• 제목/요약/키워드: Combined safety approach

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Workplace System Factors of Obstetric Nurses in Northeastern Ontario, Canada: Using a Work Disability Prevention Approach

  • Nowrouzi, Behdin;Lightfoot, Nancy;Carter, Lorraine;Larivere, Michel;Rukholm, Ellen;Belanger-Gardner, Diane
    • Safety and Health at Work
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    • 제6권4호
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    • pp.305-311
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    • 2015
  • Background: The purpose of this study was to examine the relationship nursing personal and workplace system factors (work disability) and work ability index scores in Ontario, Canada. Methods: A total of 111 registered nurses were randomly selected from the total number of registered nurses on staff in the labor, delivery, recovery, and postpartum areas of four northeastern Ontario hospitals. Using a stratified random design approach, 51 participants were randomly selected in four northeastern Ontario cities. Results: A total of 51 (45.9% response rate) online questionnaires were returned and another 60 (54.1% response rate) were completed using the paper format. The obstetric workforce in northeastern Ontario was predominately female (94.6%) with a mean age of 41.9 (standard deviation = 10.2). In the personal systems model, three variables: marital status (p = 0.025), respondent ethnicity (p = 0.026), and mean number of patients per shift (p = 0.049) were significantly contributed to the variance in work ability scores. In the workplace system model, job and career satisfaction (p = 0.026) had a positive influence on work ability scores, while work absenteeism (p = 0.023) demonstrated an inverse relationship with work ability scores. In the combined model, all the predictors were significantly related to work ability scores. Conclusion: Work ability is closely related to job and career satisfaction, and perceived control at work among obstetric nursing. In order to improve work ability, nurses need to work in environments that support them and allow them to be engaged in the decision-making processes.

Percutaneous Enteral Stent Placement Using a Transhepatic Access for Palliation of Malignant Bowel Obstruction after Surgery

  • Won Seok Choi;Chang Jin Yoon;Jae Hwan Lee
    • Korean Journal of Radiology
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    • 제22권5호
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    • pp.742-750
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    • 2021
  • Objective: To assess the safety and clinical efficacy of percutaneous transhepatic enteral stent placement for recurrent malignant obstruction in patients with surgically altered bowel anatomy. Materials and Methods: Between July 2009 and May 2019, 36 patients (27 men and 9 women; mean age, 62.7 ± 12.0 years) underwent percutaneous transhepatic stent placement for recurrent malignant bowel obstruction after surgery. In all patients, conventional endoscopic peroral stent placement failed due to altered bowel anatomy. The stent was placed with a transhepatic approach for an afferent loop obstruction (n = 27) with a combined transhepatic and peroral approach for simultaneous stent placement in afferent and efferent loop obstruction (n = 9). Technical and clinical success, complications, stent patency, and patient survival were retrospectively evaluated. Results: The stent placement was technically successful in all patients. Clinical success was achieved in 30 patients (83.3%). Three patients required re-intervention (balloon dilatation [n = 1] and additional stent placement [n = 2] for insufficient stent expansion). Major complications included transhepatic access-related perihepatic biloma (n = 2), hepatic artery bleeding (n = 2), bowel perforation (n = 1), and sepsis (n = 1). The 3- and 12-months stent patency and patient survival rates were 91.2%, 66.5% and 78.9%, 47.9%, respectively. Conclusion: Percutaneous enteral stent placement using transhepatic access for recurrent malignant obstruction in patients with surgically altered bowel anatomy is safe and clinically efficacious. Transhepatic access is a good alternative route for afferent loop obstruction and can be combined with a peroral approach for simultaneous afferent and efferent loop obstruction.

한국의 이네비게이션개발사업이 IMO차세대 해사안전보안물류상 세계 주역을 맡기 위한 통합적 접근 (An Integrated Approach for Korea's e-Navigation Development Project to Playing the Global Lead in Maritime Safety Logistics of IMO's Next Generation)

  • 김진구
    • 한국항해항만학회:학술대회논문집
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    • 한국항해항만학회 2016년도 춘계학술대회
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    • pp.58-58
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    • 2016
  • 최근 IMO의 e-Navigation 개념을 근간으로 한국형 이네비게이션 구축을 통해 차세대 해양안전종합관리체계 구현을 위한 국책사업이 추진되고 있다. 본 논문의 목적은 IMO에서 추진 중인 이네비게이션 전략에 국제기구의 결정을 추종하는 Fast Follower 전략에서 과감한 투자를 통한 First Mover 역할을 수행함으로써 초창기의 이네비게이션 신산업에 국제표준 및 세계시장선점의 주역이 되어 국가경쟁력을 강화함에 있다. 연구방법론은 통합적 접근법이다. 해사안전보안물류상 LSCM G2B2C2 Platform 모델링을 구축하여 글로벌 LSCM상 해사안전보안강화에 적용한다. 본 논문의 기여도는 대외적으로는 세계해양사고 저감에의 기여 및 한국정부의 세계 국위선양과 대내적으로는 해운항만물류증진을 통한 국가경쟁력 강화, 해양종사자/바다국민의 삶의 질 향상, 수산자원/해양영토관리 강화, 신 해사산업과 고용증대, 해운조선ICT 융복합 기술시장 선점 기회 확보를 통해 궁극적으로 한국경제발전에 기여하는 이론과 실무적 접근을 결합한 통합적 접근법의 실용에 있다.

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A dynamic reliability approach to seismic vulnerability analysis of earth dams

  • Hu, Hongqiang;Huang, Yu
    • Geomechanics and Engineering
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    • 제18권6호
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    • pp.661-668
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    • 2019
  • Seismic vulnerability assessment is a useful tool for rational safety analysis and planning of large and complex structural systems; it can deal with the effects of uncertainties on the performance of significant structural systems. In this study, an efficient dynamic reliability approach, probability density evolution methodology (PDEM), is proposed for seismic vulnerability analysis of earth dams. The PDEM provides the failure probability of different limit states for various levels of ground motion intensity as well as the mean value, standard deviation and probability density function of the performance metric of the earth dam. Combining the seismic reliability with three different performance levels related to the displacement of the earth dam, the seismic fragility curves are constructed without them being limited to a specific functional form. Furthermore, considering the seismic fragility analysis is a significant procedure in the seismic probabilistic risk assessment of structures, the seismic vulnerability results obtained by the dynamic reliability approach are combined with the results of probabilistic seismic hazard and seismic loss analysis to present and address the PDEM-based seismic probabilistic risk assessment framework by a simulated case study of an earth dam.

Advanced Korean Industrial Safety and Health Policy with Risk Assessment

  • Kwon, Hyuck-Myun;Cho, Jae-Hyun;Moon, Il;Choi, Jae-Wook;Park, Doo-Yong;Lee, Young-Soon
    • Safety and Health at Work
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    • 제1권1호
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    • pp.29-36
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    • 2010
  • This article describes a systematic roadmap master plan for advanced industrial safety and health policy in Korea, with an emphasis on. Since Korean industries had first emergence of industrial safety and health policy in 1953, enormous efforts have been made on upgrading the relevant laws in order to reflect real situation of industrial work environment in accordance with rapid changes of Korean and global business over three decades. Nevertheless, current policy has major defects; too much techniques-based articles, diverged contents in less organization, combined enforcement and punishments and finally enforcing regulations full of commands and control. These deficiencies have make it difficult to accommodate changes of social, industrial and employment environment in customized fashion. The approach to the solution must be generic at the level of paradigm-shift rather than local modifications and enhancement. The basic idea is to establish a new system integrated with a risk assessment scheme, which encourages employers to apply to their work environment under comprehensive responsibility. The risk assessment scheme is designed to enable to inspect employers' compliances afterwards. A project comprises four yearly phases based on applying zones; initially designating and operating a specified risk zone, gradually expanding the special zones during a period of 3 years (2010-2012) and the final zone expanded to entire nation. In each phase, the intermediate version of the system is updated through a process of precise and unbiased validation in terms of its operability, feasibility and sustainability with building relevant infrastructures as needed.

DSM 기법에 따른 안전 관리를 통한 차상중심 열차제어시스템 개발 프로세스의 개선에 관한 연구 (On Enhancing Train-Centric Train Control System Development Process using DSM-based Safety Management)

  • 김주욱;오세찬;한석윤;김영민;심상현
    • 산업경영시스템학회지
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    • 제39권3호
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    • pp.129-138
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    • 2016
  • The train-centric control systems development has some distinct points in that a big size of government budget is in general expended in there and the development duration seems to be long. In addition, the changes are ever made continuously in the capability and operational requirements for Trains. Thus, the impact of the potential changes in the required operational capability on the development activities can induce some type of project risks [7]. As such, proper management of project risk has been one of crucial subjects in the train systems development. All these notes combined together make it the significance of the safety management process be raised further up in the train-centric control systems development. As such, the underlying safety management process should be capable of appropriately handling the potential risks that can be created due to the unexpected changes and the long-term development period. The process should also be complemented for the safety consideration of train-centric control systems, for instance, stop. To study these aspect is the objective of the paper. To do so, a step-by-step approach to analyzing the safety management process is first presented. Then, to enhance the process some necessary and useful activities are added in terms of risk and safety management. Then, to pursue some enhancement on the process, a set of necessary and useful activities are added in terms of risk and safety management. The resultant process is further analyzed and tailored using a design structure matrix method. The resultant process is applied in a train-centric control development as a case study.

Experimental study on solidification of uranium tailings by microbial grouting combined with electroosmosis

  • Jinxiang Deng;Mengjie Li;Yakun Tian;Lingling Wu;Lin Hu;Zhijun Zhang;Huaimiao Zheng
    • Nuclear Engineering and Technology
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    • 제55권12호
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    • pp.4527-4542
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    • 2023
  • The present microbial reinforcement of rock and soil exhibits limitations, such as uneven reinforcement effectiveness and low calcium carbonate generation rate, resulting in limited solidification strength. This study introduces electroosmosis as a standard microbial grouting reinforcement technique and investigates its solidification effects on microbial-reinforced uranium tailings. The most effective electroosmosis effect on uranium tailings occurs under a potential gradient of 1.25 V/cm. The findings indicate that a weak electric field can effectively promote microbial growth and biological activity and accelerate bacterial metabolism. The largest calcium carbonate production occurred under the gradient of 0.5 V/cm, featuring a good crystal combination and the best cementation effect. Staged electroosmosis and electrode conversion efficiently drive the migration of anions and cations. Under electroosmosis, the cohesion of uranium tailings reinforced by microorganisms increased by 37.3% and 64.8% compared to those reinforced by common microorganisms and undisturbed uranium tailings, respectively. The internal friction angle is also improved, significantly enhancing the uniformity of reinforcement and a denser and stronger microscopic structure. This research demonstrates that MICP technology enhances the solidification effects and uniformity of uranium tailings, providing a novel approach to maintaining the safety and stability of uranium tailings dams.

A study on the optimal configuration of harbor structure under the combined loads

  • Cho, Kyu-Nam
    • Structural Engineering and Mechanics
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    • 제32권3호
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    • pp.371-382
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    • 2009
  • Response of harbor structure to environmental loads such as wave load, impact load, ship's contacting load, is a fundamental factor in designing of the structure's optimal configuration. In this paper, typical environmental loads against coastal structures are investigated for designing of the optimal harbor structure. Loads to be considered here are wave load, impact load and contacting load due to ship mooring. Statistical analysis for several harbor structure types under the corresponding loads is carried out, followed by investigation of effect of individual environmental load. Based on these, the optimal configuration for the harbor structure is obtained after considerable engineering process. Estimation of contacting load of the ship is suggested using effective energy concepts for the load, and analysis of structural behavior is done for the optimal designing of the structure in the particular load. A guideline for the design process of the harbor structure is established, and safety of the structure is examined by proposed scheme. For verification of the analytical approach, various steel-piled coastal structures and caissons are chosen and relevant structural analyses are carried out using the Finite Element Methods combined with MIDAS/GTS and ANSYS code. It is found using the Morison equation that impact load cannot be a major load in the typical harbor structure compared with the original wave load, and that configuration shape of the structure may play an important role in consideration of the response criteria.

Concrete structures under combined mechanical and environmental actions: Modelling of durability and reliability

  • Vorechovska, Dita;Somodikova, Martina;Podrouzek, Jan;Lehky, David;Teply, Bretislav
    • Computers and Concrete
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    • 제20권1호
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    • pp.99-110
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    • 2017
  • Service life assessments which do not include the synergy between mechanical and environmental loading are neglecting a factor that can have a significant impact on structural safety and durability assessment. The degradation of concrete structure is a result of the combined effect of environmental and mechanical factors. In order to make service life design realistic it is necessary to consider both of these factors acting simultaneously. This paper deals with the advanced modelling of concrete carbonation and chloride ingress into concrete using stochastic 1D and 2D models. Widely accepted models incorporated into the new fib Model Code 2010 are extended to include factors that reflect the coupled effects of mechanical and environmental loads on the durability and reliability of reinforced concrete structures. An example of cooling tower degradation by carbonation and an example of a bended reinforced concrete beam kept for several years in salt fog are numerically studied to show the capability of the stochastic approach. The modelled degradation measures are compared with experimental results, leading to good agreement.

풍력터빈용 고속단 헬리컬 기어의 치형 최적화에 관한 연구 (A Study on Optimization of Tooth Micro-geometry for Wind Turbine High Speed Stage Helical Gear Pair)

  • 조성민;이도영;김래성;조상필;류성기
    • 한국기계가공학회지
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    • 제13권5호
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    • pp.15-20
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    • 2014
  • The wind industry grew in the first decade of the 21st century at rates consistently above 20% a year. For wind turbine, gearbox failure can be extremely costly in terms of repair costs, replacement parts, and in lost power production due to downtime. In this paper, gear tooth micro-modification for the high speed stage was used to compensate for the deformation of the teeth due to load and to ensure a proper meshing to achieve an optimized tooth contact pattern. The gearbox was firstly modeled in a software, and then the various combined tooth modification were presented, and the prediction of transmission under the loaded torque for the helical gear pair was investigated, the normal load distribution and root stress were also obtained and compared before and after tooth modification under one torque. The simulation results showed that the transmission error and normal load distribution under the load can be minimized by the appropriate tooth modification. It is a good approach where the simulated result is used to improve the design before the prototype is available for the test.