Made by DATEXIS (Data Science and Text-based Information Systems) at Beuth University of Applied Sciences Berlin
Deep Learning Technology: Sebastian Arnold, Betty van Aken, Paul Grundmann, Felix A. Gers and Alexander Löser. Learning Contextualized Document Representations for Healthcare Answer Retrieval. The Web Conference 2020 (WWW'20)
Funded by The Federal Ministry for Economic Affairs and Energy; Grant: 01MD19013D, Smart-MD Project, Digital Technologies
Effective safety training is an unofficial phrase used to describe the training materials designed to teach occupational safety and health standards developed by the United States government labor organization, Occupational Safety and Health Administration (OSHA). OSHA has produced many standards and regulations that affect employers and employees in the United States. United States employers have a legal responsibility to educate employees on all workplace safety standards and the hazards that their employees may face while on the job, and providing effective safety training meets that responsibility.
Employers must have an overall safety program including relative site specific safety information where applicable. The safety training program should cover topics such as:
- accident prevention and safety promotion
- safety compliance
- accident and emergency response
- personal protective equipment
- safety practices
- equipment and machinery
- chemical and hazardous materials safety
- workplace hazards
- employee involvement
Employers must document all training. Creating a training matrix will help keep track of who has been trained, when they were trained, the training topic, and when it is time for refresher training. Employees must also sign an official sign-in sheet provided by the employer that can serve as proof that employees received proper training. The sign in sheet must have a broad description of what is being covered in the training. Tests or quizzes on the presented material can help gauge employee understanding of the material and highlight topics that need to be reviewed.
The non-English speaking population is consistently growing in many industries and it is important that employers provide bilingual training for those workers, as OSHA requires that all employees be properly trained.
Most employees display attitudes of disinterest and dread at the thought of attending a safety training, which can leave the trainer feeling frustrated and unappreciated. It is the trainer's duty to make safety training fun and educational, which will help the trainees to retain the information, enjoy the course, and apply the learning to their work and lives.
While needlestick injuries have the potential to transmit bacteria, protozoa, viruses and prions, the risk of contracting hepatitis B, hepatitis C, and HIV is the highest. The World Health Organization estimated that in 2000, 66,000 hepatitis B, 16,000 hepatitis C, and 1,000 HIV infections were caused by needlestick injuries. In places with higher rates of blood-borne diseases in the general population, healthcare workers are more susceptible to contracting these diseases from a needlestick injury.
Hepatitis B carries the greatest risk of transmission, with 10% of exposed workers eventually showing seroconversion and 10% having symptoms. Higher rates of hepatitis B vaccination among the general public and healthcare workers have reduced the risk of transmission; non-healthcare workers still have a lower HBV vaccine rate and therefore a higher risk. The hepatitis C transmission rate has been reported at 1.8%, but newer, larger surveys have shown only a 0.5% transmission rate. The overall risk of HIV infection after percutaneous exposure to HIV-infected material in the health care setting is 0.3%. Individualized risk of blood-borne infection from a used biomedical sharp is further dependent upon additional factors. Injuries with a hollow-bore needle, deep penetration, visible blood on the needle, a needle located in a deep artery or vein, or a biomedical device contaminated with blood from a terminally ill patient increase the risk for contracting a blood-borne infection.
After a needlestick injury, certain procedures must be followed to minimize the risk of infection. Lab tests of the recipient should be obtained for baseline studies, including HIV, acute hepatitis panel (HAV IgM, HBsAg, HB core IgM, HCV) and for immunized individuals, HB surface antibody. Unless already known, the infectious status of the source needs to be determined. Unless the source is known to be negative for HBV, HCV, and HIV, post-exposure prophylaxis (PEP) should be initiated, ideally within one hour of the injury.
The psychological effects of occupational needlestick injuries can include health anxiety, anxiety about disclosure or transmission to a sexual partner, trauma-related emotions, and depression. These effects can cause self-destructive behavior or functional impairment in relationships and daily life. This is not mitigated by knowledge about disease transmission or PEP. Though some affected people have worsened anxiety during repeated testing, anxiety and other psychological effects typically abate after testing is complete. A minority of people affected by needlestick injuries may have lasting psychological effects, including post-traumatic stress disorder.
Peacekeeping provides its own stresses because its emphasis on rules of engagement contains the roles for which soldiers are trained. Causes include witnessing or experiencing the following:
- Constant tension and threat of conflict.
- Threat of land mines and booby traps.
- Close contact with severely injured and dead people.
- Deliberate maltreatment and atrocities, possibly involving civilians.
- Cultural issues, e.g. male dominant attitudes towards women in different cultures.
- Separation and home issues.
- Risk of disease including HIV.
- Threat of exposure to toxic agents.
- Mission problems.
- Return to service.
Chinese folk beliefs hold that the Yin (Chinese: 陰) represents femininity, slow, cold, wet, passive, water, the moon, and nighttime. And that Yang represents masculinity, fast, dry, hot, aggressive, fire, the sun, and daytime.
Loss of yang would result in an abundance of Yin. It is also believed that if a case of Shenkui is severe enough, it could result in death.
Informal or incomplete education about sexual health in China leaves a lot of room for folk beliefs to thrive. Often, advertisements support such beliefs to encourage use of traditional medicines. In Chinese folk beliefs, the loss of semen can cause imbalance in the body, leaving you with aches and pains and trouble performing.
For every 200,000 live births, conjoined twins are born. Conjoined twins are identical and of the same sex one hundred percent of the time and are more common in females than in males. For surgical separations the survival rate of at least one twin surviving is approximately 75%.
Heat-related illnesses from occupational heat stress have several risk factors. Some of these factors include high temperatures, humidity, radiant heat sources, limited air movement, metabolic heat from physical exertion of energy, not drinking enough fluids, personal protective equipment and clothing, physical condition and health problems, medications, pregnancy, lack of acclimatization, advanced age, having a previous heat-related illness and others.
Figures from the 1982 Lebanon war showed that with proximal treatment 90% of CSR casualties returned to their unit, usually within 72 hours. With rearward treatment only 40% returned to their unit. It was also found that treatment efficacy went up with the application of a variety of front line treatment principles versus just one treatment. In Korea, similar statistics were seen, with 85% of US battle fatigue casualties returned to duty within three days and 10% returned to limited duties after several weeks. Though these numbers seem to promote the claims that proximal PIE or BICEPS treatment is generally effective at reducing the effects of combat stress reaction, other data suggests that long term PTSD effects may result from the hasty return of affected individuals to combat. Both PIE and BICEPS are meant to return as many soldiers as possible to combat, and may actually have adverse effects on the long term health of service members who are rapidly returned to the front-line after combat stress control treatment. Although the PIE principles were used extensively in the Vietnam War, the post traumatic stress disorder lifetime rate for Vietnam veterans was 30% in a 1989 US study and 21% in a 1996 Australian study. In a study of Israeli Veterans of the 1973 Yom Kippur War, 37% of veterans diagnosed with CSR during combat were later diagnosed with PTSD, compared with 14% of control veterans.
Shenkui is a culture bound syndrome native to China in which the individual suffers somatic symptoms with anxiety, believed to be caused by a loss of semen. And in Traditional Chinese Medicine, shen (kidney) is the reservoir of vital essence in semen (ching) and k’uei signifies deficiency. In simplified Chinese it is called 肾亏, Traditional Chinese 腎虧, and in pinyin Shènkuī.
Shenkui or shen-k'uei is one of several Chinese culture-bound syndromes locally ascribed to loss (or fear of loss) of Yang (Chinese: 陽) . In Traditional Chinese Medicine, Shenkui is believed to result from a deficiency in yang, obtained through the loss of semen. Semen is believed to be "lost" through excessive sexual activity or masturbation, nocturnal emissions, "white urine" which is believed to contain semen, or other mechanisms. Symptoms within the Chinese diagnostic system include dizziness, backache, tiredness, weakness, insomnia, frequent dreams, and complaints of sexual dysfunction (such as premature ejaculation or impotence). From an ethnopsychiatric perspective, additional symptoms are preoccupation with sexual performance, potential semen loss, and bodily complaints which may be taken as symptoms of lost yang.
Losing semen reduces Yang, causing an unbalance in the body. Nocturnal emissions, too much intercourse, and masturbation resulting in ejaculation lower the levels of semen, causing loss of Yang. Somatic symptoms may include body soreness, aches, lack of energy, fatigue, and possibly problems in sexual performance.
A person suffering form Shenkui may endure body aches, dizziness, tiredness, inability to sleep, and sexual dysfunction, all for which no physical cause can explain.
The passing of semen too often is avoided because it is believed to be crucial to a person’s health and safety. It is believed to be life-threatening if too much semen is lost.
"Chinese martial artists that remained celibate through years and years of extensive training were believed to be most powerful, therefore maintaining the power of one’s vital essence."
The girls underwent a six-week period for physical therapy and recovery. Maria and Teresa are now able to walk independently and are starting to form their own individual personalities. The girls were able to return to the Dominican Republic and often return to the United States for follow-up care.
Occupational heat stress is the net load to which a worker is exposed from the combined contributions of metabolic heat, environmental factors, and clothing worn which results in an increase in heat storage in the body. Heat stress can result in heat-related illnesses, such as heat stroke, hyperthermia, heat exhaustion, heat cramps or heat rashes. Although heat exhaustion is less severe, hyperthermia is a medical emergency and requires emergency treatment, which if not provided can even lead to death.
Heat stress causes illness but also may account for an increase in workplace accidents, and a decrease in worker productivity. Worker injuries attributable to heat include those caused by: sweaty palms, fogged-up safety glasses, and dizziness. Burns may also occur as a result of accidental contact with hot surfaces or steam. In United States, occupational heat stress in becoming more significant as the average temperatures increase but remains overlooked. There are few studies and regulations regarding heat exposure of workers.
There are many methods of preventing or reducing industrial injuries, including anticipation of problems by risk assessment, safety training, control banding, personal protective equipment safety guards, mechanisms on machinery, and safety barriers. In addition, past problems can be analyzed to find their root causes by using a technique called root cause analysis. A 2013 Cochrane review found low-quality evidence showing that inspections, especially focused inspections, can reduce work-related injuries in the long term.
As in the United Kingdom, slips, trips and falls are common and account for 20-40% of disabling occupational injuries. Often these accidents result in a back injury that can persist to a permanent disability. In the United States, a high risk of back injuries occurs in the health care industry. 25% of reported injuries in health care workers in the state of Pennsylvania are for back pain. Among nurses, the prevalence of lower back pain may be as high as 72% mostly as a result of transferring patients. Fortunately, some of these injuries can be prevented with the availability of patient lifts, improved worker training, and allocation of more time to perform work procedures. Another common type of injury is carpal tunnel syndrome associated with overuse of the hands and wrists. Studies on a cohort of newly hired workers have thus far identified forceful gripping, repetitive lifting of > 1 kg, and using vibrating power tools as high risk work activities.
Additionally, noise exposure in the workplace can cause hearing loss, which accounted for 14% of reported occupational illnesses in 2007. Many initiatives have been created to prevent this common workplace injury. For example, the Buy Quiet program encourages employers to purchase tools and machines that produce less noise and the Safe-In-Sound Award was created to recognize companies and program that excel in the area of hearing loss prevention.
Accidental injection or needlestick injuries are a common injury that plague agriculture workers and veterinarians. The majority of these injuries are located to the hands or legs, and can result in mild to severe reactions, including possible hospitalization. Due to the wide variety of biologics used in animal agriculture, needlestick injuries can result in bacterial or fungal infections, lacerations, local inflammation, vaccine/antibiotic reactions, amputations, miscarriage, and death. Due to daily human-animal interactions, livestock related injuries are also a prevalent injury of agriculture workers, and are responsible for the majoriy of nonfatal worker injuries on dairy farms. Additionally, approximately 30 people die of cattle and horse-related deaths in the United States annually.
Simulator sickness is a subset of motion sickness that is typically experienced by pilots who undergo training for extended periods of time in flight simulators. Due to the spatial limitations imposed on these simulators, perceived discrepancies between the motion of the simulator and that of the vehicle can occur and lead to simulator sickness.
It is similar to motion sickness in many ways, but occurs in simulated environments and can be induced without actual motion. Symptoms of simulator sickness include discomfort, apathy, drowsiness, disorientation, fatigue, vomiting, and many more.
These symptoms can reduce the effectiveness of simulators in flight training and result in systematic consequences such as decreased simulator use, compromised training, ground safety, and flight safety. Pilots are less likely to want to repeat the experience in a simulator if they have suffered from simulator sickness and hence can reduce the number of potential users. It can also compromise training in two safety-critical ways:
1. It can distract the pilot during training sessions.
2. It can cause the pilot to adopt certain counterproductive behaviors to prevent symptoms from occurring.
Simulator sickness can also have post-training effects that can compromise safety after the simulator session, such as when the pilots drive away from the facility or fly while experiencing symptoms of simulator sickness.
There are a number of factors that could potentially contribute to the development of feeding and eating disorders of infancy or early childhood. These factors include:
- Physiological – a chemical imbalance effecting the child's appetite could cause a feeding or eating disorder.
- Developmental – developmental abnormalities in oral-sensory, oral-motor, and swallowing can impact the child's eating ability and elicit a feeding or eating disorder.
- Environmental – simple issues such as inconsistent meal times can cause a feeding or eating disorder. Giving the child food that they are not developmentally acquired for can also cause these disorders. Family dysfunction and sociocultural issues could also play a role in feeding or eating disorders.
- Relational – when the child is not securely attached to the mother, it can cause feeding interactions to become disturbed or unnatural. Other factors, such as parental emotional unavailability and parental eating disorders, can cause feeding and eating disorders in their children.
- Psychological and behavioral – these factors include one involving the child's temperament. Characteristics such as being anxious, impulsive, distracted, or strong-willed personality types are ones that could affect the child's eating and cause a disorder. The individual could have learned to reject food due to a traumatic experience such as choking or being force fed.
Physical and emotional changes are often the most indicative symptoms of feeding and eating disorders of infancy or early childhood. The child's growth and development may be delayed due to the lack of necessary nutrients. The child will usually weigh much less than other children. Withdrawal and irritability are often associated with children that are malnourished.
Within the qigong community, there are specific treatments believed to be effective for addressing different forms of Zou huo ru mo. In particular, depending upon somatic versus psychological symptoms, and whether the condition is considered temporary or an intrinsic mental disorder, self-correction treatments can involve relaxation, walking, self-vibrating, self-patting, and self-massage; whereas clinical treatments can involve psychological counseling, expert guidance of practice, acupuncture, massage, "external qi" treatments, and symptomatic correction
Concussions and other types of repetitive play-related head blows in American football have been shown to be the cause of chronic traumatic encephalopathy (CTE), which has led to player suicides and other debilitating symptoms after retirement, including memory loss, depression, anxiety, headaches, and also sleep disturbances.
The list of ex-NFL players that have either been diagnosed "post-mortem" with CTE or have reported symptoms of CTE continues to grow.
The Simulator Sickness Questionnaire (SSQ) is currently the standard for measuring simulator sickness. The SSQ was developed based upon 1,119 pairs of pre-exposure/post-exposure scores from data that were collected and reported earlier. These data were collected from 10 Navy flight simulators representing both fixed-wing and rotary-wing aircraft. The simulators selected were both 6-DOF motion and fixed-base models, and also represented a variety of visual display technologies. The SSQ was developed and validated with data from pilots who reported to simulator training healthy and fit.
The SSQ is a self-report symptom checklist. It includes 16 symptoms that are associated with simulator sickness. Participants indicate the level of severity of the 16 symptoms that they are experiencing currently. For each of the 16 symptoms there are four levels of severity (none, slight, moderate, severe). The SSQ provides a Total Severity score as well as scores for three subscales (Nausea, Oculomotor, and Disorientation). The Total Severity score is a composite created from the three subscales. It is the best single measure because it provides an index of the overall symptoms. The three subscales provide diagnostic information about particular symptom categories:
- Nausea subscale is made up of symptoms such as increased salivation, sweating, nausea, stomach awareness, and burping.
- Oculomotor subscale includes symptoms such as fatigue, headache, eyestrain, and difficulty focusing.
- Disorientation subscale is composed of symptoms such as vertigo, dizzy (eyes open), dizzy (eyes closed), and blurred vision.
The three subscales are not orthogonal to one another. There is a general factor common to all of them. Nonetheless, the subscales provide differential information about participants' experience of symptoms and are useful for determining the particular pattern of discomfort produced by a given simulator. All scores have as their lowest level a natural zero (no symptoms) and increase with increasing symptoms reported.
Within the qigong community, Zou huo ru mo is believed to be caused by improper practice:
- Inexperienced or unqualified instructor
- Incorrect instructions
- Impatience
- Becoming frightened, irritated, confused, or suspicious during the course of qigong practice
- Inappropriate focus, interpreted as "inappropriate channeling of qi (life energy)i"
Populations groups at risk:
- In the US:
- Children and young adults: Drowning rates are highest for children under 5 years of age and persons 15–24 years of age.
- Males: Nearly 80% of people who die from drowning are male.
- Minorities: The fatal unintentional drowning rate for African Americans between 2005 and 2009 was significantly higher than that of whites across all ages. The fatal drowning rate of African American children of ages from 5 to 14 is almost three times that of white children in the same age range, and 5.5 times higher in swimming pools. These disparities might be associated with lack of basic swimming skills in some minority populations.
Behavioral and physical factors:
- In the US:
- Use of alcohol increases the risk of drowning. Among adolescents and adults, alcohol use is involved in almost a quarter of emergency department visits for drowning.
- Inability to swim: Participation in formal swimming lessons can reduce the risk of drowning among children aged 1 to 4 years.
- Free access to water: Effective barriers prevent young children from gaining access to the water
- Ineffective supervision: Drowning can occur anywhere there is water, and even in the presence of lifeguards.
- Risk can vary with location depending on age. Children between 1 and 4 usually drown in home swimming pools. Drownings in natural water settings increase with age. More than half of drownings among those 15 years and older occurred in natural water environments.
- Failure to wear life jackets or personal flotation devices was implicated in 88% of the boating related drownings in the US during 2010.
- For persons with seizure disorders, drowning is the most common cause of death by unintentional injury, largely in the bathtub.
Occupational hearing loss is defined as damage to either or both ears, at the inner ear or auditory nerve, that results from an exposure in a person's occupation. Although high levels of noise are the main cause of occupational hearing loss (also called noise-induced hearing loss) there are also other factors in the work environment that can result in it. Chemicals, foreign bodies, vibration, barotrauma, along with other hazards can result in hearing loss. These losses that these workers obtain, affect many aspects of their life, mainly social interactions.
Within the United States of America, approximately 10 million people have noise-related hearing loss. Over twice that number are occupationally exposed to dangerous noise levels. Hearing loss accounted for a sizable percentage of occupational illness in 2007, at 14% of cases. As in many countries, in the US organizations like the Occupational Safety and Health Administration (OSHA) and the National Institute for Occupational Safety and Health (NIOSH) are working to understand the causes of occupational hearing loss and how it can be prevented. They work to produce regulations and guidelines to help protect the hearing of workers in all occupations.
OP pesticide exposure occurs through inhalation, ingestion and dermal contact. Because OP pesticides disintegrate quickly in air and light, they have been considered relatively safe to consumers. However, OP residues linger on fruits and vegetables. Certain OP pesticides have been banned for use on some crops, for example methyl parathion is banned from use on some crops while permitted on others.
The Environmental Working Group has developed lists for concerned consumers, identifying crops with the highest pesticide residue quantities and the lowest. The "Dirty Dozen" crops are updated yearly and in 2012 included apples, celery, sweet bell peppers, peaches, strawberries, imported nectarines, grapes, spinach, lettuce, cucumbers, domestic blueberries and potatoes. Forty-five fruits and vegetables are listed by the Environmental Working Group as being regularly found with pesticide residue associated with OPs.
The International Agency for Research on Cancer (IARC), found that organophosphates may possibly increased cancer risk. Tetrachlorvinphos and parathion were classified as "possibly carcinogenic", malathion, and diazinon.