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At least 1,603 records · Page 89Linked to original sources
PubMed2005

Priority setting for the distribution of localized hazard protection.

We address the problem of distributing safety-enhancing devices across a region, where each identical device provides for only local protection of the population. The devices protect nonidentical sectors of the population. The sectors of population are exposed to nonidentical intensities of hazard. A method for the screening and prioritizing of needs for the protective devices is described. An approach of risk-benefit-cost analysis under uncertainty is recommended as follows. Measures of hazard intensity and population exposure are identified. Exogenous parameters that influence assessments of risks, benefits, and costs are identified. Uncertainties of the exogenous parameters are propagated by interval analysis. Several tiers of the plausibility of need for protection are identified. The tiers are useful in setting priorities for the distribution of the safety devices. The method is demonstrated in an engineering application to roadway lighting, but has implications for disaster preparedness, anti-terrorism, transportation safety, and other arenas of public safety.

Journal Article↗
PubMed2000

Use of an emboli containment and retrieval system during percutaneous coronary angioplasty in native coronary arteries.

BACKGROUND: Prevention of distal embolisation during percutaneous coronary revascularisation may be necessary to reduce postinterventional morbidity and mortality. METHODS AND RESULTS: We employed a newly developed emboli containment and retrieval system in native coronary arteries during percutaneous coronary angioplasty and stenting in 39 selected patients (mean age 58.9 +/- 10.1 years, 11 females) presenting with acute (n = 22; 8 LAD, 3 LCX, 11 RCA), subacute (n = 7; 2 LAD, 2 LCX, 3 RCA) or chronic (n = 6; 2 LAD, 4 RCA) total or subtotal occlusion of an infarct-related vessel, or with severe stenosis and symptoms of unstable angina (n = 4; 2 LAD, 2 RCA). Protection device-assisted angioplasty with stent implantation was uneventful in all patients with good angiographic results and normal postprocedural flow. Intermittent aggravation of anginal pain during inflation of the occlusive balloon (from 2.5 to a maximum of 25 minutes cumulative inflation time) was observed in 19 of the 36 conscious patients (7 with acute, 7 with subacute and 3 with chronic occlusion, and 2 with unstable angina), but caused neither interruption of distal occlusion nor haemodynamic instability. In 31 patients the aspirates contained visible debris. Histological analysis showed particles up to 12 mm in size, consisting of necrotic core, inflammatory cells, cholesterol debris, and old and fresh thrombi. In 8 patients the aspirated particles were too small to allow microscopic diagnosis or debris was absent. CONCLUSIONS: This preliminary report demonstrates the feasibility of using a protection device in native coronary arteries to prevent distal embolisation of particulate matter that is mobilised during percutaneous interventions. To the extent that this material contributes to the mechanisms of distal embolisation, noreflow and infarction, this device may help to reduce such complications. Appropriately designed trials are required to assess the clinical benefit of this system.

Adult↗
PubMed1978

Radiation protection of the lens for patients and users.

The problem of radiation-induced cataract development in the lenses of patients and users exposed to diagnostic-quality radiation is reviewed. A cataractogenic dose appears to be about 200 rads from a single exposure and up to 750 rads in protracted doses. Routine use of new protective glasses developed by the authors is recommended for patients. For users, any of the commercially available high lead-content glasses will reduce doses to safe levels. About 70% reduction of dose is afforded by the new photochromic sunglasses.

Cataract↗
PubMed1979

Radiation dose to the eyes using a "German helmet" field with the 4-MV linear accelerator.

A "German helmet" field defined by depleted uranium or Asarcola blocks was used to reduce the dose to the lens. With the uranium blocks, the lenticular dose was reduced to about 60% of the central axis dose (CAD). The Asarcola blocks reduced the lenticular dose to about 43% of the CAD. Even further reduction (15% CAD) was achieved by tilting the gantry 5 degrees or 10 degrees.

Eye↗
PubMed1987

Scott Emergency Escape Breathing Device evaluation for use by aircraft cabin crew and passengers.

The Scott Emergency Escape Breathing Device (EEBD) was evaluated for use in Canadian Forces (CF) transport/passenger aircraft in providing smoke protection during emergencies and in preventing hypoxia during cabin decompression at high altitude. Five human subjects wearing the EEBD were subjected to decompression from 2,438 m (8,000 ft) to 9,753 m (32,000 ft) in approximately 15 s followed by a free fall to 7,010 m (23,000 ft) in a challenge gas atmosphere of 5,000 ppm of carbon monoxide (CO), where they performed moderate exercise (80 W output) on a bicycle ergometer. Very little in-leakage of CO was observed when the neck seal was maintained. Hood atmosphere was measured at 97% oxygen at 7,010 m, which resulted in an arterial oxygen saturation (SaO2) of 97%. Temperature in the hood rose to as high as 45.5 degrees C but the subjects were able to function normally. The EEBD is effective in providing noncockpit aircraft crew with smoke protection, adequate vision, and hypoxia prevention for at least 15 min in the event of a fire, smoke, or decompression emergencies at altitudes up to 7,010 m following a brief exposure to 9,753 m.

Accidents, Aviation↗
PubMed1996

The European legislation on medical devices.

The protection of health and safety of patients and users, is the main objective of the comprehensive, harmonised legislation created in the EU, in the area of medical devices. In this paper, a brief description of the legislative programme is presented,-giving details on the three medical device directives, as well as their transposition. A detailed analysis of the directives context follows, with the steps and actions that all involved parties have followed or need to follow to ensure their uniform application.

Equipment Safety↗
PubMed1980

Sterile, portable radiation shield for the operating room.

A sterile, portable radiation shield has been developed to protect the surgeon who must remain in the operative field during radiation exposure. The shield is simple to construct and to use. There is no undue prolongation of operating time. The shield effectively reduces exposure to radiation.

Humans↗
PubMed2003

Evaluation of safety balls and faceguards for prevention of injuries in youth baseball.

CONTEXT: Safety balls and faceguards are widely used in youth baseball, but their effectiveness in reducing injury is unknown. OBJECTIVE: To evaluate the association of the use of faceguards and safety balls and injuries in youth baseball. DESIGN, SETTING, AND PARTICIPANTS: Ecological study using a national database of compensated insurance claims maintained by Little League Baseball Incorporated, combined with data on the number of participants in Little League and data from a census of protective equipment usage for youth aged 5 to 18 years participating in Little League Baseball in the United States during 1997-1999. MAIN OUTCOME MEASURES: Rate of injury and injury rate ratio comparing users with nonusers of protective equipment. RESULTS: A total of 6 744 240 player-seasons of follow-up and 4233 compensated injury claims were available for analysis. The absolute incidence of compensated injury per 100 000 player-seasons was 28.02 (95% confidence interval [CI], 26.76-29.29) for ball-related injury and 2.71 (95% CI, 2.32-3.11) for facial injury. Overall, use of safety balls was associated with a reduced risk of ball-related injury (adjusted rate ratio, 0.77; 95% CI, 0.64-0.93). This reduction was essentially due to 1 type of safety ball, known as the reduced-impact ball (adjusted rate ratio, 0.72; 95% CI, 0.57-0.91). Use of faceguards reduced the risk of facial injury (adjusted rate ratio, 0.65; 95% CI, 0.43-0.98). Metal and plastic guards appeared to be equally effective. Safety balls appeared to be more effective in the minor division (ages 7-12 years) than in the regular division (ages 9-12 years). CONCLUSIONS: Reduced-impact balls and faceguards were associated with a reduced risk of injury in youth baseball. These findings support increased usage of these items; however, it should be noted that the absolute incidence of injury in youth baseball is low and that these equipment items do not prevent all injuries.

Adolescent↗
PubMed1988

Determinants of pattern of breathing during respirator use.

The relationship between the pattern of breathing in response to respirator-type loads and an individual's psychophysiologic sensitivity to loads (load scaling sensitivity, LSS) was investigated in the study of 11 normal volunteers. LSS was measured by having the subjects numerically rate a series of resistors; Steven's Psychophysical Law was used to evaluate sensitivity as the slope relating log (sensation) to log (stimulus). Peak pressure and actual added resistance were the stimuli. Inspiratory time, peak pressure, duty cycle, and tidal volume were inversely related to independently measured LSS during exercise and with a respiratory-type dead space and inspiratory resistance load. Because the need for changes in respiratory timing is a major adaptation in respirator use, it suggests that workers who are very sensitive to loads may have limited ability to adapt to respirator use.

Adult↗
PubMed1988

Helmet effectiveness in preventing motorcycle driver and passenger fatalities.

Helmet effectiveness in preventing fatalities to motorcycle drivers and passengers was determined by applying the double pair comparison method to the Fatal Accident Reporting System (FARS) data for 1975 through 1986. Motorcycles with a driver and a passenger, at least one of whom was killed, were used. In order to reduce as much as possible potentially confounding effects due to the dependence of survivability on sex and age, the analysis is confined to male drivers (there were insufficient female driver data), and to cases in which the driver and passenger age do not differ by more than three years. Motorcycle helmet effectiveness estimates are found to be relatively unaffected by performing the analyses in a number of ways different from that indicated above. It was found that helmets are (28 +/- 8)% effective in preventing fatalities to motorcycle riders (the error is one standard error), the effectiveness being similar for male and female passengers, and similar for drivers and passengers. An additional result found was that the fatality risk in the driver seat exceeds that in the passenger seat by (26 +/- 2)%. The 28% effectiveness found generates calculated fatality increases from repeal of mandatory helmet-wearing laws that are compatible with observed increases.

Accidents, Traffic↗
PubMed1982

Improved radiation protection for physicians performing cardiac catheterization.

Physicians and their assistants performing diagnostic angiography must be concerned with the radiation exposure they receive. The introduction of hemiaxial projections for imaging has increased diagnostic accuracy but has also greatly increased the physicians' exposure to scattered radiation. This increase is especially critical for the eyes and thyroid of the physician who routinely performs these procedures. To reduce such exposure a ceiling-suspended shield (60 x 45 cm), made of 6.4 mm glass with a 19.5 kg/m2 (4 lb/ft2) lead equivalency, was developed. During procedures the shield is interposed between the physician and the region of the patient acting as the source of scattered radiation. The degree of radiation protection to the operator was assessed by measuring the distribution of scattered radiation in the vicinity of the operator with and without the shield. The effectiveness of the shield was determined in the 30 degrees right anterior oblique (RAO), 5 degrees left anterior oblique (LAO), 35 degrees LAO, and 50 degrees LAO-15 degrees cranial angulations. At critical heights such as the level of the eyes and thyroid, scattered radiation levels were reduced by 85% or greater in all angulations. Without interfering with the physician's ability to observe the patient or manipulate the catheter, this shield can significantly reduce the physician's exposure to radiation.

Angiocardiography↗
PubMed1976

Safety glasses as protection against shotgun pellets.

I designed this experiment to determine if spectacle lenses would protect against a No. 6 shot fired from a 12-gauge shotgun over progressively longer testing distances, and compared plastics, heat-tempered glass, and chemical-tempered glass lenses of standard and industrial thicknesses. The likelihood of a spectacle lens being hit by a well-centered shot pattern at 40, 50, and 60 yards was approximately 66%, 25%, and 20%, respectively. Virtually all lenses were destroyed at a testing distance of 30 yards. At 40 yards, standard-thickness plastic and heat-tempered lenses were destroyed but the chemical-tempered lenses offered some protection. At 40 yards, all types of industrial-thickness lenses provided protection but the most protection was provided by the chemical-tempered lenses. At 50 yards, chemical-tempered lenses offered more protection than either plastic or heat-tempered lenses. Throughout the experiment, plastic lenses performed no better than heat-tempered lenses.

Eye Injuries↗