torque wrench adapter for cable connector engaging ring. Diagrams of the various tools and devices are provided.

Pandora - a simulation tool for safety assessments. Technical description and user's guide

International Nuclear Information System (INIS)

Ekstroem, Per-Anders

2010-12-01

This report documents a flexible simulation tool, Pandora, used in several post closure safety assessments in both Sweden and Finland to assess the radiological dose to man due to releases from radioactive waste repositories. Pandora allows the user to build compartment models to represent the migration and fate of radionuclides in the environment. The tool simplifies the implementation and simulation of radioecological biosphere models in which there exist a large set of radionuclides and input variables. Based on the well-known technical computing software MATLAB and especially its interactive graphical environment Simulink, Pandora receives many benefits. MATLAB/Simulink is a highly flexible tool used for simulations of practically any type of dynamic system; it is widely used, continuously maintained, and often upgraded. By basing the tool on this commercial software package, we gain both the graphical interface provided by Simulink, as well as the ability to access the advanced numerical equation solving routines in MATLAB. Since these numerical methods are well established and quality assured in their MATLAB implementation, the solution methods used in Pandora can be considered to have high level of quality assurance. The structure of Pandora provides clarity in the model format, which means the model itself assists its own documentation, since the model can be understood by inspecting its structure. With the introduction of the external tool Pandas (Pandora assessment tool), version handling and an integrated way of performing the entire calculation chain has been added. Instead of being dependent on other commercial statistical software as Risk for performing probabilistic assessments, they can now be performed within the tool

Sex Differences in Performance with the Hand and Arm in near and Far Space: A Possible Effect of Tool Use

Directory of Open Access Journals (Sweden)

Geoff Sanders

2007-10-01

Full Text Available Using novel tasks, we tested two predictions from the hunter-gatherer hypothesis concerning sex differences in the motor control of hand and arm and in the visual processing of near and far space. In Study 1 we replicated earlier findings by demonstrating that women scored higher with the hand while men scored higher with the arm. Study 2 tested the motor and visual predictions concurrently and showed that the Muscle*Sex interaction, seen in Study 1, occurs in far as well as near space. However, we failed to confirm that women perform better with visual information from near and men from far space. Instead the relative performance of women and men was the same in far as it was in near space. Drawing on evidence from studies of selective visual neglect we suggest that this outcome arose because tool use causes far space to be re-mapped as near space. Finally, the selective visual neglect literature indicates that the processing of far and near space is located in the ventral and dorsal cortical streams, previously described as two “what”/“where” visual systems. We draw attention to their additional “there”/“here” functions that are sex dimorphic and, as we have shown, modulated by tool use.

Maritime Safety and Security Challenges – 3D Simulation Based Training

Directory of Open Access Journals (Sweden)

Christoph Felsenstein

2013-09-01

Full Text Available Maritime Safety and Security on board ships very much depends on well trained crews. That is why training and exercising emergency response procedures as well as efficiency in reliable management are extremely necessary. On the other hand research as well as technological development in safety and security, tools and other kinds of technical and organizational systems contribute to further improvement and guarantee high levels of safety and security in maritime transportation. Simulation facilities are essential for both exercising and training but also for research and technological development. This paper introduces the innovative concept of a safety and security training simulator (SST7 and describes research work related to the implementation of training scenarios. Selected results of a case study will be presented. A shorter version of this paper was originally presented at the International Conference on “Marine Navigation and Safety of Sea Transportation” at Gdynia in June 2013.

[Hand hygiene technique assessment using electronic equipment in 26 Hungarian healthcare institutions].

Science.gov (United States)

Lehotsky, Ákos; Morvai, Júlia; Szilágyi, László; Bánsághi, Száva; Benkó, Alíz; Haidegger, Tamás

2017-07-01

Hand hygiene is probably the most effective tool of nosocomial infection prevention, however, proper feedback and control is needed to develop the individual hand hygiene practice. Assessing the efficiency of modern education tools, and digital demonstration and verification equipment during their wide-range deployment. 1269 healthcare workers took part in a training organized by our team. The training included the assessment of the participants' hand hygiene technique to identify the most often missed areas. The hand hygiene technique was examined by a digital device. 33% of the participants disinfected their hands incorrectly. The most often missed sites are the fingertips (33% on the left hand, 37% on the right hand) and the thumbs (42% on the left hand, 32% on the right hand). The feedback has a fundamental role in the development of the hand hygiene technique. With the usage of electronic devices feedback can be provided efficiently and simply. Orv Hetil. 2017; 158(29): 1143-1148.

Using the electronic health record to build a culture of practice safety: evaluating the implementation of trigger tools in one general practice.

Science.gov (United States)

Margham, Tom; Symes, Natalie; Hull, Sally A

2018-04-01

Identifying patients at risk of harm in general practice is challenging for busy clinicians. In UK primary care, trigger tools and case note reviews are mainly used to identify rates of harm in sample populations. This study explores how adaptions to existing trigger tool methodology can identify patient safety events and engage clinicians in ongoing reflective work around safety. Mixed-method quantitative and narrative evaluation using thematic analysis in a single East London training practice. The project team developed and tested five trigger searches, supported by Excel worksheets to guide the case review process. Project evaluation included summary statistics of completed worksheets and a qualitative review focused on ease of use, barriers to implementation, and perception of value to clinicians. Trigger searches identified 204 patients for GP review. Overall, 117 (57%) of cases were reviewed and 62 (53%) of these cases had patient safety events identified. These were usually incidents of omission, including failure to monitor or review. Key themes from interviews with practice members included the fact that GPs' work is generally reactive and GPs welcomed an approach that identified patients who were 'under the radar' of safety. All GPs expressed concern that the tool might identify too many patients at risk of harm, placing further demands on their time. Electronic trigger tools can identify patients for review in domains of clinical risk for primary care. The high yield of safety events engaged clinicians and provided validation of the need for routine safety checks. © British Journal of General Practice 2018.

A prospective, comparative, evaluator-blind clinical study investigating efficacy and safety of two injection techniques with Radiesse ® for the correction of skin changes in aging hands

Directory of Open Access Journals (Sweden)

Elena I Gubanova

2015-01-01

Full Text Available Background: Dermal fillers are used to correct age-related changes in hands. Aims: Assess efficacy and safety of two injection techniques to treat age-related changes in the hands using calcium hydroxylapatite filler, Radiesse ® . Settings and Design: This was a prospective, comparative, evaluator-blind, single-center study. Materials and Methods: Radiesse ® (0.8 mL/0.2 mL 2% lidocaine was injected subdermally on Day (D01, using a needle multipoint technique in one hand (N and a fan-like cannula technique in the other (C. Assessments were made pre-injection, on D14, Month (M02, M03 and M05 using the Merz Aesthetics Hand Grading Scale (MAS and Global Aesthetic Improvement Scale (GAIS. Participants completed questionnaires on satisfaction, pain and adverse events (AEs. Statistical Analysis Used: Data distribution was tested with the Shapiro-Wilk and Levene′s tests. The Wilcoxon signed-rank and Chi-square tests were employed to evaluate quantitative and qualitative data, respectively. Results: All 10 participants completed the study, four opted for a M03 touch-up (0.8 mL Radiesse ® . Evaluator-assessed mean GAIS scores were between 2 (significant improvement but not complete correction and 3 (optimal cosmetic result at each time point. The MAS score improved from D01 to M05 (N: 2.60 to 1.40; C: 2.20 to 1.30. Following treatment, participants reported skin was softer, more elastic, more youthful and less wrinkled. Other than less noticeable veins and tendons on the C hand, no differences in participant satisfaction were noted. All AEs were mild, with no serious AEs reported. Conclusions: Both injection techniques (needle and cannula demonstrated equivalent clinical efficacy with a comparable safety profile for the correction of age-related changes in hands with Radiesse ® .

Adverse events analysis as an educational tool to improve patient safety culture in primary care: a randomized trial.

Science.gov (United States)

González-Formoso, Clara; Martín-Miguel, María Victoria; Fernández-Domínguez, Ma José; Rial, Antonio; Lago-Deibe, Fernando Isidro; Ramil-Hermida, Luis; Pérez-García, Margarita; Clavería, Ana

2011-06-14

Patient safety is a leading item on the policy agenda of both major international health organizations and advanced countries generally. The quantitative description of the phenomena has given rise to intense concern with the issue in institutions and organizations, leading to a number of initiatives and research projects and the promotion of patient safety culture, with training becoming a priority both in Spain and internationally. To date, most studies have been conducted in a hospital setting, even though primary care is the type most commonly used by the public, in our experience. Our study aims to achieve the following:--Assess the registry of adverse events as an education tool to improve patient safety culture in the Family and Community Teaching Units of Galicia.--Find and analyze educational tools to improve patient safety culture in primary care.--Evaluate the applicability of the Hospital Survey on Patient Safety Culture by the Agency for Healthcare Research and Quality, Spanish version, in the context of primary health care. Experimental unifactorial study of two groups, control and intervention. Tutors and residents in Family and Community Medicine in last year of studies in Galicia, Spain. From the population universe through voluntary participation. Twenty-seven tutor-resident units in each group required, randomly assigned. Residents and their respective tutor (tutor-resident pair) in teaching units on Family and Community Medicine from throughout Galicia will be invited to participate. Tutor-resident pair that agrees to participate will be sent the Hospital Survey on Patient Safety Culture. Then, tutor-resident pair will be assigned to each group--either intervention or control--through simple random sampling. The intervention group will receive specific training to record the adverse effects found in patients under their care, with subsequent feedback, after receiving instruction on the process. No action will be taken in the control group. After

Convergence of human brain mapping tools: neuronavigated TMS parameters and fMRI activity in the hand motor area.

Science.gov (United States)

Sarfeld, Anna-Sophia; Diekhoff, Svenja; Wang, Ling E; Liuzzi, Gianpiero; Uludağ, Kamil; Eickhoff, Simon B; Fink, Gereon R; Grefkes, Christian

2012-05-01

Functional magnetic resonance imaging (fMRI) and transcranial magnetic stimulation (TMS) are well-established tools for investigating the human motor system in-vivo. We here studied the relationship between movement-related fMRI signal changes in the primary motor cortex (M1) and electrophysiological properties of the hand motor area assessed with neuronavigated TMS in 17 healthy subjects. The voxel showing the highest task-related BOLD response in the left hand motor area during right hand movements was identified for each individual subject. This fMRI peak voxel in M1 served as spatial target for coil positioning during neuronavigated TMS. We performed correlation analyses between TMS parameters, BOLD signal estimates and effective connectivity parameters of M1 assessed with dynamic causal modeling (DCM). The results showed a negative correlation between the movement-related BOLD signal in left M1 and resting as well as active motor threshold (MT) obtained for left M1. The DCM analysis revealed that higher excitability of left M1 was associated with a stronger coupling between left supplementary motor area (SMA) and M1. Furthermore, BOLD activity in left M1 correlated with ipsilateral silent period (ISP), i.e. the stronger the task-related BOLD response in left M1, the higher interhemispheric inhibition effects targeting right M1. DCM analyses revealed a positive correlation between the coupling of left SMA with left M1 and the duration of ISP. The data show that TMS parameters assessed for the hand area of M1 do not only reflect the intrinsic properties at the stimulation site but also interactions with remote areas in the human motor system. Copyright © 2011 Wiley-Liss, Inc.

Safety assessment methodologies for near surface disposal facilities. Results of a co-ordinated research project (ISAM). Volume 1: Review and enhancement of safety assessment approaches and tools. Volume 2: Test cases

International Nuclear Information System (INIS)

2004-07-01

For several decades, countries have made use of near surface facilities for the disposal of low and intermediate level radioactive waste. In line with the internationally agreed principles of radioactive waste management, the safety of these facilities needs to be ensured during all stages of their lifetimes, including the post-closure period. By the mid 1990s, formal methodologies for evaluating the long term safety of such facilities had been developed, but intercomparison of these methodologies had revealed a number of discrepancies between them. Consequently, in 1997, the International Atomic Energy Agency launched a Co-ordinated Research Project (CRP) on Improvement of Safety Assessment Methodologies for Near Surface Disposal Facilities (ISAM). The particular objectives of the CRP were to provide a critical evaluation of the approaches and tools used in post-closure safety assessment for proposed and existing near-surface radioactive waste disposal facilities, enhance the approaches and tools used and build confidence in the approaches and tools used. The CRP ran until 2000 and resulted in the development of a harmonized assessment methodology (the ISAM project methodology), which was applied to a number of test cases. Over seventy participants from twenty-two Member States played an active role in the project and it attracted interest from around seven hundred persons involved with safety assessment in seventy-two Member States. The results of the CRP have contributed to the Action Plan on the Safety of Radioactive Waste Management which was approved by the Board of Governors and endorsed by the General Conference in September 2001. Specifically, they contribute to Action 5, which requests the IAEA Secretariat to 'develop a structured and systematic programme to ensure adequate application of the Agency's waste safety standards', by elaborating on the Safety Requirements on 'Near Surface Disposal of Radioactive Waste' (Safety Standards Series No. WS-R-1) and

Math in Action. Hands-On, Minds-On Math.

Science.gov (United States)

Waite-Stupiansky, Sandra; Stupiansky, Nicholas G.

1998-01-01

Hands-on math must also involve students' minds in creative thinking. Math manipulatives must be used for uncovering, not just discovering. This paper presents guidelines for planning hands-on, minds-on math for elementary students. Suggestions include dialoging, questioning, integrating manipulatives and other tools, writing, and evaluating. (SM)

Assessment of Lightning Transients on a De-Iced Rotor Blade with Predictive Tools and Coaxial Return Measurements

Science.gov (United States)

Guillet, S.; Gosmain, A.; Ducoux, W.; Ponçon, M.; Fontaine, G.; Desseix, P.; Perraud, P.

2012-05-01

The increasing use of composite materials in aircrafts primary structures has led to different problematics in the field of safety of flight in lightning conditions. The consequences of this technological mutation, which occurs in a parallel context of extension of electrified critical functions, are addressed by aircraft manufacturers through the enhancement of their available assessment means of lightning transient. On the one hand, simulation tools, provided an accurate description of aircraft design, are today valuable assessment tools, in both predictive and operative terms. On the other hand, in-house test means allow confirmation and consolidation of design office hardening solutions. The combined use of predictive simulation tools and in- house test means offers an efficient and reliable support for all aircraft developments in their various life-time stages. The present paper provides PREFACE research project results that illustrate the above introduced strategy on the de-icing system of the NH90 composite main rotor blade.

Information structure and organisation in change of shift reports: An observational study of nursing hand-offs in a Paediatric Intensive Care Unit.

Science.gov (United States)

Foster-Hunt, Tara; Parush, Avi; Ellis, Jacqueline; Thomas, Margot; Rashotte, Judy

2015-06-01

Patient hand-offs involve the exchange of critical information. Ineffective hand-offs can result in reduced patient safety by leading to wrong treatment, delayed diagnoses or other outcomes that can negatively affect the healthcare system. The objectives of this study were to uncover the structure of the information conveyed during patient hand-offs and look for principles characterising the organisation of the information. With an observational study approach, data was gathered during the morning and evening nursing change of shift hand-offs in a Paediatric Intensive Care Unit. Content analysis identified a common meta-structure used for information transfer that contained categories with varying degrees of information integration and the repetition of high consequence information. Differences were found in the organisation of the hand-off structures, and these varied as a function of nursing experience. The findings are discussed in terms of the potential benefits of computerised tools which utilise standardised structure for information transfer and the implications for future education and critical care skill acquisition. Copyright © 2014 Elsevier Ltd. All rights reserved.

Application of the QFD as a design approach to ensure comfort in using hand tools : Can the design team complete the House of Quality appropriately?

NARCIS (Netherlands)

Kuijt-Evers, L.F.M.; Morel, K.P.N.; Eikelenberg, N.L.W.; Vink, P.

2009-01-01

Quality Function Deployment is proposed as an effective design method to integrate ergonomics needs and comfort into hand tool design because it explicitly addresses the translation of customer needs into engineering characteristics. A crucial step during QFD concerns the linking of engineering

SIMMER as a safety analysis tool

International Nuclear Information System (INIS)

Smith, L.L.; Bell, C.R.; Bohl, W.R.; Bott, T.F.; Dearing, J.F.; Luck, L.B.

1982-01-01

SIMMER has been used for numerous applications in fast reactor safety, encompassing both accident and experiment analysis. Recent analyses of transition-phase behavior in potential core disruptive accidents have integrated SIMMER testing with the accident analysis. Results of both the accident analysis and the verification effort are presented as a comprehensive safety analysis program

Development of a tool dedicated to the evaluation of hydrogen term source for technological Wastes: assumptions, physical models, and validation

Energy Technology Data Exchange (ETDEWEB)

Lamouroux, C. [CEA Saclay, Nuclear Energy Division /DANS, Department of physico-chemistry, 91191 Gif sur yvette (France); Esnouf, S. [CEA Saclay, DSM/IRAMIS/SIS2M/Radiolysis Laboratory , 91191 Gif sur yvette (France); Cochin, F. [Areva NC,recycling BU, DIRP/RDP tour Areva, 92084 Paris La Defense (France)

2013-07-01

In radioactive waste packages hydrogen is generated, in one hand, from the radiolysis of wastes (mainly organic materials) and, in the other hand, from the radiolysis of water content in the cement matrix. In order to assess hydrogen generation 2 tools based on operational models have been developed. One is dedicated to the determination of the hydrogen source term issues from the radiolysis of the wastes: the STORAGE tool (Simulation Tool Of Emission Radiolysis Gas), the other deals with the hydrogen source term gas, produced by radiolysis of the cement matrices (the Damar tool). The approach used by the STORAGE tool for assessing the production rate of radiolysis gases is divided into five steps: 1) Specification of the data packages, in particular, inventories and radiological materials defined for a package medium; 2) Determination of radiochemical yields for the different constituents and the laws of behavior associated, this determination of radiochemical yields is made from the PRELOG database in which radiochemical yields in different irradiation conditions have been compiled; 3) Definition of hypothesis concerning the composition and the distribution of contamination inside the package to allow assessment of the power absorbed by the constituents; 4) Sum-up of all the contributions; And finally, 5) validation calculations by comparison with a reduced sampling of packages. Comparisons with measured values confirm the conservative character of the methodology and give confidence in the safety margins for safety analysis report.

An automated hand hygiene compliance system is associated with improved monitoring of hand hygiene.

Science.gov (United States)

McCalla, Saungi; Reilly, Maggie; Thomas, Rowena; McSpedon-Rai, Dawn

2017-05-01

Consistent hand hygiene is key to reducing health care-associated infections (HAIs) and assessing compliance with hand hygiene protocols is vital for hospital infection control staff. A new automated hand hygiene compliance system (HHCS) was trialed as an alternative to human observers in an intensive care unit and an intensive care stepdown unit at a hospital facility in the northeastern United States. Using a retrospective cohort design, researchers investigated whether implementation of the HHCS resulted in improved hand hygiene compliance and a reduction in common HAI rates. Pearson χ 2 tests were used to assess changes in compliance, and incidence rate ratios were used to test for significant differences in infection rates. During the study period, the HHCS collected many more hand hygiene events compared with human observers (632,404 vs 480) and ensured that the hospital met its compliance goals (95%+). Although decreases in multidrug-resistant organisms, central line-associated bloodstream infections, and catheter-associated urinary tract infection rates were observed, they represented nonsignificant differences. Human hand hygiene observers may not report accurate measures of compliance. The HHCS is a promising new tool for fine-grained assessment of hand hygiene compliance. Further study is needed to examine the association between the HHCS and HAI rate reduction. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Nuclear reactors safety issues

International Nuclear Information System (INIS)

Barre, Francois; Seiler, Nathalie

2008-01-01

Full text of publication follows: Since the seventies, economic incentives have led the utilities to drive a permanent evolution of the light water reactor (LWR). The evolution deals with the reactor designs as well as the way to operate them in a more flexible manner. It is for instance related to the fuel technologies and management. On the one hand, the technologies are in continuous evolution, such as the fuel pellets (MOX, Gd fuel, or Cr doped fuels..) as well as advanced cladding materials (M5 TM , MDA or ZIRLO). On the other hand, the fuel management is also subject to continuous evolution in particular in terms of increasing the level of burn-up, the reactor (core) power, the enrichment, as well as the duration of reactor cycles. For instance, in a few years in France, the burn-up has raised beyond the value of 39 GWj/t, initially authorized up to 52 GWj/t for the UO 2 fuel. In the near future, utilities foreseen to reach fuel burn-up of 60 GWj/t for MOX fuel and 70 GWj/t for UO 2 fuel. Furthermore, the future reactor of fourth generation will use new fuels of advanced conception. Furthermore with the objective of improving the safety margins, methods and calculation tools used by the utilities in the elaboration of their safety demonstrations submitted to the Safety Authority, are in movement. The margin evaluation methodologies often consist of a calculation chain of best-estimate multi-field simulations (e.g. various codes being coupled to simulate in a realistic way the evolution of the thermohydraulic, neutronic and mechanic state of the reactor). The statistical methods are more and more sophisticated and the computer codes are integrating ever-complex physical models (e.g. three-dimensional at fine scale). Following this evolution, the Institute of Radioprotection and Nuclear Safety (IRSN), whose one of the roles is to examine the safety records and to rend a technical expertise, considers the necessity of reevaluating the safety issues for advanced

Volume correction in the aging hand: role of dermal fillers

Directory of Open Access Journals (Sweden)

Rivkin AZ

2016-08-01

Full Text Available Alexander Z Rivkin David Geffen/UCLA School of Medicine Los Angeles, CA, USA Abstract: The hands, just like the face, are highly visible parts of the body. They age at a similar rate and demonstrate comparable changes with time, sun damage, and smoking. Loss of volume in the hands exposes underlying tendons, veins, and bony prominences. Rejuvenation of the hands with dermal fillers is a procedure with high patient satisfaction and relatively low risk for complications. This study will review relevant anatomy, injection technique, clinical safety, and efficacy of dermal filler volumization of the aging hand. Keywords: dermal fillers, hands, volumization, hyaluronic acid, calcium hydroxylapatite

Operational safety performance indicator system - a management tool for the self assessment of safety and reliability of nuclear power plants

International Nuclear Information System (INIS)

Anil Kumar; Mandowara, S.L.; Mittal, S.

2006-01-01

Operational Safety Performance Indicator system is one of the self assessment tools for station management to monitor safety and reliability of nuclear power plants. It provides information to station management about the performance of various areas of the plants by means of different colours of relevant performance indicators. Such systems have been implemented at many nuclear power plants in the world and have been considered as strength during WANO Peer Review. IAEA had a Coordinated Research Programme (CRP) on this with several countries participating including India. In NPCIL this system has been implemented in KAPS about a year back and found very useful in identifying areas which needs to be given more attention. Based on the KAPS feedback Implementation of this system has been taken up in RAPS-3 and 4 and KGS-l and 2. (author)

Modeling and control of an anthropomorphic robotic hand

OpenAIRE

Bensalah, Choukri

2016-01-01

Mención Europea en el título de doctor This thesis presents methods and tools for enabling the successful use of robotic hands. For highly dexterous and/or anthropomorphic robotic hands, these methods have to share some common goals, such as overcoming the potential complexity of the mechanical design and the ability of performing accurate tasks with low and efficient computational cost. A prerequisite for dexterity is to increase the workspace of the robotic hand. For th...

Can hand laterality be identified through lithic technology?

Science.gov (United States)

Bargalló, Amèlia; Mosquera, Marina

2014-01-01

In this paper we present a new method for inferring handedness from lithic evidence. The study was conducted by means of an experimental programme in stone-knapping, after which the resulting lithic products (tools) were analysed. These lithic tools were produced by 15 inexpert knappers (8 right-handed and 7 left-handed), because we were not able to find a statistically significant number of left-handed expert knappers. We considered inexpert knappers to include individuals who had never struck two pebbles together, as well as individuals who were quite familiar with prehistoric tools and had had some degree of practice. The Mann-Whitney U test proved that all of them produced flakes with the same technical features, so within this sample expertise was not a factor that affected the presence or absence of the technical features analysed to determine hand laterality. The results of the experiment indicate that no single variable can be used to determine the laterality of the knapper, but rather the evidence of handedness lies in the combination of several variables. Furthermore, not all the flakes display the entire set of significant features. Therefore this study concludes that it is not possible to determine the handedness of a knapper through a single variable present on his or her flakes, but it may be possible to determine laterality by examining a combination of technical variables on a number of his or her pieces. Archaeologically, only well-preserved knapping events with numerous refitting products can be assigned to a left- or a right-handed knapper.

ELECTRA © Launch and Re-Entry Safety Analysis Tool

Science.gov (United States)

Lazare, B.; Arnal, M. H.; Aussilhou, C.; Blazquez, A.; Chemama, F.

2010-09-01

French Space Operation Act gives as prime objective to National Technical Regulations to protect people, properties, public health and environment. In this frame, an independent technical assessment of French space operation is delegated to CNES. To perform this task and also for his owns operations CNES needs efficient state-of-the-art tools for evaluating risks. The development of the ELECTRA© tool, undertaken in 2007, meets the requirement for precise quantification of the risks involved in launching and re-entry of spacecraft. The ELECTRA© project draws on the proven expertise of CNES technical centers in the field of flight analysis and safety, spaceflight dynamics and the design of spacecraft. The ELECTRA© tool was specifically designed to evaluate the risks involved in the re-entry and return to Earth of all or part of a spacecraft. It will also be used for locating and visualizing nominal or accidental re-entry zones while comparing them with suitable geographic data such as population density, urban areas, and shipping lines, among others. The method chosen for ELECTRA© consists of two main steps: calculating the possible reentry trajectories for each fragment after the spacecraft breaks up; calculating the risks while taking into account the energy of the fragments, the population density and protection afforded by buildings. For launch operations and active re-entry, the risk calculation will be weighted by the probability of instantaneous failure of the spacecraft and integrated for the whole trajectory. ELECTRA©’s development is today at the end of the validation phase, last step before delivery to users. Validation process has been performed in different ways: numerical application way for the risk formulation; benchmarking process for casualty area, level of energy of the fragments entries and level of protection housing module; best practices in space transportation industries concerning dependability evaluation; benchmarking process for

The ISAM Tool “Objective Provision Tree (OPT)”, for the Identification of the Design Basis and he Construction of the Safety Architecture

Energy Technology Data Exchange (ETDEWEB)

Fiorini, G.L., E-mail: gian-luigi.fiorini@orange.fr; Ammirabile, L., E-mail: luca.ammirabile@ec.europa.eu [European Commission - Joint Research Centre Institute for Energy and Transport (Belgium); Ranguelova, V., E-mail: vesselina.ranguelova@ec.europa.eu [European Commission - Joint Research Centre Headquarters, Brussels (Belgium)

2014-10-15

The design of the safety architecture of innovative as well as the assessment of existing nuclear systems needs to integrate the constraints related to the safety principles, requirements and objectives. Among these constraints, the compliance of the installation’s architecture with the principles of Defence in Depth (DiD), and its different levels, is certainly one of the most structuring. Defence in depth is the key to achieve safety robustness, thereby helping to ensure that nuclear systems do not exhibit any particularly dominant risk vulnerability. To help designers of innovative systems to correctly implement the defence-in-depth, or to assess how well the latter has been applied for existing reactor systems, the Objection-Provision Tree (OPT) methodology, which is part of the Integrated Safety Assessment Methodology (ISAM) promoted by the Generation IV Risk and Safety Working Group (GIF/RSWG), is suggested as a useful tool to complement the required traditional deterministic and probabilistic safety assessments. The document recalls the content of the OPT method and gives some details for its implementation, including for the systematic identification of the initiating events to be considered in designing the system. This step is essential especially for new systems for which there is no sufficient operational to support their design. The interactions with other tools (e.g. Failure Mode and Effect Analyses (FMEA) or ISAM Tools) are also commented. (author)

Safety training for working youth: Methods used versus methods wanted.

Science.gov (United States)

Zierold, Kristina M

2016-04-07

Safety training is promoted as a tool to prevent workplace injury; however, little is known about the safety training experiences young workers get on-the-job. Furthermore, nothing is known about what methods they think would be the most helpful for learning about safe work practices. To compare safety training methods teens get on the job to those safety training methods teens think would be the best for learning workplace safety, focusing on age differences. A cross-sectional survey was administered to students in two large high schools in spring 2011. Seventy percent of working youth received safety training. The top training methods that youth reported getting at work were safety videos (42%), safety lectures (25%), and safety posters/signs (22%). In comparison to the safety training methods used, the top methods youth wanted included videos (54%), hands-on (47%), and on-the-job demonstrations (34%). This study demonstrated that there were differences in training methods that youth wanted by age; with older youth seemingly wanting more independent methods of training and younger teens wanting more involvement. Results indicate that youth want methods of safety training that are different from what they are getting on the job. The differences in methods wanted by age may aid in developing training programs appropriate for the developmental level of working youth.

Examination of issues related to the development and implementation of real-time operational safety monitoring tools in the nuclear power industry

International Nuclear Information System (INIS)

Puglia, William J.; Atefi, Bahman

1995-01-01

In recent years, risk and reliability techniques have been increasingly used to optimize deterministic requirements and to improve the operational safety of nuclear power stations. This paper discusses the historical development and current status of implementation of real-time operational safety monitoring tools in the nuclear power industry worldwide. A safety monitor is defined as a PC-based risk management tool, based on a plant specific PSA, which can be used to manage plant safety during the day-to-day operation of a nuclear power plant by planning maintenance activities and providing advisory information to plant operational staff in order to avoid high risk plant configurations. As this technique has only been applied in a few plants worldwide, the technology is still evolving and there are several technical and implementation-related issues which still need to be resolved. This paper attempts to summarize all such issues and describe how they have been addressed in several different applications of this technology around the world

Factors affecting functional recovery after surgery and hand therapy in patients with Dupuytren's disease.

Science.gov (United States)

Engstrand, Christina; Krevers, Barbro; Kvist, Joanna

2015-01-01

Prospective cohort study. The evidence of the relationship between functional recovery and impairment after surgery and hand therapy are inconsistent. To explore factors that were most related to functional recovery as measured by DASH in patients with Dupuytren's disease. Eighty-one patients undergoing surgery and hand therapy were consecutively recruited. Functional recovery was measured by the Disability of the Arm, Shoulder and Hand (DASH) questionnaire. Explanatory variables: range of motion of the finger joints, five questions regarding safety and social issues of hand function, and health-related quality of life (Euroqol). The three variables "need to take special precautions", "avoid using the hand in social context", and health-related quality of life (EQ-5D index) explained 62.1% of the variance in DASH, where the first variable had the greatest relative effect. Safety and social issues of hand function and quality of life had an evident association with functional recovery. IV. Copyright © 2015 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.

A Development of the Calibration Tool Applied on Analog I/O Modules for Safety-related Controller

International Nuclear Information System (INIS)

Kim, Jong-Kyun; Yun, Dong-Hwa; Lee, Myeong-Kyun; Yoo, Kwan-Woo

2016-01-01

The purpose of this paper is to develop the calibration tool for analog input/output(I/O) modules. Those modules are components in POSAFE-Q which is a programmable logic controller(PLC) that has been developed for the evaluation of safety-related. In this paper, performance improvement of analog I/O modules is presented by developing and applying the calibration tool for each channel in analog I/O modules. With this tool, the input signal to an analog input module and the output signal from an analog output module are able to be satisfied with a reference value of sensor type and an accuracy of all modules. With RS-232 communication, the manual calibration tool is developed for analog I/O modules of an existing and up-to-date version in POSAFE-Q PLC. As a result of applying this tool, the converted value is performant for a type of input sensor and an accuracy of analog I/O modules

Is Safety in Danger?

DEFF Research Database (Denmark)

Broncano-Berrocal, Fernando

2014-01-01

In “Knowledge Under Threat” (Philosophy and Phenomenological Research 2012), Tomas Bogardus proposes a counterexample to the safety condition for knowledge. Bogardus argues that the case demonstrates that unsafe knowledge is possible. I argue that the case just corroborates the well-known require......In “Knowledge Under Threat” (Philosophy and Phenomenological Research 2012), Tomas Bogardus proposes a counterexample to the safety condition for knowledge. Bogardus argues that the case demonstrates that unsafe knowledge is possible. I argue that the case just corroborates the well......-known requirement that modal conditions like safety must be relativized to methods of belief formation. I explore several ways of relativizing safety to belief-forming methods and I argue that none is adequate: if methods were individuated in those ways, safety would fail to explain several much-discussed cases. I...... then propose a plausible externalist principle of method individuation. On the one hand, relativizing safety to belief-forming methods in the way suggested allows the defender of safety to account for the cases. On the other hand, it shows that the target known belief of Bogardus’s example is safe. Finally, I...

Simulation for Prediction of Entry Article Demise (SPEAD): An Analysis Tool for Spacecraft Safety Analysis and Ascent/Reentry Risk Assessment

Science.gov (United States)

Ling, Lisa

2014-01-01

For the purpose of performing safety analysis and risk assessment for a potential off-nominal atmospheric reentry resulting in vehicle breakup, a synthesis of trajectory propagation coupled with thermal analysis and the evaluation of node failure is required to predict the sequence of events, the timeline, and the progressive demise of spacecraft components. To provide this capability, the Simulation for Prediction of Entry Article Demise (SPEAD) analysis tool was developed. The software and methodology have been validated against actual flights, telemetry data, and validated software, and safety/risk analyses were performed for various programs using SPEAD. This report discusses the capabilities, modeling, validation, and application of the SPEAD analysis tool.

Compliance with hand hygiene: reference data from the national hand hygiene campaign in Germany.

Science.gov (United States)

Wetzker, W; Bunte-Schönberger, K; Walter, J; Pilarski, G; Gastmeier, P; Reichardt, Ch

2016-04-01

Hand hygiene is a key measure to prevent healthcare-associated infection. To promote hand hygiene nationally the German campaign 'Aktion Saubere Hände' was launched in January 2008, based on the World Health Organization's 'Clean Care is Safer Care' initiative. We report the first results from a full year of data collection on hand hygiene compliance recorded with the help of a renewed observation tool. Data were based on submissions from 109 participating hospitals collected from 576 wards between January 1st and December 31st, 2014. The overall median compliance was 73%, ranging from 55% (10th percentile) to 89% (90th percentile). The results demonstrated only small differences between adult and non-adult intensive care units (ICUs) with neonatal ICUs and paediatric non-ICUs maintaining higher compliance than adult care units. Performance among nurses was better than physicians, and overall rates of hand hygiene performance were significantly higher after patient contact than before. Copyright © 2016 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

Establishment of one-axis vibration test system for measurement of biodynamic response of human hand-arm system.

Science.gov (United States)

Shibata, Nobuyuki; Hosoya, Naoki; Maeda, Setsuo

2008-12-01

Prolonged exposure to hand-arm vibration (HAV) due to use of hand-held power tools leads to an increased occurrence of symptoms of disorders in the vascular, neurological, and osteo-articular systems of the upper limbs called hand-arm vibration syndrome (HAVS). Biodynamic responses of the hand-arm system to vibration can be suggestive parameters that give us better assessment of exposure to HAV and fundamental data for design of low-vibration-exposure power tools. Recently, a single axis hand-arm vibration system has been installed in the Japan National Institute of Occupational Safety and Health (NIOSH). The aims of this study were to obtain the fundamental dynamic characteristics of an instrumented handle and to validate the performance and measurement accuracy of the system applied to dynamic response measurement. A pseudo-random vibration signal with a frequency range of 5-1,250 Hz and a power spectrum density of 1.0 (m/s2)2/Hz was used in this study. First the dynamic response of the instrumented handle without any weight was measured. After this measurement, the dynamic response measurement of the handle with weights mounted on the handle was performed. The apparent mass of a weight itself was obtained by using the mass cancellation method. The mass of the measuring cap on the instrumented handle was well compensated by using the mass cancellation method. Based on the 10% error tolerance, this handle can reliably measure the dynamic response represented by an apparent mass with a minimum weight of 2.0 g in a frequency range of 10.0 to 1,000 Hz. A marked increase in the AM magnitude of the weights of 15 g and 20 g in frequency ranges greater than 800 Hz is attributed not to the fundamental resonance frequency of the handle with weights, but to the fixation of the weight to the measuring cap. In this aspect, the peak of the AM magnitude can be reduced and hence should not be an obstacle to the biodynamic response measurement of the human hand-arm system. On the

The safety monitor and RCM workstation as complementary tools in risk based maintenance optimization

International Nuclear Information System (INIS)

Rawson, P.D.

2000-01-01

Reliability Centred Maintenance (RCM) represents a proven technique for rendering maintenance activities safer, more effective, and less expensive, in terms of systems unavailability and resource management. However, it is believed that RCM can be enhanced by the additional consideration of operational plant risk. This paper discusses how two computer-based tools, i.e., the RCM Workstation and the Safety Monitor, can complement each other in helping to create a living preventive maintenance strategy. (author)

Effective use of pre-job briefing as tool for the prevention of human error

International Nuclear Information System (INIS)

Schlump, Ansgar

2015-01-01

There is a fundamental demand to minimise the risks for workers and facilities while executing maintenance work. To ensure that facilities are secure and reliable, any deviation from normal operation behaviour has to be avoided. Accurate planning is the basis for minimising mistakes and making work more secure. All workers involved should understand how the work should be done and what is expected to avoid human errors. Especially in nuclear power plants, the human performance tools (HPT) have proved to be an effective instrument to minimise human errors. These human performance tools consist of numerous different tools that complement each other (e.g. pre-job briefing). The safety culture of the plants is also characterised by these tools. The choice of using the right HP-Tool is often a difficult task for the work planer. On the one hand, he wants to avoid mistakes during the execution of work but on the other hand he does not want to irritate the workers with unnecessary requirements. The proposed concept uses a simple risk analysis to take into account the complexity of the task, the experience of the past and the consequences of failure in to account. One main result of this risk analysis is a recommendation of the detailing of the pre-job briefing, to reduce the risks for the involved staff to a minimum.

Your hands are precious, look after them!

CERN Multimedia

2003-01-01

With their 27 bones, 33 muscles and 22 joints, hands are the most complicated and at the same time the most useful parts of the body. Without them, we would not be able to grip things between our fingers, pick them up, turn them, lift them, hold them or handle them. Due to this very usefulness, however, they are more prone to injury than any other part of the body. This year, over 30% of CERN's industrial accidents involved hand injuries. Many of these accidents could have been avoided if the people concerned had worn suitable gloves or, quite simply, made proper use of tools adapted to the work they were doing. 1. Mechanically sustained injuries Most hand injuries are mechanically sustained. - Cuts and pricks often occur during the use or handling of sharp objects and tools. The Medical Service has treated many patients with cuts received when handling iron plates or when using cutters without taking adequate precautions. Such injuries range from superficial cuts to deep wounds with severed tendons or bl...

THE PROTECTION OF CONSUMER RIGHTS FOR AVIATION SAFETY AND SECURITY IN INDONESIA AND MALAYSIA

Directory of Open Access Journals (Sweden)

Annalisa Yahanan

2017-01-01

Full Text Available Indonesia and Malaysia have a good potency for cooperation in aviation industry. It can be seen in the establishing two aviation companies namely PT. Indonesia Air Asia and Malindo which both are low-cost carrier. These aviation industries are categorized as low-cost carrier, however safety and security are absolute factors because these are rights for consumers. This article will describe further about safety and security standard; protecting the rights for consumers in connection with safety aviation in Indonesia and Malaysia from the Consumer Protection Law and the Aviation Law. As a result of the research shows that safety standard passenger for air transportation in airport covers information and safety facility in the shape of availability of the emergency safety tools (fires, accidents and natural disasters; information, area and health facility; and healthcare workers. Moreover, safety standards for passenger in an aircraft include information and safety facility in the shape of availability information and the emergency safety tools for passenger in an aircraft. The protection for consumer rights for safety flight in Indonesia as follows: aviation industry has obligation to fulfill minimum standard of safety and security; consumers must be safety from false information which raises concern; aircraft operation which endanger of the passenger; and consumer protection in operating the electronic device which endanger flight. On the other hand, the law of consumer rights in Malaysia relating to aviation are ruled under the Aviation Law as a result of the Warsaw Convention 1929. In conclusion, the verdict of consumer rights related to security aviation begins when the passenger enter to an aircraft, in the aircraft, and by the time they get off the plane.

Safety indicators as a tool for operational safety evaluation of nuclear power plants

International Nuclear Information System (INIS)

Araujo, Jefferson Borges; Melo, Paulo Fernando Ferreira Frutuoso e; Schirru, Roberto

2009-01-01

Performance indicators have found a wide use in the conventional and nuclear industries. For the conventional industry, the goal is to optimize production, reducing loss of time with accidents, human error and equipment downtimes. In the nuclear industry, nuclear safety is an additional goal. This paper presents a general methodology to the establishment, selection and use of safety indicators for a two loop PWR plant, as Angra 1. The use of performance indicators is not new. The NRC has its own methodology and the IAEA presents methodology suggestions, but there is no detailed documentation about indicators selection, criteria and bases used. Additionally, only the NRC methodology performs a limited integrated evaluation. The study performed identifies areas considered critical for the plant operational safety. For each of these areas, strategic sub-areas are defined. For each strategic sub-area, specific safety indicators are defined. These proposed Safety Indicators are based on the contribution to risk considering a quantitative risk analysis. For each safety indicator, a goal, a bounded interval and proper bases are developed, to allow for a clear and comprehensive individual behavior evaluation. On the establishment of the intervals and boundaries, a probabilistic safety study, operational experience, international and national standards and technical specifications were used. Additionally, an integrated evaluation of the indicators, using expert systems, was done to obtain an overview of the plant general safety. This evaluation uses well-defined and clear rules and weights for each indicator to be considered. These rules were implemented by means of a computational language, on a friendly interface, so that it is possible to obtain a quick response about operational safety. This methodology can be used to identify situations where the plant safety is challenged, by giving a general overview of the plant operational condition. Additionally, this study can

More than two HANDs to tango.

Science.gov (United States)

Kolson, Dennis; Buch, Shilpa

2013-12-01

Developing a validated tool for the rapid and efficient assessment of cognitive functioning in HIV-infected patients in a typical outpatient clinical setting has been an unmet goal of HIV research since the recognition of the syndrome of HIV-associated dementia (HAD) nearly 20 years ago. In this issue of JNIP Cross et al. report the application of the International HIV Dementia Scale (IHDS) in a U.S.-based urban outpatient clinic to evaluate its utility as a substitute for the more time- and effort-demanding formalized testing criteria known as the Frascati criteria that was developed in 2007 to define the syndrome of HIV-associated neurocognitive disorders (HAND). In this study an unselected cohort of 507 individuals (68 % African American) that were assessed using the IHDS in a cross-sectional study revealed a 41 % prevalence of cognitive impairment (labeled ‘symptomatic HAND’) that was associated with African American race, older age, unemployment, education level, and depression. While the associations between cognitive impairment and older age, education, unemployment status and depression in HIV-infected patients are not surprising, the association with African American ancestry and cognitive impairment in the setting of HIV infection is a novel finding of this study. This commentary discusses several important issues raised by the study, including the pitfalls of assessing cognitive functioning with rapid screening tools, cognitive testing criteria, normative testing control groups, accounting for HAND co-morbidity factors, considerations for clinical trials assessing HAND, and selective population vulnerability to HAND.

Hand hygiene for the prevention of nosocomial infections.

Science.gov (United States)

Kampf, Günter; Löffler, Harald; Gastmeier, Petra

2009-10-01

The WHO regards hand hygiene as an essential tool for the prevention of nosocomial infection, but compliance in clinical practice is often low. The relevant scientific literature and national and international evidence-based recommendations (Robert Koch Institute [Germany], WHO) were evaluated. Hygienic hand disinfection has better antimicrobial efficacy than hand-washing and is the procedure of choice to be performed before and after manual contact with patients. The hands should be washed, rather than disinfected, only when they are visibly soiled. Skin irritation is quite common among healthcare workers and is mainly caused by water, soap, and prolonged wearing of gloves. Compliance can be improved by training, by placing hand-rub dispensers at the sites where they are needed, and by physicians setting a good example for others. Improved compliance in hand hygiene, with proper use of alcohol-based hand rubs, can reduce the nosocomial infection rate by as much as 40%.

Evaluation of a hand hygiene campaign in outpatient health care clinics.

Science.gov (United States)

Kukanich, Kate Stenske; Kaur, Ramandeep; Freeman, Lisa C; Powell, Douglas A

2013-03-01

To improve hand hygiene in two outpatient health care clinics through the introduction of a gel sanitizer and an informational poster. In this interventional study, health care workers at two outpatient clinics were observed for frequency of hand hygiene (attempts versus opportunities). Gel sanitizer and informational posters were introduced together as an intervention. Direct observation of the frequency of hand hygiene was performed during baseline, intervention, and follow-up. A poststudy survey of health care workers was also distributed and collected. In both clinics, the frequency of hand hygiene was poor at baseline (11% and 21%) but improved significantly after intervention (36% and 54%) and was maintained through the follow-up period (32% and 51%). Throughout the study, postcontact hand hygiene was observed significantly more often than precontact hand hygiene. In both clinics, health care workers reported a preference for soap and water; yet observations showed that when the intervention made gel sanitizer available, sanitizer use predominated. Fifty percent of the surveyed health care workers considered the introduction of gel sanitizer to be an effective motivating tool for improving hand hygiene. Hand hygiene performance by health care workers in outpatient clinics may be improved through promoting the use of gel sanitizer and using informational posters. Compared with surveys, direct observation by trained observers may provide more accurate information about worker preferences for hand hygiene tools.

Pandora - a simulation tool for safety assessments. Technical description and user's guide

Energy Technology Data Exchange (ETDEWEB)

Ekstroem, Per-Anders (Facilia AB (Sweden))

2010-12-15

This report documents a flexible simulation tool, Pandora, used in several post closure safety assessments in both Sweden and Finland to assess the radiological dose to man due to releases from radioactive waste repositories. Pandora allows the user to build compartment models to represent the migration and fate of radionuclides in the environment. The tool simplifies the implementation and simulation of radioecological biosphere models in which there exist a large set of radionuclides and input variables. Based on the well-known technical computing software MATLAB and especially its interactive graphical environment Simulink, Pandora receives many benefits. MATLAB/Simulink is a highly flexible tool used for simulations of practically any type of dynamic system; it is widely used, continuously maintained, and often upgraded. By basing the tool on this commercial software package, we gain both the graphical interface provided by Simulink, as well as the ability to access the advanced numerical equation solving routines in MATLAB. Since these numerical methods are well established and quality assured in their MATLAB implementation, the solution methods used in Pandora can be considered to have high level of quality assurance. The structure of Pandora provides clarity in the model format, which means the model itself assists its own documentation, since the model can be understood by inspecting its structure. With the introduction of the external tool Pandas (Pandora assessment tool), version handling and an integrated way of performing the entire calculation chain has been added. Instead of being dependent on other commercial statistical software as @Risk for performing probabilistic assessments, they can now be performed within the tool

Research Tool to Evaluate the Safety Response of Lithium Batteries to an Internal Short Circuit

Energy Technology Data Exchange (ETDEWEB)

Keyser, Matthew; Darcy, Eric; Pesaran, Ahmad

2016-06-19

Li-ion cells provide the highest specific energy and energy density rechargeable battery with the longest life. Many safety incidents that take place in the field originate due to an internal short that was not detectable or predictable at the point of manufacture. NREL's internal short circuit (ISC) device is capable of simulating shorts and produces consistent and reproducible results. The cell behaves normally until the ISC device is activated wherein a latent defect (i.e., built into the cell during manufacturing) gradually moves into position to create an internal short while the battery is in use, providing relevant data to verify abuse models. The ISC device is an effective tool for studying the safety features of parts of Li-ion batteries.

Evaluating the transmitted vibration to operator′s hands hand and effect of protective gloves in real condition, based on International Standard Organization 5349 standard

Directory of Open Access Journals (Sweden)

Farhad Forouharmajd

2016-01-01

Full Text Available Aims: The objective of this research was an evaluation of hand-held tools vibration acceleration such as circular saw and drill transmitted to operator′s and also to determine the role of glove in vibration reduction of those tools. Materials and Methods: In this study, Bruel and Kjaer Vibration meter with a model of 2231 and its analyzer, 2522, along three types of gloves have been used. Accelerometer transducer installed according to International Standard Organization (ISO 5349:1-2 standards in the case of the operator handles the hand-held tool. In next step, the transducer was placed inside the glove. Results: The results show the most accelerated vibration in axis Y for circular saw while working on Plexiglas. All of the used gloves show a reduction of vibration transmission from tools to hands. Glove of C grouped had a reduction of vibration less than two other groups. Conclusion: Based on ISO 5349-1, 10% of workers who are working with circular saw and drill without using glove will be affiliated to white finger after about 7-12 years. As a whole, the results showed that the anti-vibration gloves should be tested in real conditions before using them.

Job Burnout Reduces Hand Hygiene Compliance Among Nursing Staff.

Science.gov (United States)

Manomenidis, Georgios; Panagopoulou, Efharis; Montgomery, Anthony

2017-10-13

Health professional burnout has been associated with suboptimal care and reduced patient safety. However, the extent to which burnout influences hand hygiene compliance among health professionals has yet to be explored. The aim of the study was to examine whether job burnout reduces hand washing compliance among nursing staff. A diary study was conducted. Forty registered nurses working in a general city hospital in Thessaloniki, Greece, completed a questionnaire, while they were monitored for hand hygiene compliance following the World Health Organization protocol for hand hygiene assessment. Burnout was measured using validated items from the Maslach Burnout Inventory. Data were collected from September to October 2015. Multiple regression analysis showed that controlling for years in practice, burnout was negatively associated with hand hygiene compliance (R = 0.322, F(3,36) = 5.704, P compliance to hand hygiene among nurses. Given the crucial role of hand hygiene compliance for the prevention of in-hospital infections, this study highlights the need for interventions targeting the prevention of burnout among nursing staff.

Development of the status of W and T for the realization of a long-term safety demonstration for the final repository using the examples VSG and Konrad. Report on the Working package 2. Review and development of safety-related assessments of disposal facilities of wastes with negligible heat generation; development and provision of the necessary set of tools using the example of the final repository Konrad; Entwicklung des Standes von W and T bei der Fuehrung eines Langzeitsicherheitsnachweises fuer Endlager an den Beispielen VSG und Konrad. Bericht zum Arbeitspaket 2. Untersuchung und Entwicklung von sicherheitstechnischen Bewertungen fuer Endlager fuer Abfaelle mit vernachlaessigbarer Waermeentwicklung und Bereitstellung des notwendigen Instrumentariums am Beispiel des Endlagers Konrad

Energy Technology Data Exchange (ETDEWEB)

Larue, Juergen; Fischer-Appelt, Klaus; Hartwig-Thurat, Eva

2015-09-15

In the research project on the ''Review and development of safety-related assessments of disposal facilities with negligible heat generation; development and provision of the necessary set of tools, using the example of the Konrad disposal facility'' (3612R03410), the state of the art in science and technology of the safety-related assessments and sets of tools for building a safety case was examined. The reports pertaining to the two work packages described the further development of the methodology for accident analyses (WP 1) and of building a safety case (WP 2); also, comparisons were drawn on a national and international scale with the methods applied in the licensing procedure of the Konrad disposal facility. A safety case as well as its underlying analyses and methods always has to be brought up to date with the development of the state of the art in science and technology. In Germany, two safety cases regarding the long-term safety of disposal facilities have been prepared. These are the licensing documentation for the Konrad disposal facility in the year 1990 and the research project regarding the preliminary safety case for the Gorleben site (Vorlaeufige Sicherheitsanalyse Gorleben - VSG) in the year 2013, both reflecting the state of development of building a safety case at the respective time. Comparing the two above-mentioned examples of safety cases and taking recent international recommendations and national regulations into account, this report on Work Package 2 presents the development of the international state of the art in science and technology. This has been done by summarising the essential differences and similarities of each element of the safety case for the Konrad disposal facility on the one hand and the VSG and the international status on the other hand.

Problem Based Learning as a Cultural Tool for Health and Safety Learning in a Multi-national Company

DEFF Research Database (Denmark)

Adam, Henrik; Petersson, Eva

2013-01-01

The general background of this study is an interest in how cultural tools contribute to structuring learning activities. The specific interest is to explore how such tools co-determine employees’ problem solving actions in health, safety and environment (HSE) training activities in a multi...... learn to organise HSE actions in the context of using Problem Based Learning (PBL) applied as a cultural tool. More specifically, our interest is in how PBL promotes adult learning by drawing on learners’ experience and involving them in reflective and social processes in the given context......-national company context. Theoretically, the research takes its point of departure in a socio-cultural perspective on the role of cultural tools in learning, and in a complementary interest in the role of communicative framing of learning activities. In the research reported here, the focus is on how employees...

Man as a safety problem in technical systems

International Nuclear Information System (INIS)

Compes, P.C.; Wolff, H.A.

1980-01-01

Safety engineering derives its justification from the success achieved in maintaining and enlarging safety, more precisely, from activities aimed at avoiding or preventing damage caused by accidents. Man is not only affected by accidents but is also the cause of accidents, either directly or indirectly, and thus is to be regarded as the actual cause or preventer of accidents. The Second International Summer Symposium of the Society for Safety Engineering (GfS) which was held at Duesseldorf in 1980 brought into focus this aspect and the importance to be attached to the individual man and the whole mankind in the field of accident prevention. 'Man as a safety problem in technical systems' - a great and weighty field of problems, the large extent of which and the complex content of which was to be discussed by the programme with its many different contributions, on the one hand by presenting an outline as completely as possible, and on the other hand by finding further-reaching solutions for at least some problems. This was the purpose of the dialogues held between theory and practice on the one hand, and between safety engineering and, in this case, the human sciences on the other hand. (orig./RW) [de

Mathematical modelling of active safety system functions as tools for development of driverless vehicles

Science.gov (United States)

Ryazantsev, V.; Mezentsev, N.; Zakharov, A.

2018-02-01

This paper is dedicated to a solution of the issue of synthesis of the vehicle longitudinal dynamics control functions (acceleration and deceleration control) based on the element base of the vehicle active safety system (ESP) - driverless vehicle development tool. This strategy helps to reduce time and complexity of integration of autonomous motion control systems (AMCS) into the vehicle architecture and allows direct control of actuators ensuring the longitudinal dynamics control, as well as reduction of time for calibration works. The “vehicle+wheel+road” longitudinal dynamics control is complicated due to the absence of the required prior information about the control object. Therefore, the control loop becomes an adaptive system, i.e. a self-adjusting monitoring system. Another difficulty is the driver’s perception of the longitudinal dynamics control process in terms of comfort. Traditionally, one doesn’t pay a lot of attention to this issue within active safety systems, and retention of vehicle steerability, controllability and stability in emergency situations are considered to be the quality criteria. This is mainly connected to its operational limits, since it is activated only in critical situations. However, implementation of the longitudinal dynamics control in the AMCS poses another challenge for the developers - providing the driver with comfortable vehicle movement during acceleration and deceleration - while the possible highest safety level in terms of the road grip is provided by the active safety system (ESP). The results of this research are: universal active safety system - AMCS interaction interface; block diagram for the vehicle longitudinal acceleration and deceleration control as one of the active safety system’s integrated functions; ideology of adaptive longitudinal dynamics control, which enables to realize the deceleration and acceleration requested by the AMCS; algorithms synthesised; analytical experiments proving the

Costing the Australian National Hand Hygiene Initiative.

Science.gov (United States)

Page, K; Barnett, A G; Campbell, M; Brain, D; Martin, E; Fulop, N; Graves, N

2014-11-01

The Australian National Hand Hygiene Initiative (NHHI) is a major patient safety programme co-ordinated by Hand Hygiene Australia (HHA) and funded by the Australian Commission for Safety and Quality in Health Care. The annual costs of running this programme need to be understood to know the cost-effectiveness of a decision to sustain it as part of health services. To estimate the annual health services cost of running the NHHI; the set-up costs are excluded. A health services perspective was adopted for the costing and collected data from the 50 largest public hospitals in Australia that implemented the initiative, covering all states and territories. The costs of HHA, the costs to the state-level infection-prevention groups, the costs incurred by each acute hospital, and the costs for additional alcohol-based hand rub are all included. The programme cost AU$5.56 million each year (US$5.76, £3.63 million). Most of the cost is incurred at the hospital level (65%) and arose from the extra time taken for auditing hand hygiene compliance and doing education and training. On average, each infection control practitioner spent 5h per week on the NHHI, and the running cost per annum to their hospital was approximately AU$120,000 in 2012 (US$124,000, £78,000). Good estimates of the total costs of this programme are fundamental to understanding the cost-effectiveness of implementing the NHHI. This paper reports transparent costing methods, and the results include their uncertainty. Copyright © 2014 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

Home Kitchen Safety Lessons for Children and Adults

OpenAIRE

Wingfield, Amanda

2014-01-01

The purpose of this project was to design a series of lessons introducing food safety concepts and hand washing to children ages three to five, which is a group that is considered an ‘at risk’ population with food safety regards. There are other curriculum that reach this audience, but the intent of this one is to target stay-at-home mothers, whose children are not in preschool. The project goal is to teach the mother and child food safety concepts while simultaneously using hands on cooking ...

A new technology perspective and engineering tools approach for large, complex and distributed mission and safety critical systems components

Science.gov (United States)

Carrio, Miguel A., Jr.

1988-01-01

Rapidly emerging technology and methodologies have out-paced the systems development processes' ability to use them effectively, if at all. At the same time, the tools used to build systems are becoming obsolescent themselves as a consequence of the same technology lag that plagues systems development. The net result is that systems development activities have not been able to take advantage of available technology and have become equally dependent on aging and ineffective computer-aided engineering tools. New methods and tools approaches are essential if the demands of non-stop and Mission and Safety Critical (MASC) components are to be met.

Design for a three-fingered hand. [robotic and prosthetic applications

Science.gov (United States)

Crossley, F. R. E.

1977-01-01

This paper describes the construction of a prototype mechanical hand or 'end effector' for use on a remotely controlled robot, but with possible application as a prosthetic device. An analysis of hand motions is reported, from which it is concluded that the two most important manipulations (apart from grasps) are to be able to pick up a tool and draw it into a nested grip against the palm, and to be able to hold a pistol-grip tool such as an electric drill and pull the trigger. One of our models was tested and found capable of both these operations.

The DYLAM approach to systems safety and reliability assessment

International Nuclear Information System (INIS)

Amendola, A.

1988-01-01

A survey of the principal features and applications of DYLAM (Dynamic Logical Analytical Methodology) is presented, whose basic principles can be summarized as follows: after a particular modelling of the component states, computerized heuristical procedures generate stochastic configurations of the system, whereas the resulting physical processes are simultaneously simulated to give account of the possible interactions between physics and states and, on the other hand, to search for system dangerous configurations and related probabilities. The association of probabilistic techniques for describing the states with physical equations for describing the process results in a very powerful tool for safety and reliability assessment of systems potentially subjected to dangerous incidental transients. A comprehensive picture of DYLAM capability for manifold applications can be obtained by the review of the study cases analyzed (LMFBR core accident, systems reliability assessment, accident simulation, man-machine interaction analysis, chemical reactors safety, etc.)

Hand function and quality of life before and after fasciectomy for Dupuytren contracture.

Science.gov (United States)

Engstrand, Christina; Krevers, Barbro; Nylander, Göran; Kvist, Joanna

2014-07-01

To describe changes in joint motion, sensibility, and scar pliability and to investigate the patients' expectations, self-reported recovery, and satisfaction with hand function, disability, and quality of life after surgery and hand therapy for Dupuytren disease. This prospective cohort study collected measurements before surgery and 3, 6, and 12 months after surgery and hand therapy. Ninety patients with total active extension deficits of 60° or more from Dupuytren contracture were included. Outcomes measures were range of motion; sensibility; scar pliability; self-reported outcomes on expectations, recovery, and satisfaction with hand function; Disabilities of the Arm, Shoulder, and Hand scores; safety and social issues of hand function; physical activity habits; and quality of life with the Euroqol. The extension deficit decreased, and there was a transient decrease in active finger flexion during the first year after surgery. Sensibility remained unaffected. Generally, patients with surgery on multiple fingers had worse scar pliability. The majority of the patients had their expectations met, and at 6 months, 32% considered hand function as fully recovered, and 73% were satisfied with their hand function. Fear of hurting the hand and worry about not trusting the hand function were of greatest concern among safety and social issues. The Disability of the Arm, Shoulder, and Hand score and the Euroqol improved over time. After surgery and hand therapy, disability decreased independent of single or multiple operated fingers. The total active finger extension improved enough for the patients to reach a functional range of motion despite an impairment of active finger flexion still present 12 months after treatment. Therapeutic IV. Copyright © 2014 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

Assessment of multi-version NPP I and C systems safety. Metric-based approach, technique and tool

International Nuclear Information System (INIS)

Kharchenko, Vyacheslav; Volkovoy, Andrey; Bakhmach, Eugenii; Siora, Alexander; Duzhyi, Vyacheslav

2011-01-01

The challenges related to problem of assessment of actual diversity level and evaluation of diversity-oriented NPP I and C systems safety are analyzed. There are risks of inaccurate assessment and problems of insufficient decreasing probability of CCFs. CCF probability of safety-critical systems may be essentially decreased due to application of several different types of diversity (multi-diversity). Different diversity types of FPGA-based NPP I and C systems, general approach and stages of diversity and safety assessment as a whole are described. Objectives of the report are: (a) analysis of the challenges caused by use of diversity approach in NPP I and C systems in context of FPGA and other modern technologies application; (b) development of multi-version NPP I and C systems assessment technique and tool based on check-list and metric-oriented approach; (c) case-study of the technique: assessment of multi-version FPGA-based NPP I and C developed by use of Radiy TM Platform. (author)

Qualification of integrated tool environments (QUITE) for the development of computer-based safety systems in NPP

International Nuclear Information System (INIS)

Miedl, Horst

2004-01-01

In NPP I et C systems are back fitted meanwhile increasingly by computer-based systems (I et C platforms). The corresponding safety functions are implemented by software, and this software is developed, configured and administrated with the help of integrated tool environments (ITE). An ITE offers a set of services which are used to construct an I et C system and consist typically of software packages for project control and documentation, specification and design, automatic code generation and so on. Commercial ITE are not necessarily conceived and qualified (type-tested) for nuclear specific applications but are used - and will increasingly be used - for the implementation of nuclear safety related I et C systems. Therefor, it is necessary to qualify commercial ITE with respect to their influence on the quality of the target system for each I et C platform (dependent on the safety category of the target system). Examples for commercial ITEs are I et C platforms like SPINLINE 3, TELEPERM XP, Common Q, TRICON, etc. (Author)

OPAD: An expert system for research reactor operations and fault diagnosis using probabilistic safety assessment tools

International Nuclear Information System (INIS)

Verma, A.K.; Varde, P.V.; Sankar, S.; Prakash, P.

1996-01-01

A prototype Knowledge Based (KB) operator Adviser (OPAD) system has been developed for 100 MW(th) Heavy Water moderated, cooled and Natural Uranium fueled research reactor. The development objective of this system is to improve reliability of operator action and hence the reactor safety at the time of crises as well as normal operation. The jobs performed by this system include alarm analysis, transient identification, reactor safety status monitoring, qualitative fault diagnosis and procedure generation in reactor operation. In order to address safety objectives at various stages of the Operator Adviser (OPAD) system development the Knowledge has been structured using PSA tools/information in an shell environment. To demonstrate the feasibility of using a combination of KB approach with PSA for operator adviser system, salient features of some of the important modules (viz. FUELEX, LOOPEX and LOCAEX) have been discussed. It has been found that this system can serve as an efficient operator support system

Particle size distribution of aerosols sprayed from household hand-pump sprays containing fluorine-based and silicone-based compounds.

Science.gov (United States)

Kawakami, Tsuyoshi; Isama, Kazuo; Ikarashi, Yoshiaki

2015-01-01

Japan has published safety guideline on waterproof aerosol sprays. Furthermore, the Aerosol Industry Association of Japan has adopted voluntary regulations on waterproof aerosol sprays. Aerosol particles of diameter less than 10 µm are considered as "fine particles". In order to avoid acute lung injury, this size fraction should account for less than 0.6% of the sprayed aerosol particles. In contrast, the particle size distribution of aerosols released by hand-pump sprays containing fluorine-based or silicone-based compounds have not been investigated in Japan. Thus, the present study investigated the aerosol particle size distribution of 16 household hand-pump sprays. In 4 samples, the ratio of fine particles in aerosols exceeded 0.6%. This study confirmed that several hand-pump sprays available in the Japanese market can spray fine particles. Since the hand-pump sprays use water as a solvent and their ingredients may be more hydrophilic than those of aerosol sprays, the concepts related to the safety of aerosol-sprays do not apply to the hand pump sprays. Therefore, it may be required for the hand-pump spray to develop a suitable method for evaluating the toxicity and to establish the safety guideline.

Additional safety assessments. Report by the Nuclear Safety Authority - December 2011

International Nuclear Information System (INIS)

2011-12-01

The first part of this voluminous report proposes an assessment of targeted audits performed in French nuclear installations (water pressurized reactors on the one hand, laboratories, factories and waste and dismantling installations on the other hand) on issues related to the Fukushima accident. The examined issues were the protection against flooding and against earthquake, and the loss of electricity supplies and of cooling sources. The second part addresses the additional safety assessments of the reactors and the European resistance tests: presentation of the French electronuclear stock, earthquake, flooding and natural hazards (installation sizing, safety margin assessment), loss of electricity supplies and cooling systems, management of severe accidents, subcontracting conditions. The third part addresses the same issues for nuclear installations other than nuclear power reactors

Patient safety ward round checklist via an electronic app: implications for harm prevention.

Science.gov (United States)

Keller, C; Arsenault, S; Lamothe, M; Bostan, S R; O'Donnell, R; Harbison, J; Doherty, C P

2017-11-06

Patient safety is a value at the core of modern healthcare. Though awareness in the medical community is growing, implementing systematic approaches similar to those used in other high reliability industries is proving difficult. The aim of this research was twofold, to establish a baseline for patient safety practices on routine ward rounds and to test the feasibility of implementing an electronic patient safety checklist application. Two research teams were formed; one auditing a medical team to establish a procedural baseline of "usual care" practice and an intervention team concurrently was enforcing the implementation of the checklist. The checklist was comprised of eight standard clinical practice items. The program was conducted over a 2-week period and 1 month later, a retrospective analysis of patient charts was conducted using a global trigger tool to determine variance between the experimental groups. Finally, feedback from the physician participants was considered. The results demonstrated a statistically significant difference on five variables of a total of 16. The auditing team observed low adherence to patient identification (0.0%), hand decontamination (5.5%), and presence of nurse on ward rounds (6.8%). Physician feedback was generally positive. The baseline audit demonstrated significant practice bias on daily ward rounds which tended to omit several key-proven patient safety practices such as prompting hand decontamination and obtaining up to date reports from nursing staff. Results of the intervention arm demonstrate the feasibility of using the Checklist App on daily ward rounds.

Driver hand-held cellular phone use: a four-year analysis.

Science.gov (United States)

Eby, David W; Vivoda, Jonathon M; St Louis, Renée M

2006-01-01

The use of hand-held cellular (mobile) phones while driving has stirred more debate, passion, and research than perhaps any other traffic safety issue in the past several years. There is ample research showing that the use of either hand-held or hands-free cellular phones can lead to unsafe driving patterns. Whether or not these performance deficits increase the risk of crash is difficult to establish, but recent studies are beginning to suggest that cellular phone use elevates crash risk. The purpose of this study was to assess changes in the rate of hand-held cellular phone use by motor-vehicle drivers on a statewide level in Michigan. This study presents the results of 13 statewide surveys of cellular phone use over a 4-year period. Hand-held cellular phone use data were collected through direct observation while vehicles were stopped at intersections and freeway exit ramps. Data were weighted to be representative of all drivers traveling during daylight hours in Michigan. The study found that driver hand-held cellular phone use has more than doubled between 2001 and 2005, from 2.7% to 5.8%. This change represents an average increase of 0.78 percentage points per year. The 5.8% use rate observed in 2005 means that at any given daylight hour, around 36,550 drivers were conversing on cellular phones while driving on Michigan roadways. The trend line fitted to these data predicts that by the year 2010, driver hand-held cellular phone use will be around 8.6%, or 55,000 drivers at any given daylight hour. These results make it clear that cellular phone use while driving will continue to be an important traffic safety issue, and highlight the importance of continued attempts to generate new ways of alleviating this potential hazard.

Critical review of safety performance metrics

NARCIS (Netherlands)

Karanikas, Nektarios

2016-01-01

Various tools for safety performance measurement have been introduced in order to fulfil the need for safety monitoring in organisations, which is tightly related to their overall performance and achievement of their business goals. Such tools include accident rates, benchmarking, safety culture and

Food safety knowledge and practice among child caregivers in Ijebu ...

African Journals Online (AJOL)

6.7±1.3), poor safety knowledge of changing baby clothing (6.5±1.0), safe food handling and preparation 4.6±0.6, cross contamination and hand washing techniques (4.2±0). They also had poor food safety practice on hand washing practice ...

A formative evaluation of the implementation of a medication safety data collection tool in English healthcare settings: A qualitative interview study using normalisation process theory.

Science.gov (United States)

Rostami, Paryaneh; Ashcroft, Darren M; Tully, Mary P

2018-01-01

Reducing medication-related harm is a global priority; however, impetus for improvement is impeded as routine medication safety data are seldom available. Therefore, the Medication Safety Thermometer was developed within England's National Health Service. This study aimed to explore the implementation of the tool into routine practice from users' perspectives. Fifteen semi-structured interviews were conducted with purposely sampled National Health Service staff from primary and secondary care settings. Interview data were analysed using an initial thematic analysis, and subsequent analysis using Normalisation Process Theory. Secondary care staff understood that the Medication Safety Thermometer's purpose was to measure medication safety and improvement. However, other uses were reported, such as pinpointing poor practice. Confusion about its purpose existed in primary care, despite further training, suggesting unsuitability of the tool. Decreased engagement was displayed by staff less involved with medication use, who displayed less ownership. Nonetheless, these advocates often lacked support from management and frontline levels, leading to an overall lack of engagement. Many participants reported efforts to drive scale-up of the use of the tool, for example, by securing funding, despite uncertainty around how to use data. Successful improvement was often at ward-level and went unrecognised within the wider organisation. There was mixed feedback regarding the value of the tool, often due to a perceived lack of "capacity". However, participants demonstrated interest in learning how to use their data and unexpected applications of data were reported. Routine medication safety data collection is complex, but achievable and facilitates improvements. However, collected data must be analysed, understood and used for further work to achieve improvement, which often does not happen. The national roll-out of the tool has accelerated shared learning; however, a number of

A formative evaluation of the implementation of a medication safety data collection tool in English healthcare settings: A qualitative interview study using normalisation process theory.

Directory of Open Access Journals (Sweden)

Paryaneh Rostami

Full Text Available Reducing medication-related harm is a global priority; however, impetus for improvement is impeded as routine medication safety data are seldom available. Therefore, the Medication Safety Thermometer was developed within England's National Health Service. This study aimed to explore the implementation of the tool into routine practice from users' perspectives.Fifteen semi-structured interviews were conducted with purposely sampled National Health Service staff from primary and secondary care settings. Interview data were analysed using an initial thematic analysis, and subsequent analysis using Normalisation Process Theory.Secondary care staff understood that the Medication Safety Thermometer's purpose was to measure medication safety and improvement. However, other uses were reported, such as pinpointing poor practice. Confusion about its purpose existed in primary care, despite further training, suggesting unsuitability of the tool. Decreased engagement was displayed by staff less involved with medication use, who displayed less ownership. Nonetheless, these advocates often lacked support from management and frontline levels, leading to an overall lack of engagement. Many participants reported efforts to drive scale-up of the use of the tool, for example, by securing funding, despite uncertainty around how to use data. Successful improvement was often at ward-level and went unrecognised within the wider organisation. There was mixed feedback regarding the value of the tool, often due to a perceived lack of "capacity". However, participants demonstrated interest in learning how to use their data and unexpected applications of data were reported.Routine medication safety data collection is complex, but achievable and facilitates improvements. However, collected data must be analysed, understood and used for further work to achieve improvement, which often does not happen. The national roll-out of the tool has accelerated shared learning; however

Safety Features of Material and Personnel Movement Devices. Module SH-25. Safety and Health.

Science.gov (United States)

Center for Occupational Research and Development, Inc., Waco, TX.

This student module on safety features of material and personnel movement devices is one of 50 modules concerned with job safety and health. This module covers safe conditions and operating practices for conveyors, elevators, escalators, moving walks, manlifts, forklifts, and motorized hand trucks. Following the introduction, 10 objectives (each…

78 FR 73415 - Safety Standard for Hand-Held Infant Carriers

Science.gov (United States)

2013-12-06

... modifications to the ASTM test procedure set forth in ASTM F2050-12 so that the test produces more repeatable... skills necessary for the preparation of reports or records; and a description of the steps the agency has... the Rule on Small Business There are at least 47 firms currently known to be marketing hand- held...

Patient-centered hand hygiene: the next step in infection prevention.

Science.gov (United States)

Landers, Timothy; Abusalem, Said; Coty, Mary-Beth; Bingham, James

2012-05-01

Hand hygiene has been recognized as the most important means of preventing the transmission of infection, and great emphasis has been placed on ways to improve hand hygiene compliance by health care workers (HCWs). Despite increasing evidence that patients' flora and the hospital environment are the primary source of many infections, little effort has been directed toward involving patients in their own hand hygiene. Most previous work involving patients has included patients as monitors or auditors of hand hygiene practices by their HCWs. This article reviews the evidence on the benefits of including patients more directly in hand hygiene initiatives, and uses the framework of patient-centered safety initiatives to provide recommendations for the timing and implementation of patient hand hygiene protocols. It also addresses key areas for further research, practice guideline development, and implications for training of HCWs. Copyright © 2012 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.

Patient empowerment and hand hygiene, 1997-2012.

Science.gov (United States)

McGuckin, M; Govednik, J

2013-07-01

Multi-modal hand hygiene programmes that include patient empowerment are promoted as a necessary component of hand hygiene compliance. However, the question still remains, do we have enough information to determine if, and under what conditions, patients will be able to play an immediate role in healthcare workers' hand hygiene behaviour? To review the current literature on patient willingness to be empowered, barriers to empowerment, and hand hygiene programmes that include patient empowerment and hand hygiene improvement. A Medline (Ovid) search of all English-language papers for 1997-2007 and 2008-2012 was conducted using the following keywords alone and in various combinations: 'patient participation', 'involvement', 'empowerment', 'education', 'decision-making', 'professional-patient relations', 'behavioural change', 'culture of safety', 'social marketing', 'consumer awareness', 'leadership', 'institutional climate', 'hand hygiene' and 'patient reminders'. The 1997-2007 review was conducted as part of the World Health Organization's Guidelines on Hand Hygiene in Health Care, and updated with the 2008-2012 review. Several studies show that, in principle, patients are willing to be empowered. However, there is variation in the actual number of patients that practice empowerment for hand hygiene, ranging from 5% to 80%. The actual performance of patient empowerment can be increased when a patient is given explicit permission by a healthcare worker. There is ongoing support from patients that they are willing to be empowered. There is a need to develop programmes that empower both healthcare workers and patients so that they become more comfortable in their roles. Copyright © 2013 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

A ubiquitous but ineffective intervention: Signs do not increase hand hygiene compliance.

Science.gov (United States)

Birnbach, David J; Rosen, Lisa F; Fitzpatrick, Maureen; Everett-Thomas, Ruth; Arheart, Kristopher L

Proper hand hygiene is critical for preventing healthcare-associated infection, but provider compliance remains suboptimal. While signs are commonly used to remind physicians and nurses to perform hand hygiene, the content of these signs is rarely based on specific, validated health behavior theories. This observational study assessed the efficacy of a hand hygiene sign disseminated by the Centers for Disease Control and Prevention in an intensive care unit compared to an optimized evidence-based sign designed by a team of patient safety experts. The optimized sign was developed by four patient safety experts to include known evidence-based components and was subsequently validated by surveying ten physicians and ten nurses using a 10 point Likert scale. Eighty-two physicians and 98 nurses (102 females; 78 males) were observed for hand hygiene (HH) compliance, and the total HH compliance rate was 16%. HH compliance was not significantly different among the signs (Baseline 10% vs. CDC 18% vs. OIS 20%; p=0.280). The findings of this study suggest that even when the content and design of a hand hygiene reminder sign incorporates evidence-based constructs, healthcare providers comply only a fraction of the time. Copyright © 2016 King Saud Bin Abdulaziz University for Health Sciences. Published by Elsevier Ltd. All rights reserved.

Road safety impact assessment RIA : a proposal for tools and procedures for a RIA. A study commissioned by the European Commission DG VII.

NARCIS (Netherlands)

Wegman, F.C.M. Roszbach, R. Mulder, J.A.G. Schoon, C.C. & Poppe, F.

1994-01-01

This study develops a Road Safety Impact Assessment (RIA) tool. RIAs could be made on a more strategic level, and on an individual project or scheme level. On a strategic level, the study suggests to assess safety consequences of changes of traffic over a road network due to infrastructural projects

MO-AB-210-00: Diagnostic Ultrasound Imaging Quality Control and High Intensity Focused Ultrasound Therapy Hands-On Workshop

International Nuclear Information System (INIS)

2015-01-01

The goal of this ultrasound hands-on workshop is to demonstrate advancements in high intensity focused ultrasound (HIFU) and to demonstrate quality control (QC) testing in diagnostic ultrasound. HIFU is a therapeutic modality that uses ultrasound waves as carriers of energy. HIFU is used to focus a beam of ultrasound energy into a small volume at specific target locations within the body. The focused beam causes localized high temperatures and produces a well-defined regions of necrosis. This completely non-invasive technology has great potential for tumor ablation and targeted drug delivery. At the workshop, attendees will see configurations, applications, and hands-on demonstrations with on-site instructors at separate stations. The involvement of medical physicists in diagnostic ultrasound imaging service is increasing due to QC and accreditation requirements. At the workshop, an array of ultrasound testing phantoms and ultrasound scanners will be provided for attendees to learn diagnostic ultrasound QC in a hands-on environment with live demonstrations of the techniques. Target audience: Medical physicists and other medical professionals in diagnostic imaging and radiation oncology with interest in high-intensity focused ultrasound and in diagnostic ultrasound QC. Learning Objectives: Learn ultrasound physics and safety for HIFU applications through live demonstrations Get an overview of the state-of-the art in HIFU technologies and equipment Gain familiarity with common elements of a quality control program for diagnostic ultrasound imaging Identify QC tools available for testing diagnostic ultrasound systems and learn how to use these tools List of supporting vendors for HIFU and diagnostic ultrasound QC hands-on workshop: Philips Healthcare Alpinion Medical Systems Verasonics, Inc Zonare Medical Systems, Inc Computerized Imaging Reference Systems (CIRS), Inc. GAMMEX, Inc., Cablon Medical BV Steffen Sammet: NIH/NCI grant 5R25CA132822, NIH/NINDS grant 5R25NS

MO-AB-210-00: Diagnostic Ultrasound Imaging Quality Control and High Intensity Focused Ultrasound Therapy Hands-On Workshop

Energy Technology Data Exchange (ETDEWEB)

NONE

2015-06-15

The goal of this ultrasound hands-on workshop is to demonstrate advancements in high intensity focused ultrasound (HIFU) and to demonstrate quality control (QC) testing in diagnostic ultrasound. HIFU is a therapeutic modality that uses ultrasound waves as carriers of energy. HIFU is used to focus a beam of ultrasound energy into a small volume at specific target locations within the body. The focused beam causes localized high temperatures and produces a well-defined regions of necrosis. This completely non-invasive technology has great potential for tumor ablation and targeted drug delivery. At the workshop, attendees will see configurations, applications, and hands-on demonstrations with on-site instructors at separate stations. The involvement of medical physicists in diagnostic ultrasound imaging service is increasing due to QC and accreditation requirements. At the workshop, an array of ultrasound testing phantoms and ultrasound scanners will be provided for attendees to learn diagnostic ultrasound QC in a hands-on environment with live demonstrations of the techniques. Target audience: Medical physicists and other medical professionals in diagnostic imaging and radiation oncology with interest in high-intensity focused ultrasound and in diagnostic ultrasound QC. Learning Objectives: Learn ultrasound physics and safety for HIFU applications through live demonstrations Get an overview of the state-of-the art in HIFU technologies and equipment Gain familiarity with common elements of a quality control program for diagnostic ultrasound imaging Identify QC tools available for testing diagnostic ultrasound systems and learn how to use these tools List of supporting vendors for HIFU and diagnostic ultrasound QC hands-on workshop: Philips Healthcare Alpinion Medical Systems Verasonics, Inc Zonare Medical Systems, Inc Computerized Imaging Reference Systems (CIRS), Inc. GAMMEX, Inc., Cablon Medical BV Steffen Sammet: NIH/NCI grant 5R25CA132822, NIH/NINDS grant 5R25NS

Study of industry safety management

International Nuclear Information System (INIS)

Park, Pil Su

1987-06-01

This book deals with general remarks, industrial accidents, statistics of industrial accidents, unsafe actions, making machinery and facilities safe, safe activities, having working environment safe, survey of industrial accidents and analysis of causes, system of safety management and operations, safety management planning, safety education, human engineering such as human-machines system, system safety, and costs of disaster losses. It lastly adds individual protective equipment and working clothes including protect equipment for eyes, face, hands, arms and feet.

Safety design

International Nuclear Information System (INIS)

Kunitomi, Kazuhiko; Shiozawa, Shusaku

2004-01-01

JAERI established the safety design philosophy of the HTTR based on that of current reactors such as LWR in Japan, considering inherent safety features of the HTTR. The strategy of defense in depth was implemented so that the safety engineering functions such as control of reactivity, removal of residual heat and confinement of fission products shall be well performed to ensure safety. However, unlike the LWR, the inherent design features of the high-temperature gas-cooled reactor (HTGR) enables the HTTR meet stringent regulatory criteria without much dependence on active safety systems. On the other hand, the safety in an accident typical to the HTGR such as the depressurization accident initiated by a primary pipe rupture shall be ensured. The safety design philosophy of the HTTR considers these unique features appropriately and is expected to be the basis for future Japanese HTGRs. This paper describes the safety design philosophy and safety evaluation procedure of the HTTR especially focusing on unique considerations to the HTTR. Also, experiences obtained from an HTTR safety review and R and D needs for establishing the safety philosophy for the future HTGRs are reported

75 FR 29385 - Safety Advisory 2010-01

Science.gov (United States)

2010-05-25

.... Conduct a visual inspection of the vertical hand brake supports for cracks or evidence of a stanchion that... Supports on FTTX Flatcars. SUMMARY: FRA is issuing Safety Advisory 2010-01 in order to provide guidance to... hand brake supports that have been modified to accommodate a 10-inch wide hand brake step. FRA's Office...

The Hand-Foot Skin Reaction and Quality of Life Questionnaire: An Assessment Tool for Oncology

OpenAIRE

Anderson, Roger T.; Keating, Karen N.; Doll, Helen A.; Camacho, Fabian

2015-01-01

This study describes the development and validation of a brief, patient self-reported questionnaire (the hand-foot skin reaction and quality of life questionnaire) supporting its suitability for use in clinical research to aid in early recognition of symptoms, to evaluate the effectiveness of agents for hand-foot skin reaction (HFSR) or hand-foot syndrome (HFS) treatment within clinical trials, and to evaluate the impact of these treatments on HFS/R-associated patients’ health-related quality...

Back to basics: hand hygiene and isolation

Science.gov (United States)

Lin Huang, G. Khai; Stewardson, Andrew J.; Lindsay Grayson, M.

2014-01-01

Purpose of review Hand hygiene and isolation are basic, but very effective, means of preventing the spread of pathogens in healthcare. Although the principle may be straightforward, this review highlights some of the controversies regarding the implementation and efficacy of these interventions. Recent findings Hand hygiene compliance is an accepted measure of quality and safety in many countries. The evidence for the efficacy of hand hygiene in directly reducing rates of hospital-acquired infections has strengthened in recent years, particularly in terms of reduced rates of staphylococcal sepsis. Defining the key components of effective implementation strategies and the ideal method(s) of assessing hand hygiene compliance are dependent on a range of factors associated with the healthcare system. Although patient isolation continues to be an important strategy, particularly in outbreaks, it also has some limitations and can be associated with negative effects. Recent detailed molecular epidemiology studies of key healthcare-acquired pathogens have questioned the true efficacy of isolation, alone as an effective method for the routine prevention of disease transmission. Summary Hand hygiene and isolation are key components of basic infection control. Recent insights into the benefits, limitations and even adverse effects of these interventions are important for their optimal implementation. PMID:24945613

Googling your hand hygiene data: Using Google Forms, Google Sheets, and R to collect and automate analysis of hand hygiene compliance monitoring.

Science.gov (United States)

Wiemken, Timothy L; Furmanek, Stephen P; Mattingly, William A; Haas, Janet; Ramirez, Julio A; Carrico, Ruth M

2018-06-01

Hand hygiene is one of the most important interventions in the quest to eliminate healthcare-associated infections, and rates in healthcare facilities are markedly low. Since hand hygiene observation and feedback are critical to improve adherence, we created an easy-to-use, platform-independent hand hygiene data collection process and an automated, on-demand reporting engine. A 3-step approach was used for this project: 1) creation of a data collection form using Google Forms, 2) transfer of data from the form to a spreadsheet using Google Spreadsheets, and 3) creation of an automated, cloud-based analytics platform for report generation using R and RStudio Shiny software. A video tutorial of all steps in the creation and use of this free tool can be found on our YouTube channel: https://www.youtube.com/watch?v=uFatMR1rXqU&t. The on-demand reporting tool can be accessed at: https://crsp.louisville.edu/shiny/handhygiene. This data collection and automated analytics engine provides an easy-to-use environment for evaluating hand hygiene data; it also provides rapid feedback to healthcare workers. By reducing some of the data management workload required of the infection preventionist, more focused interventions may be instituted to increase global hand hygiene rates and reduce infection. Copyright © 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Development of the international status of science and technology concerning methods and tools for operational and long-term safety cases

International Nuclear Information System (INIS)

Seher, Holger; Beuth, Thomas; Bracke, Guido; Kock, Ingo; Mayer, Kim-Marisa; Moog, Helge C.; Uhlmann, Stephan; Weyand, Torben

2016-09-01

The project ''development of the international status of science and technology concerning methods and tools for operational and long-term safety cases'' covers the following key aspects: global aspects of the methodology for scenario assumption for the operational phase following closure, potential analysis of the derives safety cases for the project Gorleben, determination of the solid phase composition of high-level radioactive wastes using geochemical modeling calculations, search for an adequate approach for the calculation of density and viscosity of saline solutions for the future use in GRS computer codes, international approaches for an integral analysis for the host rocks clay and granite in relation to the safety requirements of BMUB.

Hand-assisted retroperitoneoscopic versus standard laparoscopic donor nephrectomy: HARP-trial

Directory of Open Access Journals (Sweden)

Alwayn Ian PJ

2010-03-01

Full Text Available Abstract Background Transplantation is the only treatment offering long-term benefit to patients with chronic kidney failure. Live donor nephrectomy is performed on healthy individuals who do not receive direct therapeutic benefit of the procedure themselves. In order to guarantee the donor's safety, it is important to optimise the surgical approach. Recently we demonstrated the benefit of laparoscopic nephrectomy experienced by the donor. However, this method is characterised by higher in hospital costs, longer operating times and it requires a well-trained surgeon. The hand-assisted retroperitoneoscopic technique may be an alternative to a complete laparoscopic, transperitoneal approach. The peritoneum remains intact and the risk of visceral injuries is reduced. Hand-assistance results in a faster procedure and a significantly reduced operating time. The feasibility of this method has been demonstrated recently, but as to date there are no data available advocating the use of one technique above the other. Methods/design The HARP-trial is a multi-centre randomised controlled, single-blind trial. The study compares the hand-assisted retroperitoneoscopic approach with standard laparoscopic donor nephrectomy. The objective is to determine the best approach for live donor nephrectomy to optimise donor's safety and comfort while reducing donation related costs. Discussion This study will contribute to the evidence on any benefits of hand-assisted retroperitoneoscopic versus standard laparoscopic donor nephrectomy. Trial Registration Dutch Trial Register NTR1433

Handing over patients from the ICU to the general ward

DEFF Research Database (Denmark)

Bunkenborg, Gitte; Bitsch Hansen, Tina; Hølge-Hazelton, Bibi

2017-01-01

AIM: To explore nursing practice and perception of engaging in communicative interaction when handing over multi-morbid patients from the ICU to general medical or surgical wards. BACKGROUND: Communication failures impose risks to patient safety. ICU and general ward nurses communicate in writing...... focused ethnography was applied to the study. METHODS: Participant observation of 22 clinical situations of handing over patients from the ICU to general wards was conducted in November and December 2015, followed by five focus group interviews, three interviews with general ward nurses and two with ICU...... towards patient status and the handing over process" emerged from observation notes. From transcribed focus group interviews, the theme "Balancing and negotiating when passing on, consuming and adapting knowledge" was identified. CONCLUSION: A lack of shared goals regarding handing over patients from...

In pursuit of our ancestors' hand laterality.

Science.gov (United States)

Bargalló, Amèlia; Mosquera, Marina; Lozano, Sergi

2017-10-01

The aim of this paper is to apply a previously published method (Bargalló and Mosquera, 2014) to the archaeological record, allowing us to identify the hand laterality of our ancestors and determine when and how this feature, which is exhibited most strongly in humans, appeared in our evolutionary history. The method focuses on identifying handedness by looking at the technical features of the flakes produced by a single knapper, and discovering how many flakes are required to ascertain their hand preference. This method can potentially be applied to the majority of archaeological sites, since flakes are the most abundant stone tools, and stone tools are the most widespread and widely-preserved remains from prehistory. For our study, we selected two Spanish sites: Gran Dolina-TD10.1 (Atapuerca) and Abric Romaní (Barcelona), which were occupied by pre-Neanderthal and Neanderthal populations, respectively. Our analyses indicate that a minimum number of eight flakes produced by the same knapper is required to ascertain their hand preference. Even though this figure is relatively low, it is quite difficult to obtain from many archaeological sites. In addition, there is no single technical feature that provides information about handedness, instead there is a combination of eight technical features, localised on the striking platforms and ventral surfaces. The raw material is not relevant where good quality rocks are used, in this case quartzite and flint, since most of them retain the technical features required for the analysis. Expertise is not an issue either, since the technical features analysed here only correlate with handedness (Bargalló and Mosquera, 2014). Our results allow us to tentatively identify one right-handed knapper among the pre-Neanderthals of level TD10.1 at Gran Dolina (Atapuerca), while four of the five Neanderthals analysed from Abric Romaní were right-handed. The hand preference of the fifth knapper from that location (AR5) remains unclear

Defining safety culture and the nexus between safety goals and safety culture. 4. Enhancing Safety Culture Through the Establishment of Safety Goals

International Nuclear Information System (INIS)

Tateiwa, Kenji; Miyata, Koichi; Yahagi, Kimitoshi

2001-01-01

Safety culture is the perception of each individual and organization of a nuclear power plant that safety is the first priority, and at Tokyo Electric Power Company (TEPCO), we have been practicing it in everyday activities. On the other hand, with the demand for competitiveness of nuclear power becoming even more intense these days, we need to pursue efficient management while maintaining the safety level at the same time. Below, we discuss how to achieve compatibility between safety culture and efficient management as well as enhance safety culture. Discussion at Tepco: safety culture-nurturing activities such as the following are being implemented: 1. informing the employees of the 'Declaration of Safety Promotion' by handing out brochures and posting it on the intranet home page; 2. publishing safety culture reports covering stories on safety culture of other industry sectors, recent movements on safety culture, etc.; 3. conducting periodic questionnaires to employees to grasp how deeply safety culture is being established; 4. carrying out educational programs to learn from past cases inside and outside the nuclear industry; 5. committing to common ownership of information with the public. The current status of safety culture in Japan sometimes seems to be biased to the quest of ultimate safety; rephrasing it, there have been few discussions regarding the sufficiency of the quantitative safety level in conjunction with the safety culture. Safety culture is one of the most crucial foundations guaranteeing the plant's safety, and for example, the plant safety level evaluated by probabilistic safety assessment (PSA) could be said to be valid only on the ground that a sound and sufficient safety culture exists. Although there is no doubt that the safety culture is a fundamental and important attitude of an individual and organization that keeps safety the first priority, the safety culture in itself should not be considered an obstruction to efforts to implement

Assessment and applicability of evaluation tools: Current practice in a sample of European countries and steps towards a state-of-the-art approach. Road Infrastructure Safety Management Evaluation Tools (RISMET), Deliverables No. 4 and 5.

NARCIS (Netherlands)

Elvik, R.

2014-01-01

This report surveys current practice in a sample of European countries with respect to the use of ten different tools for safety management of road systems. The report also proposes steps that can be taken to bring the use of these management tools closer to their state-of-the-art versions. These

Biometric identification using infrared dorsum hand vein images

Directory of Open Access Journals (Sweden)

Óscar Fernando Motato Toro

2009-01-01

Full Text Available The evident need for improving access and safety controls has orientated the development of new personal identification systems towards using biometric, physiological and behavioral features guaranteeing increasing greater levels of performance. Motivated by this trend, the development and implementation of a computational tool for recording and validating people’s identity using dorsum hand vein images is presented here. A low-cost hardware module for acquiring infrared images was thus designed; it consisted of a conventional video-camera, optical lenses, controlled infrared illumination sources and a frame grabber. The accompanying software module was concerned with visualizing and capturing images, selecting regions of interest, pattern seg-mentation in the region and extracting, describing and classifying these features. An artificial neuron network approach was im-plemented for pattern recognition, resulting in it proving the biometric indicator to be sufficiently discriminating, and a corre-lation-based approach using a 100 image database for static characterisation, determined the system’s maximum efficiency to be 95.72% at a threshold equal to 65. False acceptance rate (FAR was 8.57% and false rejection rate (FRR was 0% at this threshold.

More safety by improving the safety culture

International Nuclear Information System (INIS)

Laaksonen, J.

1993-01-01

In its meeting in 1986, after Chernobyl accident, the INSAG group concluded, that the most important reason for the accident was lack of safety culture. Later the group realized that the safety culture, if it is well enough, can be used as a powerful tool to assess and develop practices affecting safety in any country. A comprehensive view on the various aspects of safety culture was presented in the INSAG-4 report published in 1991. Finland was among the first nations include the concept of safety culture in its regulations. This article describes the roles of government and the regulatory body in creating a national safety culture. How safety culture is seen in the operation of a nuclear power plant is also discussed. (orig.)

SCALE 5: Powerful new criticality safety analysis tools

International Nuclear Information System (INIS)

Bowman, Stephen M.; Hollenbach, Daniel F.; Dehart, Mark D.; Rearden, Bradley T.; Gauld, Ian C.; Goluoglu, Sedat

2003-01-01

Version 5 of the SCALE computer software system developed at Oak Ridge National Laboratory, scheduled for release in December 2003, contains several significant new modules and sequences for criticality safety analysis and marks the most important update to SCALE in more than a decade. This paper highlights the capabilities of these new modules and sequences, including continuous energy flux spectra for processing multigroup problem-dependent cross sections; one- and three-dimensional sensitivity and uncertainty analyses for criticality safety evaluations; two-dimensional flexible mesh discrete ordinates code; automated burnup-credit analysis sequence; and one-dimensional material distribution optimization for criticality safety. (author)

Complex tasks force hand laterality and technological behaviour in naturalistically housed chimpanzees: inferences in hominin evolution.

Science.gov (United States)

Mosquera, M; Geribàs, N; Bargalló, A; Llorente, M; Riba, D

2012-01-01

Clear hand laterality patterns in humans are widely accepted. However, humans only elicit a significant hand laterality pattern when performing complementary role differentiation (CRD) tasks. Meanwhile, hand laterality in chimpanzees is weaker and controversial. Here we have reevaluated our results on hand laterality in chimpanzees housed in naturalistic environments at Fundació Mona (Spain) and Chimfunshi Wild Orphanage (Zambia). Our results show that the difference between hand laterality in humans and chimpanzees is not as great as once thought. Furthermore, we found a link between hand laterality and task complexity and also an even more interesting connection: CRD tasks elicited not only the hand laterality but also the use of tools. This paper aims to turn attention to the importance of this threefold connection in human evolution: the link between CRD tasks, hand laterality, and tool use, which has important evolutionary implications that may explain the development of complex behaviour in early hominins.

Infant Hand Preference and the Development of Cognitive Abilities

Directory of Open Access Journals (Sweden)

George Frederick Michel

2016-03-01

Full Text Available Hand preference develops in the first two postnatal years with nearly half of infants exhibiting a consistent early preference for acquiring objects. Others exhibit a more variable developmental trajectory but by the end of their second postnatal year, most exhibit a consistent hand preference for role-differentiated bimanual manipulation. According to some forms of embodiment theory, these differences in hand use patterns should influence the way children interact with their environments, which, in turn, should affect the structure and function of brain development. Such early differences in brain development should result in different trajectories of psychological development. We present evidence that children with consistent early hand preferences exhibit advanced patterns of cognitive development as compared to children who develop a hand preference later. Differences in the developmental trajectory of hand preference are predictive of developmental differences in language, object management skills, and tool-use skills. As predicted by Cassasanto’s body-specificity hypothesis, infants with different hand preferences proceed along different developmental pathways of cognitive functioning.

ValeAS: an ICT tool to assess accessibility and safety of the built environment

Directory of Open Access Journals (Sweden)

Luigi Biocca

2014-05-01

Full Text Available ValeAS (Assessment of Accessibility and Safety is a software developed by the Construction Technologies Institute, Rome Unit, of the National Research Council (ITC-CNR, with the aim of giving an ICT tool for assessing the accessibility level of egress ways in the build environment for people with disabilities. The software takes into account the action sequence a person normally performs when involved in an emergency situation, from when he/she perceives the alarm until he/she reaches a safe place or meeting point, thus resulting into the dynamical insertion of the design elements along the path. Once completed the path elements composition, the program generates a result with the assessment of each parameter. The main purpose of ValeAS is to introduce a tool responding to the requirements of accessibility of the built environment, in order to allow relevant professionals and stakeholders to plan new design or adjustment interventions.

Design and Testing of BACRA, a Web-Based Tool for Middle Managers at Health Care Facilities to Lead the Search for Solutions to Patient Safety Incidents

Science.gov (United States)

Mira, José Joaquín; Vicente, Maria Asuncion; Fernandez, Cesar; Guilabert, Mercedes; Ferrús, Lena; Zavala, Elena; Silvestre, Carmen; Pérez-Pérez, Pastora

2016-01-01

Background Lack of time, lack of familiarity with root cause analysis, or suspicion that the reporting may result in negative consequences hinder involvement in the analysis of safety incidents and the search for preventive actions that can improve patient safety. Objective The aim was develop a tool that enables hospitals and primary care professionals to immediately analyze the causes of incidents and to propose and implement measures intended to prevent their recurrence. Methods The design of the Web-based tool (BACRA) considered research on the barriers for reporting, review of incident analysis tools, and the experience of eight managers from the field of patient safety. BACRA’s design was improved in successive versions (BACRA v1.1 and BACRA v1.2) based on feedback from 86 middle managers. BACRA v1.1 was used by 13 frontline professionals to analyze incidents of safety; 59 professionals used BACRA v1.2 and assessed the respective usefulness and ease of use of both versions. Results BACRA contains seven tabs that guide the user through the process of analyzing a safety incident and proposing preventive actions for similar future incidents. BACRA does not identify the person completing each analysis since the password introduced to hide said analysis only is linked to the information concerning the incident and not to any personal data. The tool was used by 72 professionals from hospitals and primary care centers. BACRA v1.2 was assessed more favorably than BACRA v1.1, both in terms of its usefulness (z=2.2, P=.03) and its ease of use (z=3.0, P=.003). Conclusions BACRA helps to analyze incidents of safety and to propose preventive actions. BACRA guarantees anonymity of the analysis and reduces the reluctance of professionals to carry out this task. BACRA is useful and easy to use. PMID:27678308

Design and Testing of BACRA, a Web-Based Tool for Middle Managers at Health Care Facilities to Lead the Search for Solutions to Patient Safety Incidents.

Science.gov (United States)

Carrillo, Irene; Mira, José Joaquín; Vicente, Maria Asuncion; Fernandez, Cesar; Guilabert, Mercedes; Ferrús, Lena; Zavala, Elena; Silvestre, Carmen; Pérez-Pérez, Pastora

2016-09-27

Lack of time, lack of familiarity with root cause analysis, or suspicion that the reporting may result in negative consequences hinder involvement in the analysis of safety incidents and the search for preventive actions that can improve patient safety. The aim was develop a tool that enables hospitals and primary care professionals to immediately analyze the causes of incidents and to propose and implement measures intended to prevent their recurrence. The design of the Web-based tool (BACRA) considered research on the barriers for reporting, review of incident analysis tools, and the experience of eight managers from the field of patient safety. BACRA's design was improved in successive versions (BACRA v1.1 and BACRA v1.2) based on feedback from 86 middle managers. BACRA v1.1 was used by 13 frontline professionals to analyze incidents of safety; 59 professionals used BACRA v1.2 and assessed the respective usefulness and ease of use of both versions. BACRA contains seven tabs that guide the user through the process of analyzing a safety incident and proposing preventive actions for similar future incidents. BACRA does not identify the person completing each analysis since the password introduced to hide said analysis only is linked to the information concerning the incident and not to any personal data. The tool was used by 72 professionals from hospitals and primary care centers. BACRA v1.2 was assessed more favorably than BACRA v1.1, both in terms of its usefulness (z=2.2, P=.03) and its ease of use (z=3.0, P=.003). BACRA helps to analyze incidents of safety and to propose preventive actions. BACRA guarantees anonymity of the analysis and reduces the reluctance of professionals to carry out this task. BACRA is useful and easy to use.

Development of a numerical tool for safety assessment and emergency management of experimental reactors

International Nuclear Information System (INIS)

Maas, L.; Beuter, A.; Seropian, C.

2010-01-01

The Institute of Radiological Protection and Nuclear Safety (IRSN) acts as technical support to French public authorities. Among its duties, one important item is to provide help for emergency situations management in case of an accident occurring in a French nuclear facility. In this framework, IRSN develops and applies numerical tools dealing with containment management issues. Up to now IRSN has not got any specific tool for experimental reactors. Accordingly, it has been then decided to extend the ASTEC code, devoted to severe accident scenarios for Pressurized Water Reactors, to this kind of reactors. This lumped-parameter code, co-developed by IRSN and GRS (Germany), covers the entire phenomenology from the initiating event up to fission products release outside the reactor containment, except for the steam explosion and the mechanical integrity of the containment. A first application to experimental reactors was carried out to assess the High Flux Reactor (HFR) operator's improvement proposal concerning the containment management during accidental situations. This reactor, located in Grenoble (France), is composed of a double wall containment with a pressurized containment annulus preventing any direct leakage into the environment. Until now, in case of severe accidents (mainly core melting in pool, explosive reactivity accident called BORAX), the HFR emergency management consisted in isolating the containment building in the early stage of the accident, to prevent any radioactive products release to the environment. The operator decided to improve this containment management during accidental situations by using an air filtering venting system able to maintain a slight sub-atmospheric pressure in the reactor building. The operator's demonstration of the efficiency of this new system is mainly based on containment pressure evaluations during accidental transients. IRSN assessed these calculations through ASTEC calculations. Finally, a global agreement was

Psychometrics of the Home Safety Self-Assessment Tool (HSSAT) to prevent falls in community-dwelling older adults.

Science.gov (United States)

Tomita, Machiko R; Saharan, Sumandeep; Rajendran, Sheela; Nochajski, Susan M; Schweitzer, Jo A

2014-01-01

OBJECTIVE. To identify psychometric properties of the Home Safety Self-Assessment Tool (HSSAT) to prevent falls in community-dwelling older adults. METHOD. We tested content validity, test-retest reliability, interrater reliability, construct validity, convergent and discriminant validity, and responsiveness to change. RESULTS. The content validity index was .98, the intraclass correlation coefficient for test-retest reliability was .97, and the interrater reliability was .89. The difference on identified risk factors between the use and nonuse of the HSSAT was significant (p = .005). Convergent validity with the Centers for Disease Control and Prevention Home Safety Checklist was high (r = .65), and discriminant validity with fear of falling was very low (r = .10). The responsiveness to change was moderate (standardized response mean = 0.57). CONCLUSION. The HSSAT is a reliable and valid instrument to identify fall risks in a home environment, and the HSSAT booklet is effective as educational material leading to improvement in home safety. Copyright © 2014 by the American Occupational Therapy Association, Inc.

Promoting participatory behavior on safety

International Nuclear Information System (INIS)

Martinez Corcoles, M.

2012-01-01

Are two types of safety behaviors: On the one hand, the fulfillment of the essential procedures for safe operation, and secondly, those voluntary behaviors that contribute equally to enhance plant safety. During the last three decades, the focus on strict compliance has limited any behavior beyond what is required by the regulations.

Pedestrian safety management using the risk-based approach

Directory of Open Access Journals (Sweden)

Romanowska Aleksandra

2017-01-01

Full Text Available The paper presents a concept of a multi-level pedestrian safety management system. Three management levels are distinguished: strategic, tactical and operational. The basis for the proposed approach to pedestrian safety management is a risk-based method. In the approach the elements of behavioural and systemic theories were used, allowing for the development of a formalised and repeatable procedure integrating the phases of risk assessment and response to the hazards of road crashes involving pedestrians. Key to the method are tools supporting pedestrian safety management. According to the risk management approach, the tools can be divided into two groups: tools supporting risk assessment and tools supporting risk response. In the paper attention is paid to selected tools supporting risk assessment, with particular emphasis on the methods for estimating forecasted pedestrian safety measures (at strategic, national and regional level and identification of particularly dangerous locations in terms of pedestrian safety at tactical (regional and local and operational level. The proposed pedestrian safety management methods and tools can support road administration in making rational decisions in terms of road safety, safety of road infrastructure, crash elimination measures or reducing the consequences suffered by road users (particularly pedestrians as a result of road crashes.

Hand hygiene management among nurses: collective health challenges

Directory of Open Access Journals (Sweden)

João Manuel Graveto

Full Text Available ABSTRACT Objective: To describe the determining factors in hand hygiene management among nurses and identify associated collective health challenges. Method: Cross-sectional descriptive study. Data were collected using a questionnaire that was applied in four internal medicine units of a hospital of reference in Portugal. Results: The sample was composed of 50 nurses aged 26 to 55 years (mean age of 34.88 years; 80% were women, 58% had a Bachelor’s degree, and had 5-30 years of nursing practice (X̄ =11.94;±5.92. The vast majority of nurses (90% reported complying with the existing recommendations on hand hygiene in pre-established moments. However, none of the nurses were able to identify all the moments for hand hygiene using water and soap or alcohol-based handrub. Conclusion: This study shows that continuous training, adequate materials/structures in the units, and redesigned administration/supervision practices are determining factors to achieve higher levels of adherence to hand hygiene among nurses, as well as increased quality and safety in care delivery, which is a current collective health challenge.

Development of Safety-Critical Software for Nuclear Power Plant using a CASE Tool

Energy Technology Data Exchange (ETDEWEB)

Kim, Chang Ho; Oh, Do Young; Kim, Koh Eun; Choi, Woong Seock; Sohn, Se Do; Kim, Jae Hack; Kim, Hang Bae [KEPCO E and C, Daejeon (Korea, Republic of)

2011-08-15

The Integrated SOftware Development Environment (ISODE) is developed to provide the major S/W life cycle processes that are composed of development process, V/V process, requirements traceability process, and automated document generation process and target importing process to Programmable Logic Controller (PLC) platform. This provides critical safety software developers with a certified, domain optimized, model-based development environment, and the associated services to reduce time and efforts to develop software such as debugging, simulation, code generation and document generation. This also provides critical safety software verifiers with integrated V/V features of each phase of the software life cycle using appropriate tools such as model test coverage, formal verification, and automated report generation. In addition to development and verification, the ISODE gives a complete traceability solution from the SW design phase to the testing phase. Using this information, the coverage and impact analysis can be done easily whenever software modification is necessary. The final source codes of ISODE are imported into the newly developed PLC environment, as a module based after automatically converted into the format required by PLC. Additional tests for module and unit level are performed on the target platform.

Development of Safety-Critical Software for Nuclear Power Plant using a CASE Tool

International Nuclear Information System (INIS)

Kim, Chang Ho; Oh, Do Young; Kim, Koh Eun; Choi, Woong Seock; Sohn, Se Do; Kim, Jae Hack; Kim, Hang Bae

2011-01-01

The Integrated SOftware Development Environment (ISODE) is developed to provide the major S/W life cycle processes that are composed of development process, V/V process, requirements traceability process, and automated document generation process and target importing process to Programmable Logic Controller (PLC) platform. This provides critical safety software developers with a certified, domain optimized, model-based development environment, and the associated services to reduce time and efforts to develop software such as debugging, simulation, code generation and document generation. This also provides critical safety software verifiers with integrated V/V features of each phase of the software life cycle using appropriate tools such as model test coverage, formal verification, and automated report generation. In addition to development and verification, the ISODE gives a complete traceability solution from the SW design phase to the testing phase. Using this information, the coverage and impact analysis can be done easily whenever software modification is necessary. The final source codes of ISODE are imported into the newly developed PLC environment, as a module based after automatically converted into the format required by PLC. Additional tests for module and unit level are performed on the target platform

Shape Memory Polymers: A Joint Chemical and Materials Engineering Hands-On Experience

Science.gov (United States)

Seif, Mujan; Beck, Matthew

2018-01-01

Hands-on experiences are excellent tools for increasing retention of first year engineering students. They also encourage interdisciplinary collaboration, a critical skill for modern engineers. In this paper, we describe and evaluate a joint Chemical and Materials Engineering hands-on lab that explores cross-linking and glass transition in…

Implementation of a risk assessment tool based on a probabilistic safety assessment developed for radiotherapy practices

International Nuclear Information System (INIS)

Paz, A.; Godinez, V.; Lopez, R.

2010-10-01

The present work describes the implementation process and main results of the risk assessment to the radiotherapy practices with Linear Accelerators (Linac), with cobalt 60, and with brachytherapy. These evaluations were made throughout the risk assessment tool for radiotherapy practices SEVRRA (risk evaluation system for radiotherapy), developed at the Mexican National Commission in Nuclear Safety and Safeguards derived from the outcome obtained with the Probabilistic Safety Analysis developed at the Ibero-American Regulators Forum for these radiotherapy facilities. The methodology used is supported by risk matrices method, a mathematical tool that estimates the risk to the patient, radiation workers and public from mechanical failures, mis calibration of the devices, human mistakes, and so. The initiating events are defined as those undesirable events that, together with other failures, can produce a delivery of an over-dose or an under-dose of the medical prescribed dose, to the planned target volume, or a significant dose to non prescribed human organs. Initiating events frequency and reducer of its frequency (actions intended to avoid the accident) are estimated as well as robustness of barriers to those actions, such as mechanical switches, which detect and prevent the accident from occurring. The spectrum of the consequences is parameterized, and the actions performed to reduce the consequences are identified. Based on this analysis, a software tool was developed in order to simplify the evaluations to radiotherapy installations and it has been applied as a first step forward to some Mexican installations, as part of a national implementation process, the final goal is evaluation of all Mexican facilities in the near future. The main target and benefits of the SEVRRA implementation are presented in this paper. (Author)

Implementation of a risk assessment tool based on a probabilistic safety assessment developed for radiotherapy practices

Energy Technology Data Exchange (ETDEWEB)

Paz, A.; Godinez, V.; Lopez, R., E-mail: abpaz@cnsns.gob.m [Comision Nacional de Seguridad Nuclear y Salvaguardias, Dr. Barragan No. 779, Col. Narvarte, 03020 Mexico D. F. (Mexico)

2010-10-15

The present work describes the implementation process and main results of the risk assessment to the radiotherapy practices with Linear Accelerators (Linac), with cobalt 60, and with brachytherapy. These evaluations were made throughout the risk assessment tool for radiotherapy practices SEVRRA (risk evaluation system for radiotherapy), developed at the Mexican National Commission in Nuclear Safety and Safeguards derived from the outcome obtained with the Probabilistic Safety Analysis developed at the Ibero-American Regulators Forum for these radiotherapy facilities. The methodology used is supported by risk matrices method, a mathematical tool that estimates the risk to the patient, radiation workers and public from mechanical failures, mis calibration of the devices, human mistakes, and so. The initiating events are defined as those undesirable events that, together with other failures, can produce a delivery of an over-dose or an under-dose of the medical prescribed dose, to the planned target volume, or a significant dose to non prescribed human organs. Initiating events frequency and reducer of its frequency (actions intended to avoid the accident) are estimated as well as robustness of barriers to those actions, such as mechanical switches, which detect and prevent the accident from occurring. The spectrum of the consequences is parameterized, and the actions performed to reduce the consequences are identified. Based on this analysis, a software tool was developed in order to simplify the evaluations to radiotherapy installations and it has been applied as a first step forward to some Mexican installations, as part of a national implementation process, the final goal is evaluation of all Mexican facilities in the near future. The main target and benefits of the SEVRRA implementation are presented in this paper. (Author)

Measuring safety climate in elderly homes.

Science.gov (United States)

Yeung, Koon-Chuen; Chan, Charles C

2012-02-01

Provision of a valid and reliable safety climate dimension brings enormous benefits to the elderly home sector. The aim of the present study was to make use of the safety climate instrument developed by OSHC to measure the safety perceptions of employees in elderly homes such that the factor structure of the safety climate dimensions of elderly homes could be explored. In 2010, surveys by mustering on site method were administered in 27 elderly homes that had participated in the "Hong Kong Safe and Healthy Residential Care Home Accreditation Scheme" organized by the Occupational Safety and Health Council. Six hundred and fifty-one surveys were returned with a response rate of 54.3%. To examine the factor structure of safety climate dimensions in our study, an exploratory factor analysis (EFA) using principal components analysis method was conducted to identify the underlying factors. The results of the modified seven-factor's safety climate structure extracted from 35 items better reflected the safety climate dimensions of elderly homes. The Cronbach alpha range for this study (0.655 to 0.851) indicated good internal consistency among the seven-factor structure. Responses from managerial level, supervisory and professional level, and front-line staff were analyzed to come up with the suggestion on effective ways of improving the safety culture of elderly homes. The overall results showed that managers generally gave positive responses in the factors evaluated, such as "management commitment and concern to safety," "perception of work risks and some contributory influences," "safety communication and awareness," and "safe working attitude and participation." Supervisors / professionals, and frontline level staff on the other hand, have less positive responses. The result of the lowest score in the factors - "perception of safety rules and procedures" underlined the importance of the relevance and practicability of safety rules and procedures. The modified OSHC

Human left ventral premotor cortex mediates matching of hand posture to object use.

Directory of Open Access Journals (Sweden)

Guy Vingerhoets

Full Text Available Visuomotor transformations for grasping have been associated with a fronto-parietal network in the monkey brain. The human homologue of the parietal monkey region (AIP has been identified as the anterior part of the intraparietal sulcus (aIPS, whereas the putative human equivalent of the monkey frontal region (F5 is located in the ventral part of the premotor cortex (vPMC. Results from animal studies suggest that monkey F5 is involved in the selection of appropriate hand postures relative to the constraints of the task. In humans, the functional roles of aIPS and vPMC appear to be more complex and the relative contribution of each region to grasp selection remains uncertain. The present study aimed to identify modulation in brain areas sensitive to the difficulty level of tool object - hand posture matching. Seventeen healthy right handed participants underwent fMRI while observing pictures of familiar tool objects followed by pictures of hand postures. The task was to decide whether the hand posture matched the functional use of the previously shown object. Conditions were manipulated for level of difficulty. Compared to a picture matching control task, the tool object - hand posture matching conditions conjointly showed increased modulation in several left hemispheric regions of the superior and inferior parietal lobules (including aIPS, the middle occipital gyrus, and the inferior temporal gyrus. Comparison of hard versus easy conditions selectively modulated the left inferior frontal gyrus with peak activity located in its opercular part (Brodmann area (BA 44. We suggest that in the human brain, vPMC/BA44 is involved in the matching of hand posture configurations in accordance with visual and functional demands.

CRITICALITY SAFETY LIMIT EVALUATION PROGRAM (CSLEP's) AND QUICK SCREENS: ANSWERS TO EXPEDITED PROCESSING LEGACY CRITICALITY SAFETY LIMITS AND EVALUATIONS

International Nuclear Information System (INIS)

TOFFER, H.

2006-01-01

Since the end of the cold war, the need for operating weapons production facilities has faded. Criticality Safety Limits and controls supporting production modes in these facilities became outdated and furthermore lacked the procedure based rigor dictated by present day requirements. In the past, in many instances, the formalism of present day criticality safety evaluations was not applied. Some of the safety evaluations amounted to a paragraph in a notebook with no safety basis and questionable arguments with respect to double contingency criteria. When material stabilization, clean out, and deactivation activities commenced, large numbers of these older criticality safety evaluations were uncovered with limits and controls backed up by tenuous arguments. A dilemma developed: on the one hand, cleanup activities were placed on very aggressive schedules; on the other hand, a highly structured approach to limits development was required and applied to the cleanup operations. Some creative approaches were needed to cope with the limits development process

HANDS: a tool for genome-wide discovery of subgenome-specific base-identity in polyploids.

KAUST Repository

Mithani, Aziz; Belfield, Eric J; Brown, Carly; Jiang, Caifu; Leach, Lindsey J; Harberd, Nicholas P

2013-01-01

The analysis of polyploid genomes is problematic because homeologous subgenome sequences are closely related. This relatedness makes it difficult to assign individual sequences to the specific subgenome from which they are derived, and hinders the development of polyploid whole genome assemblies.We here present a next-generation sequencing (NGS)-based approach for assignment of subgenome-specific base-identity at sites containing homeolog-specific polymorphisms (HSPs): 'HSP base Assignment using NGS data through Diploid Similarity' (HANDS). We show that HANDS correctly predicts subgenome-specific base-identity at >90% of assayed HSPs in the hexaploid bread wheat (Triticum aestivum) transcriptome, thus providing a substantial increase in accuracy versus previous methods for homeolog-specific base assignment.We conclude that HANDS enables rapid and accurate genome-wide discovery of homeolog-specific base-identity, a capability having multiple applications in polyploid genomics.

HANDS: a tool for genome-wide discovery of subgenome-specific base-identity in polyploids.

KAUST Repository

Mithani, Aziz

2013-09-24

The analysis of polyploid genomes is problematic because homeologous subgenome sequences are closely related. This relatedness makes it difficult to assign individual sequences to the specific subgenome from which they are derived, and hinders the development of polyploid whole genome assemblies.We here present a next-generation sequencing (NGS)-based approach for assignment of subgenome-specific base-identity at sites containing homeolog-specific polymorphisms (HSPs): \\'HSP base Assignment using NGS data through Diploid Similarity\\' (HANDS). We show that HANDS correctly predicts subgenome-specific base-identity at >90% of assayed HSPs in the hexaploid bread wheat (Triticum aestivum) transcriptome, thus providing a substantial increase in accuracy versus previous methods for homeolog-specific base assignment.We conclude that HANDS enables rapid and accurate genome-wide discovery of homeolog-specific base-identity, a capability having multiple applications in polyploid genomics.

Hand Hygiene Improvement and Sustainability: Assessing a Breakthrough Collaborative in Western Switzerland.

Science.gov (United States)

Staines, Anthony; Amherdt, Isabelle; Lécureux, Estelle; Petignat, Christiane; Eggimann, Philippe; Schwab, Marcos; Pittet, Didier

2017-12-01

OBJECTIVE To assess hand hygiene improvement and sustainability associated with a Breakthrough Collaborative. DESIGN Multicenter analysis of hand hygiene compliance through direct observation by trained observers. SETTING A total of 5 publicly funded hospitals in 14 locations, with a total of 1,152 beds, in the County of Vaud, Switzerland. PARTICIPANTS Clinical staff. INTERVENTIONS In total, 59,272 opportunities for hand hygiene were monitored for the duration of the study, for an average of 5,921 per audit (range, 5,449-6,852). An 18-month Hand Hygiene Breakthrough Collaborative was conducted to implement the WHO multimodal promotional strategy including improved access to alcohol-based hand rub, education, performance measurement and feedback, reminders and communication, leadership engagement, and safety culture. RESULTS Overall hand hygiene compliance improved from 61.9% to 88.3% (Pstrategy for content and measurement was associated with significant and substantial improvement in compliance across all professions, all hand hygiene indications, and all participating hospitals. Infect Control Hosp Epidemiol 2017;38:1420-1427.

Techniques and tools for software qualification in KNICS

International Nuclear Information System (INIS)

Cha, Kyung H.; Lee, Yeong J.; Cheon, Se W.; Kim, Jang Y.; Lee, Jang S.; Kwon, Kee C.

2004-01-01

This paper describes techniques and tools for qualifying safety software in Korea Nuclear Instrumentation and Control System (KNICS). Safety software are developed and applied for a Reactor Protection System (RPS), an Engineered Safety Features and Component Control System (ESF-CCS), and a safety Programmable Logic Controller (PLC) in the KNICS. Requirements and design specifications of safety software are written by both natural language and formal specification languages. Statechart is used for formal specification of software of the ESF-CCS and the safety PLC while NuSCR is used for formal specification of them of the RPS. pSET (POSCON Software Engineering Tool) as a software development tool has been developed and utilized for the IEC61131-3 based PLC programming. The qualification of the safety software consists of software verification and validation (V and V) through software life cycle, software safety analysis, and software configuration management, software quality assurance, and COTS (Commercial-Off-The-Shelf) dedication. The criteria and requirements for qualifying the safety software have been established with them in Software Review Plan (SRP)/Branch Technical Positions (BTP)-14, IEEE Std. 7-4.3.2-1998, NUREG/CR-6463, IEEE Std. 1012-1998, and so on. Figure 1 summarizes qualification techniques and tools for the safety software

Taking ownership of safety. What are the active ingredients of safety coaching and how do they impact safety outcomes in critical offshore working environments?

Science.gov (United States)

Krauesslar, Victoria; Avery, Rachel E; Passmore, Jonathan

2015-01-01

Safety coaching interventions have become a common feature in the safety critical offshore working environments of the North Sea. Whilst the beneficial impact of coaching as an organizational tool has been evidenced, there remains a question specifically over the use of safety coaching and its impact on behavioural change and producing safe working practices. A series of 24 semi-structured interviews were conducted with three groups of experts in the offshore industry: safety coaches, offshore managers and HSE directors. Using a thematic analysis approach, several significant themes were identified across the three expert groups including connecting with and creating safety ownership in the individual, personal significance and humanisation, ingraining safety and assessing and measuring a safety coach's competence. Results suggest clear utility of safety coaching when applied by safety coaches with appropriate coach training and understanding of safety issues in an offshore environment. The current work has found that the use of safety coaching in the safety critical offshore oil and gas industry is a powerful tool in managing and promoting a culture of safety and care.

Development of tools for safety analysis of control software in advanced reactors

International Nuclear Information System (INIS)

Guarro, S.; Yau, M.; Motamed, M.

1996-04-01

Software based control systems have gained a pervasive presence in a wide variety of applications, including nuclear power plant control and protection systems which are within the oversight and licensing responsibility of the US Nuclear Regulatory Commission. While the cost effectiveness and flexibility of software based plant process control is widely recognized, it is very difficult to achieve and prove high levels of demonstrated dependability and safety assurance for the functions performed by process control software, due to the very flexibility and potential complexity of the software itself. The development of tools to model, analyze and test software design and implementations in the context of the system that the software is designed to control can greatly assist the task of providing higher levels of assurance than those obtainable by software testing alone. This report presents and discusses the development of the Dynamic Flowgraph Methodology (DFM) and its application in the dependability and assurance analysis of software-based control systems. The features of the methodology and full-scale examples of application to both generic process and nuclear power plant control systems are presented and discussed in detail. The features of a workstation software tool developed to assist users in the application of DFM are also described

Development of tools for safety analysis of control software in advanced reactors

Energy Technology Data Exchange (ETDEWEB)

Guarro, S.; Yau, M.; Motamed, M. [Advanced Systems Concepts Associates, El Segundo, CA (United States)

1996-04-01

Software based control systems have gained a pervasive presence in a wide variety of applications, including nuclear power plant control and protection systems which are within the oversight and licensing responsibility of the US Nuclear Regulatory Commission. While the cost effectiveness and flexibility of software based plant process control is widely recognized, it is very difficult to achieve and prove high levels of demonstrated dependability and safety assurance for the functions performed by process control software, due to the very flexibility and potential complexity of the software itself. The development of tools to model, analyze and test software design and implementations in the context of the system that the software is designed to control can greatly assist the task of providing higher levels of assurance than those obtainable by software testing alone. This report presents and discusses the development of the Dynamic Flowgraph Methodology (DFM) and its application in the dependability and assurance analysis of software-based control systems. The features of the methodology and full-scale examples of application to both generic process and nuclear power plant control systems are presented and discussed in detail. The features of a workstation software tool developed to assist users in the application of DFM are also described.

The Aviation Performance Measuring System (APMS): An Integrated Suite of Tools for Measuring Performance and Safety

Science.gov (United States)

Statler, Irving C.; Connor, Mary M. (Technical Monitor)

1998-01-01

This is a report of work in progress. In it, I summarize the status of the research and development of the Aviation Performance Measuring System (APMS) for managing, processing, and analyzing digital flight-recorded data, The objectives of the NASA-FAA APMS research project are to establish a sound scientific and technological basis for flight-data analysis, to define an open and flexible architecture for flight-data analysis systems, and to articulate guidelines for a standardized database structure on which to continue to build future flight-data-analysis extensions. APMS offers to the air transport community an open, voluntary standard for flight-data-analysis software; a standard that will help to ensure suitable functionality and data interchangeability among competing software programs. APMS will develop and document the methodologies, algorithms, and procedures for data management and analyses to enable users to easily interpret the implications regarding safety and efficiency of operations. APMS does not entail the implementation of a nationwide flight-data-collection system. It is intended to provide technical tools to ease the large-scale implementation of flight-data analyses at both the air-carrier and the national-airspace levels in support of their Flight Operations and Quality Assurance (FOQA) Programs and Advanced Qualifications Programs (AQP). APMS cannot meet its objectives unless it develops tools that go substantially beyond the capabilities of the current commercially available software and supporting analytic methods that are mainly designed to count special events. These existing capabilities, while of proven value, were created primarily with the needs-of aircrews in mind. APMS tools must serve the needs of the government and air carriers, as well as aircrews, to fully support the FOQA and AQP programs. They must be able to derive knowledge not only through the analysis of single flights (special-event detection), but also through

P2-37: Processing Affordance Information from Invisible Tool Images

Directory of Open Access Journals (Sweden)

Shinho Cho

2012-10-01

Full Text Available A recent study showed that viewing manipulable objects such as images of tools induces the neural activation of posterior parietal areas. This neural activation is observed even when visual awareness of the image is visually suppressed. (Fang and He, 2005 Nature Neuroscience 10 1380–1385; Almeida et al, 2010 Psychological Science 21 772–778. However, the specific visuomotor information in tool images that drives the activation of dorsal areas is still unclear. We measured priming effect of invisible tool prime (left or right handed orientation. Observers distinguished the orientation of target tools (appropriate for left vs right handed grip briefly presented following visually suppressed primes (Experiment1. Also we measured the suppression time of tool images whose handle direction was presented in a left- or right-handed orientation. A dynamic noise pattern was presented to one of the observer's eyes at full contrast, while images of tools (left or right handed were simultaneously presented to the left or right visual field of the other eye. The subjects were asked to respond to the appearance of any partial or full part of the test image (Experiment 2. Results showed that (1 observers responded faster in the congruent condition (the same orientation between prime and target and (2 tool images shown in the right visual field took less time to gain dominance against the dynamic noise. These results suggest that even without overt recognition of presented tools, an object's affordance can be registered and processed in the brain. A recent study showed that viewing manipulable objects such as images of tools induces the neural activation of posterior parietal areas. This neural activation is observed even when visual awareness of the image is visually suppressed (Almeida et al., 2010 Psychological Science 21 772–778; Fang and He, 2005 Nature Neuroscience 10 1380–1385. However, the specific visuomotor information in tool images that

Hand cumulative trauma disorders in Nigerian custom tailors: the need for redesign of manual scissors.

Science.gov (United States)

Adeleye, Adedoyin Abiodun; Akanbi, Olusegun Gabriel

2015-01-01

Cutting scissors are important working tools for Nigerian custom tailors (CTs) but its usage apparently does not meet the ergonomics need of these artisans. A survey was carried out amongst CTs using questionnaires to obtain their background social-occupational demographics and observation methods to study their work performance, use of scissors and any cumulative trauma disorder (CTD) in their hands. Thicknesses of various fabrics were measured and comparison between Western world's custom tailoring job and the Nigerian type was done. The results showed some CTD risk factors with finger contusions on the 71 CTs evaluated. The right-hand contusions were traced to the constant usage of unpadded manual scissors with ungloved hands. Disparity between Western and Nigerian tailoring practice may account for the high occurrence of disorders in Nigerian CTs. Since hand dimensions are crucial in the design of hand tools, it is therefore concluded that hand anthropometry of Nigerian CTs and soft padding of manual scissors may mitigate CTD burdens on CTs' hands. Cumulative trauma disorders on the hands of low-income Nigerian CTs needed investigation. This was done via self-assessment and observational methods of the artisans’ work system. Frequent usage of unpadded manual scissors with un-gloved hands cause and exacerbate the problem. Hand anthropometry of users is crucial in scissors manufacturing.

Efficacy of an extended theory of planned behaviour model for predicting caterers' hand hygiene practices.

Science.gov (United States)

Clayton, Deborah A; Griffith, Christopher J

2008-04-01

The main aim of this study was to determine the factors which influence caterers' hand hygiene practices using social cognitive theory. One hundred and fifteen food handlers from 29 catering businesses were observed carrying out 31,050 food preparation actions in their workplace. Caterers subsequently completed the Hand Hygiene Instrument (HHI), which ascertained attitudes towards hand hygiene using constructs from the Theory of Planned Behaviour (TPB) and the Health Belief Model. The TPB provided a useful framework for understanding caterers' implementation of hand hygiene practices, explaining 34% of the variance in hand hygiene malpractices (p behavioural control and intention (p food safety culture.

Safety barriers and safety functions a comparison of different applications

International Nuclear Information System (INIS)

Harms-Ringdahl, L.

1998-01-01

A study is being made with the focus on different theories and applications concerning 'safety barriers' and 'safety functions'. One aim is to compare the characteristics of different kinds of safely functions, which can be purpose, efficiency, reliability, weak points etc. A further aim is to summarize how the combination of different barriers are described and evaluated. Of special interest are applications from nuclear and chemical process safety. The study is based on a literature review, interviews and discussions. Some preliminary conclusions are made. For example, it appears to exist a need for better tools to support the design and evaluation of procedures. There are a great number of theoretical models describing safety functions. However, it still appears to be an interest in further development of models, which might give the basis for improved practical tools. (author)

SFR Safety Considerations

International Nuclear Information System (INIS)

Glatz, Jean-Paul

2012-01-01

Objectives of the Safety and Operation Project: • analysis and experiments that support approaches and assess performance of specific safety features, • development and verification of computational tools and validation of models employed in safety assessment and facility licensing, and • valorisation of reactor operation, from experience and testing in operating SFR plants

Safety precautions in atomic pile control (1962)

International Nuclear Information System (INIS)

Furet, J.

1962-01-01

We have been led to study the problem of safety in atomic pile control as a result of our participation on the one hand in the planning of C.E.A. atomic piles, and on the other hand in the pile safety sub omission considering atomic pile safety of operational or planned C.E.A. piles. We have thus had to consider the wishes occurring in piles during their operation and also their behaviour in the dynamic state The present work deals mainly with the importance of intrinsic safety devices, with the influence of reactivity variations on the power fluctuations during accidental operation, and with the development of robust and reliable safety appliances. The starting p accident has been especially studied both for low-flux piles where a compromise is necessary between the response time of the safety appliances and the statistical fluctuations and for high lux piles where xenon poisoning has an effect on the lower limit of the velocity of reactivity liberation. The desirability has been stressed of automation as a safety factor in atomic pile control. The details required for an understanding of the diagrams of the apparatus are given. (author) [fr

Criticality Safety Evaluation for the TACS at DAF

Energy Technology Data Exchange (ETDEWEB)

Percher, C. M. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Heinrichs, D. P. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2011-06-10

Hands-on experimental training in the physical behavior of multiplying systems is one of ten key areas of training required for practitioners to become qualified in the discipline of criticality safety as identified in DOE-STD-1135-99, Guidance for Nuclear Criticality Safety Engineer Training and Qualification. This document is a criticality safety evaluation of the training activities and operations associated with HS-3201-P, Nuclear Criticality 4-Day Training Course (Practical). This course was designed to also address the training needs of nuclear criticality safety professionals under the auspices of the NNSA Nuclear Criticality Safety Program1. The hands-on, or laboratory, portion of the course will utilize the Training Assembly for Criticality Safety (TACS) and will be conducted in the Device Assembly Facility (DAF) at the Nevada Nuclear Security Site (NNSS). The training activities will be conducted by Lawrence Livermore National Laboratory following the requirements of an Integrated Work Sheet (IWS) and associated Safety Plan. Students will be allowed to handle the fissile material under the supervision of an LLNL Certified Fissile Material Handler.

Research reactor safety - an overview of crucial aspects

International Nuclear Information System (INIS)

Laverie, M.

1998-01-01

Chronology of the commissioning orders of the French research reactors illustrates the importance of the time factor. When looking at older reactors, one must, on one hand, demonstrate, not only the absence of risks tied to the reactor's ageing, but, on the other hand, adapt the reactor's original technical designs to today's safety practices and standards. The evolution of reactor safety requirements over the last twenty years sometimes makes this adaptation difficult. The design of the next research reactors, after a one to two decades pause in construction, will require to set up new safety assessment bases that will have to take into account the nuclear power plant safety evolution. As a general statement, research reactor safety approaches will require the incorporation of specific design rules for research reactors: experience feedback for one of a kind design, frequent modifications required by research programmes, special operational requirements with operators/researchers interfaces. (author)

The STARTEC Decision Support Tool for Better Tradeoffs between Food Safety, Quality, Nutrition, and Costs in Production of Advanced Ready-to-Eat Foods.

Science.gov (United States)

Skjerdal, Taran; Gefferth, Andras; Spajic, Miroslav; Estanga, Edurne Gaston; de Cecare, Alessandra; Vitali, Silvia; Pasquali, Frederique; Bovo, Federica; Manfreda, Gerardo; Mancusi, Rocco; Trevisiani, Marcello; Tessema, Girum Tadesse; Fagereng, Tone; Moen, Lena Haugland; Lyshaug, Lars; Koidis, Anastasios; Delgado-Pando, Gonzalo; Stratakos, Alexandros Ch; Boeri, Marco; From, Cecilie; Syed, Hyat; Muccioli, Mirko; Mulazzani, Roberto; Halbert, Catherine

2017-01-01

A prototype decision support IT-tool for the food industry was developed in the STARTEC project. Typical processes and decision steps were mapped using real life production scenarios of participating food companies manufacturing complex ready-to-eat foods. Companies looked for a more integrated approach when making food safety decisions that would align with existing HACCP systems. The tool was designed with shelf life assessments and data on safety, quality, and costs, using a pasta salad meal as a case product. The process flow chart was used as starting point, with simulation options at each process step. Key parameters like pH, water activity, costs of ingredients and salaries, and default models for calculations of Listeria monocytogenes , quality scores, and vitamin C, were placed in an interactive database. Customization of the models and settings was possible on the user-interface. The simulation module outputs were provided as detailed curves or categorized as "good"; "sufficient"; or "corrective action needed" based on threshold limit values set by the user. Possible corrective actions were suggested by the system. The tool was tested and approved by end-users based on selected ready-to-eat food products. Compared to other decision support tools, the STARTEC-tool is product-specific and multidisciplinary and includes interpretation and targeted recommendations for end-users.

Lean Six-Sigma in Aviation Safety: An implementation guide for measuring aviation system’s safety performance

OpenAIRE

Panagopoulos, I.; Atkin, C.J.; Sikora, I.

2016-01-01

The paper introduces a conceptual framework that could improve the safety performance measurement process and ultimately the aviation system safety performance. The framework provides an implementation guide on how organisations could design and develop a proactive, measurement tool for assessing and measuring the Acceptable Level of Safety Performance (ALoSP) at sigma (σ) level, a statistical measurement unit. In fact, the methodology adapts and combines quality management tools, a leading i...

Validation of hand and foot anatomical feature measurements from smartphone images

Science.gov (United States)

Amini, Mohammad; Vasefi, Fartash; MacKinnon, Nicholas

2018-02-01

A smartphone mobile medical application, previously presented as a tool for individuals with hand arthritis to assess and monitor the progress of their disease, has been modified and expanded to include extraction of anatomical features from the hand (joint/finger width, and angulation) and foot (length, width, big toe angle, and arch height index) from smartphone camera images. Image processing algorithms and automated measurements were validated by performing tests on digital hand models, rigid plastic hand models, and real human hands and feet to determine accuracy and reproducibility compared to conventional measurement tools such as calipers, rulers, and goniometers. The mobile application was able to provide finger joint width measurements with accuracy better than 0.34 (+/-0.25) millimeters. Joint angulation measurement accuracy was better than 0.50 (+/-0.45) degrees. The automatically calculated foot length accuracy was 1.20 (+/-1.27) millimeters and the foot width accuracy was 1.93 (+/-1.92) millimeters. Hallux valgus angle (used in assessing bunions) accuracy was 1.30 (+/-1.29) degrees. Arch height index (AHI) measurements had an accuracy of 0.02 (+/-0.01). Combined with in-app documentation of symptoms, treatment, and lifestyle factors, the anatomical feature measurements can be used by both healthcare professionals and manufacturers. Applications include: diagnosing hand osteoarthritis; providing custom finger splint measurements; providing compression glove measurements for burn and lymphedema patients; determining foot dimensions for custom shoe sizing, insoles, orthotics, or foot splints; and assessing arch height index and bunion treatment effectiveness.

CORPORATE CULTURE AS A TOOL TO IMPROVE SAFETY CULTURE

Directory of Open Access Journals (Sweden)

Erika SUJOVÁ

2013-07-01

Full Text Available The aim of the article is to explain interconnectivity between corporate culture and safety culture, which aim to utilize motivation to prevent work accidents and other unwanted events in an enterprise. The article deals with ways how to improve approaches to Occupational Health & Safety, OH&S, at work place through proper direction of corporate culture. It introduces internal and external determinants of corporate culture, which have a significant effect. The article introduces common features of corporate culture and safety culture as an element of the OH&S management system with emphasis on system effectiveness. The final portion of the article presents the hierarchy of needs model, which may serve as a basis motivating employees to follow safety and health rules at work place.

New Conceptual Design Tools

DEFF Research Database (Denmark)

Pugnale, Alberto; Holst, Malene Kirstine; Kirkegaard, Poul Henning

2010-01-01

hand, the main software houses are trying to introduce powerful and effective user-friendly applications in the world of building designers, that are more and more able to fit their specific requirements; on the other hand, some groups of expert users with a basic programming knowledge seem to deal......This paper aims to discuss recent approaches in using more and more frequently computer tools as supports for the conceptual design phase of the architectural project. The present state-of-the-art about software as conceptual design tool could be summarized in two parallel tendencies. On the one...... with the problem of software as conceptual design tool by means of 'scripting', in other words by self-developing codes able to solve specific and well defined design problems. Starting with a brief historical recall and the discussion of relevant researches and practical experiences, this paper investigates...

77 FR 73354 - Safety Standard for Hand-Held Infant Carriers

Science.gov (United States)

2012-12-10

.... Edwards, Project Manager, Directorate for Engineering Sciences, U.S. Consumer Product Safety Commission, 5..., allergic reactions and near- choking episodes are the most common injuries reported in the remaining 58... modification of the ASTM standard to address the requirements for flammability, surface chemicals, cords...

Road Infrastructure Safety Management in Poland

Science.gov (United States)

Budzynski, Marcin; Jamroz, Kazimierz; Kustra, Wojciech; Michalski, Lech; Gaca, Stanislaw

2017-10-01

The objective of road safety infrastructure management is to ensure that when roads are planned, designed, built and used road risks can be identified, assessed and mitigated. Road transport safety is significantly less developed than that of rail, water and air transport. The average individual risk of being a fatality in relation to the distance covered is thirty times higher in road transport that in the other modes. This is mainly because the different modes have a different approach to safety management and to the use of risk management methods and tools. In recent years Poland has had one of the European Union’s highest road death numbers. In 2016 there were 3026 fatalities on Polish roads with 40,766 injuries. Protecting road users from the risk of injury and death should be given top priority. While Poland’s national and regional road safety programmes address this problem and are instrumental in systematically reducing the number of casualties, the effects are far from the expectations. Modern approaches to safety focus on three integrated elements: infrastructure measures, safety management and safety culture. Due to its complexity, the process of road safety management requires modern tools to help with identifying road user risks, assess and evaluate the safety of road infrastructure and select effective measures to improve road safety. One possible tool for tackling this problem is the risk-based method for road infrastructure safety management. European Union Directive 2008/96/EC regulates and proposes a list of tools for managing road infrastructure safety. Road safety tools look at two criteria: the life cycle of a road structure and the process of risk management. Risk can be minimized through the application of the proposed interventions during design process as reasonable. The proposed methods of risk management bring together two stages: risk assessment and risk response occurring within the analyzed road structure (road network, road

Hand-arm vibration disorder among grass-cutter workers in Malaysia.

Science.gov (United States)

Azmir, Nor Azali; Ghazali, Mohd Imran; Yahya, Musli Nizam; Ali, Mohamad Hanafi

2016-09-01

Prolonged exposure to hand-transmitted vibration from grass-cutting machines has been associated with increasing occurrences of symptoms and signs of occupational diseases related to hand-arm vibration syndrome (HAVS). A cross-sectional study was carried out using an adopted HAVS questionnaire on hand-arm vibration exposure and symptoms distributed to 168 male workers from the grass and turf maintenance industry who use hand-held grass-cutting machines as part of their work. The prevalence ratio and symptom correlation to HAVS between high and low-moderate exposure risk groups were evaluated. There were positive HAVS symptoms relationships between the low-moderate exposure group and the high exposure group among hand-held grass-cutting workers. The prevalence ratio was considered high because there were indicators that fingers turned white and felt numb, 3.63, 95% CI [1.41, 9.39] and 4.24, 95% CI [2.18, 8.27], respectively. Less than 14.3% of workers stated that they were aware of the occupational hand-arm vibration, and it seemed to be related to the finger blanching and numbness. The results suggest that HAVS is under-diagnosed in Malaysia, especially in the agricultural sectors. More information related to safety and health awareness programmes for HAVS exposure is required among hand-held grass-cutting workers.

An Educational Tool for Interactive Parallel and Distributed Processing

DEFF Research Database (Denmark)

Pagliarini, Luigi; Lund, Henrik Hautop

2011-01-01

In this paper we try to describe how the Modular Interactive Tiles System (MITS) can be a valuable tool for introducing students to interactive parallel and distributed processing programming. This is done by providing an educational hands-on tool that allows a change of representation of the abs......In this paper we try to describe how the Modular Interactive Tiles System (MITS) can be a valuable tool for introducing students to interactive parallel and distributed processing programming. This is done by providing an educational hands-on tool that allows a change of representation...... of the abstract problems related to designing interactive parallel and distributed systems. Indeed, MITS seems to bring a series of goals into the education, such as parallel programming, distributedness, communication protocols, master dependency, software behavioral models, adaptive interactivity, feedback......, connectivity, topology, island modeling, user and multiuser interaction, which can hardly be found in other tools. Finally, we introduce the system of modular interactive tiles as a tool for easy, fast, and flexible hands-on exploration of these issues, and through examples show how to implement interactive...

Status of the implementation of the World Health Organization multimodal hand hygiene strategy in United States of America health care facilities.

Science.gov (United States)

Allegranzi, Benedetta; Conway, Laurie; Larson, Elaine; Pittet, Didier

2014-03-01

The World Health Organization (WHO) launched a multimodal strategy and campaign in 2009 to improve hand hygiene practices worldwide. Our objective was to evaluate the implementation of the strategy in United States health care facilities. From July through December 2011, US facilities participating in the WHO global campaign were invited to complete the Hand Hygiene Self-Assessment Framework online, a validated tool based on the WHO multimodal strategy. Of 2,238 invited facilities, 168 participated in the survey (7.5%). A detailed analysis of 129, mainly nonteaching public facilities (80.6%), showed that most had an advanced or intermediate level of hand hygiene implementation progress (48.9% and 45.0%, respectively). The total Hand Hygiene Self-Assessment Framework score was 36 points higher for facilities with staffing levels of infection preventionists > 0.75/100 beds than for those with lower ratios (P = .01) and 41 points higher for facilities participating in hand hygiene campaigns (P = .002). Despite the low response rate, the survey results are unique and allow interesting reflections. Whereas the level of progress of most participating facilities was encouraging, this may reflect reporting bias, ie, better hospitals more likely to report. However, even in respondents, further improvement can be achieved, in particular by embedding hand hygiene in a stronger institutional safety climate and optimizing staffing levels dedicated to infection prevention. These results should encourage the launch of a coordinated national campaign and higher participation in the WHO global campaign. Copyright © 2014 World Health Organization. Published by Mosby, Inc. All rights reserved.

Thermographic Evaluation of the Hands of Pig Slaughterhouse Workers Exposed to Cold Temperatures.

Science.gov (United States)

Tirloni, Adriana Seára; Reis, Diogo Cunha Dos; Ramos, Eliane; Moro, Antônio Renato Pereira

2017-07-26

Brazil was rated the fourth leading producer and exporter of pork meat in the world. The aim of this study was to evaluate the temperature of the hands of pig slaughterhouse workers and its relation to the thermal sensation of the hands and the use of a cutting tool. The study included 106 workers in a pig slaughterhouse. An infrared camera FlirThermaCAM E320 (Flir Systems, Wilsonville, OR, USA) was used to collect the images of the dorsal and palmar surfaces of both hands. A numerical scale was used to obtain the thermal sensation. Chi-square test, Pearson correlation and Student's t test or Wilcoxon were used ( p ≤ 0.05). The majority of workers felt cold in the hands (66%) and workers who used the knife felt the coldest. There was an association between the thermal sensation and the use of knife ( p = 0.001). Workers who used the tool showed correlation between the thermal sensation and the temperatures of the left fingers, with a difference between the temperatures of the right and left hands of those who used the knife ( p ≤ 0.05). The hands (left) that manipulated the products presented the lowest temperatures. Findings indicate that employers of pig slaughterhouses should provide gloves with adequate thermal insulation to preserve the health of workers' hands.

Responses of mirror neurons in area F5 to hand and tool grasping observation

Science.gov (United States)

Rochat, Magali J.; Caruana, Fausto; Jezzini, Ahmad; Escola, Ludovic; Intskirveli, Irakli; Grammont, Franck; Gallese, Vittorio; Rizzolatti, Giacomo

2010-01-01

Mirror neurons are a distinct class of neurons that discharge both during the execution of a motor act and during observation of the same or similar motor act performed by another individual. However, the extent to which mirror neurons coding a motor act with a specific goal (e.g., grasping) might also respond to the observation of a motor act having the same goal, but achieved with artificial effectors, is not yet established. In the present study, we addressed this issue by recording mirror neurons from the ventral premotor cortex (area F5) of two monkeys trained to grasp objects with pliers. Neuron activity was recorded during the observation and execution of grasping performed with the hand, with pliers and during observation of an experimenter spearing food with a stick. The results showed that virtually all neurons responding to the observation of hand grasping also responded to the observation of grasping with pliers and, many of them to the observation of spearing with a stick. However, the intensity and pattern of the response differed among conditions. Hand grasping observation determined the earliest and the strongest discharge, while pliers grasping and spearing observation triggered weaker responses at longer latencies. We conclude that F5 grasping mirror neurons respond to the observation of a family of stimuli leading to the same goal. However, the response pattern depends upon the similarity between the observed motor act and the one executed by the hand, the natural motor template. PMID:20577726

Research reactor safety - an overview of crucial aspects

Energy Technology Data Exchange (ETDEWEB)

Laverie, M. [Atomic Energy Commission, Saclay, F-91191 Gif sur Yvette (France)

1998-07-01

Chronology of the commissioning orders of the French research reactors illustrates the importance of the time factor. When looking at older reactors, one must, on one hand, demonstrate, not only the absence of risks tied to the reactor's ageing, but, on the other hand, adapt the reactor's original technical designs to today's safety practices and standards. The evolution of reactor safety requirements over the last twenty years sometimes makes this adaptation difficult. The design of the next research reactors, after a one to two decades pause in construction, will require to set up new safety assessment bases that will have to take into account the nuclear power plant safety evolution. As a general statement, research reactor safety approaches will require the incorporation of specific design rules for research reactors: experience feedback for one of a kind design, frequent modifications required by research programmes, special operational requirements with operators/researchers interfaces. (author)

Radiation safety evaluation of a hand-held, battery operated image intensifier

International Nuclear Information System (INIS)

Wilson, O.J.; Young, B.F.

1987-01-01

A portable, hand-held, fluoroscopic unit intended for medical and industrial use was tested to verify the claim of the manufacturers that the radiation doses to the patient and user are low, and comparable to those received from standard radiographic procedures. The first claim was substantiated but not the second. A number of concerns arising from the use of this unit are discussed

Bacterial Contamination of Hands Increases Risk of Cross-Contamination among Low-Income Puerto Rican Meal Preparers

Science.gov (United States)

Dharod, Jigna Morarji; Paciello, Stefania; Bermudez-Millan, Angela; Venkitanarayanan, Kumar; Damio, Grace; Perez-Escamilla, Rafael

2009-01-01

Objective: To examine the association of microbial contamination of the meal preparer's hands with microbial status of food and kitchen/utensil surfaces during home preparation of a "Chicken and Salad" meal. Design and Setting: Observational home food safety assessment. Before starting meal preparation, participants' hands were tested to…

[Costs in hand amputations derived from labor injuries].

Science.gov (United States)

Castañeda-Borrayo, Yaocihuatl; Mireles-Pérez, Ana Bárbara Isabel; González-Ramos, Ana Margarita; Pérez-García, Cindy; Navarro-Trujillo, Luz Rocío

2010-01-01

Hand injuries by labor accidents are first rank. It is necessary to have a multidisciplinary medical approach to frequently generated temporary and permanent disabilities that affect costs to an institution and to enterprise. To determine the direct cost (DC) and the indirect cost (IC) of complete and partial amputations in hand caused by labor injuries. An observational study was performed. The data was obtained from labor injuries with amputation of a finger or hand that received multidisciplinary management. The costs were calculated according to the list of Institutional Unit Costs. The IC were obtained with the "safety pays" program. We included 48 cases. The average age was 32.17 years; the cost of surgical operations was $767,470; and the payment of a partial disability permanent was $1,032,670; the DC of the sample of 48 workers was $2,955,007 with an IC of $3,250,507 and a total cost of $6,205,515, the average cost per worker of $51,741 for DC, $56,915 for IC and $108,657 for the total cost. Costs of hand injures requires the creation of prevention programs.

Product Engineering Class in the Software Safety Risk Taxonomy for Building Safety-Critical Systems

Science.gov (United States)

Hill, Janice; Victor, Daniel

2008-01-01

When software safety requirements are imposed on legacy safety-critical systems, retrospective safety cases need to be formulated as part of recertifying the systems for further use and risks must be documented and managed to give confidence for reusing the systems. The SEJ Software Development Risk Taxonomy [4] focuses on general software development issues. It does not, however, cover all the safety risks. The Software Safety Risk Taxonomy [8] was developed which provides a construct for eliciting and categorizing software safety risks in a straightforward manner. In this paper, we present extended work on the taxonomy for safety that incorporates the additional issues inherent in the development and maintenance of safety-critical systems with software. An instrument called a Software Safety Risk Taxonomy Based Questionnaire (TBQ) is generated containing questions addressing each safety attribute in the Software Safety Risk Taxonomy. Software safety risks are surfaced using the new TBQ and then analyzed. In this paper we give the definitions for the specialized Product Engineering Class within the Software Safety Risk Taxonomy. At the end of the paper, we present the tool known as the 'Legacy Systems Risk Database Tool' that is used to collect and analyze the data required to show traceability to a particular safety standard

Documents pertaining to safety control of nuclear facilities

International Nuclear Information System (INIS)

1998-01-01

The Finnish Radiation and Nuclear Safety Authority (STUK) controls the safety of nuclear facilities in Finland. This control encompasses on one hand the evaluation of plant safety on the basis of plans and analyses pertaining to the plant and on the other hand the inspection of plant structures, systems and components as well as of operational activity. STUK also monitors plants operational experience feedback and technical developments in the field, as well as the development of safety research and takes the necessary measures on their basis. Guide YVL 1.1 describes how STUK controls the design, construction and operation of nuclear power plants. The documents to be submitted to STUK are described in the nuclear energy legislation and YVL guides. This guide presents the mode of delivery, quality, contents and number of documents to be submitted to STUK

Performance Comparison Between FEDERICA Hand and LARM Hand

OpenAIRE

Carbone, Giuseppe; Rossi, Cesare; Savino, Sergio

2015-01-01

This paper describes two robotic hands that have been\\ud developed at University Federico II of Naples and at the\\ud University of Cassino. FEDERICA Hand and LARM Hand\\ud are described in terms of design and operational features.\\ud In particular, careful attention is paid to the differences\\ud between the above-mentioned hands in terms of transmission\\ud systems. FEDERICA Hand uses tendons and pulleys\\ud to drive phalanxes, while LARM Hand uses cross four-bar\\ud linkages. Results of experime...

Software Safety and Security

CERN Document Server

Nipkow, T; Hauptmann, B

2012-01-01

Recent decades have seen major advances in methods and tools for checking the safety and security of software systems. Automatic tools can now detect security flaws not only in programs of the order of a million lines of code, but also in high-level protocol descriptions. There has also been something of a breakthrough in the area of operating system verification. This book presents the lectures from the NATO Advanced Study Institute on Tools for Analysis and Verification of Software Safety and Security; a summer school held at Bayrischzell, Germany, in 2011. This Advanced Study Institute was

Soft robotic devices for hand rehabilitation and assistance: a narrative review.

Science.gov (United States)

Chu, Chia-Ye; Patterson, Rita M

2018-02-17

The debilitating effects on hand function from a number of a neurologic disorders has given rise to the development of rehabilitative robotic devices aimed at restoring hand function in these patients. To combat the shortcomings of previous traditional robotics, soft robotics are rapidly emerging as an alternative due to their inherent safety, less complex designs, and increased potential for portability and efficacy. While several groups have begun designing devices, there are few devices that have progressed enough to provide clinical evidence of their design's therapeutic abilities. Therefore, a global review of devices that have been previously attempted could facilitate the development of new and improved devices in the next step towards obtaining clinical proof of the rehabilitative effects of soft robotics in hand dysfunction. A literature search was performed in SportDiscus, Pubmed, Scopus, and Web of Science for articles related to the design of soft robotic devices for hand rehabilitation. A framework of the key design elements of the devices was developed to ease the comparison of the various approaches to building them. This framework includes an analysis of the trends in portability, safety features, user intent detection methods, actuation systems, total DOF, number of independent actuators, device weight, evaluation metrics, and modes of rehabilitation. In this study, a total of 62 articles representing 44 unique devices were identified and summarized according to the framework we developed to compare different design aspects. By far, the most common type of device was that which used a pneumatic actuator to guide finger flexion/extension. However, the remainder of our framework elements yielded more heterogeneous results. Consequently, those results are summarized and the advantages and disadvantages of many design choices as well as their rationales were highlighted. The past 3 years has seen a rapid increase in the development of soft robotic

Determinants of success and sustainability of the WHO multimodal hand hygiene promotion campaign, Italy, 2007–2008 and 2014

Science.gov (United States)

Moro, Maria Luisa; Morsillo, Filomena; Nascetti, Simona; Parenti, Mita; Allegranzi, Benedetta; Pompa, Maria Grazia; Pittet, Didier

2017-01-01

A national hand hygiene promotion campaign based on the World Health Organization (WHO) multimodal, Clean Care is Safer Care campaign was launched in Italy in 2007. One hundred seventy-five hospitals from 14 of 20 Italian regions participated. Data were collected using methods and tools provided by the WHO campaign, translated into Italian. Hand hygiene compliance, ward infrastructure, and healthcare workers’ knowledge and perception of healthcare-associated infections and hand hygiene were evaluated before and after campaign implementation. Compliance data from the 65 hospitals returning complete data for all implementation tools were analysed using a multilevel approach. Overall, hand hygiene compliance increased in the 65 hospitals from 40% to 63% (absolute increase: 23%, 95% confidence interval: 22–24%). A wide variation in hand hygiene compliance among wards was observed; inter-ward variability significantly decreased after campaign implementation and the level of perception was the only item associated with this. Long-term sustainability in 48 of these 65 hospitals was assessed in 2014 using the WHO Hand Hygiene Self-Assessment Framework tool. Of the 48 hospitals, 44 scored in the advanced/intermediate categories of hand hygiene implementation progress. The median hand hygiene compliance achieved at the end of the 2007–2008 campaign appeared to be sustained in 2014. PMID:28661390

Determinants of success and sustainability of the WHO multimodal hand hygiene promotion campaign, Italy, 2007-2008 and 2014.

Science.gov (United States)

Moro, Maria Luisa; Morsillo, Filomena; Nascetti, Simona; Parenti, Mita; Allegranzi, Benedetta; Pompa, Maria Grazia; Pittet, Didier

2017-06-08

A national hand hygiene promotion campaign based on the World Health Organization (WHO) multimodal, Clean Care is Safer Care campaign was launched in Italy in 2007. One hundred seventy-five hospitals from 14 of 20 Italian regions participated. Data were collected using methods and tools provided by the WHO campaign, translated into Italian. Hand hygiene compliance, ward infrastructure, and healthcare workers' knowledge and perception of healthcare-associated infections and hand hygiene were evaluated before and after campaign implementation. Compliance data from the 65 hospitals returning complete data for all implementation tools were analysed using a multilevel approach. Overall, hand hygiene compliance increased in the 65 hospitals from 40% to 63% (absolute increase: 23%, 95% confidence interval: 22-24%). A wide variation in hand hygiene compliance among wards was observed; inter-ward variability significantly decreased after campaign implementation and the level of perception was the only item associated with this. Long-term sustainability in 48 of these 65 hospitals was assessed in 2014 using the WHO Hand Hygiene Self-Assessment Framework tool. Of the 48 hospitals, 44 scored in the advanced/intermediate categories of hand hygiene implementation progress. The median hand hygiene compliance achieved at the end of the 2007-2008 campaign appeared to be sustained in 2014. This article is copyright of The Authors, 2017.

[Intervention to improve hand hygiene compliance in Catalonia, Spain].

Science.gov (United States)

Sobrequés, Jordi; Espuñes, Jordi; Bañeres, Joaquim

2014-07-01

Hand hygiene (HM) is the single most important measure and effective in reducing the risk of Healthcare acquired infections (IRAS). Although HM is an effective, simple and cheap measure, it is usual to find results of low compliance among health professionals. The main objective of this strategy has been to give new force to the promotion of HM in hospitals and educate professionals about the importance of this single action. The strategy was planned as a multicenter intervention study to promote HM in health centers of Catalonia in 2009-2010. The intervention is based on 4 main areas: a survey of barriers and facilitators, distribution of graphic material, training at different levels and measure of quality indicators. With this strategy a total of 57% of the number of acute beds in the concerted public and private network of hospitals were reached. The survey revealed that training was perceived as the main facilitator of the HM action. 15,376 professionals registered to the on-line training. The overall compliance with HM indications (based on "five moments for HM") was 56.45% in the acute areas. The campaigns and programs to promote HM carried out in the last four years in Catalonia has helped to achieve an increasing number of hospitals associated to the strategy of the Alliance for Patient Safety in Catalonia. The on-line curse acceptance was very high and seems a powerful tool to improve hand hygiene knowledge and compliance among health professionals. The compliance of HM seems to increase in the hospitals of Catalonia evaluated. Copyright © 2014. Published by Elsevier Espana.

Development of regulation technologies for software verification and validation of I and C systems important to safety in NPPs

International Nuclear Information System (INIS)

Kim, Bok Ryul; Oh, S. H.; Zhu, O. P.; Jeong, C. H.; Hwang, H. S.; Goo, C. S.; Chung, Y. H.

2000-12-01

The project has provided the draft regulatory policies and guides regarding the quality assurance of software used to I and C systems important to safety in nuclear power plants, differentiated V and V activities by safety classes which are important elements in ensuring software quality assurance, and suggested V and V techniques to be applied, regulatory guides and checklists for reviewing software important to safety. The project introduced the classification concepts on software quality assurance. The I and C systems important to safety are classified into IC-1, IC-2, IC-3, and Non-IC as based on safety classifications. And the software used to these I and C systems are classified into 3 categories, say, safety-critical software, safety-related software, and non-safety software, in the light of safety importance of functions to be performed. Based upon these safety classifications, the extent of software V and V activities by each class has been differentiated each other. On the other hand, the project has divided software important to safety into newly-developed software and previously-developed software in terms of design and implementation, and provided the draft regulatory guides on each type of software, for instance, newly-developed software, previously-developed software, and software tools

Keeping you safe by making machine tools safe

CERN Multimedia

2012-01-01

CERN’s third safety objective for 2012 concerns the safety of equipment - and machine tools in particular.   There are three prerequisites for ensuring that a machine tool can be used safely: ·      the machine tool must comply with Directive 2009/104/EC, ·      the layout of the workshop must be compliant, and ·      everyone who uses the machine tool must be trained. Provided these conditions are met, the workshop head can grant authorisation to use the machine tool. To fulfil this objective, an inventory of the machine tools must be drawn up and the people responsible for them identified. The HSE Unit's Safety Inspection Service produces compliance reports for the machine tools. In order to meet the third objective set by the Director-General, the section has doubled its capacity to carry out inspections: ...

A comprehensive conceptual framework for road safety strategies.

Science.gov (United States)

Hughes, B P; Anund, A; Falkmer, T

2016-05-01

Road safety strategies (generally called Strategic Highway Safety Plans in the USA) provide essential guidance for actions to improve road safety, but often lack a conceptual framework that is comprehensive, systems theory based, and underpinned by evidence from research and practice. This paper aims to incorporate all components, policy tools by which they are changed, and the general interactions between them. A framework of nine mutually interacting components that contribute to crashes and ten generic policy tools which can be applied to reduce the outcomes of these crashes was developed and used to assess 58 road safety strategies from 22 countries across 15 years. The work identifies the policy tools that are most and least widely applied to components, highlighting the potential for improvements to any individual road safety strategy, and the potential strengths and weaknesses of road safety strategies in general. The framework also provides guidance for the development of new road safety strategies, identifying potential consequences of policy tool based measures with regard to exposure and risk, useful for both mobility and safety objectives. Copyright © 2016 Elsevier Ltd. All rights reserved.

Iterative co-creation for improved hand hygiene and aseptic techniques in the operating room: experiences from the safe hands study.

Science.gov (United States)

Erichsen Andersson, Annette; Frödin, Maria; Dellenborg, Lisen; Wallin, Lars; Hök, Jesper; Gillespie, Brigid M; Wikström, Ewa

2018-01-04

Hand hygiene and aseptic techniques are essential preventives in combating hospital-acquired infections. However, implementation of these strategies in the operating room remains suboptimal. There is a paucity of intervention studies providing detailed information on effective methods for change. This study aimed to evaluate the process of implementing a theory-driven knowledge translation program for improved use of hand hygiene and aseptic techniques in the operating room. The study was set in an operating department of a university hospital. The intervention was underpinned by theories on organizational learning, culture and person centeredness. Qualitative process data were collected via participant observations and analyzed using a thematic approach. Doubts that hand-hygiene practices are effective in preventing hospital acquired infections, strong boundaries and distrust between professional groups and a lack of psychological safety were identified as barriers towards change. Facilitated interprofessional dialogue and learning in "safe spaces" worked as mechanisms for motivation and engagement. Allowing for the free expression of different opinions, doubts and viewing resistance as a natural part of any change was effective in engaging all professional categories in co-creation of clinical relevant solutions to improve hand hygiene. Enabling nurses and physicians to think and talk differently about hospital acquired infections and hand hygiene requires a shift from the concept of one-way directed compliance towards change and learning as the result of a participatory and meaning-making process. The present study is a part of the Safe Hands project, and is registered with ClinicalTrials.gov (ID: NCT02983136 ). Date of registration 2016/11/28, retrospectively registered.

Trends in safety objectives for nuclear district heating plants

Energy Technology Data Exchange (ETDEWEB)

Brogli, R [Paul Scherrer Inst., Villigen (Switzerland)

1997-09-01

Safety objectives for dedicated nuclear heating plants are strongly influenced on the one hand by what is accepted for electricity nuclear stations, and on the other hand by the requirement that for economical reasons heating reactors have to be located close to population centers. The paper discusses the related trends and comes to the conclusion that on account of the specific technical characteristics of nuclear heating plants adequate safety can be provided even for highly populated sites. (author). 8 refs.

Video observation of hand hygiene practices during routine companion animal appointments and the effect of a poster intervention on hand hygiene compliance

Science.gov (United States)

2014-01-01

component of a multimodal hand hygiene campaign. Improving the infection control culture in veterinary medicine would facilitate future campaigns and studies in this area, as well as overall patient and staff safety. PMID:24885304

Chocolate, Air Pollution and Children's Neuroprotection: What Cognition Tools should be at Hand to Evaluate Interventions?

Science.gov (United States)

Calderón-Garcidueñas, Lilian; San Juan Chávez, Vanessa; Vacaseydel-Aceves, Nora B; Calderón-Sánchez, Raymundo; Macías-Escobedo, Edgar; Frías, Carmen; Giacometto, Marcela; Velasquez, Luis; Félix-Villarreal, Renata; Martin, Jessie D; Draheim, Christopher; Engle, Randall W

2016-01-01

Millions of children across the world are exposed to multiple sources of indoor and outdoor air pollutants, including high concentrations of fine particulate matter (PM2.5) and ozone (O3). The established link between exposure to PM2.5, brain structural, volumetric and metabolic changes, severe cognitive deficits (1.5-2 SD from average IQ) in APOE 4 heterozygous females with >75 - < 94% BMI percentiles, and the presence of Alzheimer's disease (AD) hallmarks in urban children and young adults necessitates exploration of ways to protect these individuals from the deleterious neural effects of pollution exposure. Emerging research suggests that cocoa interventions may be a viable option for neuroprotection, with evidence suggesting that early cocoa interventions could limit the risk of cognitive and developmental concerns including: endothelial dysfunction, cerebral hypoperfusion, neuroinflammation, and metabolic detrimental brain effects. Currently, however, it is not clear how early we should implement consumption of cocoa to optimize its neuroprotective effects. Moreover, we have yet to identify suitable instruments for evaluating cognitive responses to these interventions in clinically healthy children, teens, and young adults. An approach to guide the selection of cognitive tools should take into account neuropsychological markers of cognitive declines in patients with Alzheimer's neuropathology, the distinct patterns of memory impairment between early and late onset AD, and the key literature associating white matter integrity and poor memory binding performance in cases of asymptomatic familial AD. We highlight potential systemic and neural benefits of cocoa consumption. We also highlight Working Memory Capacity (WMC) and attention control tasks as opened avenues for exploration in the air pollution scenario. Exposures to air pollutants during brain development have serious brain consequences in the short and long term and reliable cognition tools should be at

The STARTEC Decision Support Tool for Better Tradeoffs between Food Safety, Quality, Nutrition, and Costs in Production of Advanced Ready-to-Eat Foods

Science.gov (United States)

Gefferth, Andras; Spajic, Miroslav; Estanga, Edurne Gaston; Vitali, Silvia; Pasquali, Frederique; Bovo, Federica; Manfreda, Gerardo; Mancusi, Rocco; Tessema, Girum Tadesse; Fagereng, Tone; Moen, Lena Haugland; Lyshaug, Lars; Koidis, Anastasios; Delgado-Pando, Gonzalo; Stratakos, Alexandros Ch.; Boeri, Marco; From, Cecilie; Syed, Hyat; Muccioli, Mirko; Mulazzani, Roberto; Halbert, Catherine

2017-01-01

A prototype decision support IT-tool for the food industry was developed in the STARTEC project. Typical processes and decision steps were mapped using real life production scenarios of participating food companies manufacturing complex ready-to-eat foods. Companies looked for a more integrated approach when making food safety decisions that would align with existing HACCP systems. The tool was designed with shelf life assessments and data on safety, quality, and costs, using a pasta salad meal as a case product. The process flow chart was used as starting point, with simulation options at each process step. Key parameters like pH, water activity, costs of ingredients and salaries, and default models for calculations of Listeria monocytogenes, quality scores, and vitamin C, were placed in an interactive database. Customization of the models and settings was possible on the user-interface. The simulation module outputs were provided as detailed curves or categorized as “good”; “sufficient”; or “corrective action needed” based on threshold limit values set by the user. Possible corrective actions were suggested by the system. The tool was tested and approved by end-users based on selected ready-to-eat food products. Compared to other decision support tools, the STARTEC-tool is product-specific and multidisciplinary and includes interpretation and targeted recommendations for end-users. PMID:29457031

The STARTEC Decision Support Tool for Better Tradeoffs between Food Safety, Quality, Nutrition, and Costs in Production of Advanced Ready-to-Eat Foods

Directory of Open Access Journals (Sweden)

Taran Skjerdal

2017-01-01

Full Text Available A prototype decision support IT-tool for the food industry was developed in the STARTEC project. Typical processes and decision steps were mapped using real life production scenarios of participating food companies manufacturing complex ready-to-eat foods. Companies looked for a more integrated approach when making food safety decisions that would align with existing HACCP systems. The tool was designed with shelf life assessments and data on safety, quality, and costs, using a pasta salad meal as a case product. The process flow chart was used as starting point, with simulation options at each process step. Key parameters like pH, water activity, costs of ingredients and salaries, and default models for calculations of Listeria monocytogenes, quality scores, and vitamin C, were placed in an interactive database. Customization of the models and settings was possible on the user-interface. The simulation module outputs were provided as detailed curves or categorized as “good”; “sufficient”; or “corrective action needed” based on threshold limit values set by the user. Possible corrective actions were suggested by the system. The tool was tested and approved by end-users based on selected ready-to-eat food products. Compared to other decision support tools, the STARTEC-tool is product-specific and multidisciplinary and includes interpretation and targeted recommendations for end-users.

Semmelweis revisited: hand hygiene and nosocomial disease transmission in the anesthesia workstation.

Science.gov (United States)

Biddle, Chuck

2009-06-01

Hospital-acquired infections occur at an alarmingly high frequency, possibly affecting as many as 1 in 10 patients, resulting in a staggering morbidity and an annual mortality of many tens of thousands of patients. Appropriate hand hygiene is highly effective and represents the simplest approach that we have to preventing nosocomial infections. The Agency for Healthcare Research and Quality has targeted hand-washing compliance as a top research agenda item for patient safety. Recent research has identified inadequate hand washing and contaminated anesthesia workstation issues as likely contributors to nosocomial infections, finding aseptic practices highly variable among providers. It is vital that all healthcare providers, including anesthesia providers, appreciate the role of inadequate hand hygiene in nosocomial infection and meticulously follow the mandates of the American Association of Nurse Anesthetists and other professional healthcare organizations.

Stiff Hands

Science.gov (United States)

... All Topics A-Z Videos Infographics Symptom Picker Anatomy Bones Joints Muscles Nerves Vessels Tendons About Hand Surgery What is a Hand Surgeon? What is a Hand Therapist? Media Find a Hand Surgeon Home Anatomy Stiff Hands Email to a friend * required fields ...

Hand Infections

Science.gov (United States)

... All Topics A-Z Videos Infographics Symptom Picker Anatomy Bones Joints Muscles Nerves Vessels Tendons About Hand Surgery What is a Hand Surgeon? What is a Hand Therapist? Media Find a Hand Surgeon Home Anatomy Hand Infections Email to a friend * required fields ...

IAEA safety standards and approach to safety of advanced reactors

International Nuclear Information System (INIS)

Gasparini, M.

2004-01-01

The paper presents an overview of the IAEA safety standards including their overall structure and purpose. A detailed presentation is devoted to the general approach to safety that is embodied in the current safety requirements for the design of nuclear power plants. A safety approach is proposed for the future. This approach can be used as reference for a safe design, for safety assessment and for the preparation of the safety requirements. The method proposes an integration of deterministic and risk informed concepts in the general frame of a generalized concept of safety goals and defence in depth. This methodology may provide a useful tool for the preparation of safety requirements for the design and operation of any kind of reactor including small and medium sized reactors with innovative safety features.(author)

Farm Health and Safety

Science.gov (United States)

... the United States. Farms have many health and safety hazards, including Chemicals and pesticides Machinery, tools and ... inspection and maintenance can help prevent accidents. Using safety gloves, goggles and other protective equipment can also ...

Benchmarking road safety performances of countries.

NARCIS (Netherlands)

Wegman, F.C.M. & Oppe, S.

2014-01-01

In order to obtain political interest in road safety problems and to learn from other countries’ ‘good practices’, it is often helpful to compare one’s own safety situation with that of other countries. In a number of projects tools have been developed for such comparisons. These tools range from

[Beliefs - Misbeliefs, answering essential questions about hand hygiene from the view of the evidences].

Science.gov (United States)

Szél, Borbála; Nagy, Kamilla; Milassin, Márta; Tálosi, Gyula

2017-02-01

Contaminated hands can play pivotal role in the development and spread of healthcare-associated infections. Consequently hand hygiene practice performed with adequate technique and with adequate timing is an essential implement for patient safety. Inhibition of the practice of high level hand hygiene by the misconceptions or deficient knowledge of healthcare workers may lead to negative influence on the quality of patient care. Erroneous beliefs or "rumourous knowledge" acquired from colleagues can not only influence the attitude of healthcare workers, but can also give rise to insufficient hand hygiene compliance. Finding, interpreting and imparting the related evidence by delivering continuing education and lectures, highlighting the theoretical and practical know-how on hand hygiene could help to understand and imprint the evidence-based practice and adequate technique in the essential issue of hand hygiene. Orv. Hetil., 2017., 158(6), 212-219.

Economic incentives as a policy tool to promote safety and health at work.

Science.gov (United States)

Kankaanpää, Eila

2010-06-01

Incentives are regarded as a promising policy tool for promoting occupational safety and health (OSH). This article discusses the potential of different kinds of incentives in light of economic theory and evidence from research. When incentives are used as a policy tool, it implies the existance of an institution that has both the interest and the power to apply incentives to stakeholders, usually to employers. Governments can subsidize employers' investments in OSH with subsidies and tax structures. These incentives are successful only if the demand for OSH responds to the change in the price of OSH investments and if the suppliers of OSH are able to increase their production smoothly. Otherwise, the subsidy will only lead to higher prices for OSH goods. Both public and private insurance companies can differentiate insurance premiums according to claim behavior in the past (experience rating). There is evidence that this can effectively lower the frequency of claims, but not the severity of cases. This papers concludes that incentives do not directly lead to improvement. When incentives are introduced, their objective(s) should be clear and the end result (ie what the incentive aims to promote) should be known to be effective in achieving healthy and safe workplaces.

Tool for optimal design and operation of hydrogen storage based autonomous energy systems

Energy Technology Data Exchange (ETDEWEB)

Oberschachtsiek, B.; Lemken, D. [ZBT - Duisburg (Germany); Stark, M.; Krost, G. [Duisburg-Essen Univ. (Germany)

2010-07-01

Decentralized small scale electricity generation based on renewable energy sources usually necessitates decoupling of volatile power generation and consumption by means of energy storage. Hydrogen has proven as an eligible storage medium for mid- and long-term range, which - when indicated - can be reasonably complemented by accumulator short term storage. The selection of appropriate system components - sources, storage devices and the appertaining peripherals - is a demanding task which affords a high degree of freedom but, on the other hand, has to account for various operational dependencies and restrictions of system components, as well as for conduct of load and generation. An innovative tool facilitates the configuration and dimensioning of renewable energy based power supply systems with hydrogen storage paths, and allows for applying appropriate operation strategies. This tool accounts for the characteristics and performances of relevant power sources, loads, and types of energy storage, and also regards safety rules the energy system has to comply with. In particular, the tool is addressing small, detached and autonomous supply systems. (orig.)

Tools and their uses

CERN Document Server

1973-01-01

Teaches names, general uses, and correct operation of all basic hand and power tools, fasteners, and measuring devices you are likely to need. Also, grinding, metal cutting, soldering, and more. 329 illustrations.

Early Engagement of Safety and Mission Assurance Expertise Using Systems Engineering Tools: A Risk-Based Approach to Early Identification of Safety and Assurance Requirements

Science.gov (United States)

Darpel, Scott; Beckman, Sean

2016-01-01

Decades of systems engineering practice have demonstrated that the earlier the identification of requirements occurs, the lower the chance that costly redesigns will needed later in the project life cycle. A better understanding of all requirements can also improve the likelihood of a design's success. Significant effort has been put into developing tools and practices that facilitate requirements determination, including those that are part of the model-based systems engineering (MBSE) paradigm. These efforts have yielded improvements in requirements definition, but have thus far focused on a design's performance needs. The identification of safety & mission assurance (S&MA) related requirements, in comparison, can occur after preliminary designs are already established, yielding forced redesigns. Engaging S&MA expertise at an earlier stage, facilitated by the use of MBSE tools, and focused on actual project risk, can yield the same type of design life cycle improvements that have been realized in technical and performance requirements.

Risk-based evaluation tool for safety-related maintenance involving scaffolding

International Nuclear Information System (INIS)

Stevens, C.; Azizi, M.; Massman, M.

1988-01-01

The US Nuclear Regulatory Commission (NRC) has expressed a general concern that transient materials in and around safety systems at nuclear power plants represent a seismic safety hazard to the plant, in particular, the uncontrolled use of scaffolding during maintenance activities. Currently, most plants perform a seismic safety analysis for all uses of scaffolding near safety-related equipment to determine appropriate tie-down locations, scaffolding reinforcements, etc. This is both time-consuming and, for the most part, unnecessary. A workable engineering solution based on risk analysis techniques has been developed and is being used at the Palo Verde nuclear generating station (PVNGS)

Development of Pneumatic Robot Hand and Construction of Master-Slave System

Science.gov (United States)

Tsujiuchi, Nobutaka; Koizumi, Takayuki; Nishino, Shinya; Komatsubara, Hiroyuki; Kudawara, Tatsuwo; Hirano, Masanori

Recently, research and development has focused on robots that work in place of people. It is necessary for robots to perform the same flexible motions as people. Additionally, such robots need to incorporate high-level safety features in order not to injure people. For creation of such robots, we need to develop a robot hand that functions like a human hand. At the same time, this type of robot hand can be used as an artificial hand. Here, we present artificial muscle-type pneumatic actuators as the driving source of a robot hand that is both safe and flexible. Some development of robot hands using pneumatic actuators has already taken place. But, until now, when a pneumatic actuator is used, a big compressor is needed. So, the driving system also needs to be big; enlargement of the driving system is a major problem. Consequently, in this research, we develop a low-pressure, low-volume pneumatic actuator for driving a robot hand that works flexibly and safely on the assumption that it will be in contact with people. We develop a five-fingered robot hand with pneumatic actuators. And, we construct a master-slave system to enable the robot hand to perform the same operations as a human hand. We make a 1-link arm that has one degree of freedom using a pneumatic actuator, and construct a control system for the 1-link arm and verify its control performance.

The Hand-Foot Skin Reaction and Quality of Life Questionnaire: An Assessment Tool for Oncology

Science.gov (United States)

Keating, Karen N.; Doll, Helen A.; Camacho, Fabian

2015-01-01

Background. Skin toxicity (hand-foot syndrome/hand-foot skin reaction, HFS/R) related to antineoplastic therapy is a significant issue in oncology practice, with potentially large impacts on health-related quality of life (HRQL). Materials and Methods. A patient-reported questionnaire, the hand-foot skin reaction and quality of life (HF-QoL) questionnaire was developed to measure the HFS/R symptoms associated with cancer therapeutic agents and their effect on daily activities. The validity and reliability of the HF-QoL questionnaire was tested in a randomized trial of capecitabine with sorafenib/placebo in 223 patients with locally advanced/metastatic breast cancer. Other measures completed included patient ratings of condition severity, the Functional Assessment of Cancer Therapy-Breast cancer (FACT-B), and the clinician-rated National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE), version 3.0, hand-foot skin reaction grade. The psychometric properties of the HF-QoL tested included structural validity, internal consistency, construct validity, discriminant validity, and responsiveness. Finally, the minimal clinically important difference (MCID) was estimated. Results. The HF-QoL instrument comprises a 20-item symptom scale and an 18-item daily activity scale. Each scale demonstrated excellent measurement properties and discriminated between NCI-CTCAE grade and patient-rated condition severity with large effect sizes. The daily activity scale had excellent internal consistency and correlated with the FACT-B and HF-QoL symptom scores. Both HF-QoL scale scores increased linearly with increasing patient-rated condition severity. The MCIDs were estimated as 5 units for daily activities and 8 units for symptoms mean scores. Conclusion. The HF-QoL was sensitive to symptoms and HRQL issues associated with HFS/R among participants treated with capecitabine with and without sorafenib. The HF-QoL appears suitable for assessing the HRQL

The Hand-Foot Skin Reaction and Quality of Life Questionnaire: An Assessment Tool for Oncology.

Science.gov (United States)

Anderson, Roger T; Keating, Karen N; Doll, Helen A; Camacho, Fabian

2015-07-01

Skin toxicity (hand-foot syndrome/hand-foot skin reaction, HFS/R) related to antineoplastic therapy is a significant issue in oncology practice, with potentially large impacts on health-related quality of life (HRQL). A patient-reported questionnaire, the hand-foot skin reaction and quality of life (HF-QoL) questionnaire was developed to measure the HFS/R symptoms associated with cancer therapeutic agents and their effect on daily activities. The validity and reliability of the HF-QoL questionnaire was tested in a randomized trial of capecitabine with sorafenib/placebo in 223 patients with locally advanced/metastatic breast cancer. Other measures completed included patient ratings of condition severity, the Functional Assessment of Cancer Therapy-Breast cancer (FACT-B), and the clinician-rated National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE), version 3.0, hand-foot skin reaction grade. The psychometric properties of the HF-QoL tested included structural validity, internal consistency, construct validity, discriminant validity, and responsiveness. Finally, the minimal clinically important difference (MCID) was estimated. The HF-QoL instrument comprises a 20-item symptom scale and an 18-item daily activity scale. Each scale demonstrated excellent measurement properties and discriminated between NCI-CTCAE grade and patient-rated condition severity with large effect sizes. The daily activity scale had excellent internal consistency and correlated with the FACT-B and HF-QoL symptom scores. Both HF-QoL scale scores increased linearly with increasing patient-rated condition severity. The MCIDs were estimated as 5 units for daily activities and 8 units for symptoms mean scores. The HF-QoL was sensitive to symptoms and HRQL issues associated with HFS/R among participants treated with capecitabine with and without sorafenib. The HF-QoL appears suitable for assessing the HRQL impairment associated with HFS/R to cancer therapies. Skin

Interventions to improve patient hand hygiene: a systematic review.

Science.gov (United States)

Srigley, J A; Furness, C D; Gardam, M

2016-09-01

Nosocomial pathogens may be acquired by patients via their own unclean hands, but there has been relatively little emphasis on patient hand hygiene as a tool for preventing healthcare-associated infections (HCAIs). The aim of this systematic review was to determine the efficacy of patient hand hygiene interventions in reducing HCAIs and improving patient hand hygiene rates compared to usual care. Electronic databases and grey literature were searched to August 2014. Experimental and quasi-experimental studies were included if they evaluated a patient hand hygiene intervention conducted in an acute or chronic healthcare facility and included HCAI incidence and/or patient hand hygiene rates as an outcome. All steps were performed independently by two investigators. Ten studies were included, most of which were uncontrolled before-after studies (N=8). The majority of interventions (N=7) were multi-modal, with components similar to healthcare worker hand hygiene programmes, including education, reminders, audit and feedback, and provision of hand hygiene products. Six studies reported HCAI outcomes and four studies assessed patient hand hygiene rates; all demonstrated improvements but were at moderate to high risk of bias. In conclusion, interventions to improve patient hand hygiene may reduce the incidence of HCAIs and improve hand hygiene rates, but the quality of evidence is low. Future studies should use stronger designs and be more selective in their choice of outcomes. Copyright © 2016 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

Diagnosis and treatment of hand-arm vibration syndrome and its relationship to carpal tunnel syndrome.

Science.gov (United States)

Falkiner, Sonja

2003-07-01

Hand-arm vibration syndrome (HAVS) is a condition associated with the use of vibrating tools that occurs mainly in men. It consists primarily of 'occupational' Raynaud disease and digital polyneuropathy. Carpal tunnel syndrome (CTS) is also associated with hand transmitted vibration exposure and can coexist with HAVS. This article examines recent papers on causation, diagnosis, relationship to CTS and treatment. A Medline search was conducted, as was a search of UK, USA and Australian government occupational health and safety websites. Published papers that were single case studies or of poor design were not included. There are no 'gold standard' diagnostic tests for HAVS. It can mimic CTS in temperate climates and can occur with CTS. This is the diagnostic challenge when a male worker presents with apparent CTS symptoms. If he has worked with vibrating tools for many years, a diagnosis of HAVS or co-diagnosis of HAVS should be considered before a diagnosis of pure CTS is made. Nonwork risk factors for HAVS are predisposition, smoking, and exposure to vibration outside work. Cessation of exposure (and smoking) and redeployment is a critical part of treatment due to the dose response relationship of HAVS. This contrasts with adequately treated CTS, where the vast majority of workers can return to pre-injury duties. In severe cases, calcium antagonists are also used, but treatment is often ineffective. Few workplaces in Australia manage vibration risk or conduct screening to identify workers with early HAVS who should be redeployed. Local doctors have an important opportunity to diagnose HAVS and to make recommendations to the workplace on redeployment as part of treatment before symptoms become irreversible.

Confined Tube Crimp Using Portable Hand Tools

Energy Technology Data Exchange (ETDEWEB)

Reynolds, Joseph James [Los Alamos National Laboratory; Pereyra, R. A. [LANL Retired; Archuleta, Jeffrey Christopher [Los Alamos National Laboratory; Martinez, Isaac P. [Los Alamos National Laboratory; Nelson, A. M. [MST-16 Summer Student (2007); Allen, Ronald Scott [Los Alamos National Laboratory; Page, R. L. [LANL Retired; Freer, Jerry Eugene [Los Alamos National Laboratory; Dozhier, Nathan Gus [Los Alamos National Laboratory

2016-04-04

The Lawrence Radiation Laboratory developed handheld tools that crimp a 1/16 inch OD tube, forming a leak tight seal1 (see Figure 1). The leak tight seal forms by confining the 1/16 inch OD tubing inside a die while applying crimp pressure. Under confined pressure, the tube walls weld at the crimp. The purpose of this study was to determine conditions for fabricating a leak tight tube weld. The equipment was used on a trial-and-error basis, changing the conditions after each attempt until successful welds were fabricated. To better confine the tube, the die faces were polished. Polishing removed a few thousandths of an inch from the die face, resulting in a tighter grip on the tubing wall. Using detergent in an ultrasonic bath, the tubing was cleaned. Also, the time under crimp pressure was increased to 30 seconds. With these modifications, acceptable cold welds were fabricated. After setting the conditions for an acceptable cold weld, the tube was TIG welded across the crimped face.

Hand-arm vibration syndrome: A rarely seen diagnosis.

Science.gov (United States)

Campbell, Rebecca A; Janko, Matthew R; Hacker, Robert I

2017-06-01

Hand-arm vibration syndrome (HAVS) is a collection of sensory, vascular, and musculoskeletal symptoms caused by repetitive trauma from vibration. This case report demonstrates how to diagnose HAVS on the basis of history, physical examination, and vascular imaging and its treatment options. A 41-year-old man who regularly used vibrating tools presented with nonhealing wounds on his right thumb and third digit. Arteriography revealed occlusions of multiple arteries in his hand with formation of collaterals. We diagnosed HAVS, and his wounds healed after several weeks with appropriate treatment. HAVS is a debilitating condition with often irreversible vascular damage, requiring early diagnosis and treatment.

Hand-arm vibration syndrome: A rarely seen diagnosis

Directory of Open Access Journals (Sweden)

Rebecca A. Campbell, BA

2017-06-01

Full Text Available Hand-arm vibration syndrome (HAVS is a collection of sensory, vascular, and musculoskeletal symptoms caused by repetitive trauma from vibration. This case report demonstrates how to diagnose HAVS on the basis of history, physical examination, and vascular imaging and its treatment options. A 41-year-old man who regularly used vibrating tools presented with nonhealing wounds on his right thumb and third digit. Arteriography revealed occlusions of multiple arteries in his hand with formation of collaterals. We diagnosed HAVS, and his wounds healed after several weeks with appropriate treatment. HAVS is a debilitating condition with often irreversible vascular damage, requiring early diagnosis and treatment.

Defensive peripersonal space: the blink reflex evoked by hand stimulation is increased when the hand is near the face.

Science.gov (United States)

Sambo, C F; Liang, M; Cruccu, G; Iannetti, G D

2012-02-01

Electrical stimulation of the median nerve at the wrist may elicit a blink reflex [hand blink reflex (HBR)] mediated by a neural circuit at brain stem level. As, in a Sherringtonian sense, the blink reflex is a defensive response, in a series of experiments we tested, in healthy volunteers, whether and how the HBR is modulated by the proximity of the stimulated hand to the face. Electromyographic activity was recorded from the orbicularis oculi, bilaterally. We observed that the HBR is enhanced when the stimulated hand is inside the peripersonal space of the face, compared with when it is outside, irrespective of whether the proximity of the hand to the face is manipulated by changing the position of the arm (experiment 1) or by rotating the head while keeping the arm position constant (experiment 3). Experiment 2 showed that such HBR enhancement has similar magnitude when the participants have their eyes closed. Experiments 4 and 5 showed, respectively, that the blink reflex elicited by the electrical stimulation of the supraorbital nerve, as well as the N20 wave of the somatosensory evoked potentials elicited by the median nerve stimulation, are entirely unaffected by hand position. Taken together, our results provide compelling evidence that the brain stem circuits mediating the HBR in humans undergo tonic and selective top-down modulation from higher order cortical areas responsible for encoding the location of somatosensory stimuli in external space coordinates. These findings support the existence of a "defensive" peripersonal space, representing a safety margin advantageous for survival.

Bow tie methodology: a tool to enhance the visibility and understanding of nuclear safety cases

International Nuclear Information System (INIS)

Vannerem, Marc

2013-01-01

improve the visibility and accessibility of complex safety cases. The bow tie method is a purely qualitative technique, which could be successfully introduced (or similar methodologies) to the nuclear industry as an additional tool to improve the visibility and understanding of the safety case, and thus complement (not substitute) the more rigorous safety analysis techniques which are the norm in this industry. By making the diagrams readily accessible in the control room, the operators of nuclear facilities could further improve their understanding of the safety significance of their role in preventing major accidents and mitigating consequences. (authors)

A stability tool for use within TELEGRIP

International Nuclear Information System (INIS)

Son, W.H.; Trinkle, J.C.

1998-12-01

During the assembly of a product, it is vital that the partially-completed assembly be stable. To guarantee this, one must ensure that contacts among the parts and the fixtures are sufficient to stabilize the assembly. Thus, it would be desirable to have an efficient method for testing an assembly stability, and, if this is not possible, generating a set of additional fixture contact points, known as fixels, that will stabilize it. One can apply this method to the situation of safe handling of special nuclear material (SNM). To have these functionalities should help improve the safety and enhance the performance of special nuclear material (SNM) handling and storage operations, since some methods are needed for gripping objects in a stable manner. Also, one may need a way to find a pit-holding fixture inserted into containers. In this paper, the authors present a stability tool, which they call Stab Tool, which was developed to test the stability of objects grasped by robotic hands, objects placed in fixtures, or sets of objects piled randomly on top of one another. Stab Tool runs on top of a commercial software package, TELEGRIP, which is used for geometry modeling and motion creation. The successful development of the stability depends strongly on TELEGRIP's ability to compute the distances between pairs of three-dimensional bodies in the simulated environment. The interbody distance computation tool takes advantage of the polyhedral representations of bodies used by TELEGRIP and of linear programming techniques to yield an efficient algorithm

A systematic approach and tool support for GSN-based safety case assessment

NARCIS (Netherlands)

Luo, Y.; Brand, M. van den; Li, Z.; Saberi, A.K.

2017-01-01

Context. In safety-critical domains, safety cases are widely used to demonstrate the safety of systems. A safety case is an argumentation for showing confidence in the claimed safety assurance of a system, which should be comprehensible and well-structured. Typically, safety cases can be represented

Occupational safety in the nuclear power plant. The contribution of sociology to the development of a communication tool for the elimination of hazardous situations

International Nuclear Information System (INIS)

Zedler, Christien; Huber, Veit

2012-01-01

Nuclear power plant companies make efforts to enhance the operational safety in the plant. Despite a variety of measures the number of accidents at work is still too high, esp. for external personnel. Social psychological considerations were used to develop communication tools for the elimination of hazardous situations, for instance by safety dialogues between employees. The observation of hazardous situations should trigger communication and discussion on the risk of the specific situation. In the contribution practical experiences and recommendations for the realization of a safety dialogue culture in the NPP Grafenrheinfeld are summarized and illustrated by examples.

Measurements by A LEAP-Based Virtual Glove for the Hand Rehabilitation

Directory of Open Access Journals (Sweden)

Giuseppe Placidi

2018-03-01

Full Text Available Hand rehabilitation is fundamental after stroke or surgery. Traditional rehabilitation requires a therapist and implies high costs, stress for the patient, and subjective evaluation of the therapy effectiveness. Alternative approaches, based on mechanical and tracking-based gloves, can be really effective when used in virtual reality (VR environments. Mechanical devices are often expensive, cumbersome, patient specific and hand specific, while tracking-based devices are not affected by these limitations but, especially if based on a single tracking sensor, could suffer from occlusions. In this paper, the implementation of a multi-sensors approach, the Virtual Glove (VG, based on the simultaneous use of two orthogonal LEAP motion controllers, is described. The VG is calibrated and static positioning measurements are compared with those collected with an accurate spatial positioning system. The positioning error is lower than 6 mm in a cylindrical region of interest of radius 10 cm and height 21 cm. Real-time hand tracking measurements are also performed, analysed and reported. Hand tracking measurements show that VG operated in real-time (60 fps, reduced occlusions, and managed two LEAP sensors correctly, without any temporal and spatial discontinuity when skipping from one sensor to the other. A video demonstrating the good performance of VG is also collected and presented in the Supplementary Materials. Results are promising but further work must be done to allow the calculation of the forces exerted by each finger when constrained by mechanical tools (e.g., peg-boards and for reducing occlusions when grasping these tools. Although the VG is proposed for rehabilitation purposes, it could also be used for tele-operation of tools and robots, and for other VR applications.

Measurements by A LEAP-Based Virtual Glove for the Hand Rehabilitation.

Science.gov (United States)

Placidi, Giuseppe; Cinque, Luigi; Polsinelli, Matteo; Spezialetti, Matteo

2018-03-10

Hand rehabilitation is fundamental after stroke or surgery. Traditional rehabilitation requires a therapist and implies high costs, stress for the patient, and subjective evaluation of the therapy effectiveness. Alternative approaches, based on mechanical and tracking-based gloves, can be really effective when used in virtual reality (VR) environments. Mechanical devices are often expensive, cumbersome, patient specific and hand specific, while tracking-based devices are not affected by these limitations but, especially if based on a single tracking sensor, could suffer from occlusions. In this paper, the implementation of a multi-sensors approach, the Virtual Glove (VG), based on the simultaneous use of two orthogonal LEAP motion controllers, is described. The VG is calibrated and static positioning measurements are compared with those collected with an accurate spatial positioning system. The positioning error is lower than 6 mm in a cylindrical region of interest of radius 10 cm and height 21 cm. Real-time hand tracking measurements are also performed, analysed and reported. Hand tracking measurements show that VG operated in real-time (60 fps), reduced occlusions, and managed two LEAP sensors correctly, without any temporal and spatial discontinuity when skipping from one sensor to the other. A video demonstrating the good performance of VG is also collected and presented in the Supplementary Materials. Results are promising but further work must be done to allow the calculation of the forces exerted by each finger when constrained by mechanical tools (e.g., peg-boards) and for reducing occlusions when grasping these tools. Although the VG is proposed for rehabilitation purposes, it could also be used for tele-operation of tools and robots, and for other VR applications.

NUI framework based on real-time head pose estimation and hand gesture recognition

Directory of Open Access Journals (Sweden)

Kim Hyunduk

2016-01-01

Full Text Available The natural user interface (NUI is used for the natural motion interface without using device or tool such as mice, keyboards, pens and markers. In this paper, we develop natural user interface framework based on two recognition module. First module is real-time head pose estimation module using random forests and second module is hand gesture recognition module, named Hand gesture Key Emulation Toolkit (HandGKET. Using the head pose estimation module, we can know where the user is looking and what the user’s focus of attention is. Moreover, using the hand gesture recognition module, we can also control the computer using the user’s hand gesture without mouse and keyboard. In proposed framework, the user’s head direction and hand gesture are mapped into mouse and keyboard event, respectively.

Ground Robotic Hand Applications for the Space Program study (GRASP)

Science.gov (United States)

Grissom, William A.; Rafla, Nader I. (Editor)

1992-01-01

This document reports on a NASA-STDP effort to address research interests of the NASA Kennedy Space Center (KSC) through a study entitled, Ground Robotic-Hand Applications for the Space Program (GRASP). The primary objective of the GRASP study was to identify beneficial applications of specialized end-effectors and robotic hand devices for automating any ground operations which are performed at the Kennedy Space Center. Thus, operations for expendable vehicles, the Space Shuttle and its components, and all payloads were included in the study. Typical benefits of automating operations, or augmenting human operators performing physical tasks, include: reduced costs; enhanced safety and reliability; and reduced processing turnaround time.

Lean and Green Hand Surgery.

Science.gov (United States)

Van Demark, Robert E; Smith, Vanessa J S; Fiegen, Anthony

2018-02-01

Health care in the United States is both expensive and wasteful. The cost of health care in the United States continues to increase every year. Health care spending for 2016 is estimated at $3.35 trillion. Per capita spending ($10,345 per person) is more than twice the average of other developed countries. The United States also leads the world in solid waste production (624,700 metric tons of waste in 2011). The health care industry is second only to the food industry in annual waste production. Each year, health care facilities in the United States produce 4 billion pounds of waste (660 tons per day), with as much as 70%, or around 2.8 billion pounds, produced directly by operating rooms. Waste disposal also accounts for up to 20% of a hospital's annual environmental services budget. Since 1992, waste production by hospitals has increased annually by a rate of at least 15%, due in part to the increased usage of disposables. Reduction in operating room waste would decrease both health care costs and potential environmental hazards. In 2015, the American Association for Hand Surgery along with the American Society for Surgery of the Hand, American Society for Peripheral Nerve Surgery, and the American Society of Reconstructive Microsurgery began the "Lean and Green" surgery project to reduce the amount of waste generated by hand surgery. We recently began our own "Lean and Green" project in our institution. Using "minor field sterility" surgical principles and Wide Awake Local Anesthesia No Tourniquet (WALANT), both surgical costs and surgical waste were decreased while maintaining patient safety and satisfaction. As the current reimbursement model changes from quantity to quality, "Lean and Green" surgery will play a role in the future health care system. Copyright © 2018 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

Occupational health management: an audit tool.