Limitations in activities of people affected by leprosy after completing multidrug therapy: application of the SALSA scale

Objectives: To identify people affected by leprosy with impairments after completing multidrug therapy for leprosy, and to assess their limitations in conducting daily activities by applying the Screening of Activity Limitation and Safety Awareness (SALSA) scale. Methods: A cross-sectional study was performed of all residents of a medium-sized city who were treated for leprosy from 1998 to 2006. A specific questionnaire was applied to obtain general and clinical data and the SALSA scale was used to assess limitations in activities. Impairments were assessed using the 'World Health Organization leprosy disability grading system' (WHO-DG). Findings: Of the 335 people affected by leprosy treated in the period, 223 (62.1%) were located and interviewed. A total of 51.6% were female with a mean age of 54 years (SD +/- 15.72) and 67.9% had up to 6 years formal education. The borderline form predominated among interviewees (39.9%) and 54.3% suffer from associated diseases with hypertension (29.1%) and diabetes (10.3%) being the most common. Pain was reported by 54.7% of interviewees. By multiple logistic regression analysis, associations were found between limitations in activities and being female (P < 0.025), family income <= 3 minimum wages (P-value < 0.003), reports of major lesions (P-value < 0.004), pain (P-value < 0.001), associated diseases (P-value < 0.023) and the WHO-DG (P-value < 0.001). Disabilities, as identified using the WHO-DG, were less common (32%) than limitations in activities as evaluated by the SALSA scale (57.8%). Conclusion: Limitations in activities proved to be common in people affected by leprosy and were. associated with low income, being female, reported major lesions, disability, disease and pain.

National Child Passenger Safety Awareness Week - idea sampler.

National Highway Traffic Safety Administration, Washington, D.C.

Lightning safety awareness.

"IEMA, American Red Cross, [and] NOAA, US Department of Commerce, National Oceanic and Atmospheric Administration"

Pós-alta em Hanseníase no Ceará: limitação da atividade funcional, consciência de risco e participação social

Caracterizar a limitação funcional, de atividade, consciência de risco, e restrição à participação social em pessoas atingidas pela hanseníase no pós-alta. Estudo seccional-descritivo com 69 residentes em Sobral, Ceará, com alta entre 2003 a 2005. Foram realizados exame físico dermato-neurológico, avaliação demográfica, de limitação funcional-atividade-consciência de risco e de restrição à participação social. Vinte (28,9%) apresentaram escores SALSA 19 e 20 e escore EHF zero. O maior escore EHF foi alcançado por dois participantes, com 25 e 28 na escala SALSA. Na escala de participação 37 (53,6%) não apresentaram restrição e tinham escore EHF zero. Dois (2,9%) com escore EHF zero tinham leve restrição e 1 (1,5%), grande restrição. Reafirma-se a potencialidade destas ferramentas para a atenção integral aos portadores.

Limitação de atividades e participação social em pacientes com diabetes

Objetivos: Avaliar a limitação de atividades e a participação social em indivíduos portadores de diabetes melito tipo 2. Métodos: Foram avaliados 79 pacientes, utilizando-se a escala SALSA (Screening of Activity Limitation and Safety Awareness - Triagem de Limitação de Atividade e Consciência de Risco), e a escala de Participação, que abrange oito das nove principais áreas da vida definidas na Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) da OMS. Resultados: A idade média dos participantes foi 61,6 ± 9,8 anos, sendo 55,7 por cento do sexo feminino, 68,4 por cento com companheiro(a), 32,9 por cento com renda até 3 salários mínimos e em 13,9 por cento o diabete influenciou na ocupação. O tempo médio de doença foi 10,3 ± 8,9 anos. Tratamento de 39,3 por cento dos participantes foi com insulina, 70,9 por cento com medicação oral, 51,9 por cento com dieta e 45,6 por cento com exercícios físicos. 48,1 por cento apresentavam alguma complicação da doença. A média de pontos SALSA foi 26,5 ± 11,6 e houve maior pontuação quando o tempo de doença foi superior a 10 anos. Com a evolução do diabetes, pode haver necessidade de insulinoterapia, aparecem as complicações, que podem interferir na ocupação. Estes fatores parecem contribuir para a limitação de atividade. A média de pontos na Escala de Participação foi 9,8±10,9, com maior pontuação quando os entrevistados consideraram sua saúde física alterada no último ano e faziam uso de insulina. Conclusões: A limitação de atividades no diabetes melito tipo 2 se associou ao tempo de doença, com possível contribuição de fatores que ocorrem com sua evolução. Auto-avaliação de saúde física alterada e insulinoterapia se associaram a restrição social

Getting to know about health and safety related to products used in painting, drawing and printmakin

Practicing art is not a high risk activity. This statement, along with the creative, expressive and intangible aims of this activity, as well as the lack of information, promotion of safety awareness and training of thepeople in charge of art studios, may have pushed the implications of practicing art as regards health, safety and environment into the background. Faced with this prospect, a comprehensive study of the facilities and the activities carried out in art studios becomes necessary. The study concerns experimental activities involving Health and Safety risks for both the artists and the teachers and students, especially those carried out in the studios located in educational institutions.

2015 Annual Safety and Security Report

The information contained in this Annual Safety and Security Report is provided to new and prospective students and employees, as well as their families, and all current members of the campus community. It contains Public Safety Services and Programming,Building Threat and Vulnerability Assessment Program,Campus Security authorities, Annual Preparation of Crime Statistics, Disclosure of Crime Statistics, Daily Crime Log, How to Report a Crime, Suspicious Activity or Emergency, Silent Witness Program, Relationship with Local Authorities, Off-Campus Violations & Criminal Activity, Confidential Reporting, Timely Warning Procedures, Emergency Response, Notification and Evacuation Procedures Activation Authority, Available Communications Media, Emergency Notification Tests, Emergency Evacuation Procedures, Shelter-in-Place Procedures,Crime Prevention and Safety Awareness Programs, Emergency Telephones, Access To Facilities, Maintenance of Buildings and Grounds, Alcohol and Other Drugs, Domestic Violence, Dating Violence, Sexual Assault, and Stalking, Sex Offender Registration, Weapons on Campus, Referrals for Disciplinary Action, Crime Information: Definitions and Statistics, Uniform Crime Reporting Definitions, Reporting Areas. Crime Statistics

TRATAMENTO DA HANSENÍASE EM ROLIM DE MOURA/RO

O presente projeto teve por finalidade apresentar uma proposta de intervenção no tratamento da hanseníase no Município de Rolim de Moura, estado de Rondônia, cujo objetivo foi o diagnóstico precoce dos pacientes com hanseníase e início imediato do tratamento, visando à prevenção de incapacidades físicas. Para maior controle com relação aos casos de hanseníase no município, utilizou-se como metodologia a Escala Screening of Activity Limitation and Safety Awareness (Escala SALSA), que é um instrumento validado e utilizado pelo programa de Hanseníase do Ministério da Saúde. Faz-se relevante o conhecimento do: Grau de Incapacidades Físicas (GIF), período de duração da doença, tratamento de escolha, origem dos sujeitos com a referida patologia, bem como a limitação de atividades apresentadas pelos pacientes. E por fim, através da “Campanha da Mancha Cidade Alta”, realizou-se uma busca ativa com o objetivo de avigorar a proposta inicial do projeto, ou seja, de diagnosticar e introduzir a terapia medicamentosa o quanto antes, fato esse que apresenta reflexo direto na melhoria dos índices das sequelas apresentadas pelo paciente após alta por cura.

A review of coccidiostat residues in poultry

safefood, the Food Safety Promotion Board, is responsible for increasing food safety awareness and for supporting north/south scientific co-operation. safefood is currently funding a project entitled "Poultry Meat: improving food safety by improving chemical residue surveillance". This joint project between the Veterinary Sciences Division, Queen's University, Belfast and the National Food Centre, Teagasc, Dublin, is addressing the problem of anti-coccidial drug residues in poultry meat and eggs through an all-island research and residue testing initiative. The project started in 2001 and will continue until 2004. Poultry have a high susceptibility to the parasitic disease, coccidiosis. Because of this susceptibility, veterinary drugs, commonly known as coccidiostats are routinely used in intensively-reared poultry. The coccidiostats are potent drugs and, where residues occur in food, they may exacerbate certain coronary disease conditions. It is important, therefore, for poultry and egg producers to prevent the occurrence of residues of coccidiostats in food products.

Indicent reporting in shipping. Experiences and best practices for the Baltic Sea

Incident and near miss reporting is one of the proactive tools of safety management. By analyzing incidents and near misses and by corrective actions, severe accidents can potentially be avoided. Near miss and incident reporting is widely used in many riskprone industries such as aviation or chemical industry. In shipping incident and near miss reporting is required by the mandatory safety management system International Safety Management Code (ISM Code). However, in several studies the conclusion has been that incidents are reported poorly in the shipping industry. The aim of this report is to highlight the best practices for incident reporting in shipping and to support the shipping industry in the better utilization of incident reporting information. The study consists of three parts: 1) voluntary, shared reporting systems in shipping (international experiences), 2) interview study at four shipping companies in Sweden and in Finland (best practices), 3) expert workshop on incident reporting (problems and solutions). Preconditions for a functional reporting system are an existing no blame culture, commitment of the top management, feedback, good communication, training and an easy-to-use system. Although preconditions are met, problems can still appear, for example due to psychological, interpersonal or nationality-related reasons. In order to keep the reporting system functioning, the shipping company must be committed to maintain and develop the system and to tackle the problems. The whole reporting process from compiling, handling and analyzing a report, creating corrective actions and implementing them has to be handled properly in order to gain benefits from the reporting system. In addition to avoiding accidents, the functional reporting system can also offer other benefits by increasing safety awareness, by improving the overall safety and working conditions onboard, by enhancing team work and communication onboard and between ships and the land-based organization of shipping companies. Voluntary shared reporting systems are supported in the shipping industry in principle, but their development in the Baltic Sea is still in its infancy and the potential benefits of sharing the reports have not been realized. On the basis of this study we recommend that a common reporting system be developed for the Baltic Sea area which all the ships operating in the area could use regardless of their flag. Such a wider system could prevent some of the problems related to the current national systems. There would be more incident cases available in the database and this would support anonymity and thus encourage shipping companies to report to a shared database more frequently. A shared reporting system would contribute to the sharing of experiences and to the wider use of incident information in the shipping industry.

Notificação de incidentes e segurança do doente : perceção dos enfermeiros

Enquadramento: A segurança do doente é um problema internacional e uma prioridade das políticas de saúde de múltiplos organismos/instituições nacionais de saúde. Neste âmbito, surgem os sistemas de notificação de incidentes. Objetivo: Conhecer a perceção dos enfermeiros sobre a notificação de incidentes e sobre a segurança do doente. Métodos: Recorremos a uma triangulação metodológica constituída por um estudo quantitativo (estudo A) e outro qualitativo (estudo B). O estudo A é analítico, transversal, realizado com 182 enfermeiros. Os dados foram recolhidos por questionário, constituído por variáveis sociodemográficas e profissionais e escalas para avaliar doze dimensões da notificação e segurança do doente. O estudo B é exploratório, realizado com 18 enfermeiros, através de entrevista semiestruturada. Resultados: Para os enfermeiros todos os incidentes devem ser notificados, mas a frequência de notificação é baixa e diminui com a gravidade do dano, 65,0% não registou qualquer ocorrência no último ano e 82,3% desconhece o sistema de notificação. Os principais obstáculos à notificação são o receio de punição e os principais fatores facilitadores são os benefícios que advêm da notificação para o doente, a ausência de retaliações no trabalho, uma relação positiva com os superiores hierárquicos, o anonimato e a perceção de resultados da notificação. Aproximadamente 60,0% dos enfermeiros tem uma perceção geral da segurança do doente positiva. Conclusão: A perceção dos enfermeiros sobre a notificação de incidentes reflete desconhecimento da temática, elevado receio de punição, originando baixa frequência de notificação. A perceção sobre a segurança do doente é positiva. É necessário melhorar a cultura de segurança da organização e o conhecimento dos enfermeiros sobre o papel da notificação. Palavras-Chave: segurança do doente, notificação de incidentes, enfermeiros.

Comportamentos seguros: análise numa empresa do sector da indústria automóvel

Dissertação apresentada para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Segurança e Higiene no Trabalho

2016-2017 Annual Security and Fire Reports

The report provides information on services and policies that support a safe and secure environment, highlights programs that encourage members of the campus community to seek intervention and assistance for victimization, provides information on the alcohol and drug policies, outlines procedures for handling reports of sexual assault, and identifies campus representatives for reporting crimes and incidents that have impact on the college community. It is also about the College’s safety programs and security procedures and policies. In addition, you will discover our crime and fire safety statistics, who to call and what to do if you witness or are the victim of a crime, and tips to increase your safety awareness.

your Ticket to Safety: Bloodborne Pathogen Awareness, January 16, 2001

This handbook has been prepared to complement the informational videotape, Your Ticket to Safety: Bloodborne Pathogen Awareness for Transit Professionals. The handbook also provides a personal and ready reference regarding bloodborne pathogens for public transit system personnel, including managers, drivers, mechanics, other employees and service providers. Additional copies of this handbook and the videotape are available through the Office of Public Transit.

Hudumia: a platform to support spontaneous volunteers' situational awareness, coordination and safety underemergency scenarios

Spontaneous volunteers always emerge under emergency scenarios and are vital to a successful community response, yet some uncertainty subsists around their role and its inherent acceptance by official entities under emergency scenarios. In our research we have identified that most of the spontaneous volunteers do have none or little support from official entities, hence they end up facing critical problems as situational awareness, safety instructions and guidance, motivation and group organization. We argue that official entities still play a crucial role and should change some of their behaviors regarding spontaneous volunteerism. We aim with this thesis to design a software architecture and a framework in order to implement a solution to support spontaneous volunteerism under emergency scenarios along with a set of guidelines for the design of open information management systems. Together with the collaboration from both citizens and emergency professionals we have been able to attain several important contributions, as the clear identification of the roles taken by both spontaneous volunteers and professionals, the importance of volunteerism in overall community response and the role which open collaborative information management systems have in the community volunteering efforts. These conclusions have directly supported the design guidelines of our software solution proposal. In what concerns to methodology, we first review literature on technologies support to emergencies and how spontaneous volunteers actually challenge these systems. Following, we have performed a field research where we have observed that the emerging of spontaneous volunteer’s efforts imposes new requirements for the design of such systems, which leaded to the creation of a cluster of design guidelines that supported our software solution proposal to address the volunteers’ requirements. Finally we have architected and developed an online open information management tool which has been evaluated via usability engineering methods, usability user tests and heuristic evaluations.