The Evolution of the Normative Regulation in Hospital Safety and Security

The aim of the law is to ensure personal, material and organisational conditions for safe work without endangering human health, to prevent work accidents and occupational diseases by defining the rights and obligations of the state, employers and employees. Since 2003, the concept of occupational safety and health commissioning has been included in the law, which plays a prominent role in the commissioning of dangerous technology or work equipment in health care. [...]of the epidemic, not only the so-called back office area, but also in patient care, the concept of remote work appeared in the field of telemedicine, and some other areas, such as in the case of finding analysis. According to the legislation, the employer must register and Investigate all accidents at work. [...]of this, a wave of insourcing started and in several health institutions they started to employ their own doormen again, wh ich raises further problems.

What Members Need in Work Situations: Two Samples of Essential Managerial Leadership Behaviors: JMI

Violent incidents, terrorist attacks, senseless shootings, health issues such as the Coronavirus, and natural disasters call attention to managerial leadership in crisis situations. Yukl and Van Fleet (1982) did the seminal work on this topic extended by Peterson and Van Fleet (2008) and Peterson et al. (2012). More recently, Geier (2016) reported findings based on firefighters while Htway and Casteel (2015) and Kapucu and Ustun (2018) studied public sector organizations. Since these studies all involved nonprofit organizations, an extension to for-profit organizations is warranted. There are differences between profit organizations and not-for-profit organizations (Collins, 2001;Collins, 2005). Because of the goals involved, there may be differences in the managerial leadership behaviors required by these types of organizations. Hannah and Parry (2013) specifically recommend expanding leadership research to many different extreme situations in an effort to understand different managerial leadership behaviors that adapt to varying crisis situations. Two samples reported here identify the critical managerial leadership behaviors desired by for-profit organizational participants in both stable and crisis situations. Finally, implications, limitations, and future research are discussed.

Some recent developments and testing strategies relating to the passive fire protection of concrete using intumescent coatings: a review

PurposeIn the present article, the authors have conducted a review on some of the recent developments given in the literature pertaining to the passive protection of concrete structures using intumescent coatings. Here, the main thrust is placed on the spalling phenomenon of concrete elements when exposed to elevated temperatures and fires.Design/methodology/approachIn this context, it has been long established that prolonged thermal insult on concrete members will lead to egress of water, both physically bound as well as those present as water of hydration within the concrete matrix, in the form of steam through microchannels and associated pathways of least resistance, often resulting in the flaking of the surface of the structure. The latter process can ultimately lead to the exposure of the ferrous-based reenforcement elements, for instance, to higher temperatures, thus inducing melting. This, in turn, can result in substantial loss of strength and load-bearing capacity of the structural element that is already undergoing disintegration of its base matrix owing to heat/fire. Even though spalling of concrete structures has long been recognized as a serious problem that can often lead to catastrophic failure of infrastructures, such as buildings, bridges and tunnels, the utility of intumescent coating as a mitigation strategy is relatively new and has not been explored to its fullest possible extent. Therefore, in the latter parts of the review, the authors have endeavored to discuss the different types of intumescent coatings, their modes of actions and, in particular, their wider applicability in terms of protecting concrete elements from detrimental effects of severe or explosive spalling.FindingsGiven that spalling of concrete components is still a very serious issue that can result in loss of lives and destruction of critical infrastructures, there is an urgent need to formulate better mitigating strategies, through novel means and methods. The use of the intumescent coating in this context appears to be a promising way forward but is one that seems to be little explored so far. Therefore, a more systematic investigation is highly warranted in this area, especially, as the authors envisage a greater activity in the building and commissioning of more infrastructures worldwide incommensurate with augmented economic activities during the post-COVID recovery period.Originality/valueThe authors have conducted a review on some of the recent developments given in the literature pertaining to the passive protection of concrete structures using intumescent coatings. The authors have also included the results from some recent tests carried out at the facilities using a newly commissioned state-of-the-art furnace.

Effects of Covid-19 Related Government Budget Shortfall on Funding and Provision of Essential Public Services

This study investigates COVID-19 related budget revenue losses in US local governments, and their effects on funding and provision of essential public services such as EMS, healthcare, firefighters, police, welfare and public housing services. A survey was sent to county and city governments to learn about their revenue losses for fiscal year 2020 and their effects on funding and service provision. Results show budget revenue loss significantly impacts funding cuts for essential services and is most impactful on welfare and public housing services. Additionally, although funding cuts significantly influence levels of services provided, aid from federal government restrains the extent of funding cuts and the influence of cuts on EMS and healthcare. The findings imply intergovernmental transfers play a pivotal role in averting deep cuts that could be detrimental to saving lives during a crisis. Furthermore, funding availability is key to maintaining appropriate levels of services to help care for the sick and protect the vulnerable in society.

Editorial

In our first article, entitled “Mental health patterns during COVID-19 in emergency medical services (EMS)”, Silvia Monteiro Fonseca et al. have explored the patterns of EMS personnel’s mental health regarding their levels of anxiety, depression and stress during COVID-19 pandemic. The study recommendations from this research include, but are not limited to, ensuring a more equitable distribution of protective equipment to paramedics across unevenly funded services and recognizing paramedics face unique and additional stressors in public health emergencies. The study used validated instruments such as the Pittsburg Sleep Quality Index (PSQI), the World Health Organization Quality of Life (WHOQOL) instrument, the Epworth Sleepiness Scale (ESS), the PSS and the post-traumatic stress disorder (PTSD) checklist on a sample of UK police officers. In a fascinating paper, John Hylander et al. explore the collaborative challenge of emergency response to major incidents in road tunnels for the emergency services, emergency dispatch centers and local authorities next.

Clinical Issues: The Official Voice of Perioperative Nursing

Removal of used flammable skin antisepsis materials Key words: flammable liquid antiseptics, National Fire Protection Association (NFPA), fire prevention, fire risk, patient care vicinity. According to the Food and Drug Administration, a surgical smoke precipitator device "is a prescription device intended for clearance of the visual field by precipitation of surgical smoke and other aerosolized particulate matter created during laparoscopic surgery. "1 Surgical smoke precipitators use electrostatic precipitation (ESP) technology to negatively charge surgical smoke particles inside the patient's peritoneal space, allowing the smoke particulate matter to precipitate (ie, deposit) on the inner surface of the abdominal wall.2'3 In addition to the application of ESP during laparoscopic surgery, ESP technology has various other air-cleaning applications, such as pollution control for industrial sites (eg, coal-burning plants, incineration facilities)4 and in-duct air filtration in buildings.5 When the surgeon uses a surgical smoke precipitator during laparoscopic surgery, he or she introduces a specialized electrode wand into the abdomen under direct visualization and according to the manufacturer's instructions for use (IFU).2,3 The activated wand emits anions (ie, negatively charged ions) that are attracted to the grounded patient (ie, the patient with a dispersive electrode in place) when connected to the device's powered electrical generator. Medical device event-reporting may include both an internal reporting process at the facility11 and an external reporting process to the Food and Drug Administration using the Manufacturer and User Facility Device Experience database.12 Emily Jones, MSN, RN, CNOR, NPD-BC, is a perioperative practice specialist in the Nursing Department at AORN, Inc, Denver, CO.

Specialized Training on Sulphur Fire Fighting - Competency Enhancement

Multiple incidents in the Sulphur Handling facility in the past and significant findings from the investigations revealed the need for competency enhancement of employees and Central Fire Brigade team in terms of firefighting with specific reference to Sulphur fires. With immense support and leadership commitment, we focused to enhance the competency level of employees and Contractors those who are identified as first responders. We have undergone multilevel search to provide Sulphur firefighting techniques and concluded with a specialized third party training with an intensive core idea to conduct the training utilizing the firefighting equipment's and facilities available within the plant to make it lively and specific to the work environment. - 1st Time Specialized Sulphur Fire Fighting Training in ADNOC Group of Companies. - Utilizing Plant Assets and Real Time Scenarios - Switch from Conventional methods to Modern techniques. - Theory & Practical - COVID 19 compliance - Knowledge sharing with other Operating Companies. © Copyright 2021, Society of Petroleum Engineers

Hybrid Model of Machine Learning Refractory Data Prediction Based on IoT Smart Cities

With the advent of the digital age in recent years, the application of artificial intelligence in urban Internet of Things (IoT) systems has become increasingly important. The concept of smart cities has gradually formed, and smart firefighting under the smart city system has also become important. The method of machine learning is now applied in various fields, but seldom to the data prediction of smart firefighting. Various types of applications including data applications of machine learning algorithms in smart firefighting have yet to be explored. In this article, we propose using machine learning algorithms to predict building fire-resistance data, aiming to provide more theoretical and technical support for IoT smart cities. This article adopts the fire-resistance data of building beam components in a real fire environment, using three integrated machine learning algorithms, Extreme random Tree (ET), AdaBoost, and Gradient Boosting Machine (GBM), and the grey wolf optimization algorithm to optimize. We improve the grey wolf algorithm and combine the grey wolf algorithm with the machine learning model. The algorithm constitutes three machine learning hybrid models: GWO-ET, GWO-AdaBoost, and GWO-GBM. Compared with traditional grid tuning, particle swarm optimization (PSO), and genetic algorithm (GA) optimization, the robustness and accuracy of the three optimization algorithms and the machine learning hybrid algorithm on the data set are compared and analyzed. Performance is measured through various performance comparisons and experimental result comparisons. For various building beam component data sets under real fires, the optimization and comparison show that the mean square error (MSE) of the proposed algorithm is extremely small. The results indicate that the GWO machine learning hybrid model is superior to other models and has a smaller prediction error.