health and safety

健康与安全
  • 文章类型: Journal Article
    背景:外包是一种常见的组织活动,但其中一项与负面的职业安全结果有关。改善雇用承包商的工作场所的安全管理至关重要,但在服务业研究不足。本文的目的是研究外包设施管理(FM)中安全管理的实践和挑战,一个重要的全球服务部门。
    方法:在英国大公司之间的三种不同的FM外包安排中,对客户和承包商进行了23次半结构化访谈。根据现有文献中的框架对数据进行了主题编码,以识别已部署的安全管理实践,并揭示这些外包关系中与安全管理相关的挑战。
    结果:外包FM的安全管理实践符合已知的实践,聚类为四个先前确定的类别(计划,选择,现场工作,并检查)。没有观察到第五类(审查)。跨国经营,在当地申请国家合同,与授权的KPI合作,和合同规范都为以前没有报告的安全管理带来了新的挑战。观察到与经济压力和混乱有关的其他已知挑战。
    结论:在安全关键行业中观察到的安全管理实践也适用于FM。然而,在这三种情况下,安全管理的挑战包括在其他关于外包安排安全的实证研究中没有常规发现的监管失灵。
    结论:采用广泛接受的安全管理实践支持更安全的外包FM工作,并鼓励跨部门学习。这里提到的安全管理的新挑战鼓励考虑合同条款和条件的意外后果,要求公司就如何确保跨国工作时的安全合规性达成协议,以及对决策、过程和程序的审查,以实现在当地有效和安全的工作。
    BACKGROUND: Outsourcing is a commonly occurring organizational activity, but one associated with negative occupational safety outcomes. Improving the management of safety in workplaces where contractors are employed is vital, but under-researched in the service sectors. The aims of this paper were to investigate both the practices and challenges of safety management in outsourced facility management (FM), an important global service sector.
    METHODS: Twenty-three semi-structured interviews were conducted with clients and contractors in three different FM outsourcing arrangements between large corporations in the UK. Data were thematically coded against frameworks derived from existing literature to identify deployed safety management practices and reveal challenges associated with safety management in these outsourced relationships.
    RESULTS: Safety management practices in outsourced FM conformed to known practices clustering into four previously identified categories (planning, selecting, on-site working, and checking). A fifth category (reviewing) was not observed. Operating across national boundaries, applying national contracts locally, working with mandated KPIs, and contract specifications all created new challenges for safety management not previously reported. Other known challenges associated with economic pressure and disorganization were observed.
    CONCLUSIONS: Safety management practices observed in safety critical industries also apply in FM. However, the challenges of safety management in these three cases included regulatory failures that have not been routinely identified in other empirical studies of safety in outsourcing arrangements.
    CONCLUSIONS: Adopting widely accepted safety management practices support safer working in outsourced FM and encourage cross-sector learning. New challenges for safety management noted here encourage consideration of unintended consequences of contract terms and conditions, require corporate agreement on how to ensure safety compliance when working transnationally, and a review of decision-making and processes and procedures to enable effective and safe working locally.
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  • 文章类型: Journal Article
    每天,美容院和客厅的工作人员使用由各种化学品制成的不同化妆品。本研究旨在确定知识,实践,和自我报告的健康结果与化学品使用和美容院和客厅工人的安全有关。
    定量的,在145名参与者中进行了横断面描述性研究,使用简单的随机抽样设计随机选择。使用自我管理的问卷来评估知识,实践,和自我报告的与化学安全性相关的健康结果。皮尔逊相关性用于评估感知之间的相关性,意识,和其他研究决定因素。
    57%的参与者从事化学品工作超过两年,只有5%是吸烟者。在美容美发行业的年龄和经验年限之间存在正相关关系(r=0.385;p<0.001),同时还发现知识得分与受教育程度(r=0.444;p=<0.001)与沙龙和美容院工作人员的正规培训(r=0.504;p=<0.001)之间存在显着正相关。参与者还报告了头痛等症状(43%),恶心(23%),皮肤刺激(48%),眼睛刺激(39%),和呼吸系统疾病相关症状(62%)。
    需要美容院和客厅的健康和安全培训,强调正确使用个人防护设备(PPE)。这项研究的结果可以作为制定南非所有美容院和客厅安全政策的基准。
    UNASSIGNED: daily, workers in beauty salons and parlors use different cosmetic products made of various chemicals. This study aimed to determine the knowledge, practices, and self-reported health outcomes related to chemical use and safety among workers in beauty salons and parlors.
    UNASSIGNED: a quantitative, cross-sectional descriptive study was conducted among 145 participants, randomly selected using a simple random sampling design. A self-administered questionnaire was used to assess the Knowledge, practices, and self-reported health outcomes related to chemical safety. Pearson´s correlation was used to assess the correlation between perception, awareness, and other study determinants.
    UNASSIGNED: fifty-seven percent of participants had been working with chemicals for more than two years, and only 5% were smokers. There was a positive relationship between age and years of experience in the beauty and salon industry (r= 0.385; p < 0.001), while significant positive correlations between knowledge score with educational levels (r=0.444; p= <0.001) and formal training as a salon and beauty parlor worker (r=0.504; p= <0.001) were also found. Participants also reported symptoms such as headache (43%), nausea (23%), skin irritation (48%), eye irritation (39%), and respiratory illness-related symptoms (62%).
    UNASSIGNED: there is a need for health and safety training in beauty salons and parlors, with emphasis on the correct use of personal protective equipment (PPE). The findings of this study may serve as the baseline for the development of safety policies for all beauty salons and parlors in South Africa.
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  • 文章类型: Journal Article
    目的:研究安大略省不稳定的就业与职业伤害或疾病风险之间的关系,加拿大。
    方法:我们将工作场所安全和保险委员会已接受的失时赔偿索赔与劳动力统计数据相结合,以估算2016年1月至2019年12月期间的伤害和疾病率。不稳定的就业是使用工作暴露矩阵估算的,并根据临时就业进行操作,低工资,不规则小时,非自愿兼职就业和“低”的多维度量,\'介质\',\“高\”和\“非常高\”暴露于不稳定就业的可能性。负二项回归模型检查了与职业伤害或疾病风险相关的不稳定工作。
    结果:调整年龄后,性别和年份,就业不稳定的所有指标均与受伤或疾病的风险增加相关.从事不稳定工作的工人“高”和“非常”高”的工人几乎有三倍的受伤或患病风险(比率(RR):2.81,95%CI2.73至2.89;RR:2.82,95%CI2.74至2.90)。对身体需求和工作场所危害的进一步调整减弱了关联,尽管“高”和“非常高”暴露于不稳定就业的工人仍然存在统计学和实质上显著的暴露-结果关系(RR:1.65,95%CI1.58至1.72;RR:2.00,95%CI1.92至2.08)。
    结论:在安大略省,面临不稳定就业的工人更有可能遭受误伤或疾病,加拿大。工作场所健康和安全战略应考虑不稳定就业作为职业危害和工伤风险标志的作用。
    OBJECTIVE: To examine the association between precarious employment and risk of occupational injury or illness in Ontario, Canada.
    METHODS: We combined accepted lost-time compensation claims from the Workplace Safety and Insurance Board with labour force statistics to estimate injury and illness rates between January 2016 and December 2019. Precarious employment was imputed using a job exposure matrix and operationalised in terms of temporary employment, low wages, irregular hours, involuntary part-time employment and a multidimensional measure of \'low\', \'medium\', \'high\' and \'very high\' probabilities of exposure to precarious employment. Negative binomial regression models examined exposure to precarious employment in relation to risk of occupational injury or illness.
    RESULTS: After adjusting for age, sex and year, all indicators of precarious employment were associated with increased risk of injury or illness. Workers with \'high\' and \'very\' high\' exposure to precarious employment presented a nearly threefold risk of injury or illness (rate ratio (RR): 2.81, 95% CI 2.73 to 2.89; RR: 2.82, 95% CI 2.74 to 2.90). Further adjustment for physical demands and workplace hazards attenuated associations, though a statistically and substantively significant exposure-outcome relationship persisted for workers with \'high\' and \'very high\' exposures to precarious employment (RR: 1.65, 95% CI 1.58 to 1.72; RR: 2.00, 95% CI 1.92 to 2.08).
    CONCLUSIONS: Workers exposed to precarious employment are more likely to sustain a lost-time injury or illness in Ontario, Canada. Workplace health and safety strategies should consider the role of precarious employment as an occupational hazard and a marker of work injury risk.
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  • 文章类型: Journal Article
    工作场所暴露是健康不良的重要来源。可穿戴传感器和传感技术的使用可能有助于改善和维持工人的健康,安全,和幸福。工人的输入应告知将这些传感器集成到工作场所。我们开发了一项在线调查,以了解可穿戴传感器技术在职业健康与安全(OSH)管理中的可接受性。调查已分发给与职业健康安全有关的组织成员,主要在英国和荷兰。有158名受访者,超过一半(n=91,58%)报告当前使用可穿戴传感器,包括身体危险(n=57,36%),空气质量(n=53,34%),和位置跟踪(n=36,23%),尽管这种流行可能也捕获了传统的监测设备。在报告的人口统计学和职业特征之间,可穿戴传感器的使用没有明显区别,除了卫生人员比非卫生人员(例如安全专业人员)更有可能使用可穿戴传感器(66%对34%).总的来说,人们对传感器如何帮助OSH专业人员了解暴露模式和改善暴露管理实践感兴趣.主要围绕环境和物理限制表达了一些谨慎,数据的质量,和隐私问题。这项调查确定了需要更好地识别将受益于可穿戴传感器的职业情况,并评估可用于职业卫生的现有设备。Further,这项工作强调了根据职业环境和背景明确定义“传感器”的重要性。
    Workplace exposure is an important source of ill health. The use of wearable sensors and sensing technologies may help improve and maintain worker health, safety, and wellbeing. Input from workers should inform the integration of these sensors into workplaces. We developed an online survey to understand the acceptability of wearable sensor technologies for occupational health and safety (OSH) management. The survey was disseminated to members of OSH-related organizations, mainly in the United Kingdom and the Netherlands. There were 158 respondents, with over half (n = 91, 58%) reporting current use of wearable sensors, including physical hazards (n = 57, 36%), air quality (n = 53, 34%), and location tracking (n = 36, 23%), although this prevalence likely also captures traditional monitoring equipment. There were no clear distinctions in wearable sensor use between the reported demographic and occupational characteristics, with the exception that hygienists were more likely than non-hygienists (e.g. safety professionals) to use wearable sensors (66% versus 34%). Overall, there was an interest in how sensors can help OSH professionals understand patterns of exposure and improve exposure management practices. Some wariness was expressed primarily around environmental and physical constraints, the quality of the data, and privacy concerns. This survey identified a need to better identify occupational situations that would benefit from wearable sensors and to evaluate existing devices that could be used for occupational hygiene. Further, this work underscores the importance of clearly defining \"sensor\" according to the occupational setting and context.
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  • 文章类型: Journal Article
    高质量的幼儿教育和护理(ECEC)的上下文方法寻求捕捉儿童生活的复杂性,开发符合儿童需求和兴趣的教学方法。2020年,COVID-19大流行为什么是高质量的ECEC提供了一个复杂的层面。在英格兰的一个ECEC环境中,对教育者和父母对质量的看法进行了混合方法的赞赏询问,在全球大流行时期,成为对高质量ECEC的一种意想不到的人种学探索。研究结果表明,质量的特征,例如提供一系列学习环境和构建教学环境以提供自由流动的游戏,必须进行调整以防止COVID-19的传播。对质量的关注转移了,优先考虑家庭和员工的健康和安全,课程的质量和多样性。还更加重视儿童的社会和情感福祉,以支持他们理解和管理应对大流行的日常生活变化的能力。研究结果表明,早期的劳动力仍然是理解和支持质量的核心,得出结论,高质量的ECEC是由适应性决定的--适应儿童的需求,家庭,工作人员,以及新冠肺炎前所未有的背景。对适应性的关注旨在强调教育工作者如何在处理质量ECEC概念时经常应对独特的环境。因此,建议未来的教育者培训考虑适应性的重要性,为COVID-19后ECEC质量的重新成像提供了一个有用的框架。
    Contextual approaches to high quality Early Childhood Education and Care (ECEC) seek to capture the complexity of children\'s lives, developing pedagogical approaches that are responsive to children\'s needs and interests. In 2020, the COVID-19 pandemic provided a complex layer to the question of what constitutes quality ECEC. A mixed methods appreciative inquiry of educators\' and parents\' views of quality in one ECEC setting in England, became an unexpected ethnographic exploration of quality ECEC in the time of a global pandemic. The findings indicate how features of quality, such as offering a range of learning environments and structuring the pedagogic environment to offer free-flowing play, had to be adapted to prevent the spread of COVID-19. The focus on quality shifted, prioritising the health and safety of families and staff, over the quality and variety of the curriculum. Greater emphasis was also placed on children\'s social and emotional well-being to support their ability to understand and manage the changes to routines in response to the pandemic. The findings demonstrate that the early years workforce remains central to understanding and supporting quality, concluding that quality ECEC is shaped by adaptability - adapting to the needs of children, families, staff, and the unprecedented context of COVID-19. The focus on adaptability seeks to highlight how educators frequently respond to unique contexts in juggling concepts of quality ECEC. Consequently, a recommendation is made for future educator training to consider the importance of adaptability, in providing a useful framework for reimaging quality ECEC post COVID-19.
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  • 文章类型: Journal Article
    遵守工作场所的健康和安全措施可以大大减少工作场所的伤害和死亡以及相关的经济成本。然而,大多数研究是在许多国家的小规模工业中进行的,包括埃塞俄比亚在内,重点关注职业伤害的患病率,并且缺乏关于员工遵守安全措施的水平和相关因素的证据。因此,本研究旨在评估埃塞俄比亚中部小型金属行业工人的依从性和与职业健康和安全实践相关的因素.
    这项研究是在埃塞俄比亚中部进行的。这项研究共纳入了415名小规模金属工人。使用简单随机抽样技术选择研究参与者。使用结构化的面试官管理的问卷来收集数据。收集的数据使用EPIInfo7.2版输入,并导出到IBM-SPSS第22版进行进一步清理和分析。进行双变量和多变量二元Logistic回归以确定相关性,并且在多变量回归期间,具有p值<0.05的变量被认为是显著相关因素。
    该研究发现,在小规模金属工人中,有39.3%(95%CI:34.7,44.1)的患病率对安全和健康措施的良好遵守。临时工不太可能遵守[AOR=0.43,95%CI(0.21,0.93)],接受培训的工人更可能遵守[AOR=5.75,95%CI(2.56,12.9)]安全预防措施。其他显著相关的变量包括工作经验,晚上工作,以及对目前工资的满意度。
    这项研究揭示了小规模金属工人对工作场所安全和健康程序的承诺,表明符合率为39.3%,这是低的。临时雇员和经验不足的工人不太可能遵循健康和安全预防措施。工作场所健康和安全培训与增加安全预防措施相关。
    UNASSIGNED: Compliance with workplace health and safety measures can result in considerable reduction in workplace injuries and fatalities and attributed economic costs. However, majority of studies conducted in small-scale industries in numerous countries, including Ethiopia focused on the prevalence of occupational injuries and there is a paucity of evidence on level of employees\' adherence to safety measures and the associated factors. Therefore, this study was conducted to assess workers\' compliance and factors associated with occupational health and safety practices in small-scale metal industries in Central Ethiopia.
    UNASSIGNED: This study was conducted in Central Ethiopia. A total of 415 small-scale metal workers were included in this study. Study participants were selected using a simple random sampling technique. A structured interviewer-administered questionnaire was used to collect the data. The collected data were entered using EPI Info version 7.2 and exported to IBM-SPSS Version 22 for further cleaning and analysis. Bivariate and multivariate Binary Logistic Regression were conducted to determine association and during the multivariable regression variables with a p-value <0.05 were considered significantly associated factors.
    UNASSIGNED: The study found a 39.3% (95% CI: 34.7, 44.1) prevalence of good compliance with safety and health measures among small-scale metal workers. Temporary employed workers were less likely to adhere [AOR=0.43, 95% CI (0.21, 0.93)] and workers who received training were more likely to adhere [AOR=5.75, 95% CI (2.56, 12.9)] to safety precautions. Other significantly associated variables included work experience, working at night, and satisfaction with the current salary.
    UNASSIGNED: This study sheds light on small-scale metal workers\' commitment to workplace safety and health procedures, indicating a compliance rate of 39.3%, which is low. Temporary employees and less experienced workers are less likely to follow health and safety precautions. Workplace health and safety training are associated with increased safety precautions.
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  • 文章类型: Journal Article
    COVID-19大流行需要限制和消除西班牙的面对面大学课程。马德里的弗朗西斯科·德维多利亚大学(西班牙语缩写为UFV)实施了风险管理系统,以使校内大学活动能够避免对学生产生负面影响,教师,和院系。
    实施了跟踪/注册系统来收集数据,识别COVID-19相关病例,实施遏制措施,并在UFV社区进行跟进(行政/服务人员[ASP],教学/研究人员[TRP],和学生),从2020年9月到2022年4月。此外,在校园内实施了预防计划,以避免COVID-19的传播。通过在线问卷评估对这些措施的满意度。
    共有7165例疑似COVID-19病例(84.7%的学生,7.7%ASP,6.5%的TRP)被追踪(62.5%的女性病例,平均年龄(±SD)24.8岁(±9.2岁),其中45%得到证实(82%有症状/16%无症状),是比例最高的学生群体(追踪病例总数为38.3%)。50.6%的确诊病例(90.2%位于校外)确定了感染源。登记了19起COVID-19疫情(10内/9外)。COVID-19的发病率与马德里社区的报告相似或更低,除了最后一波,对应于Omicron变体。对实施措施的满意度(量表1-6)较高(得分4.48-5.44)。
    在COVID-19大流行期间,UFV控制措施,定期监测,跟踪系统的有效性有助于维持课堂教学,保证健康和安全。UFV已经适应了新的现实,作为未来大流行或紧急情况的良好做法的一个例子。
    The COVID-19 pandemic entailed confinement and elimination of face-to-face university classes in Spain. The Francisco de Vitoria University in Madrid (UFV by its Spanish acronym) implemented risk management systems to enable on-campus university activity to avoid a negative impact on students, teachers, and faculties.
    A tracking/registry system was implemented to collect data, identify COVID-19-related cases, implement containment measures, and do follow-up in the UFV community (administration/services personnel [ASP], teaching/research personnel [TRP], and students), from September 2020 to April 2022. In addition, a prevention plan was implemented on campus to avoid COVID-19 spreading. Satisfaction with these measures was assessed through an online questionnaire.
    A total of 7,165 suspected COVID-19 cases (84.7% students, 7.7% ASP, 6.5% TRP) were tracked (62.5% female cases, mean age (±SD) 24.8 years (±9.2 years)), and 45% of them confirmed (82% symptomatic/16% asymptomatic), being the student group that with the highest percentage (38.3% total tracked cases). The source of infection was identified in 50.6% of the confirmed cases (90.2% located off-campus). Nineteen COVID-19 outbreaks were registered (inside-10/outside-9). COVID-19 incidence rates were similar or lower than those reported in the Community of Madrid, except in the last wave, corresponding to Omicron variant. The degree of satisfaction (scale 1-6) with the implemented measures was high (scores 4.48-5.44).
    During the COVID-19 pandemic, UFV control measures, periodic monitoring, and the effectiveness of the tracking system have contributed to maintaining classroom teaching, guaranteeing health and safety. UFV has adapted to a new reality as an example of good practice for future pandemics or emergency situations.
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  • 文章类型: Journal Article
    自泰国发生COVID-19危机以来,沙龙需要无可挑剔的卫生和客户理发师监控。由于对大流行期间泰国半城市地区美发沙龙采取的COVID-19预防措施的研究很少,本研究旨在评估泰国东北部半城区美发店预防COVID-19疾病传播的标准。
    使用目的性抽样方法,数据来自22个发廊。数据收集工具是一个自我完成的问卷,设计成不同的部分,以获取有关人口统计学的信息,根据泰国公共卫生部在COVID-19大流行期间制定的指导方针,工作条件和环境卫生标准的合规性。进行了描述性分析,比如意味着,标准偏差,和频率。
    受访者的平均年龄为41.82(±8.18)岁,一半以上是女性(63.6%)。大部分根据卫生署指引评估美容院标准的准则均获通过,所有沙龙都通过了照明评估,大部分都通过了热和触电保护系统评估,但是在COVID-19流行期间实施预防措施指南,根据卫生部的指导方针,大多数美发沙龙建议不遵守。
    美容院应根据卫生部的标准执行并严格遵守准则。应举办有关预防传染病传播的培训或教育课程,因为理发师应该有动力遵守健康和环境卫生标准,这对沙龙工作人员和客户都有信心。还应该在国家或边境国家层面对美容院中与健康风险相关的行为进行进一步研究。
    UNASSIGNED: Since the COVID-19 crisis in Thailand, the need for salons to have impeccable hygiene and client-hairdresser monitoring heightened. Due to scarce research on the COVID-19 preventive measures taken by hairdressing salons in semi-urban locations in Thailand during the pandemic, this study aimed to evaluate the standard of hair salons in preventing COVID-19 disease transmission in a semi-urban district in the northeastern region of Thailand.
    UNASSIGNED: Using the purposive sampling method, data were collected from 22 Hair Salons. Data collection tools were a self-completed questionnaire designed into different sections to obtain information on demographics, work conditions and environmental health standard compliance according to guidelines set by the Thai Ministry of Public Health during the COVID-19 pandemic. Descriptive analyses were done, such as mean, standard deviation, and frequency.
    UNASSIGNED: The mean age of our respondents was 41.82 (±8.18) years, more than half were females (63.6 %). Most of the criteria assessing beauty salon standards according to Department of Health guidelines were passed, with all of the salons passing the lighting evaluation and mostly passing the heat and electric shock protection system evaluation, but the implementation of guidelines for preventive measures during the COVID-19 epidemic, according to Department of Health guidelines, suggested non-compliance by most hair Salons.
    UNASSIGNED: Beauty salons should implement and strictly adhere to guidelines according to Department of Health standards. Training or education sessions regarding the prevention of infectious disease transmission should be conducted, as hairdressers should be motivated to comply with health and environmental health standards for both salon staff and clients\' confidence. Further research should also be done on the behaviours associated with health risks in beauty salons at the national or border-nation level.
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  • 文章类型: Systematic Review
    农业是世界上最危险的行业之一。尽管在农业安全方面有大量投资,机器伤害仍然是全球农业伤害的主要原因。这项研究的目的是提供有关农业机械伤害全球模式的全面文献综述,并为未来研究建立框架,旨在解决农业部门的安全问题。
    关于农用机器伤害的现有奖学金可以分为三个主要领域:a)农用机器/设备伤害,b)与这些伤害相关的因素,和c)伤害模式。
    总的来说,调查结果强调,无论地区如何,农用拖拉机都是致命和非致命事故的主要伤害来源。其他常见的伤害来源是在亚洲收获机械和手动/电动工具,北美的ATV和欧洲的木工机械。据报道,操作农场设备的培训不足是导致机器相关伤害的最可能因素。最后,伤害的模式因人与机械之间的相互作用而异。例如,侧翻通常会导致严重的头部和骨折损伤,虽然脱粒事件会导致手截肢,武器,和其他身体部位。
    通过实施安全协议来解决这些伤害不仅会提高农场工人的福祉,而且有可能吸引更多的工人进入该行业。由于机器相关的伤害,目前正在经历劳动力短缺。
    UNASSIGNED: Agriculture is the one of the hazardous industries in the world. Though there is significant investment in agricultural safety, machine injuries continue to be the leading cause of agriculture injuries worldwide. The objective of this study was to provide a comprehensive literature review on global patterns in agricultural machine injuries and establish a framework for future research aimed at addressing safety concerns in the agriculture sector.
    UNASSIGNED: The existing scholarship on farm machine injuries can be categorized into three main areas: a) farming machine/equipment injuries, b) factors associated with these injuries, and c) injury patterns.
    UNASSIGNED: Overall, the findings highlight that farm tractors are the primary source of injuries for both fatal and non-fatal incidents regardless of region. Other common sources of injuries were harvesting machinery and hand/power tools in Asia, ATVs in North America and woodworking machinery in Europe. Inadequate training in operating farm equipment was reported as the most likely factor contributing to machine-related injuries. Lastly, the patterns of injuries vary based on the interaction between humans and machinery. For instance, rollovers often result in severe head and fracture injuries, while thresher incidents can lead to amputation of hands, arms, and other body parts.
    UNASSIGNED: Addressing these injuries by implementing safety protocols will not only enhance the well-being of farm workers but potentially attract more workers to the sector, which is currently experiencing labor shortages due to machine-related injuries.
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  • 文章类型: Journal Article
    本文已迁移。这篇文章被标记为推荐。2020年的决定性特征将是covid-19大流行的早期和中期,世界卫生组织于3月11日宣布。全球快速指数传播仍在继续,到4月15日,全世界报告了超过1900000例病例和123000例死亡(世卫组织,2020)。卫生服务在不同程度上得到了应对。一个共同的特征是取消常规护理(Iacobucci,2020a)和“非必要的”员工,包括学习者,尽管许多人已经回来承担护理角色。随着卫生服务稳定的可能时间表变得更加清晰,当然在英国(英国)(Iacobucci,2020b),医学教育工作者需要迅速让下一代卫生保健工作者的教学回到正轨,如果他们要在2020年和2021年作为自信和称职的从业者进入卫生服务。虽然一个\“整个世界\”的经验,covid-19的影响是在国家背景下进行的。我们详细介绍了英国在重新开始和重新发明医学教育方面的问题,注意到原则,如果不一定是细节,将在世界各地变得普遍。
    This article was migrated. The article was marked as recommended. The defining feature of 2020 will be the early and mid-stages of the covid-19 pandemic, declared by the World Health Organisation on 11 th March. Rapid worldwide exponential spread continues and by 15 April, more than 1 900 000 cases and 123 000 deaths had been reported worldwide (WHO, 2020). Health services have coped to varying degrees. One common feature has been the withdrawal of routine care (Iacobucci, 2020a) and \'non-essential\' staff including learners, although many have returned to undertake care roles. As the likely timeframe for stabilisation of health services becomes clearer, certainly in the United Kingdom (UK) (Iacobucci, 2020b), medical educators need to rapidly get the teaching of the next generation of health care workers back on track if they are to enter health services as confident and competent practitioners in 2020 and 2021. Although a \'whole world\' experience, the effects of covid-19 sit in national contexts. We detail the issues for the UK in re-starting and re-inventing medical education, noting that the principles, if not necessarily the detail, will be common across the world.
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