PPE

PPE
  • 文章类型: Journal Article
    种子加工工人暴露于种子加工过程中产生的灰尘颗粒,这会对他们的呼吸健康产生不利影响。目的:估计Hooghly地区种子加工工人的呼吸道发病率和模式,西孟加拉邦,印度,并探讨其使用呼吸个人防护装备(PPE)。
    从2022年12月至2023年2月,在5家种子加工厂中进行了横断面观察研究。使用与种群大小成比例的概率来选择种子加工厂,并使用简单的随机抽样来选择选定工厂的工人,从而选择了129名工人。关于社会人口特征的数据,职业概况,物质使用模式,呼吸PPE使用,并通过结构化访谈收集呼吸道症状.使用手持式台式肺活量计(RMSHelios401)进行肺活量测定以评估呼吸功能。
    52.7%的参与者报告至少一种慢性呼吸道症状,根据肺活量测定结果,17.1%有明显的呼吸道发病率,大多数具有限制性模式(10.1%)。多变量回归分析显示,与呼吸道发病率相关的因素包括暴露工作年限增加[1.10(1.021.18)],不规律使用呼吸PPE[4.36(1.2215.57)],和小学或以下教育水平[6.09(1.3826.98)]。
    该研究强调了种子加工工人中呼吸道症状和发病率的高患病率。它强调在该行业中实施有效的呼吸保护措施和提高对职业性肺部疾病的认识的重要性。需要进一步的研究和干预措施来改善种子加工工人的呼吸健康和福祉。
    UNASSIGNED: Seed processing workers are exposed to dust particles generated during the processing of seeds, which can have adverse effects on their respiratory health. Aim: to estimate the prevalence and patterns of respiratory morbidity among seed processing workers in Hooghly district, West Bengal, India, and to explore their use of respiratory personal protective equipment (PPE).
    UNASSIGNED: A cross sectional observational study was conducted in 5 seed processing plants from December 2022 to February 2023. A sample size of 129 workers was selected using probability proportionate to population size to select seed processing plants and simple random sampling to select workers at selected plants. Data on sociodemographic characteristics, occupational profile, substance use patterns, respiratory PPE use, and respiratory symptoms were collected through structured interviews. Spirometry was performed with a hand held tabletop spirometer (RMS Helios 401) to assess respiratory function.
    UNASSIGNED: 52.7% of participants reported at least one chronic respiratory symptom, while 17.1% had evident respiratory morbidity based on spirometry results, with most having restrictive patterns (10.1%). Multivariable regression analysis revealed that factors associated with respiratory morbidity included increasing work years of exposure [1.10 (1.02 1.18)], irregular use of respiratory PPE [4.36 (1.22 15.57)], and primary or below education level [6.09 (1.38 26.98)].
    UNASSIGNED: The study highlights the high prevalence of respiratory symptoms and morbidity among seed processing workers. It emphasizes the importance of implementing effective respiratory protection measures and raising awareness about occupational lung diseases in this industry. Further research and interventions are needed to improve the respiratory health and well being of seed processing workers.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    在COVID-19大流行的早期阶段,我们呼吁强制公开屏蔽,以“平坦化曲线”。我们帮助制定了屏障面罩的国家标准(SWiFT19),and,使用一种新颖的基于激光的方法,我们确定面膜功效取决于面料和贴合性;这两个变量成反比。在这里,我们回顾了口罩在大流行期间的作用,并推测,根据迄今为止的证据平衡,口罩可有效阻止SARS-CoV-2的传播,并且很可能是未来潜在呼吸道大流行的有效早期控制策略。
    面部覆盖物,覆盖鼻子和嘴巴,是防止在空气中传播的感染的一种手段。这些包括引起COVID-19的SARS-CoV-2等病毒。脸部覆盖物,或面具,在COVID-19大流行期间,通过减少病毒的人际传播发挥了关键作用。使其有效的面罩的关键特征是制造它的材料以及面罩与面部的贴合程度。一个宽松的面具,例如,会导致鼻子和脸颊周围的间隙,液滴可以通过这些间隙逸出。更好的装配面罩将具有更少的泄漏。由轻质单层材料制成的掩模比厚的掩模更能防止液滴渗透,多层面料。正确制作和安装的口罩是减缓在空气中传播的感染传播的有效手段。
    During the early stages of the COVID-19 pandemic, we called for mandatory public masking to \'flatten the curve\'. We helped formulate a national standard (SWiFT 19) for barrier facemasks, and, using a novel laser-based approach, we determined that mask efficacy is dependent on both fabric and fit; with both variables being inversely related. Herein, we take a retrospective view of the role of masks during the pandemic and surmise that, on the balance of evidence to date, masks were effective at stemming the spread of SARS-CoV-2 and may well be an effective early control strategy for potential future respiratory pandemics.
    Face coverings, which cover the nose and mouth, are a means of preventing infections that travel in the air. These include viruses such as SARS-CoV-2, which causes COVID-19. Face coverings, or masks, played a key role during the COVID-19 pandemic by reducing person-to-person spread of the virus. The key features of a mask that make it effective are the material from which it is made and how closely the mask fits the face. A loosely fitting mask, for example, will lead to gaps around the nose and cheeks through which droplets can escape. A better fitting mask will have less leakage. Masks made from light single-layer material is less able to prevent droplet penetration than thicker, multi-layered fabric. Properly fashioned and fitted face masks are an effective means of slowing the spread of infections that travel in the air.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:个人防护设备(PPE)的使用应该是工作场所的一种文化,并深深扎根于工人在实践中的行为和态度。根据最近的研究,只有64%的工人正确使用PPE。本研究旨在调查中小型企业(SME)工人对PPE的利用情况,以及它与知识的关系,态度,性能,和工人的安全文化。
    方法:这项横断面研究是在2023年在喀山市的中小企业中使用问卷调查工具进行的。使用的工具包括三个问卷:人口统计,安全文化,和知识,态度和表现。研究发现529家中小企业。完全正确,样本人数为369人,问卷分发给中小企业工人。最后,采用SPSS软件进行统计分析和结构方程建模。各种统计检验,包括T检验,方差分析,RMSEA,CFI,TLI,并采用卡方比。
    结果:年龄和工作经验的平均值(标准偏差)为35.19(12.33),和15.60(1.69)年,分别。在369名参与者中,267名参与者(72.4%)表示他们使用了一些个人防护用品,虽然不是所有类型。然而,102人(27.7%)不使用任何PPE。安全文化维度的最低得分归因于1.58的安全培训。最终模型的结果表明,变量之间的假设关系,正如研究目标中概述的那样,建立得很好,所有联系都证明具有统计学意义。
    结论:可以得出结论,对小行业的法律监督缺失。因此,可以推断,如果加强对安全培训和实施的监督和监管,可能会导致PPE的使用增加。
    BACKGROUND: The use of personal protective equipment (PPE) should be a culture of a workplace, and deeply rooted in worker behavior and attitude during their practice. According to the recent studies only 64% of the workers use PPE properly. The present study aims to investigate the utilization of PPE among workers in small and medium-sized enterprises (SMEs), and its relationship with knowledge, attitude, performance, and safety culture among workers.
    METHODS: This cross-sectional study was carried out using a questionnaire tool across SMEs in Kashan city in year 2023. The used tool included three questionnaires: demographic, safety culture, and knowledge, attitude and performance. Study papulation was 529 SMEs. Totally, the sample size was 369 persons and questionnaires were distributed among the workers of SMEs. Finally, SPSS software was used for statistical analysis and structural equation modeling. Various statistical tests including T-Test, ANOVA, RMSEA, CFI, TLI, and the chi-square ratio were employed.
    RESULTS: The mean values (standard deviation) of age and work experience were 35.19 (12.33), and 15.60 (1.69) years, respectively. Among the 369 participants, 267 participants (72.4%) indicated that they use some PPE, although not all types. However, 102 individuals (27.7%) do not employ any PPE. The lowest score for safety culture dimension was attributed to safety training at 1.58. The results of the final model indicate that the assumed relationships between variables, as outlined in the study objectives, were well established, with all connections proving statistically significant.
    CONCLUSIONS: It can be concluded that the missing of inadequate legal supervision for small industries exists. Therefore, it can be inferred that if supervision and regulation are enhanced for safety training and implementation that may lead to increased usage of PPE.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    防护服标准,如ASTM国际发布的测试方法,在确保个人防护设备性能方面发挥不可或缺的作用。标准测试并非没有限制,并且会定期审查并经常更新。一些测试可能无法反映使用条件。使用卫生固定装置设计了一种新的测试单元,以使用荧光素溶液作为增强可视化和荧光计检测的挑战剂,评估手套拉伸对屏障性能的影响。开发了圆顶形和平面屏幕以允许和限制测试单元内的手套拉伸。针对拉伸和未拉伸状态评估手套样品的阻隔性能。乳胶,丁腈,评估了各种厚度的乙烯基手套模型。按照ASTMF903、ASTMF1670和ASTMF1671中规定的压力和时间参数进行测试。荧光素溶液运动,这可能是通过渗透发生的,使用荧光计测量。手套拉伸导致手套厚度减少16%至40%。总的来说,无论测试条件如何,共发现21个样品故障(16.7%;n=126)。与乳胶(19.4%;36个中的7个失效)和乙烯基手套(27.1%;48个中的13个失效)相比,丁腈手套提供了更好的阻隔功效,故障率最低(2.38%;42个中的1个失效)。拉伸和未拉伸手套的故障率差异不大;然而,与未拉伸相比,当拉伸时,胶乳材料显示出断裂增加2.5倍。新的测试设备能够区分不同手套材料的阻隔性能。圆顶屏幕的使用使手套可以伸展,更好地代表手套使用时的状态。对从与暴露相反的手套表面收集的样品的分析可以提供评估除了渗透之外的化学渗透的方法。
    Protective clothing standards, such as test methods published by ASTM International, play an integral role in ensuring the performance of personal protective equipment. The standard tests are not without limitations and are periodically reviewed and often updated. Some tests may not be reflective of in-use conditions. A new test cell was designed using sanitary fixtures to evaluate the effect of glove stretch on barrier performance using fluorescein solution as the challenge agent for enhanced visualization and fluorometer detection. Domed-shaped and flat screens were developed to permit and limit glove stretch within the test cell. The barrier performance of glove swatches was evaluated for both stretched and unstretched states. Latex, nitrile, and vinyl glove models of various thicknesses were evaluated. The tests were conducted following pressure and time parameters specified in ASTM F903, ASTM F1670, and ASTM F1671. Fluorescein solution movement, which may occur through penetration, was measured using a fluorometer. Glove stretch caused a reduction in glove thickness ranging from 16% to 40%. Overall, 21 sample failures were found (16.7%; n = 126) regardless of test condition. Nitrile gloves provided better barrier efficacy with the lowest failure rates (2.38%; 1 failure out of 42) compared to latex (19.4%; 7 failures out of 36) and vinyl gloves (27.1%; 13 failures out of 48). Differences in failure rates between stretched and unstretched gloves were insignificant; however, the latex material showed a 2.5 times increase in failures when stretched compared to unstretched. The new test apparatus was able to differentiate between the barrier performance of different glove materials. The use of a domed screen allowed the gloves to stretch, a condition that better represents the state of gloves when in use. Analysis of samples collected from the glove surface opposite to the exposure may provide a way to assess chemical permeation in addition to penetration.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Meta-Analysis
    职业事故,尽管不断更新安全,仍然是职业和法医领域的祸害,构成,除其他外,诉讼的主体很大一部分。人口数据可以帮助了解缺乏健康监测应用的领域。这项荟萃分析旨在分析来自工作事故研究的数据,重点关注事故发生地区与是否使用个人安全设备之间的相关性,关于现行的不同条例。对于数据的选择,根据PRISMA指南进行了系统审查,主要目标是确定特定地理区域的职业事故趋势,在对预防方面的关注方面有所不同。我们强调的数据显示,关于事故的类型,低收入国家和工业化国家之间的巨大差异(根据人类发展指数分层),对是否使用单独的安全装置完全漠不关心,揭示了这一点,尽管工作安全领域的规范不断发展,即使在今天,有关法规实际应用的调查数据,在工作事故中,被低估了,很少研究。
    Occupational accidents, despite continuous safety updates, are still a scourge in the occupational and forensic spheres, constituting, among other things, the subject of a large share of litigation. Demographic data can help to understand the areas where the application of health surveillance is lacking. This meta-analysis sets out to analyse data from studies on accidents at work, focusing on the correlation between the areas in which accidents occur and whether or not personal safety equipment is used, in relation to the different regulations in force. For the selection of the data, a systematic review was carried out according to the PRISMA guidelines, with the primary objective of identifying the trend of occupational accidents in specific geographical areas, which differ in terms of the attention paid to preventive aspects. The data we highlighted showed, regarding the type of accident, substantial differences between low-income countries and industrialised countries (stratified according to the Human Development Index) and, an overall indifference as to whether or not individual safety devices were used, revealing that, despite the continuous normative evolution in the field of safety at work, even today, the investigative data on the actual application of the regulations, during accidents at work, is underestimated and little researched.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    我们比较了COVID-19大流行前后牙科诊所SARS-CoV-2感染预防方法的管理。这项研究的目的是找出大流行之前和期间牙医使用的感染预防方法的种类,并进行比较。我们设计了一个包含15个封闭问题的数字横向问卷,发送给布加勒斯特的150名牙医,罗马尼亚。在2021年7月至8月期间,我们收到了来自所有年龄段(25-60岁)的牙医的n=112有效答案,性别比例为0.36,同意匿名参与本研究。结果表明,个人防护设备的类型和数量有所增加(即,眼/面部保护,补充礼服,并将FFP1掩码升级到FFP2或FFP3)。眼部保护按性别而非年龄组显示统计学意义。在调查时,SARS-CoV-2的疫苗接种率为参与牙医的80%,具有统计学意义。然而,患者的疫苗接种状态并未改变牙医的保护方案。
    We compared the managing of prevention methods for SARS-CoV-2 infections in dental offices before and immediately after the COVID-19 pandemic. The purpose of this study was to find out the varieties of infection prevention methods used by dentists before and during the pandemic and compare them. We designed a digital transversal questionnaire with 15 closed questions that was sent to 150 dentists in Bucharest, Romania. We received n = 112 valid answers during July-August 2021 from dentists of all age groups (25-60 years), with a sex ratio of 0.36, which agreed to anonymously participate in this study. The results showed an increase in types and amount of personal protection equipment (i.e., ocular/facial protection, supplemental gown, and upgrading the FFP1 masks to FFP2 or FFP3). Ocular protection showed statistical significance by gender but not by age group. Vaccination rate against SARS-CoV-2 was at 80% of the participant dentists at the time of the survey and had statistical significance. However, vaccination status of the patients did not alter dentists\' protection protocol.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    众所周知,枪支发出的噪音对人类的听力有害。各种军事单位通过使用枪口抑制器已经解决了这个问题。然而,随着抑制器技术的进步,射击者报告说,听到气体操作的半自动步枪(ArmaLite步枪15型又称AR-15)的机械作用比被抑制的枪口噪音更大。这项研究旨在评估射手的耳朵中是否存在有害噪音,即使从枪口发出的脉冲噪声被抑制。为了表征枪械动作的脉冲噪声,由枪栓托架组(BCG)的往复运动和随后的冲击,当它返回到电池(向前锁定位置)时,步枪的枪口穿过一堵胶合板墙,动作/后膛的噪声独立于枪口噪声进行测量。这项研究发现,BCG返回电池的影响(132dBZ)有可能对射手的听力有害,即使来自枪口的噪音得到有效抑制。
    Noise from firearms is well known to be harmful to human hearing. This problem has been addressed by various military units through the use of muzzle suppressors. However, as suppressor technology has advanced, shooters report hearing the mechanical action of gas-operated semi-automatic rifles (ArmaLite Rifle Model 15 style aka AR-15) as being louder than the suppressed muzzle noise. This study aims to evaluate if harmful noise is present in the shooter\'s ear, even when impulse noise emanating from the muzzle is suppressed. To characterize the impulse noise of the firearm action caused by the reciprocation of the bolt carrier group (BCG) and subsequent impact when it returns to battery (the forward locked position), the muzzle of a rifle was placed through a constructed plywood wall, and the noise of the action/breech was measured independently from the muzzle noise. This research finds that the impact of the BCG returning to battery (132 dBZ) has the potential to be harmful to the shooter\'s hearing even when the noise from the muzzle is effectively suppressed.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    2019年冠状病毒病(COVID-19)大流行,由严重急性呼吸综合征冠状病毒-2(SARS-CoV-2)引起,遍布180多个国家,导致世界各地多样化的卫生系统过载。由于患者人数众多和供应链中断,它导致了医疗设备和个人防护设备的短缺。在这种情况下,来自增材制造界的倡议出现了,以对抗设备的缺乏。生产了各种设计,目前患者和卫生工作者正在医院中使用。然而,由于某些设备必须遵循严格的标准,这些产品可能不符合这些标准。因此,为了确保用户的健康,需要了解每个设备,他们的用法,和标准。这项研究回顾了在COVID-19大流行期间增材制造的使用。它收集了几种3D打印设备的来源,如面罩,口罩,阀门,鼻咽拭子,和其他人,讨论它们的使用和监管问题。在这方面,该技术的主要缺点,为下一个大流行场景处理,被突出显示。最后,给出并讨论了在紧急情况下增材制造的未来的一些见解。
    The coronavirus disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), has spread through more than 180 countries, leading to diverse health systems overload around the world. Because of the high number of patients and the supply chain disruption, it generated a shortage of medical devices and personal protective equipment. In this context, initiatives from the additive manufacturing community emerged to fight the lack of devices. Diverse designs were produced and are currently being used in hospitals by patients and health workers. However, as some devices must follow strict standards, these products may not fulfill these standards. Therefore, to ensure the user\'s health, there is a need for understanding each device, their usage, and standards. This study reviews the use of additive manufacturing during COVID-19 pandemic. It gathers the source of several 3D printed devices such as face shields, face masks, valves, nasopharyngeal swabs, and others, discussing their use and regulatory issues. In this regard, the major drawbacks of the technology, addressed for the next pandemic scenario, are highlighted. Finally, some insights of the future of additive manufacturing during emergency are given and discussed.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    2019年12月在中国武汉爆发的未知病毒性肺炎导致了新型冠状病毒(SARS-CoV-2),引起了全世界的关注,与相关的COVID-19疾病迅速成为全球大流行。大约5个月后,由于其高度传染性,这种疾病已导致约400万例病例,并导致200多万人死亡。目前的理解是SARS-CoV-2是一种可以通过呼吸道飞沫和气溶胶传播的流感病毒;Lewis(Nature580:175,2020)。防止这种疾病传播的主要方法是“社交距离”,以及在医疗保健和其他关键行动的前线使用个人防护装备(PPE)。这种疾病的规模导致了对PPE的前所未有的需求,并增加了其功能。本文主要通过表面处理和涂覆适当的材料和其他功能增强,以可扩展的方式提高PPE功能,例如暴露于紫外线或其他消毒剂(例如,过氧化氢)。
    The outbreak of unknown viral pneumonia in Wuhan China in December 2019 led to a new coronavirus (SARS-CoV-2), which attracted worldwide attention, with the related COVID-19 disease quickly becoming a global pandemic. In about 5 months, this disease has led to ~ 4 million cases and claimed more than 200 k deaths as a result of its highly contagious nature. The present understanding is that SARS-CoV-2 is a type of influenza virus that can be transmitted through respiratory droplets and aerosols; Lewis (Nature 580:175, 2020). The primary methodology to prevent the spreading of this disease has been \"social distancing\" and usage of personal protective equipment (PPE) at the front lines of healthcare and other critical operations. The scale of the disease has led to unprecedented demand for PPEs and increased functionality of the same. This paper focuses on improving PPE functionality in a scalable manner by surface treatment and coating with appropriate materials and other functional enhancements, such as exposure to UV rays or other sterilizing agents (e.g., hydrogen peroxide).
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    COVID-19大流行突显了呼吸防护设备对进行气道管理的临床医生的重要性。
    为了评估动力空气净化呼吸器的影响,全脸空气净化呼吸器和过滤面罩在经过专门培训的麻醉师执行困难的气道程序。
    我们所有的COVID-19插管小组成员都进行了各种困难的插管演练:无保护,戴着全脸呼吸器,过滤面罩或电动呼吸器。评估并分析了气道管理时间和佩戴者的舒适度。
    总平均(SD)插管时间在对照组之间没有显着差异,动力,全脸呼吸器和过滤面罩组:Airtraq6.1(4.4)与5.4(3.1)vs.6.1(5.6)与7.7(7.6)s;视频喉镜检查11.4(9.0)vs.7.7(4.3)vs.9.8(8.4)vs.12.7(9.8)s;纤维插管16.6(7.8)vs.13.8(6.7)vs.13.6(8.1)vs.16.9(9.2)s;直接喉镜下标准气管插管8.1(3.5)与6.5(5.6)vs.6.2(4.2)vs.8.0(4.4)s,分别。使用Airtraq实现了最短的插管时间。麻醉师对电动呼吸器组的温度和视力进行了评估。
    高级气道管理不受经过专门培训的呼吸防护设备的影响,指定团队。我们得出的结论是,当高级气道技能由指定的人执行时,受过专门训练的团队,气道管理时间不受使用的呼吸防护设备的影响。
    UNASSIGNED: The COVID-19 pandemic has highlighted the importance of respiratory protective equipment for clinicians performing airway management.
    UNASSIGNED: To evaluate the impact of powered air-purifying respirators, full-face air-purifying respirators and filtering facepieces on specially trained anaesthesiologists performing difficult airway procedures.
    UNASSIGNED: All our COVID-19 intubation team members carried out various difficult intubation drills: unprotected, wearing a full-face respirator, a filtering facepiece or a powered respirator. Airway management times and wearer comfort were evaluated and analysed.
    UNASSIGNED: Total mean (SD) intubation times did not show significant differences between the control, the powered, the full-face respirator and the filtering facepiece groups: Airtraq 6.1 (4.4) vs. 5.4 (3.1) vs. 6.1 (5.6) vs. 7.7 (7.6) s; videolaryngoscopy 11.4 (9.0) vs. 7.7 (4.3) vs. 9.8 (8.4) vs. 12.7 (9.8) s; fibreoptic intubation 16.6 (7.8) vs.13.8 (6.7) vs. 13.6 (8.1) vs. 16.9 (9.2) s; and standard endotracheal intubation by direct laryngoscopy 8.1 (3.5) vs. 6.5 (5.6) vs. 6.2 (4.2) vs. 8.0 (4.4) s, respectively. Use of the Airtraq achieved the shortest intubation times. Anaesthesiologists rated temperature and vision significantly better in the powered respirator group.
    UNASSIGNED: Advanced airway management remains unaffected by the respiratory protective equipment used if performed by a specially trained, designated team. We conclude that when advanced airway skills are performed by a designated, specially trained team, airway management times remain unaffected by the respiratory protective equipment used.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号