Users’ Demands Regarding Dental Safety Glasses. Combining a Quantitative Approach and Grounded Theory for the Data Analysis

Eye infections are common among dentists and many are concerned, but few are using proper eye protection. To understand users’ demands behind the low use of safety glasses, all dental teams in Sweden were asked which factors they found most important when choosing dental safety glasses, and rate the importance of 31 statements regarding ergonomic aspects of dental safety glasses in a questionnaire. Data were analysed using the Grounded Theory and a quantitative approach. Results showed that dentists ranked the visual aspects as most important and chair assistants the protective aspects. The highly visual demanding work performed by dentists requires safety glasses that are not yet available on the market, which might explain the low use.     

The Correlation Between Symptoms,Frequent Use of Dental Polymers,and Evaluation of Health Risk

Dental personnel are at risk as they manually handle polymer products containing monomers and additives that cause irritation and induce allergy. Gloves and face masks can be easily penetrated by monomers. A total of 587 dental personnel and a referent group (585) in the 2 most northern regions of Sweden were included in a questionnaire study (response rate 76%). Questions were asked regarding symptoms of atopy, asthma, conjunctivitis, atopic dermatitis, hand dermatitis, and hay fever/rhinitis. The dental personnel were asked to give the name of polymer products used in their practice and the frequency of use. They were also asked to risk evaluate 5 different types of polymer materials on a scale from 1 to 5. Analysis was done to find if the occurrence of a symptom was associated with a high risk evaluation of a polymer material, or with frequent use of a certain polymer product. Significantly more dentists reported symptoms of atopic dermatitis and conjunctivitis compared to referents and chair assistants. Results show that dental personnel with symptoms risk evaluated most materials significantly higher than dental personnel without symptoms. Further, the occurrence of some symptoms was associated with frequent use of 8 polymer products.     

Dental Workers,Musculoskeletal CumulativeTrauma,and Carpal Tunnel Syndrome: Who is at Risk? A Pilot Study

A pilot study was conducted at a dental clinic to identify (a) the prevalence of musculoskeletal cumulative trauma disorders (MCTD), (b) associated symptoms (with special attention paid to carpal tunnel syndrome [CTS]), and (c) practitioners at risk. Videotapes, two questionnaires, a medical record review, and interviews were used. Forty-five dental workers participated and were classified into three categories: (a) dentists, (b) dental assistants and special assistants (DA/SA), and (c) dental hygienists and dental assistant-expanded function (DH/DAEF). Categorical data were analyzed using the chi- square statistic and risk ratios. The Fisher exact probability test was used for categorical data with a small cell. One or more symptoms associated with CTS were noted by 75.6% of the dental workers, 11% reported diagnosed CTS, and 53% reported back and shoulder pain. Both psychosocial factors and job demands appear to be associated with MCTD. All three categories of dental workers reported MCTD symptoms, and the DH/DAEF group was found to be at greatest risk for developing upper extremity symptoms, CTS, and back pain.     

From the CDC: A qualitative study of middle and high school professionals' experiences and views on concussion: Identifying opportunities to support the return to school process

Introduction: Current research recommends that students returning to school after a concussion should receive a return to school plan that is tailored to their individual symptoms. School professionals play important roles in designing and implementing the supports outlined in return to school plans. Methods: This qualitative study explored middle and high school professionals' experiences with concussion, particularly their knowledge and perceptions of the injury and their experience with supporting students with concussion. Six focus groups were conducted with two to four school professionals per group, including two groups of teachers, two groups of school psychologists and counselors, and two groups of school nurses. Findings were coded into four categories: (a) challenges with identifying a concussion; (b) strategies for communicating with students about concussion; (c) barriers to implementing return to learn plans; and (d) establishing a collaborative school support team. Results: School professionals who participated in the focus groups were knowledgeable about concussion and the importance of helping their student recover. Participants also understood the importance of recognizing the signs and symptoms of concussion and communicating with students and parents about this injury. However, the study participants reported various challenges related to concussion identification and management, including the perceived validity of concussion symptom reporting by students. A team-based approach was mentioned across all groups as the preferred method for school-based concussion management for students. Conclusion: School professionals in this study were eager to address concussion in their schools, but desire guidance on how to overcome social norms around concussion identification and reporting. In addition, there is a need for consistent use of written instructions from healthcare providers to help guide return to learn (RTL) accommodations. Practical applications: The findings from this study can help inform the integration of concussion, and other health, management plans in schools.     

Self-perceived mental well-being amongst Malaysian dentists

Purpose. To assess Malaysian dentists’ perceptions of their mental well-being. Methods. A self-administered questionnaire was developed based on a conceptual framework of mental health and well-being model. Two aspects were assessed, namely the physiological (two domains) and the psychological (six domains). Participants were asked to rate their experiences of the aforementioned aspects using a 5-point Likert scale ranging from all the time to never. Results. The response rate was 81%. Most of the dentists (61.7%) perceived having positive mental well-being. Under the physiological aspect, most respondents reported that they were ‘generally happy’ (93.3%), but about 30% stated they were ‘stressed physically and emotionally’. Of the six domains under the psychological aspect, positive well-being was observed in the ‘sense of coherence’ and ‘behavioural stress’ domains. Participants who were above 40 years old, married and had children reported having a more positive mental well-being when compared with their counterparts. Conclusion. Overall, most Malaysian dentists perceived having a positive mental well-being. It is crucial, however, to closely monitor and initiate early interventions for those with negative symptoms to ensure the safe practice of dentistry.     

Working conditions and dentists' attitude towards proprioceptive derivation.

Proprioceptive derivation (Pd), a new method of organising a dentist workstation as well as a working procedure, was introduced to Thailand. The aim of this study was to assess the working conditions and the attitude to Pd among experienced users. Questionnaires were distributed among 12 dentists. The results showed that all dentists chose to work in a sitting posture and mostly worked without breaks between patients. They spent less time on dental examination and crown and bridge therapy tasks. Solving problems in patients with physical limitations resulted in a low stress level. Seven dentists (58.3%) always used Pd and liked it. Five dentists (41.7%) sometimes used Pd, with 3 of them liking it. Only 2 dentists, who sometimes used Pd, did not like it because it could not cover all dental tasks and treatment, and it was difficult and complex.     

A dental stool with chest support reduces lower back muscle activation

Activation of back musculature during work tasks leads to fatigue and potential injury. This is especially prevalent in dentists who perform much of their work from a seated position. We examined the use of an ergonomic dental stool with mid-sternum chest support for reducing lower back muscle activation. Electromyography of lower back extensors was assessed from 30 dental students for 20?s during three conditions in random order: (a) sitting upright at 90° of hip flexion on a standard stool, (b) leaning forward at 80° of hip flexion on a standard stool, and (c) leaning forward at 80° of hip flexion while sitting on an ergonomic stool. Muscular activity of the back extensors was reduced when using the ergonomic stool compared to the standard stool, by 33–50% (p?相似文献   

地铁火灾防排烟设计探讨

介绍了防排烟系统设计在地铁火灾中的重要性,以及目前国内地铁车站在防排烟设计中有关排烟量的计算,区间隧道的排烟方式,排烟风亭与出入口之间的位置设计等方面所存在的一些问题及相关的解决方案。结合所引用的相关试验研究及其结论,经过对上述相关问题的分析和总结,针对地铁车站公共区和区间隧道的排烟方式和排烟装置,文章提出了适于国内地铁消防防排烟建设的措施,最后根据所引用的试验,对所提出的措施作出了分析,以得出结论。     

Perceived organizational support and perceived safety climate from the perspective of safety professionals: Testing reciprocal causality using a cross-lagged panel design

Introduction: The objective of this study was to determine the reciprocal relationship between safety professionals perceived organizational support (POS) and perceived safety climate. Safety professionals are most effective when they perceive support from management and employees and they also attribute most of their success to support from the organization. Their work directly improves safety climate, and organizations with a high safety climate show a higher value for the safety professional. The causal direction of this relationship is, however, unclear. Method: Using a sample of 162 safety professionals, we conducted a cross-lagged panel study over one year to examine whether safety professionals’ POS improves their perceived safety climate and/or whether safety climate also increases POS over time. Data were collected at two points and, after testing for measurement invariance, a cross-lagged SEM was conducted to analyze the reciprocal relationship. Results: Our findings show that safety professionals’ POS was positively related to perceived safety climate over time. Perceived safety climate, however, did not contribute to safety professionals’ POS. Conclusions: This study significantly adds to the discussion about the factors influencing safety professionals’ successful inclusion in organizations, enabling them to perform their work and, thus, improve occupational safety. Practical Applications: Since safety climate increases in organizations in which safety professionals feel supported, this study points out the kind of support that contributes to improved organizational safety. Support for safety professionals may come in classical forms such as approval, pay, job enrichment, and information on or influence over organizational policies.     

Networking by professionals to manage change: dentists' cooperation and competition to develop their business

Professionals, although most have little formal background in management, confront many business challenges. A network of professionals, financial bankers, suppliers and others can provide them with ideas, suggestions, and advice to adapt their practices. Fifty-two self-employed dentists were interviewed to test the usefulness of the theory of cooperation and competition to analyze professional networking. These dentists were able to network effectively to solve business problems when they developed cooperative goals and discussed their views open-mindedly. The path coefficients of the structural equation analysis supported the theorizing that open-minded discussion mediates the relationship between goal interdependence and outcomes. It indicated that competitive goals very much interfered with the other's willingness to discuss issues openly and constructively; the other's and own open-minded discussion were critical for productive networking. Shared purpose, interconnected roles, and sympathy were major antecedents for cooperative goals. Results suggest the value of professionals building cooperative goals, reducing competitive ones, and developing the interpersonal competence to discuss issues open-mindedly with people in their network. © 1997 John Wiley & Sons, Ltd.     

Evaluating safety management and culture interventions to improve safety: Effective intervention strategies

The Dutch Ministry of Social Affairs and Employment provided subsidy over the period 2004–2008 to a number of companies to introduce changes aimed at reducing accidents by changing their safety culture and aspects of their safety management. As part of the programme a scientific evaluation was set up to assess the effectiveness of the interventions in 17 of the projects, covering 29 companies. Before and after studies were made of the companies, documenting the state of their safety management and risk control efforts and their accident rates before the intervention, the changes made over the study period and the resulting changes in a range of measures aimed at assessing the success of the changes. The analysis led to a categorisation of the projects according to their degree of success.This paper describes the patterns of interventions distinguishing between successful and not successful projects and discusses the mechanisms lying behind them. Interventions bringing about constructive dialogue between shop-floor and line management, providing motivation to line managers and strengthening the monitoring and learning loops in the safety management system (SM) appeared more successful. The amount of energy and creativity injected by top managers and, above all, by the coordinator (safety professional) appeared also to be a distinguishing factor.     

小煤矿安全监控系统管理探讨

调查了四川省各地区小煤矿安全监控系统普遍存在的问题及严峻形势。对于煤矿企业专业技术人才匮乏,业主安全意识淡薄,县级安全测控仪器检修中心服务不到位等现象,分析存在问题的具体原因。同时,提出日常监督管理的建议及措施,保证煤矿安全监控系统和煤矿安全生产"六大系统"建设工作的正常运作,确保煤矿安全实时监控充分发挥煤矿数字化瓦斯远程监控的重要作用。     

An empirical study for the direct and indirect links between trust in regulatory institutions and acceptability of hazards

Several studies have identified a significant relationship between trust in regulatory institutions and the extent of a hazard’s acceptability. Many, however, have overlooked the potential impact perceived risk and perceived benefit may have on the relationship. Our principal goal is to assess empirically the link between social trust in regulatory entities and the degree of public acceptability of hazards in view of interactions among social trust, perceived risk, perceived benefit and public acceptability. A survey was conducted in 2006 in three cities representative of central Mexico. A total of 356 participants answered the survey. Each participant assessed 30 hazards for perceived risk, perceived benefit, acceptability, social trust in regulatory entities, and personal knowledge. Our main finding was that social trust retained a direct as well as an indirect causal link with the degree of a hazard’s public acceptability, independent of hazard, the extent of knowledge, and the magnitude of the hazard’s perceived risk and benefit. The relationship encountered between perceived risk and acceptability was unexpected, as numerous studies have demonstrated empirically the influence perceived risk on how acceptable an activity or technology is. In our results the statistical significance of the perceived risk-acceptability relationship practically disappeared when controlled for institutional trust and perceived benefit. In other words, the net linear relationship between perceived risk and acceptability is mediated by the extent of social trust and the benefit perceived. Comparisons with several prior studies are conducted, and implications for regulatory entities are discussed.     

Variability of Musculoskeletal Strain on Dentists: An Electromyographic and Goniometric Study

Introduction. Dentists and hygienists are strongly affected by musculoskeletal disorders (MSDs). As workstation concepts are supported by subjective arguments only, the aim of this study was to use objective measurements to compare the variability of strain in various concepts: a dental chair equipped with a cart or an over-the-patient delivery system without an assistant, and Dr Daryl Beach’s concept with an assistant. Methods. Goniometric and electromyographic recordings were made on 8 subjects, during a scaling operation. The electrical activity of their trapezius and lumbar muscles was compared, as were their cervical and lumbar ranges of motion. Results. The results showed that there was a wide variability depending on the workstation. However, the Beach concept tended to reduce physical strain on most parameters: duration of left lumbar muscle activity (2% compared to 15% of time spent in >10% maximal voluntary contraction, MVC), time spent in cervical side bending (4% compared to 30%), cervical flexion of >20° (9% compared to 40%), and left trapezius activity (9% of time spent >10% MVC compared to 28%). Conclusion. Practitioners and students should adjust their workstations to reduce the prevalence of MSDs.     

The effects of priming on the self-reporting of perceived stressors and strains

It was hypothesized that priming would have a significant effect on subjects' self-reports of perceived stressors and strains. An experiment was conducted wherein the experimental group was exposed to a brief, informal talk about the types of stressors and resulting strains that are typically experienced by working M.B.A. students. They were then asked to complete a questionnaire measuring several stressors and strains. The control group received no information and subjects were simply asked to complete a questionnaire. Those subjects who were exposed to information about stressors and strains reported experiencing higher levels of several stressors and strains than those who received no information. Implications of the effects of stress information on organizational members are discussed. © 1997 by John Wiley & Sons, Ltd.     

安全工程专业课程体系优化研究

基于安徽理工大学安全工程专业课程体系,提出"2+2"培养模式下"安全技术与管理"方向课程体系存在的问题及其原因,包括课程内容的重复性,课程设置未突出特性培养和课程设置未突出时代性等。提出从按照全国工程教育专业认证指导思想整改,避免课程知识体系过多重复,通才教育的基础上突出自身专业特点以及按照国家的方针政策来指引方向等四个方面阐述了解决课程体系存在的相关问题,优化课程体系,来体现安全工程专业人才培养的国际性、科学性、市场性和全面性等特点。     

Factorial validity of the Maslach burnout inventory—Dutch version (MBI‐NL) among dentists

Burnout is considered to be a long‐term reaction to occupational stress. It is characterized by emotional exhaustion, depersonalization, and diminished personal accomplishment. The most widely used instrument to measure burnout is the Maslach Burnout Inventory (MBI), developed by Maslach and Jackson (1986). From this instrument, Schaufeli and van Dierendonck (1995a) developed a somewhat modified Dutch version: the MBI‐NL. Burnout among dentists has hardly been studied. Since the professions that the MBI‐NL was developed upon are quite different from dentistry, the aim of this study was to test the three‐factor structure of the MBI‐NL against alternative structures among dentists. Both principal components analysis (PCA) and confirmatory factor analysis (CFA) were examined in a representative sample of 709 Dutch general dental practitioners (75 per cent response rate). The three‐factor structure shows the best fit to the underlying data, while other psychometric qualities are very satisfactory. It is concluded that the three‐factor structure of the MBI‐NL is superior to alternative structures, and that the MBI‐NL is a highly suitable instrument to measure burnout among dentists. Copyright © 1999 John Wiley & Sons, Ltd.     

用层次分析法分析核电站中影响人误的组织因素

应用层次分析法的基本原理,构建核电站中影响人误的组织因素AHP(层次分析法)模型,确定影响人误的组织因素的指标体系,将成对比较矩阵的特征向量作为组织因素的权重,确定了相关因子的影响力排序。研究结果显示:培训与交流反馈是影响人误的主要组织因素;强化质量监督与控制以及加强交流协作与技能培训,是减少核电站人误发生的重要举措。     

How work ideologies shape the psychological contracts of professional employees: doctors' responses to perceived breach

This study suggests that the psychological contract between a professional and his/her employing organization is shaped by both professional and administrative work ideologies and therefore involves both professional and administrative roles and perceived role obligations. It is also suggested that because of important differences between these two ideologies, a professional employee's response to perceptions that his/her organization is not fulfilling its role obligations will depend on whether the perceived breach involves professional or administrative obligations. Hypotheses based on this general proposition were strongly supported in a sample of medical professionals. Specifically, results suggest that perceived breaches of administrative role obligations are most strongly associated with dissatisfaction, thoughts of quitting, and turnover whereas perceived breaches of professional role obligations are most strongly associated with lower organizational commitment and job performance (productivity and client satisfaction). Implications for theory and research on the dimensionality of the psychological employment contract and on the employment of professionals are considered. Copyright © 2001 John Wiley & Sons, Ltd.