Résumé
Resumo Introdução: plataformas offshore enfrentam crescentes demandas de manutenção, com um quantitativo fixo de trabalhadores. Com o tempo, ocorre a degradação progressiva das instalações, sendo necessárias estratégias diferenciadas para recuperar a integridade operacional. Objetivo: apresentar como uma Metodologia de Diagnóstico Rápido (MDR) em ergonomia foi elaborada para avaliar um conjunto de plataformas e revisitar o conceito de Modo Degradado de Funcionamento, quanto a segurança e confiabilidade operacional. Método: a MDR foi construída em quatro etapas e aplicada em 12 plataformas. Para cada uma, foram retraçados os processos históricos de seu modo de operação atual. Resultados: esta MDR permitiu revelar princípios gerais para sistematizar situações que devem melhorar e compreender processos amplos, que levaram ao acúmulo de condições ergonomicamente inadequadas, e recuperar parte da experiência acumulada pelas equipes embarcadas. A chave foi a preparação para os embarques, baseada na experiência dos ergonomistas e dos trabalhadores onshore e offshore. Conclusão: diagnósticos rápidos podem contribuir para reverter processos crônicos de degradação ao revelarem a visão geral das condições de vida e trabalho a bordo, as trajetórias singulares das plataformas e a contribuição positiva dos trabalhadores, colocando em debate mudanças e ações necessárias à inflexão de um dado percurso.
Abstract Introduction: offshore platforms face increasing maintenance demands with fixed amount of workforce. Over time, the progressive deterioration of installations can be evidenced leading companies to adopt distinguished strategies to recover operational integrity. Objective: to present the development of a Rapid Ergonomics Diagnostic Methodology (REDM) to evaluate a group of platforms and revisit the concept of degraded mode of operation regarding safety and operational reliability. Method: the REDM was built in 4 stages and applied in 12 platforms of the studied company. For each one, the historical processes of its current operating mode were retraced. Results: this REDM allowed revealing general principles to systematize situations that should be improved, understanding broad processes that led to the accumulation of ergonomically inadequate conditions and recovering part of the experience accumulated by the embarked teams. The key was the preparation for shipments based on the ergonomics team and workers experience, both, onshore and offshore. Conclusion: REDMs can help to reverse chronic degradation processes by providing an overview of on boardwork and living conditions, the platforms’ unique trajectories and the positive workers’ contribution, discussing changes and necessary actions for a given route inflection.
Résumé
This study was aimed to summarize the medicine operation mode of fighting against AIDS in Xinjiang region in order to play its advantages and find its insufficiencies. The summarization had been made on aspects of resource integration , mode creation , highlighting research priorities and mechanism improvement . Advantages of various aspects had been pointed out and existing problems had been proposed. It was concluded that AIDS study by the National Clinical Research Base of Traditional Chinese Medicine in X inj iang still needs to share its re-source, innovate its network system construction model, operate its standard diagnosis and treatment, mechanism and system, and further strengthen its personnel training.
Résumé
Purpose:To discuss which is the better mode of operation for esophageal carcinoma after radiation therapy. Methods:We divided 232 esophageal carcinoma patients into two groups (group A 116 patients and group B 116 patients) random. Operation mode of group A was posterolateral thoracotomy through the bed of sixth rib in right thorax, retrosternal replacement esophagus with stomach and left neck anastomosis or esophagus exteriorization. Correspondingly operation mode of group B was anterolateral thoracotomy through the intercostal space of fourth rib in right thorax, esophageal pouch replacement esophagus with stomach and left neck anastomosis or esophagus exteriorization. We analyzed the resection rate, the mortality rate, the duration of operation, the volume of bleeding and total incidence of complication in each group. Results:The resection rate was 100% in group A and 92.24% in group B ( P 0.05). Conclusions:Operation mode of group A is a better mode of operation for esophageal carcinoma after radiation therapy which is based on the resection rate, which is higher in group A than in group B and total incidence of complication which is lower in group A than in group B.
Résumé
In this paper,the authors reviewed 141 cases of senile gastric carcinoma,with 23 cases followed up.The clinical features,and the relationship between the longth of the course and the resection rate of the tumor have been analysed retrospectively.The results show that gas- tric carcinoma in the aged pepole has a characteristic of a longer history and higher resectable possibility,it is mainly from the canceration of gastric ulcer,well differentiated and low metastatic,and has a favourable prognosis and longer survival.Important suggestions to im- prove its resection rate and survival rate include making a follow-up gastroscopy for the aged pepole with a longer history of gastric diseases or peptic ulcers.For the aged patients who are over 50 with a long history of gastric ulcer or chronic intractable atrophic gastritis,it is rec- ommended to employ the surgery of gastrectomy and the R_Ⅱ mode of operation is of choice, and chemotherapy should be followed.