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1.
Artículo en Inglés | MEDLINE | ID: mdl-33807270

RESUMEN

(1) Background: accident rates prove the uneven development of the member countries in the area of work safety. Remedial actions and structural programmes should take into account, e.g., the level of work safety in all European Union (EU) countries. Aim: the identification of differences in the level of work safety in the production sector of EU countries, especially the so-called "old" and "new" EU countries. (2) Methods: for each country UE (in 2008-2018), the relative risk (RR) of an accident at work was determined and a comparative analysis was conducted. (3) Results: an increase in the RR of an accident at work was observed along with an increase in the GDP of a given country. It was found that the level of occupational safety in Sweden and the United Kingdom is higher than in other countries, and lower in Spain and Portugal. In the three largest economies of the EU, Germany, France, and Italy, the RR of the accident in the industrial sector in relation to the national data is one of the lowest in the entire EU, not exceeding 1.3. In The Netherlands, an increase of 1.7 RR of fatal accidents in the industrial sector was observed between 2008 and 2018. (4) Conclusions: RR in the manufacturing sector of the so-called "old" EU is higher than in the so-called "new" EU, which may result from the implementation of Industry 4.0 assumptions in the "old" EU. The presented results and conclusions may be useful in shaping the EU policy in the field of sustainable development of production sectors of individual member countries.


Asunto(s)
Accidentes , Estudios de Cohortes , Unión Europea , Francia , Alemania , Humanos , Italia , Países Bajos , Portugal , España , Suecia , Reino Unido
2.
Dtsch Arztebl Int ; 118(8): 117-121, 2021 Feb 26.
Artículo en Inglés | MEDLINE | ID: mdl-33879309

RESUMEN

BACKGROUND: E-scooter sharing systems were initiated in Hamburg in June 2019. The number of persons injured in Hamburg in e-scooter accidents rose thereafter. The goal of this study was to determine the typical accident mechanisms and injury patterns after e-scooter accidents in Germany, and to compare these with bicycle accidents. METHODS: In a retrospective study, accidents with e-scooters and bicycles that occurred from June 2019 to June 2020 were registered and analyzed with respect to demography, accident mechanisms, diagnostics, patterns of injury, emergency medical care, operations, and inpatient hospitalizations. RESULTS: 89 persons sustained e-scooter accidents (mean age 33.9 years, standard deviation [SD] 14 years); 435 persons who sustained bicycle accidents (mean age 42.5 years, SD 17 years) served as a comparison group. E-scooter accidents more commonly occurred at night (37% versus 14%), and 28% of the persons who sustained them were under the influence of alcohol (cyclists: 6%). 54% of the injured e-scooter riders suffered trauma to the head or face; 14% had a severe head injury and 16% had a severe facial injury. Fractures of the upper limbs were more common than fractures of the lower limbs (18% versus 6%). On initial assessment in the emergency room, injured cyclists were more frequently classified as needing immediate treatment than injured e-scooter riders (7% versus 1%). CONCLUSION: The head, face, and upper limbs are the most commonly affected parts of the body in e-scooter accidents. Compared to bicycle accidents, e-scooter accidents more commonly occur on weekends and in association with alcohol. From a medical point of view, abstaining from alcohol consumption and wearing a helmet when using an e-scooter is strongly recommended.


Asunto(s)
Traumatismos Craneocerebrales , Dispositivos de Protección de la Cabeza , Accidentes , Accidentes de Tránsito , Adulto , Alemania/epidemiología , Humanos , Estudios Retrospectivos
3.
MMWR Morb Mortal Wkly Rep ; 70(10): 337-341, 2021 Mar 12.
Artículo en Inglés | MEDLINE | ID: mdl-33705365

RESUMEN

Accidental consumption of poisonous mushrooms can result in serious illness and death (1). Reports of severe poisonings from consumption of foraged mushrooms for food or hallucinogenic purposes increased during 1999-2016 (2), and approximately 7,500 poisonous mushroom ingestions were reported annually to poison control centers across the United States (1). To estimate the frequency of emergency department (ED) visits, hospitalizations, and severe adverse outcomes associated with accidental poisonous mushroom ingestion in the United States, CDC analyzed 2016 data from the Healthcare Cost and Utilization Project's* Nationwide Emergency Department Sample (HCUP-NEDS) and National Inpatient Sample (HCUP-NIS) databases as well as 2016-2018 data from three IBM MarketScan sources: Commercial Claims and Encounters (CCAE), Medicare Supplemental and Coordination of Benefits (Medicare), and Multi-State Medicaid databases. During 2016, 1,328 (standard error [SE] = 100) ED visits and 100 (SE = 22) hospitalizations (HCUP data) were associated with accidental poisonous mushroom ingestion. Among 556 patients with a diagnosis of accidental poisonous mushroom ingestion, 48 (8.6%) patients experienced a serious adverse outcome during 2016-2018 (MarketScan data). Serious adverse outcomes were more common among Medicaid-insured patients than among patients with commercial insurance or Medicare (11.5% versus 6.7%, p = 0.049). Because most mushroom poisonings are preventable, wild mushrooms should not be consumed unless they are identified by an expert; increased public health messaging about the potential dangers of mushroom poisoning is needed.


Asunto(s)
Accidentes/estadística & datos numéricos , Intoxicación por Setas/terapia , Aceptación de la Atención de Salud/estadística & datos numéricos , Adolescente , Adulto , Anciano , Niño , Preescolar , Servicio de Urgencia en Hospital/estadística & datos numéricos , Femenino , Hospitalización/estadística & datos numéricos , Humanos , Lactante , Seguro de Salud/estadística & datos numéricos , Masculino , Medicaid/estadística & datos numéricos , Persona de Mediana Edad , Intoxicación por Setas/epidemiología , Resultado del Tratamiento , Estados Unidos/epidemiología , Adulto Joven
4.
Praxis (Bern 1994) ; 110(3): 151-155, 2021.
Artículo en Alemán | MEDLINE | ID: mdl-33653110

RESUMEN

Accidents with Animals While Hiking in the Swiss Alps Abstract. Mountain hiking is very popular. However, despite potential benefits, there are risks, also by animals. Retrospectively, all mountain hiking emergencies (n = 10 185) from the years 2009-2018 were analyzed using the registry of the Swiss Alpine Club (SAC), with 104 mountain emergencies caused by animals. The average NACA score was 3.2 ± 1.6, and more than half of the mountain emergencies had a NACA score >4, which can be associated with a life-threatening condition. More than half of the emergencies were caused by insects (bees, wasps, bumblebees, hornets), and just under a quarter each by hoofed animals and snakes, respectively. Three of these events were mortal, and all of these were caused by hoofed animals (mother cow herd, horse, bull). Therefore, it is recommended to keep a safe distance from these animals when passing them.


Asunto(s)
Accidentes , Deportes , Animales , Bovinos , Urgencias Médicas , Caballos , Masculino , Estudios Retrospectivos , Suiza
5.
Artículo en Inglés | MEDLINE | ID: mdl-33672141

RESUMEN

Background: Construction activities not only provide the necessary conditions for citizens to live, but also cause fatal accidents. Methods: This study aimed to reveal the characteristics of fatal accidents in the construction industry in China based on statistical data. From 2010 to 2019, there were 6005 fatal accidents in China's construction industry causing 7275 deaths. The important features of these fatal accidents, such as the type, time of occurrence, site location, severity, and geographical region of the accident, were carefully analyzed. Results: There were 258 major and severe construction accidents causing 1037 deaths, accounting for 4.3% and 14.25% of the total number of construction accidents and deaths in this period, respectively. As an important finding, more deaths occurred in August and on Mondays. The greatest number of construction accidents took place along openings and edges, accounting for 22.9% of all fatal accidents. Taking into account their economic development level and number of employees, Qinghai and Hainan experienced a higher mortality rate than Jiangsu. Falls from a high place were the dominant type of construction accident, accounting for 51.66% of all accidents. However, collapses were the primary type of major and severe construction accident, accounting for 60.09% of such accidents. The predicted number of construction deaths in 2020 is 887 according to the GM(1,1) model. Corresponding safety measures should be adopted to improve the working environment of the construction industry. Implications: The implications of these results with respect to the characteristics of construction accidents can be regarded as the foundation for accident prevention in practice.


Asunto(s)
Industria de la Construcción , Prevención de Accidentes , Accidentes , Accidentes de Trabajo , China/epidemiología , Lugar de Trabajo
6.
J Environ Manage ; 287: 112346, 2021 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-33756213

RESUMEN

The shorelines frequently suffer adverse impacts from oil spill accidents. As one important technique of shoreline cleanup, the application of surface washing agents (SWAs) can help achieve high oil removal from shoreline substrates with less damage to affected zone. In this study, a framework for evaluation and selection of SWAs in oil spill incidents was constructed to better understand and apply this technique. A decision tree was firstly developed to illustrate all possible scenarios which are appropriate to use SWAs in consideration of oil collectability, shoreline character, types and amount of stranded oil, and cleanup requirement. Based on literature review, theoretical modeling, and experts' suggestions, an integrated multi-criteria decision analysis (MCDA) method was then come up to select the most preferred SWA from five aspects of toxicity, effectiveness, minimal dispersion, demonstrated field test, and cost. Its suitability and rationality were proved by a hypothetical case. In addition, sensitivity analysis was performed by changing the weight of each criterion independently to check the priority rank of alternatives, and it also verified the robustness and stability of this model. The presented framework has significant implications for future research and application of SWAs in the shoreline cleanup.


Asunto(s)
Contaminación por Petróleo , Accidentes
7.
Ecol Lett ; 24(5): 920-934, 2021 May.
Artículo en Inglés | MEDLINE | ID: mdl-33751743

RESUMEN

Animals alter their habitat use in response to the energetic demands of movement ('energy landscapes') and the risk of predation ('the landscape of fear'). Recent research suggests that animals also select habitats and move in ways that minimise their chance of temporarily losing control of movement and thereby suffering slips, falls, collisions or other accidents, particularly when the consequences are likely to be severe (resulting in injury or death). We propose that animals respond to the costs of an 'accident landscape' in conjunction with predation risk and energetic costs when deciding when, where, and how to move in their daily lives. We develop a novel theoretical framework describing how features of physical landscapes interact with animal size, morphology, and behaviour to affect the risk and severity of accidents, and predict how accident risk might interact with predation risk and energetic costs to dictate movement decisions across the physical landscape. Future research should focus on testing the hypotheses presented here for different real-world systems to gain insight into the relative importance of theorised effects in the field.


Asunto(s)
Ecosistema , Conducta Predatoria , Accidentes , Animales , Movimiento
8.
Med. U.P.B ; 40(1): 82-85, 03/03/2021. tab
Artículo en Español | LILACS, COLNAL | ID: biblio-1177504

RESUMEN

El accidente apídico implica un bajo riesgo de morir por reacciones agudas como anafilaxia. Es frecuente que se desconozcan otros riesgos como el hepático y el neurológico. Dentro de las complicaciones menos conocidas está la polineuropatía aguda conocida como Guillain- Barré. La causa más ampliamente descrita es la reacción cruzada entre IgE y la proteína básica de mielina. A continuación, se reporta el primer caso en América Latina sobre la asociación entre Guillain-Barré y accidente por picadura de abejas. En este caso, hay criterios de causalidad como el nexo temporal, la plausibilidad biológica y la coherencia con otros artículos reportados en la literatura médica.


Bee sting accident usually implies a low risk of dying from acute reactions such as anaphylaxis. Other risks such as liver and neurological risks are often unknown. Among the lesser-known complications caused by this type of accident is the acute polyneuropathy known as Guillain-Barré. The most widely described cause is the cross reaction between IgE and myelin basic protein. The article reports the first case in Latin America on the association between Guillain-Barré and a bee sting accident. In this case, there are causality criteria such as temporal link, biological plausibility, and consistency with other articles reported in the medical literature


O acidente elapídico implica um baixo risco de morte por reações agudas, como anafilaxia. Outros riscos, como hepáticos e neurológicos, são frequentemente desconhecidos. Entre as complicações menos conhecidas está a polineuropatia aguda conhecida como Guillain-Barré. A causa mais amplamente descrita é a reação cruzada entre a IgE e a proteína básica da mielina. A seguir, é relatado o primeiro caso na América Latina sobre a associação entre Guillain-Barré e um acidente com picada de abelha. Nesse caso, há critérios de causalidade como vínculo temporal, plausibilidade biológica e consistência com outros artigos relatados na literatura médica


Asunto(s)
Humanos , Animales , Síndrome de Guillain-Barré , Polineuropatías , Abejas , Mordeduras y Picaduras , Inmunoglobulina E , Accidentes , Reacciones Cruzadas , Muerte , Anafilaxia , Hígado
9.
Br J Oral Maxillofac Surg ; 59(4): 439-444, 2021 05.
Artículo en Inglés | MEDLINE | ID: mdl-33714625

RESUMEN

Personal and shared stand-up electronic scooters (e-scooters) have rapidly increased in popularity, leading to an increase in the number of patients with e-scooter-related trauma presenting to hospital Emergency departments. This study aimed to assess the patterns of oral and maxillofacial trauma directly related to e-scooter use and provide a cost-analysis related to the management of these patients. A retrospective, controlled interval study was conducted to examine all patients referred to the oral and maxillofacial surgical service at Christchurch Hospital, New Zealand, who sustained facial injury as a result of e-scooter accidents between 15 October 2018 and 15 April 2020. A total of 30 patients with e-scooter-related facial injuries were referred to the maxillofacial service and required a total of 23 operative procedures. The majority of patients (70%) were aged between 20-39 years and 63.3% were male. Two-thirds reported having consumed alcohol before the e-scooter accident. The total estimated cost for the treatment of patients was $298,054 NZD. E-scooter-related maxillofacial trauma represents an emerging mechanism of injury that is associated with significant facial trauma and results in a treatment cost that adds significant burden on the health care system.


Asunto(s)
Accidentes , Traumatismos Maxilofaciales , Adulto , Costos y Análisis de Costo , Femenino , Hospitales , Humanos , Masculino , Traumatismos Maxilofaciales/epidemiología , Traumatismos Maxilofaciales/cirugía , Nueva Zelanda , Estudios Retrospectivos , Adulto Joven
10.
Clin Imaging ; 74: 163-168, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-33609855

RESUMEN

PURPOSE: Despite increased use of e-scooters globally, actionable data around injury incidence and patterns associated with e-scooter accidents are limited. This study aimed to determine the prevalence of imaging exams, injury incidence, and patterns related to e-scooter injuries, with the hope of guiding an appropriate policy response. METHODS: This was a retrospective observational study of imaging exams ordered for injuries related to e-scooters seen in an Emergency Department (ED) setting within our health system from September 2018 through December 2019. Our institutional Radiology Information System (RIS) was searched for the presence of the word "scooter." Manual query of search results was conducted in the electronic medical record (EMR) and only studies confirmed to be related to e-scooters were included. RESULTS: A total of 477 radiologic studies performed on 192 unique patients were confirmed to be performed for injuries related to e-scooters. The median patient age was 28 years and 58.3% were male. One hundred forty patients (72.9%) had injuries identified on imaging, with an overall exam positivity rate of 44.4%. The most common injuries were soft tissue and musculoskeletal in nature. Over half (51.9%) of the entries with the keyword "scooter" were excluded because of lack of EMR specificity regarding scooter type. CONCLUSION: While this study showed that injuries following e-scooter accidents are common and frequently involve the face and extremities, it is limited by lack of documentation in the EMR. Further research with a standardized documentation protocol will be needed to better understand injuries patterns following e-scooter accidents.


Asunto(s)
Accidentes , Servicio de Urgencia en Hospital , Adulto , Ciudades , Femenino , Humanos , Incidencia , Masculino , Estudios Retrospectivos
11.
Mar Pollut Bull ; 165: 112125, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33582423

RESUMEN

In 2019-2020, a mysterious oil spill reached a large part of the Brazilian coast. In order to contribute to the clarification part of these mysteries involving this accident, the present study aims to estimate the initial volume spilled using the STFM (Spill, Transport and Fate Model). We started from the hypothesis that the leak was caused by tanker buoyancy problems (hull rupture or engine failure), resulting in slow loss of part of its cargo (leaking or dumping) in the subsurface waters. The estimated volume (5000-12,500 m3) was similar to that expected in a continuous leak from an internal compartment tanker with the size between PANAMAX and SUEZMAX. This volume may have been the largest oil spill on the Brazilian coast since 2004, and it caused institutional and socioeconomic crisis because of the poor management of public resources.


Asunto(s)
Contaminación por Petróleo , Accidentes , Brasil
12.
Rev Soc Bras Med Trop ; 54: e05112020, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33605378

RESUMEN

INTRODUCTION: Envenomation remains a neglected public health problem in most tropical countries. Epidemiological studies on accidents caused by venomous animals are scarce in the Northeast region of Brazil, mainly in the state of Ceará. The present study aimed to describe the epidemiological features of envenomation cases involving venomous animals in the State of Ceará, Northeastern Brazil, from 2007 to 2019. METHODS: The online Notifiable Diseases Information System was consulted for data on all envenomation cases involving venomous terrestrial animals. Data collected were evaluated for the number of accidents/year, number of accidents/zoological group, antivenom therapy, zone of occurrence, sex, age-group distribution, and deaths. RESULTS: A total of 54,980 cases were recorded, with the highest incidence being that of scorpion stings (67.2%), predominantly in women (52.4%; odds ratio=3.6; 95% confidence interval=3.5-3.8), equally affecting people aged 10-19 years and 40-59 years (21.4%), in the urban areas (odds ratio=10.3; 95% confidence interval=9.9-10.8), especially in the rainy months. Snakebites (16.7%) had an incidence of 8.1/100,000 inhabitants, but the highest case-fatality rates were observed in bee stings (1.3%) and spider bites (0.5%). Regarding therapeutic variables, a small percentage of people had access to serotherapy (5.3%). CONCLUSIONS: This study highlights the accidents caused by terrestrial venomous animals as a public health problem that must be monitored in Ceará. Thus, our findings suggest that preventive actions against scorpion and bee stings should be intensified during the months of higher incidence to improve public policies for patient care.


Asunto(s)
Picaduras de Escorpión , Mordeduras de Serpientes , Accidentes , Animales , Brasil/epidemiología , Picaduras de Escorpión/epidemiología , Estaciones del Año , Mordeduras de Serpientes/epidemiología , Ponzoñas
13.
J Hand Surg Asian Pac Vol ; 26(1): 36-40, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33559580

RESUMEN

Background: Angle grinders are a handheld power tool used for grinding and polishing stone, metal, and concrete. Some people, however, use them with a circular saw blade attachment for cutting wood and consequently, suffer injuries. We aimed to investigate the underlying cause and mechanisms of injuries caused by cutting wood with an angle grinder. Methods: We conducted a retrospective study using medical records from our trauma center and identified 15 patients treated for angle grinder injury between 2017 and 2018. Moreover, we contacted the National Consumer Affairs Center of Japan for further information about angle grinder injuries. Results: Nine of the 15 patients used angle grinders improperly, of which only three patients were aware of the risk of injury. The details of the nine patients were as follows: the types of injuries: complete finger amputation (n = 2), partial finger amputation (n = 1), tendon injury with phalangeal fracture (n = 5), and tendon injury alone, (n = 1); the causes of accidents: kickback (n = 7) and glove entanglement (n = 2); and the accident situations: on-the-job (n = 5) and do-it-yourself (n = 4). Conclusions: The primary cause of angle grinder injury caused by cutting wood was a lack of user knowledge that an angle grinder cannot be used as a cutting tool. Appropriate feedback from hand surgeons are necessary to urge manufacturers to take safety measures.


Asunto(s)
Amputación Traumática/etiología , Traumatismos de los Dedos/etiología , Falanges de los Dedos de la Mano/lesiones , Fracturas Óseas/etiología , Traumatismos de los Tendones/etiología , Accidentes/estadística & datos numéricos , Adulto , Anciano , Humanos , Japón , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Centros Traumatológicos , Madera , Adulto Joven
14.
Sud Med Ekspert ; 64(1): 12-17, 2021.
Artículo en Ruso | MEDLINE | ID: mdl-33511827

RESUMEN

The paper presents the results of an epidemiological analysis of statistical data on the number of deaths from violent deaths, which cause has not been established; unidentified and unclaimed corpses in forensic medical expertise in Russia as a whole and in individual federal districts for the period from 2009 to 2018. Percentage indicators and share values of the circumstances due to which the death cause was not established are given. It was found that on the basis of a steady decreasing trend in number of violent deaths, the number of corpses with an unknown death cause is growing, mainly due to putrefactive changes in corpses of adults and due to the burning of children corpses. The presence of a strong correlation between the number of unclaimed and unidentified corpses with the number of forensic medical expertise, when the cause of death was not established, was shown. Based on the analysis results at the macro level (federal districts), some interregional differences in the structure of the analyzed indicators were revealed. The results obtained make it possible to confirm the relevance of existing clusters of scientific research and to form new ones, to place accents in the directions of the postgraduate education of specialists.


Asunto(s)
Accidentes , Medicina Legal , Adulto , Cadáver , Causas de Muerte , Niño , Humanos , Federación de Rusia/epidemiología
15.
Artículo en Inglés | MEDLINE | ID: mdl-33430202

RESUMEN

The implementation of precursor management can improve safety performance of construction projects through effectively managing the correlations between construction accidents and their precursors. However, a system of comprehensive knowledge about what precursors mean within the context of construction safety is still lacking. This study aims to capture the nature of precursors in the construction industry and explore the process of a precursor event evolving into a construction accident to fill this gap. Based on 135 construction accident reports in China, this study adopts grounded theory to identify different types of accident precursors and explore their interactions with the development of the accident. An indicator system of precursors for construction accidents was developed, which included two major categories of precursors: behavioral factors and physical factors and five minor categories of precursors: individual behavior factors, organizational driving factors, objective physical factors, construction environmental factors, mechanical equipment factors. In addition, a precursor management strategy that includes the three stages of identification, response and effectiveness testing was established. The results of the study reveal the correlations between precursors and construction accidents, which can promote construction professionals' better understanding about precursors and improve their capabilities of managing precursors in practice.


Asunto(s)
Industria de la Construcción , Administración de la Seguridad , Accidentes , Accidentes de Trabajo , China , Teoría Fundamentada
16.
Artículo en Inglés | MEDLINE | ID: mdl-33466625

RESUMEN

Urban rail transit has become one of the indispensable modes of public transportation in large cities. Escalators are ubiquitous in metro stations, as passengers typically use escalators when entering or leaving a metro station. Thus, escalators have become an accident-prone location. To develop suitable prevention strategies, it is necessary to understand the risk factors that affect the severity of escalator accidents. This study analyzed 967 escalator passenger accidents that occurred in the Guangzhou Metro from 2013 to 2015. The Haddon matrix was used to evaluate the interaction of humans, escalators, and environmental factors before, during, and after accidents. Then, the contributing factors associated with the severity levels were determined based on chi-square tests. Passengers aged 66 years and older are more vulnerable to serious injuries (p < 0.001), and previous health conditions are significantly related to the severity of the passenger's injuries (p = 0.002). The weather conditions (rainy days) are also significantly related to the severity of escalator accident injuries (p = 0.039), and injured people with head injuries are at greater risk of being severely injured (p < 0.001). The analysis results of these risk factors can provide theoretical support for the metro operators to develop reasonable and effective preventive measures to reduce the escalator risk.


Asunto(s)
Traumatismos Craneocerebrales , Heridas y Traumatismos , Accidentes , Anciano , China/epidemiología , Ciudades/epidemiología , Ascensores y Escaleras Mecánicas , Humanos , Heridas y Traumatismos/epidemiología
17.
Dtsch Med Wochenschr ; 146(1): 38-40, 2021 01.
Artículo en Alemán | MEDLINE | ID: mdl-33395725

RESUMEN

HISTORY: We report on a 35-year-old male patient who presented to the emergency department a day after celebrations. The night before, the alcoholized patient tried to spit fire with an oily fuel paste. A fever, dyspnea and chest pain were present. FINDINGS AND DIAGNOSIS: The patient is febrile, but in reduced general conditions. In laboratory chemistry shows elevated inflammatory parameters. Due to the conventional radiology findings we completed the diagnostic with a CT-scan, which shows confirmed streaky opacities, especially in the middle lobe. DIAGNOSIS: Based on the very suggestive history and diagnostic findings, a fire eater's lung was diagnosed. THERAPY AND COURSE: Under treatmen with CoAmoxicillin, oxygen, inhalation with Ipratropiumbromid/Salbutamol and symptomatic treatment, we could reach a clinical improvement and discharged within three days. CONCLUSION: Aspiration of oily fuel paste led to lipoid pneumonia. Few such cases have been described so far, but the medical history, symptoms and radiological imaging are very characteristic. Antibiotic therapy is not primarily necessary, however, depending on the clinical condition may help to prevent bacterial superinfection. The administration of systemic steroids is controversial in this situation.


Asunto(s)
Dolor en el Pecho/etiología , Disnea/etiología , Fiebre/etiología , Aceites Combustibles/efectos adversos , Pulmón , Neumonía Lipoidea , Accidentes , Adulto , Antibacterianos/uso terapéutico , Broncodilatadores/uso terapéutico , Humanos , Pulmón/diagnóstico por imagen , Pulmón/efectos de los fármacos , Pulmón/patología , Masculino
18.
PLoS One ; 16(1): e0244426, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33417612

RESUMEN

Workplace bullying are prevalent among the nursing workforce. Consequences of workplace bullying include psychological stress and workplace accidents and injuries. Psychological hardiness is proposed as a buffer for workplace bullying and psychological stress on workplace accidents and injuries. This study adopted the Affective Events Theory and Conservation of Resources Theory to develop and test a moderated mediated model in two field studies. Study 1 (N = 286, Australian nurses) found support for the direct negative effect of workplace bullying on workplace accidents and injuries with psychological stress acting as the mediator. The mediation findings from Study 1 were replicated in Study 2 (N = 201, New Zealand nurses). In addition, Study 2 supplemented Study 1 by providing empirical support for using psychological hardiness as the buffer for the association between psychological stress and workplace accidents and injuries. This study offers theoretical and empirical insights into the research and practice on psychological hardiness for improving the psychological well-being of employees who faced workplace mistreatments.


Asunto(s)
Acoso Escolar , Enfermeras y Enfermeros/psicología , Estrés Psicológico , Accidentes , Adulto , Acoso Escolar/psicología , Estudios Transversales , Análisis Discriminante , Femenino , Humanos , Masculino , Persona de Mediana Edad , Modelos Teóricos , Nueva Zelanda , Encuestas y Cuestionarios , Lugar de Trabajo , Heridas y Traumatismos
19.
Environ Res ; 195: 110794, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33508263

RESUMEN

BACKGROUND: Ambient outdoor air pollution has been identified as a key risk factor for adverse health outcomes and mortality, particularly in low- and middle-income countries (LMICs). Small-scale, individual-initiated burning activities are significant contributors to local pollutant emissions but are not well studied. We identified articles that describe small-scale burning interventions in order to characterize current trends, implementation science perspectives, and gaps in the literature. METHODS: We conducted a global search of interventions to reduce ambient air pollution, and then conducted a keyword search among these articles to identify literature regarding interventions to reduce individual-initiated burning. We categorized these articles based on whether burning was discussed as an explicit focus or incidental finding and conducted a full-text analysis. We conducted a supplementary review on anthropological aspects of burning behaviors and burning interventions not captured in our review to inform future recommendations. RESULTS: Ten articles describing interventions for small-scale, individual-initiated burning were identified. Four articles examined burning as an explicit focus and six discussed burning as an incidental finding. China was the country most represented in our review. All but one of the articles discussed emissions-related outcomes, while only one article discussed health outcomes. Four articles explored factors affecting implementation of interventions and regulations, but none included implementation as a primary objective. The supplementary review revealed a large amount of literature about burning in the context of spiritual and agricultural practices. However, less is known about everyday burning behaviors, such as trash burning and household burning, as well as reasons why people burn. CONCLUSION: There is a paucity of research that explicitly discusses interventions for small scale, individual-initiated burning practices. Gaps remain in interventions in LMICs most affected by individual-initiated burning, particularly in sub-Saharan Africa. Most of the current literature does not analyze factors affecting effectiveness of interventions and regulations and does not clearly identify reasons why people choose to burn. More research is needed on how to effectively implement interventions to reduce individual-initiated burning, as well as to target key geographic regions and burning sources that continue to be neglected.


Asunto(s)
Contaminación del Aire , Accidentes , Contaminación del Aire/análisis , China , Composición Familiar , Humanos , Factores de Riesgo
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