We describe the development and implementation of a novel, on-line risk assessment tool for respirable crystalline silica (RCS) exposure for use in the construction sector. It was motivated by the introduction of new OHS regulation in British Columbia that allowed for the substitution of exposure measurement data with "objective air monitoring data" collected at "equivalent work operations." This allowance encouraged the introduction of quantitative risk assessment in a notoriously challenging work environment but it was concluded that without assistance, the typical construction employer would struggle to identify, extract, and interpret validate objective data. The tool described here was based on a continually-updatable RCS exposure database, and a predictive regression model based on the database to generate exposure risk estimates. The model was embedded in an adaptive web-based application that can be run on common platforms. The design followed standard web conventions and features so that no specialized training is required for its use. It was designed to be usable by end-users with varying expertise, including non-OHS experts. Users describe the RCS-dust generating task they will perform, and associated control measures. The tool estimates both uncontrolled and controlled task-based exposure concentrations. Using additional information entered by the user, the on-line tool generates an "exposure control plan" or ECP, a legally regulated document for those undertaking work potentially exposing workers to RCS particulate. The development of the tool was a community-based, tri-partite effort of the local OHS regulator, construction employers, and exposure scientists. In addition to being a practical risk assessment tool, the designers wanted it to function as an educational tool, and that it should explore novel methods for exposure data collection and use. The strengths of this approach include the publicly shared updateable database that encourages continuous improvement and illustrates best practices; and the timely and cost effective collection and sharing of exposure data in a value-added manner. It is however limited to a single task per ECP, and only considers exposure to task operators, and not adjacent workers. Currently in BC, users generate up to 3,900 ECP's per year with the tool.
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http://dx.doi.org/10.3389/fpubh.2020.00371 | DOI Listing |
Zh Nevrol Psikhiatr Im S S Korsakova
December 2024
Clinical Hospital of St. Luka, St. Petersburg, Russia.
Objective: To analyze the efficacy and tolerability of aceclofenac in the treatment of patients with acute non-specific musculoskeletal pain in the lower back (ANBP) compared with other NSAIDs (dexketoprofen, nimesulide and lornoxicam), as well as to assess the impact of NSAIDs therapy on the relative risk of recurrence and chronicity of this pathology.
Material And Methods: The study involved 80 patients (47 women and 33 men), average age 52.6 [47.
Vestn Oftalmol
December 2024
Krasnov Research Institute of Eye Diseases, Moscow, Russia.
This lecture-format review presents a summary of methods for assessing the condition of corneal nerve fibers (CNF), their clinical significance, and an overview of their anatomy and physiology. It briefly analyzes the structural and functional characteristics of CNF in various ocular diseases, following eye surgeries, and in patients with systemic diseases accompanied by systemic polyneuropathy. The article describes in detail the management algorithm that involves a comprehensive analysis of CNF and Langerhans inflammatory cells, identifies the at-risk groups for developing structural nerve impairments, and outlines the main criteria for CNF assessment.
View Article and Find Full Text PDFJ Health Popul Nutr
December 2024
Department of Nursing, Changde Hospital, Xiangya School of Medicine, Central South University(The first people's hospital of Changde city), Changde, Hunan Province, China.
Purpose: The association between nutritional risk status assessment and hospital mortality in older patients remains controversial. The aim of this study was to assess the relationship between nutritional risk on admission and in-hospital mortality, and explore the best Nutritional Risk Status Screening 2002 (NRS2002) threshold for predicting in-hospital mortality of older inpatients in China.
Method: The elderly inpatients were recruited from a hospital in Hunan Province, China.
Arthritis Res Ther
December 2024
Department of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, National Clinical Research Center for Dermatologic and Immunologic Diseases (NCRC-DID), Ministry of Science & Technology, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing, China.
Background: Thrombocytopenia (TP) is a hematological manifestation of systemic lupus erythematosus (SLE) and is associated with unfavorable prognostic outcomes. This study aimed to develop a risk prediction model for new-onset TP in SLE patients.
Methods: Based on the multicenter prospective Chinese SLE Treatment and Research Group (CSTAR) registry, newly diagnosed SLE patients without TP at registration were enrolled.
BMC Public Health
December 2024
Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh.
Background: The increasing number of motor vehicles in Dhaka city is contributing to a rise in air pollution. Prolonged exposure to vehicle emissions has led to various health issues for everyone, but traffic policies might be particularly affected. This study aims to evaluate their knowledge, attitudes, and practices regarding air pollution, with the goal of raising awareness and promoting healthier practices to mitigate the adverse effects of pollution.
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