Worker exposure to chemical agents may occur from equipment leaks in closed processes and from open system activities and maintenance (e.g., sampling, tank gauging, line breaking, equipment flushing, and drainage). To prevent worker overexposure to chemical agents, an Equipment, Exposure, Emission Review (EEER) was developed to consistently match equipment properties to the leakage-related inhalation risk posed by each stream. For streams where gas or liquid leakage could cause worker exposure above occupational exposure limits (OEL), the EEER recommended a high performance, low leakage equipment category. Conversely, where standard engineering offered reliable containment for lower health risk streams, the EEER did not recommend over-control. The EEER matched equipment to stream health hazard as follows: (1) the composition of each stream was determined, with particular attention to chemical substances with stringent exposure limits; (2) a mixture exposure limit was calculated for each stream based on stream composition and the OEL for stream constituent chemicals; (3) each stream was classified as to its respiratory exposure hazard on the basis of the stream exposure limit; (4) equipment was recommended as a function of respiratory exposure hazard class using an Equipment Selection Matrix. Equipment options were based, in part, on the emission performance of the equipment and a near-field dispersion model that was used to relate equipment emissions to an OEL. Over a 5-yr implementation period, nearly 1700 streams of 78 refining process units were reviewed. Standard engineering practice was selected for about 70% of the streams reviewed. Benzene, hydrogen sulfide, ethanolamine, and high boiling aromatic oil streams were the primary chemical agents responsible for more stringent controls. Although the EEER criteria for stream classification and control options were arranged in order of magnitude--a form of control banding--the correct selection of control technology was based on detailed assessment of stream composition and risk, rather than on process unit name or function. The EEER and Equipment Selection Matrix provided reproducible recommendations and helped manage cost and complexity of equipment specification for health protection.
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http://dx.doi.org/10.1080/15459620802506088 | DOI Listing |
Mikrochim Acta
January 2025
Department of Chemistry, Sardar Vallabhbhai National Institute of Technology, Surat, Gujarat, 395 007, India.
A fluorescence "turn-off-on" nanoprobe is designed by using europium-doped strontium molybdate perovskite quantum dots (Eu:SMO PQDs) for the sequential detection of hypoxanthine (Hx) and Fe. The Eu:SMO PQDs were prepared by the sol-gel method using Sr(NO), (NH)MoO.4HO, and Eu(OCOCH) as precursors.
View Article and Find Full Text PDFArch Orthop Trauma Surg
January 2025
Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.
Patients with unstable hemodynamics and unstable pelvic ring injuries are still demanding patients regarding initial treatment and survival. Several concepts were reported during the last 30 years. Mechanical stabilization of the pelvis together with hemorrhage control offer the best treatment option in these patients.
View Article and Find Full Text PDFArch Orthop Trauma Surg
January 2025
Department of Orthopedics and Traumatology, University Medical Center Mainz, Mainz, Germany.
Iliosacral screw osteosynthesis is a widely recognized technique for stabilizing unstable posterior pelvic ring injuries, offering notable advantages, including enhanced mechanical stability, minimal invasiveness, reduced blood loss, and lower infection rates. However, the procedure presents technical challenges due to the complex anatomy of the sacrum and the proximity of critical neurovascular structures. While conventional fluoroscopy remains the primary method for intraoperative guidance, precise preoperative planning using multiplanar reconstructions and three-dimensional volume rendering is crucial for ensuring accurate placement of iliosacral or transsacral screws.
View Article and Find Full Text PDFAnn Emerg Med
January 2025
Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada; Department of Pediatrics, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada. Electronic address:
Study Objective: The peripheral intravenous catheter (IV) is the most common and painful invasive medical device in acute care settings. Our objective was to determine whether adding skin glue to secure IVs reduced catheter failure rate in children.
Methods: We conducted a randomized controlled trial in a tertiary-care pediatric emergency department (ED).
Mayo Clin Proc
January 2025
Biomedical Ethics Research Program, Mayo Clinic, Rochester, MN; Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN. Electronic address:
The United States has one of the highest incarceration rates in the world, with approximately 1.7 million individuals detained in jails or federal or state prisons. Chronic medical conditions are more prevalent among adults in custody than among their nonincarcerated counterparts, resulting in needs that often surpass the on-site medical treatment capabilities of carceral facilities.
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