Carrier screening for cystic fibrosis

A number of different models of CF carrier screening have now been tested in pilot trials. Apart from opportunistic and cascade testing (which are strictly speaking not true forms of screening), the major programmes have been directed either to young adults in primary care or to pregnant women in antenatal clinics. Only in the latter form of screening has sufficient data been collected to allow conclusions to be reached on the optimum mode of delivery. It seems very probable that when CF carrier screening passes into routine service, it will be the antenatal couple model that is used.     

Preferred surface microscopic geometric features on floors as potential interventions for slip and fall accidents on liquid contaminated surfaces

PROBLEM: Surface roughness affects friction, so selection of floor surfaces with certain roughness characteristics could potentially reduce slip and fall accidents. This article summarizes the preferred surface microscopic geometric features that could increase friction on surfaces covered with liquid contaminants. METHOD: Three types of surface features, represented by the average of the maximum height above the mean line in each cut-off length (R(pm)), the arithmetical average of surface slope (Delta(a)), and the kernel roughness depth (R(k)), are identified as preferred surface microscopic geometric features for a higher friction. The proper settings on the profilometers (instruments used to measure surface roughness) for optimizing these surface parameters are specified. The friction mechanisms involved reveal why these features are more desirable. RESULTS: Although surface roughness is important in determining slipperiness, there is still insufficient information to establish a safety criterion based on roughness; however, the method presented in this paper can readily provide a relative comparison. IMPACT ON INDUSTRY: The summary presented will help safety professionals properly select new floor surfaces or assess existing floors to reduce slip and fall accidents.     

Uncovering local perspectives on humanitarian assistance and its outcomes

This paper draws on a study of Angolan refugees in Zambia to suggest ways that the perspectives and interests of the local population can be included in the assessment of relief interventions. Taking an actor-oriented approach, the paper suggests stepping back from the categorisation of the situation as an emergency and particular groups of people as the beneficiaries. Such categories are imposed from outside and may not reflect local people's outlook on the situation. In the case of Angolans in Zambia, the category of refugees had dissolved in the border villages to the extent that it was practically impossible to distinguish between refugees and hosts. This was in contrast to the official settlements where people were marked out as refugees and the label was maintained and reproduced over many years. Investigating outcomes in the border villagers in terms of refugees and the refugee problem would have been futile. The paper calls for evaluations of humanitarian assistance in complex emergencies to look beyond the 'beneficiaries' and to investigate the wider context of 'normality'. Neglecting the life and world of local people will make it impossible to understand the process by which external interventions are mediated at the local level to give particular outcomes, and valuable lessons which could help alleviate suffering will be lost.     

Towards Rio + 10 – Trend of Environmentalism and Implications for Sustainable Livelihoods in the 21st Century, The Context of Southern African Region

Since the Rio conference, many countries and organisations, including the environmental movement, bilateral and multilateral institutions have endeavoured to carry out activities related to the implementation of Agenda 21. These have mostly been done with or without other outcomes of the conference. Several environmental management and sustainable development agenda have been pursued to halt the continually degrading environment. Other programmes have concentrated on outburst of economic development at the expense of the environment and the worsening poverty especially in the South. This paper therefore seeks to examine a paradigmatic shift in environmentalism, emphasising the link between agenda 21 and sustainable livelihoods. It seems though the history of the environmental movement has been forgotten after the Rio conference by the whole world. This might probably be due to complacency with the results of the UNCED conference. However, it is now obvious that clear objectives to implement the results of UNCED are almost lacking with little or no proper supervision, and further threatening the existence of mankind. The environmental movement and associated milestones have had significant impacts on the current status of the global commons. Regionally in most of southern Africa, livelihood issues are in the forefront of efforts to sustain environmental resources, and minimising proximate causes of global environmental change.     

Making a significant difference with burnout interventions: Researcher and practitioner collaboration

Burnout research over the past 30 years has yielded both knowledge and tools to apply to interventions at unit and organizational levels. Examples of innovative partnerships between researchers and practitioners point to the importance of multi‐level approaches in generating relevant and effective solutions to the burnout problem. Copyright © 2011 John Wiley & Sons, Ltd.     

How can process safety and a risk management approach guide pandemic risk management?

The coronavirus disease (COVID-19) brought the world to a halt in March 2020. Various prediction and risk management approaches are being explored worldwide for decision making. This work adopts an advanced mechanistic model and utilizes tools for process safety to propose a framework for risk management for the current pandemic. A parameter tweaking and an artificial neural network-based parameter learning model have been developed for effective forecasting of the dynamic risk. Monte Carlo simulation was used to capture the randomness of the model parameters. A comparative analysis of the proposed methodologies has been carried out by using the susceptible, exposed, infected, quarantined, recovered, deceased (SEIQRD) model. A SEIQRD model was developed for four distinct locations: Italy, Germany, Ontario, and British Columbia. The learning-based approach resulted in better outcomes among the models tested in the present study. The layer of protection analysis is a useful framework to analyze the effect of different safety measures. This framework is used in this work to study the effect of non-pharmaceutical interventions on pandemic risk. The risk profiles suggest that a stage-wise releasing scenario is the most suitable approach with negligible resurgence. The case study provides valuable insights to practitioners in both the health sector and the process industries to implement advanced strategies for risk assessment and management. Both sectors can benefit from each other by using the mathematical models and the management tools used in each, and, more importantly, the lessons learned from crises.     

A methodology for assessment of long-term exposure to whole-body vibrations in vehicle drivers to propose preventive safety measures

Introduction: The appearance of musculoskeletal disorders (MDs) in professional drivers due to exposition to whole-body vibration (WBV) makes it relevant to assess this exposure. The European Directive 2002/44/EC has two methods to evaluate exposure to WBV (defined in ISO2631-1:2008). These methods evaluate the exposure associated with an 8-hour working day; however, MDs due to WBV could also be caused by accumulated exposure to vibrations over long term, and hence, the methods defined in the European directive may be limited in their ability to ensure the safety of workers exposed to WBV throughout their years of employment. Method: A detailed comparison and discussion of methods defined in the European Directive and the ISO2631-5:2018 was used as a starting point of the main results of this paper. On this basis, a new methodology for the management and organization of preventive measures is proposed to consider the assessment of ISO2631-5:2018 standard and the full working life of workers. Experimental data to assess exposure to WBV in heavy equipment vehicle (HEV) drivers under different road surface conditions and range of velocities were considered to illustrate the process of the proposed methodology. Results: The methods defined in the standards provide different assessments leading to a different possible consideration of safe operations when the risks associated with them may actually be high. The proposed methodology can be used with the aim of ensuring safety of workers throughout their working lives and providing an easy implementation of the calculations of ISO2631-5:2018 standard. Conclusions: A procedure to assess the health risk probability to which the HEV worker is exposed in terms of the exposure years and a different range of operational vehicle speeds is proposed and exemplified with a study case. Practical applications: This study provides a practical tool for the management of WBV exposure related to work-tasks in HEV drivers. Safety managers should consider the global exposition to WBV throughout their working life, and this research provides an easy tool to accomplish it.     

Protection from psychosocial risks at work under the European Convention on Human Rights: is it possible?

This paper argues the possibility of establishing common principles of protection from psychosocial risks (PSR) on the basis of the legal positions of the European Court of Human Rights (the Court) expressed in recent cases on degrading treatment and occupational health. The author focuses on the positive obligations of the States to ensure the protection of the right for life and of the right to respect for private life. The prohibition of degrading treatment in relations between private persons is also considered as relevant to the issue of the protection from PSR. Analyzing the Court's case law (judgments of the Court) we substantiate the possibility of claiming protection from PSR under the European Convention on Human Rights, namely, articles 2, 3 and 6, 8.