Receptivity of providing firearm safety storage devices to parents along with firearms safety education.

Background: In the United States, 33% of households with children contain firearms, however only one-third reportedly store firearms securely. It's estimated that 31% of unintentional firearm injury deaths can be prevented with safety devices. Our objective was to distribute safe storage devices, provide safe storage education, evaluate receptivity, and assess impact of intervention at follow-up. Method: At five independent, community safety events, parents received a safe storage device after completing a survey that assessed firearms storage methods and parental comfort with discussions regarding firearm safety. Follow-up surveys collected 4 weeks later. Data were evaluated using descriptive analysis. Result: 320 participants completed the surveys, and 288 participants were gunowners living with children. Most participants were comfortable discussing safe storage with healthcare providers and were willing to talk with friends about firearm safety. 54% reported inquiring about firearm storage in homes their children visit, 39% stored all their firearms locked-up and unloaded, 32% stored firearms/ammunition separately. 121 (37%0.8) of participants completed the follow-up survey, 84% reported using the distributed safety device and 23% had purchased additional locks for other firearms. Conclusion: Participants were receptive to firearm safe storage education by a healthcare provider and distribution of a safe storage device. Our follow up survey results showed that pairing firearm safety education with device distribution increased overall use of safe storage devices which in turn has the potential to reduce the incidence of unintentional and intentional self-inflicted firearm injuries. Providing messaging to promote utilization of safe storage will impact a firearm safety culture change.

Two Minutes for Roughing: A National Analysis of Ice Hockey Injuries from American Trauma Centers.

BACKGROUND: Hockey is a high-impact sport that carries a risk of injury. No national-level studies defining the burden of injury in this sport have yet been performed. This study sought to analyze patient demographics, injury types and severity, and outcomes after trauma sustained while playing hockey. METHODS: Retrospective analysis of hockey-related injuries was performed using the National Trauma Data Bank (NTDB) (2007-2018). Patients were identified based on ICD-9 and -10 codes without exclusions. Demographics, clinical/injury data, and outcomes were examined using univariate analysis. Subgroup analysis was performed by patient sex. RESULTS: Hockey injuries (n = 306) comprised <1% of the NTDB. Median age was 15 years [IQR 13-25] (range 5-71). Most patients (n = 279, 91%) were male. Lower extremities were the most frequently injured body region (n = 88, 29%). Head injuries occurred in 19% (n = 57). Facial injuries occurred in 6% (n = 17). Tooth loss was infrequent (n = 2, 1%). One (<1%) death occurred after a hockey-related brain injury. Clinical/injury data between male and female hockey players were comparable apart from a significantly higher rate of upper extremity fractures among the female cohort (22% vs 4%, P < .001). CONCLUSION: Perceptions that hockey players may frequently sustain head, face, and tooth injuries from collisions, fighting, or stick/puck impacts were not supported by this national-level study, in which lower extremity fractures were the most common injury. While hockey injury prevention equipment has primarily focused on head/face protection (eg, helmets and mouthguards), this analysis suggests increased focus on extremity protective measures is warranted.

Wearable Devices in Diving: Scoping Review.

BACKGROUND: Wearables and their benefits for the safety and well-being of users have been widely studied and have had an enormous impact on the general development of these kinds of devices. Yet, the extent of research into the use and impact of wearable devices in the underwater environment is comparatively low. In the past 15 years, there has been an increased interest in research into wearables that are used underwater, as the use of such wearables has steadily grown over time. However, there has so far been no clear indication in the literature about the direction in which efforts for the design and construction of underwater wearable devices are developing. Therefore, the analysis presented in this scoping review establishes a good and powerful basis for the further development and orientation of current underwater wearables within the field. OBJECTIVE: In this scoping review, we targeted wearable devices for underwater use to make a comprehensive map of their capabilities and features and discuss the general direction of the development of underwater wearables and the orientation of research into novel prototypes of these kinds of devices. METHODS: In September 2021, we conducted an extensive search for existing literature on 4 databases and for grey literature to identify developed prototypes and early-stage products that were described and tested in water, could be worn and interacted with (eg, displays, buttons, etc), and were fully functional without external equipment. The studies were written in English, came from peer-reviewed academic sources, and were published between 2005 and 2021. We reviewed each title and abstract. The data extraction process was carried out by one author and verified by another author. RESULTS: In total, 36 relevant studies were included. Among these, 4 different categories were identified; 18 studies dealt primarily with safety devices, 9 dealt with underwater communication devices, 7 dealt with head-up displays, and 2 dealt with underwater human-computer interaction approaches. Although the safety devices seemed to have gained the most interest at the time of this study, a clear trend toward underwater communication wearables was identified. CONCLUSIONS: This review sought to provide a first insight into the possibilities and challenges of the technologies that have been used in and for wearable devices that are meant for use in the underwater environment. Among these, underwater communication technologies have had the most significant influence on future developments. Moreover, a topic that has not received enough attention but should be further addressed is human-computer interaction. By developing underwater wearables that cover 2 or more of the technology categories that we identified, the extent of the benefits of such devices can be significantly increased in the future.

An exclusive hand protection device made of fused deposition modelling process using poly (lactic acid) polymer.

The world has been hit hardest by a type of Severe Acute Respiratory Syndrome (SARS) virus called corona. This vulnerability did not leave all the superpowers in the world. The virus, is spread through coughs and sneezes. It is also spread by touching objects or parts of an infected person. For this reason, it is considered an infectious disease. It is very difficult to protect ourselves from such a contagious disease. But the World Health Organization (WHO) says there are certain guidelines to follow. The first way is to prevent the spread of COVID-19 social infection by adhering to social spaces (i.e. 2 m intervals). Second, we can protect ourselves by using appropriate safety equipment. We can also protect ourselves from the COVID-19 virus by using sanitizers or soaps. So this study focuses on a 3D-printed hand protection device for COVID- 19 infection prevention. The design, fabrication, and testing of the gadget were all successful. Thus, a low-cost and efficient device made by eco-friendly Poly Lactic Acid (PLA) polymer material and may be utilized to operate some potentially susceptible and highly infectious surfaces in a variety of public areas, where touching and using particular components is common and frequent (eg door handles, electrical switches, ATM machines).

Reducing vehicle fuel consumption and exhaust emissions from the application of a green-safety device under real driving.

Vehicle emissions have a significantly negative impact on climate change, air quality and human health. Drivers of vehicles are the last major and often overlooked factor that determines vehicle performance. Eco-driving is a relatively low-cost and immediate measure to reduce fuel consumption and emissions significantly. This paper reports investigation of the effects of an on-board green-safety device on fuel consumption and emissions for both experienced and inexperienced drivers. A portable emissions measurement system (PEMS) was installed on a diesel light goods vehicle (LGV) to measure real-driving emissions (RDE), including total hydrocarbons (THC), CO CO2, NO, NO2 and particulate matter (PM). In addition, driving parameters (e.g. vehicle speed and acceleration) and environmental parameters (e.g. ambient temperature, humidity and pressure) were recorded in the experiments. The experimental results were evaluated using the Vehicle Specific Power (VSP) methodology to understand the effects of driving behavior on fuel consumption and emissions. The results indicated that driving behavior was improved for both experienced and inexperienced drivers after activation of the on-board green-safety device. In addition, the average time spent was shifted from higher to lower VSP modes by avoiding excessive speed, and aggressive accelerations and decelerations. For experienced drivers, the average fuel consumption and NO, NO2 and soot emissions were reduced by 5%, 56%, 39% and 35%, respectively, with the on-board green-safety device. For inexperienced drivers, the average reductions were 6%, 65%, 50% and 19%, respectively. Moreover, the long-term formed habits of experienced drivers are harder to be changed to accept the assistance of the green-safety device, whereas inexperienced drivers are likely to be more receptive to change and improve their driving behaviors.

A New Device to Prevent Aspiration or Swallowing of Implant Screwdrivers.

The screwdriver harness is potentially a life-saving device. It allows the clinician to work intraorally with a handheld screwdriver without the concern of unintentionally losing contact with the driver, risking the possibility of aspiration or swallowing by the patient.

Comparative study on fixation of central venous catheter by suture versus adhesive device. / Estudio comparativo sobre fijación de catéter venoso central mediante sutura versus dispositivo adhesivo.

OBJECTIVES: To assess the efficacy of a central venous catheter adhesive fixation device (CVC) to prevent associated complications. To establish the need for dressing changes, number of days' catheterization and reasons for catheter removal in both study groups. To assess the degree of satisfaction of personnel with the adhesive system. METHOD: A, randomized, prospective and open pilot study, of parallel groups, with comparative evaluation between CVC fixation with suture and with an adhesive safety system. The study was performed in the Coronary Unit of the Universitari de Bellvitge Hospital, between April and November 2016. The population studied were patients with a CVC. The results were analyzed using SPSS Statistics software. The study was approved by the Clinical Research Ethics Committee. RESULTS: 100 patients (47 adhesive system and 53 suture) were analyzed. Both groups were homogeneous in terms of demographic variables, anticoagulation and days of catheterization. The frequency of complications in the adhesive system group was 21.3%, while in the suture group it was 47.2% (P=.01). The suture group had a higher frequency of local signs of infection (p=.006), catheter displacement (p=.005), and catheter-associated bacteraemia (P=.05). The use of adhesive fixation was associated with a lower requirement for dressing changes due to bleeding (P=.006). Ninety-six point seven percent of the staff recommended using the adhesive safety system. CONCLUSIONS: The catheters fixed with adhesive systems had fewer infectious complications and less displacement.

Effectiveness of Direct Safety Regulations on Manufacturers and Users of Industrial Machines: Its Implications on Industrial Safety Policies in Republic of Korea.

BACKGROUND: Despite considerable efforts made in recent years, the industrial accident rate and the fatality rate in the Republic of Korea are much higher than those in most developed countries in Europe and North America. Industrial safety policies and safety regulations are also known to be ineffective and inefficient in some cases. METHODS: This study focuses on the quantitative evaluation of the effectiveness of direct safety regulations such as safety certification, self-declaration of conformity, and safety inspection of industrial machines in the Republic of Korea. Implications on safety policies to restructure the industrial safety system associated with industrial machines are also explored. RESULTS: Analysis of causes in industrial accidents associated with industrial machines confirms that technical causes need to be resolved to reduce both the frequency and the severity of such industrial accidents. Statistical analysis also confirms that the indirect effects of safety device regulation on users are limited for a variety of reasons. Safety device regulation needs to be shifted to complement safety certification and self-declaration of conformity for more balanced direct regulations on manufacturers and users. An example of cost-benefit analysis on conveyor justifies such a transition. CONCLUSION: Industrial safety policies and regulations associated with industrial machines must be directed towards eliminating the sources of danger at the stage of danger creation, thereby securing the safe industrial machines. Safety inspection further secures the safety of workers at the stage of danger use. The overall balance between such safety regulations is achieved by proper distribution of industrial machines subject to such regulations and the intensity of each regulation. Rearrangement of industrial machines subject to safety certification and self-declaration of conformity to include more movable industrial machines and other industrial machines with a high level of danger is also suggested.

Causes of needlestick injuries in three healthcare settings: analysis of accident notifications registered six months after the implementation of EU Directive 2010/32/EU in Germany.

BACKGROUND: Needlestick injuries (NSIs) are the most common cause of sharps injuries and pose a serious risk to healthcare workers (HCWs). In 2014, 'Technical rule for biological agents in healthcare and welfare facilities' (TRBA 250) was modified in Germany in order to promote the prevention of sharps injuries. AIMS: To examine the epidemiology of NSIs among HCWs in hospitals, doctor's offices and in- and outpatient care; to collect information on the causes of the accidents when safety-engineered devices (SEDs) are used; and to compare the results with the main principles of TRBA 250. METHODS: The survey was based on HCWs' compensation claims for NSIs, as notified within a four-week period in November 2014. Detailed information on the NSI was collected by telephone interview. FINDINGS: In total, 533 HCWs participated. Subcutaneous needles were most often involved in NSIs, regardless of the healthcare setting (39% of all NSIs). Insulin pens were involved in 48% of NSIs in in- and outpatient care. Disposal of sharps devices accounted for 38% of the injuries. SEDs were used in 20% of NSIs. Lack of activation was the most important cause of failure when SEDs were used. CONCLUSION: Despite the binding recommendations of TRBA 250, more efforts are needed to increase the experience of HCWs in terms of working with SEDs. All professional groups must be encouraged to be more aware of the risks associated with sharps disposal. Safe handling practices for disposal of insulin pens are needed in in- and outpatient care settings.

Effectiveness of Direct Safety Regulations on Manufacturers and Users of Industrial Machines: Its Implications on Industrial Safety Policies in Republic of Korea

BACKGROUND: Despite considerable efforts made in recent years, the industrial accident rate and the fatality rate in the Republic of Korea are much higher than those in most developed countries in Europe and North America. Industrial safety policies and safety regulations are also known to be ineffective and inefficient in some cases. METHODS: This study focuses on the quantitative evaluation of the effectiveness of direct safety regulations such as safety certification, self-declaration of conformity, and safety inspection of industrial machines in the Republic of Korea. Implications on safety policies to restructure the industrial safety system associated with industrial machines are also explored. RESULTS: Analysis of causes in industrial accidents associated with industrial machines confirms that technical causes need to be resolved to reduce both the frequency and the severity of such industrial accidents. Statistical analysis also confirms that the indirect effects of safety device regulation on users are limited for a variety of reasons. Safety device regulation needs to be shifted to complement safety certification and self-declaration of conformity for more balanced direct regulations on manufacturers and users. An example of cost-benefit analysis on conveyor justifies such a transition. CONCLUSION: Industrial safety policies and regulations associated with industrial machines must be directed towards eliminating the sources of danger at the stage of danger creation, thereby securing the safe industrial machines. Safety inspection further secures the safety of workers at the stage of danger use. The overall balance between such safety regulations is achieved by proper distribution of industrial machines subject to such regulations and the intensity of each regulation. Rearrangement of industrial machines subject to safety certification and self-declaration of conformity to include more movable industrial machines and other industrial machines with a high level of danger is also suggested.

Considerações sobre o empresariamento da vida em políticas públicas para a educação / Considerations empreendedorism in public policies for education / Consideraciones críticas sobre el espíritu empresarial en las políticas públicas para la educación

Este artigo visa a analisar criticamente o que vem sendo denominado de empresariamento da vida no neoliberalismo, em especial, nas políticas de educação que terminam por produzir lógicas de mercantilização dos direitos de crianças e adolescentes. Enfoca a gestão de riscos, a sociedade de segurança e o governo das condutas, a partir da perspectiva desenvolvimentista psicologizante da educação e da promoção de direitos via conceito de resiliência e empoderamento empreendedor de estilos de vida empresariais. Na segunda parte do texto, por meio de estudos de Foucault, efetuamos a análise de acontecimentos do presente, no Brasil. Problematizamos a política de educação e pesquisa calcada em pedagogias das competências socioemocionais e de empoderamento empresarial de direitos desse grupo social.(AU)

This article aims to critically analyze what has been called the entrepreneurship of life in neoliberalism, especially in education policy that eventually produce logic of commodification of the rights of children and adolescents. Risk management, the security company and the government of pipelines from the psychologizing developmental perspective of education and promotion of rights via concept of resilience and entrepreneurial empowerment of business lifestyles. In the second part of the text by Foucault's studies, we performed the analysis of current events in Brazil. It questions the education policy and research modeled on pedagogies of socio-emotional skills and business empowerment rights of this social group.(AU)

Este artículo tiene como objetivo analizar críticamente lo que se ha llamado el espíritu empresarial de la vida en el neoliberalismo, sobre todo en la política educativa que eventualmente producir la lógica de la mercantilización de los derechos de los niños y adolescentes. La gestión del riesgo, la empresa de seguridad y el gobierno de tuberías desde la perspectiva del desarrollo psicologización de la educación y promoción de los derechos a través de concepto de resiliencia y empoderamiento empresarial de los estilos de vida de negocios. En la segunda parte del texto por los estudios de Foucault, se realizó el análisis de los acontecimientos actuales en Brasil. Cuestiona la política educativa y la investigación inspirado en las pedagogías de habilidades socio-emocionales y derechos de empoderamiento de negocios de este grupo social.(AU)

Considerações sobre o empresariamento da vida em políticas públicas para a educação / Considerations empreendedorism in public policies for education / Consideraciones críticas sobre el espíritu empresarial en las políticas públicas para la educación

Este artigo visa a analisar criticamente o que vem sendo denominado de empresariamento da vida no neoliberalismo, em especial, nas políticas de educação que terminam por produzir lógicas de mercantilização dos direitos de crianças e adolescentes. Enfoca a gestão de riscos, a sociedade de segurança e o governo das condutas, a partir da perspectiva desenvolvimentista psicologizante da educação e da promoção de direitos via conceito de resiliência e empoderamento empreendedor de estilos de vida empresariais. Na segunda parte do texto, por meio de estudos de Foucault, efetuamos a análise de acontecimentos do presente, no Brasil. Problematizamos a política de educação e pesquisa calcada em pedagogias das competências socioemocionais e de empoderamento empresarial de direitos desse grupo social.

This article aims to critically analyze what has been called the entrepreneurship of life in neoliberalism, especially in education policy that eventually produce logic of commodification of the rights of children and adolescents. Risk management, the security company and the government of pipelines from the psychologizing developmental perspective of education and promotion of rights via concept of resilience and entrepreneurial empowerment of business lifestyles. In the second part of the text by Foucault's studies, we performed the analysis of current events in Brazil. It questions the education policy and research modeled on pedagogies of socio-emotional skills and business empowerment rights of this social group.

Este artículo tiene como objetivo analizar críticamente lo que se ha llamado el espíritu empresarial de la vida en el neoliberalismo, sobre todo en la política educativa que eventualmente producir la lógica de la mercantilización de los derechos de los niños y adolescentes. La gestión del riesgo, la empresa de seguridad y el gobierno de tuberías desde la perspectiva del desarrollo psicologización de la educación y promoción de los derechos a través de concepto de resiliencia y empoderamiento empresarial de los estilos de vida de negocios. En la segunda parte del texto por los estudios de Foucault, se realizó el análisis de los acontecimientos actuales en Brasil. Cuestiona la política educativa y la investigación inspirado en las pedagogías de habilidades socio-emocionales y derechos de empoderamiento de negocios de este grupo social.

Multimídia interativa como recurso para utilização de materiais perfurocortantes com dispositivo de segurança na punção venosa periférica / Interactive multimedia as a resource for the use of sharps with safety device in peripheral venipuncture

Em função da inserção das Novas Tecnologias da Informação e Comunicação, na prática da Enfermagem, notamos que esta pode ser uma importante ferramenta de aprendizado, podendo contribuir para uma atuação da Equipe de Enfermagem mais eficaz. Logo, o Objeto de Estudo da presente pesquisa foi a multimídia interativa com vistas à adequada utilização de materiais perfurocortantes com dispositivo de segurança durante a punção venosa periférica. O objetivo central foi desenvolver uma multimídia interativa com vistas à adequada utilização de materiais perfurocortantes com dispositivo de segurança. Metodologia: o método adotado foi o quanti-qualitativo, sendo um estudo do tipo observacional. Resultados: 1- No que se refere ao momento da punção venosa periférica, notamos que embora a recomendação para higienização das mãos seja mandatória e que esta deve anteceder qualquer procedimento a ser realizado, apenas 20% dos participantes o fizeram antes da punção venosa periférica e; 2 - Na última etapa do procedimento realizado, o dado que nos chama atenção é que 80% dos participantes não realizaram o cálculo para a infusão dos medicamentos, realizando a infusão inicial de forma aleatória. Conclusão: Foi identificada a necessidade de uma nova abordagem específica referente ao treinamento de perfurocortantes com dispositivo de segurança, uma vez que com o desenvolvimento da nossa multimídia proposta, percebemos que é viável a realização e construção de outras tecnologias da informação

Due to the integration of New Technologies of Information and Communication in the nursing practice, we note that this can be an important learning tool and can contribute to a performance of nursing staff more effective. Thus, the study object of this research was to interactive multimedia aimed at the proper use of sharps with safety device for peripheral venipuncture. The Main Objective was to develop an interactive multimedia aimed at the proper use of sharps with safety device. Methods: the method adopted was the quantitative and qualitative, being a study of observational type. Results: As regards the time of peripheral venous puncture, note that although the recommendation for hand hygiene is mandatory and that this should precede any procedure to be performed, only 20% of participants did before venous puncture and; 2 - In the last step of the procedure performed, the data that draws our attention is that 80% of participants did not perform the calculation for the infusion of drugs, carrying out the initial infusion randomly. Conclusion: it was identified the need for a new approach for the specific training of sharps with safety device, once with the development of our multimedia proposal, we realized that it is feasible the realization and construction of other information technologies

Improper use of child restraint seats as a sleeping environment: Two cases of childhood death.

A child restraint seat (CRS) is designed to keep infants safe inside motor vehicles while in motion. However, there have been a growing number of reports of injuries sustained as a result of CRS use outside the vehicle. These injuries commonly result from a fall from an elevated surface or an overturning of the CRS. The incidence of death from these events, however, is not well documented. The present report retrospectively analyzed the British Columbia Coroner Service Database to identify deaths involving CRS use outside the vehicle. Two such fatalities were identified. In both instances, infants had been placed in a CRS overnight and, in both cases, the CRS was found overturned, resulting in asphyxiation. The history and pathological findings of both cases are summarized.

Les sièges d'auto sont conçus pour maintenir les nourrissons en sécurité dans les véhicules automobiles en mouvement. Toutefois, on constate un nombre croissant de blessures subies dans le cadre de l'utilisation de ces sièges à l'extérieur de la voiture. Ces blessures découlent souvent d'une chute à partir d'une surface élevée ou du renversement du siège. Cependant, l'incidence de décès découlant de ces événements est mal étayée. Dans le présent rapport, les chercheurs ont procédé à l'analyse rétrospective de la base de données du service du coroner de la Colombie-Britannique pour repérer les décès liés à l'utilisation d'un siège d'auto à l'extérieur d'un véhicule. Ils en ont trouvé deux. Dans les deux cas, les nourrissons avaient été laissés dans leur siège d'auto toute la nuit, et le siège a été retrouvé renversé, entraînant l'asphyxie du bébé. Les antécédents et les constatations pathologiques des deux cas sont résumés.

Pressure Sensitive Mats as Safety Devices in Danger Zones.

Developing prototypes of pressure sensitive mats and testing their practical application were the aims of this study. Two contact plate mats were designed and constructed: rubber-rubber (R) and metal-metal (M). A recipe for rubber mixes and the production technology were prepared. Two laboratory test stands for measuring the actuating force, response time, static pressure resistance, and the durability of the mats were constructed. Computer software was written to control the operation of those test stands. Methods of testing pressure sensitive mats were based on PrDIN 31 006 (Deutsches Institut fur Normung [DIN], 1990) and EN 1760-1 (Comite Europeen de Normalisation [CEN], 1997). Both prototypes of contact plate mats were tested under laboratory and industrial conditions. The test results proved that the design was correct, the setup requirements were fulfilled, and the mats were efficient and reliable in the industrial environment.