Ergonomic Improvement of a Machine Maintenance Procedure: A Case Study

1992 ◽  
Vol 36 (10) ◽  
pp. 684-687
Author(s):  
Kelly A. Eckbreth

An employee who performs maintenance work on machinery used in the manufacture of electronics equipment reported to the company medical department and was diagnosed with elbow tendinitis. An ergonomic job analysis was conducted and solutions implemented to prevent future injuries. Significant improvements were realized as a result of new tools, engineering changes, personal protective equipment, process changes, and ergonomic training. The most significant were the reduction of musculoskeletal stresses suffered by these workers as well as substantial reductions in machine downtime per year.

Author(s):  
V.V. Brzheskiy ◽  
◽  
O.A. Konikova ◽  
N.N. Sadovnikova ◽  
E.L. Efimova ◽  
...  

The COVID-19 pandemic revealed several aspects of the problems directly related to the Ophthalmologists: damage to the eyes of patients with the SARS-CoV-2 virus; organization of medical work in a pandemic, including in a medical department redesigned to treat patients infected with SARS-CoV-2; side effects of personal protective equipment usage and anti-epidemic measures aimed to protect the organ of vision. Ocular manifestations were noted in 15–23% of children and 4–31% of adults with COVID-19. They were usually limited to acute conjunctivitis with «clear» discharge, hyperemia, edema and folliculosis of the conjunctiva, which reduced in 7–14 days without any treatment or on symptomatic therapy. The presence of SARS-CoV-2 in the tear and epithelium of the conjunctiva does not always correlated with the presence and severity of conjunctivitis and therefore had no clinical significance. There were also other problems associated with anti-epidemic measures (dry eye syndrome when wearing personal protective equipment, computer visual syndrome, etc.), which also requires attention of Ophthalmologists. Key words: COVID-19, SARS-CoV-2, ocular manifestations in children and adults.


2020 ◽  
Vol 18 (7) ◽  
pp. 71-89
Author(s):  
Amy Barber, BSc ◽  
Annaëlle Vinzent, BS ◽  
Imani Williams, BA

Background: The COVID-19 crisis placed extraordinary demands on the supply of personal protective equipment (PPE) at the beginning of 2020. These were coupled with shocks to the supply chain resulting from the disease. Many typically well-resourced health systems faced subsequent shortages of equipment and had to implement new strategies to manage their stocks. Stockpiles of protective equipment were held in both the United States and United Kingdom intended to prevent shortages. Method: Cross-comparative case study approach by applying Pettigrew and Whipp’s framework for change management. Setting: The health systems of England and New York state from January 2020 to the end of April 2020. Results: Both cases reacted slowly to their outbreaks and faced problems with supplying enough PPE to their health systems. Their stockpiles were not enough to prevent shortages, with many distribution problems resulting from inadequate governance mechanisms. No sustainable responses to supply disruptions were implemented during the study period in either case. Health systems planned interventions along each part of the supply chain from production and importing, to usage guidelines. Conclusion: Global supply chains are vulnerable to disruptions caused by international crises, and existing mitigation strategies have not been wholly successful. The existence of stockpiles is insufficient to preventing shortages of necessary equipment in clinical settings. Both the governance and quality of stockpiles, as well as distribution channels are important for preventing shortages. At the time of writing, it is not possible to judge the strength of strategies adopted in these cases.


Resources ◽  
2020 ◽  
Vol 9 (10) ◽  
pp. 116 ◽  
Author(s):  
Piotr Nowakowski ◽  
Sandra Kuśnierz ◽  
Patrycja Sosna ◽  
Jakub Mauer ◽  
Dawid Maj

One of the social measures applied during the COVID-19 pandemic has been the use of personal protective equipment (PPE)—face masks and gloves. As a result, this waste category has expanded enormously. This study investigates waste management issues from multiple perspectives, including local governments, waste collection companies, and individual citizens in Poland using a telephone survey for institutions and an online questionnaire for individuals. The results of this study show that approximately 80% of local governments in the Silesian region have applied special measures for handling and collection of waste PPE. Only 13% of waste collection companies have applied special collection schedules for the waste generated at quarantine collection points due to the high costs of changing collection schedules, providing additional vehicles, and paying for more labor. The information campaigns focusing on new methods of PPE waste collection have been difficult to introduce on a large scale, and citizens need better information regarding how to handle and dispose of waste PPE. Results indicated the most helpful method in supporting waste PPE collection would be automatic PPE dispensers with waste PPE collection options and waste bags of a designated color. The respondents identified waste PPE pollution of the environment as an issue and the necessity for proper recovery of this waste stream.


2021 ◽  
pp. 216507992199807
Author(s):  
Laura Jean Ridge ◽  
Amy Witkoski Stimpfel ◽  
Robin Toft Klar ◽  
Victoria Vaughan Dickson ◽  
Allison Patricia Squires

Background: Effective management of health emergencies is an important strategy to improve health worldwide. One way to manage health emergencies is to build and sustain national capacities. The Ebola epidemic of 2014 to 2015 resulted in greater infection prevention and control (IPC) capacity in Liberia, but few studies have investigated if and how that capacity was sustained. The purpose of this study was to examine the maintenance of IPC capacity in Liberia after Ebola. Methods: For this case study, data were collected via direct observation of nurse practice, semistructured interviews, and document collection. Data were collected in two counties in Liberia. Data were analyzed using directed content and general thematic analysis using codes generated from the safety capital theoretical framework, which describes an organization’s intangible occupational health resources. Findings: Thirty-seven nurses from 12 facilities participated. Ebola was a seminal event in the development of safety capital in Liberia, particularly regarding nurse knowledge of IPC and facilities’ investments in safety. The safety capital developed during Ebola is still being applied at the individual and organizational levels. Tangible resources, including personal protective equipment, however, have been depleted. Conclusions/Application to Practice: IPC capacity in Liberia had been sustained since Ebola but was threatened by under-investments in physical resources. Donor countries should prioritize sustained support, both financial and technical, in partnership with Liberian leaders. Occupational health nurses participating in disaster response should advocate for long-term investment by donor countries in personal protective equipment, access to water, and clinician training.


Author(s):  
Lucas Capita Quarto ◽  
Sônia Maria da Fonseca Souza ◽  
Cristina de Fatima de Oliveira Brum Augusto de Souza ◽  
Fabio Luiz Fully Teixeira

1987 ◽  
Vol 2 (1) ◽  
pp. 3-22 ◽  
Author(s):  
Roger Penn ◽  
Barry Wigzell

This paper examines the development of machine maintenance work in eight plants in Cumbria. It assesses both the arguments from the ‘flexibility’ literature concerning multi-skilling, and the ‘labour process’ debate about the deskilling of modern manual work. The eight case studies reveal complex patterns of occupational change, but overall there is little support for either the notion of multi-skilling or of deskilling. Rather, the evidence suggests a general continuity in the broad structure of occupational differentiation within this sphere of modern production.


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