Integration of Health Risk Management Techniques to Address Increasing Numbers and Prevention of Non-Accident Deaths NAD in Oil & Gas Operations

2021 ◽  
Author(s):  
Muhammad Tayab ◽  
Aaesha Hashem ◽  
Shaikha Al Hamoudi ◽  
Farrukh Qureshi ◽  
Safdar Khan

Abstract Over the last decade, Oil & Gas operations have come under tremendous pressures due to increasing production demands and venturing into harsher environmental conditions, increasing the health risks to crew with underlying medical conditions. Although there are strict medical fitness, requirements in place to reduce the vulnerability of crewmembers, increasing number Non Accidental Deaths (NAD) have challenged the Oil & Gas operations. NAD risks are often linked with medical assessment/fitness to work, training and medical emergency response, NAD questions the adequacy of management controls at work locations, especially in remote locations. ADNOC Group Companies adopt very HSE high standards to protect the workers, environment and assets; however, the risks of aggravating underlying medical conditions, illnesses or disorders often materialize and result in NADs. An extended analysis of over historical NAD events was performed and strengths of NAD barriers (Tayab et al, 2012) was assessed. Based on the review NAD Barriers were further redefined as follow:Adequacy of pre-employment medical assessmentAlert of underlying medical conditionsFollow up on chronic medical conditionsAlert for abnormal behavioursAwareness & Training It was found that over 70% of NAD cases were triggered due to aggravation of chronic illnesses, approximately 50 % of NAD cases were triggered during the first year of employment, 77% of NAD cases were due to cardiovascular illnesses and 18% were due to suicides and 13% were attributed to COVID & other factors. Additional NAD barriers were identified to update the barrier analysis as follows:Alert for abnormal behaviorReadiness to manage Medical EmergenciesWelfare & Counselling

1970 ◽  
Vol 40 (1) ◽  
pp. 53-58
Author(s):  
MA Mohit ◽  
MM Maruf ◽  
H Ahmed ◽  
MT Alam

Many chronic illnesses have a strong effect on an individual's mental and emotional status, and, in turn, undiagnosed mental disorders can affect a person's ability to cope with an illness and participate in the treatment and recovery process. Depression is the most common complication of almost all chronic or serious medical conditions. Major depression among persons experiencing chronic medical conditions like cardiovascular diseases, diabetes, respiratory diseases, obesity, cancer etc. increases the burden of their physical illness and somatic symptoms, causing increased functional impairment along with increased medical costs. Depression in long-term illnesses impairs ability for self -care and for maintenance of treatment regimens thus causing increased mortality. Yet, effective treatments, for depression exist. Many factors point to reasons that mental illnesses are not adequately addressed as evidenced by the literatures. Primary care services need to improve ways of identifying depression associated with particular chronic illnesses. we must develop new ways to understand the extent of this mental health problem, and optimal ways to evaluate manage and treat depression in patients with other co-morbid medical conditions. DOI: http://dx.doi.org/10.3329/bmj.v40i1.9966 BMJ 2011; 40(1): 53-58


2008 ◽  
Vol 23 (S2) ◽  
pp. s70-s73 ◽  
Author(s):  
Dick Q.P. Fundter ◽  
Bas Jonkman ◽  
Steve Beerman ◽  
Corsmas L.P.M. Goemans ◽  
Rosanna Briggs ◽  
...  

AbstractDuring the 15th World Congress on Disaster and Emergency Medicine in Amsterdam, May 2007 (15WCDEM), a targeted agenda program (TAP) about the public health aspects of large-scale floods was organized. The main goal of the TAP was the establishment of an overview of issues that would help governmental decision-makers to develop policies to increase the resilience of the citizens during floods. During the meetings, it became clear that citizens have a natural resistance to evacuations. This results in death due to drowning and injuries. Recently, communication and education programs have been developed that may increase awareness that timely evacuation is important and can be life-saving. After a flood, health problems persist over prolonged periods, including increased death rates during the first year after a flood and a higher incidence of chronic illnesses that last for decades after the flood recedes. Population-based resilience (bottom-up) and governmental responsibility (top-down) must be combined to prepare regions for the health impact of evacuations and floods. More research data are needed to become better informed about the health impact and consequences of translocation of health infrastructures after evacuations. A better understanding of the consequences of floods will support governmental decision-making to mitigate the health impact. A top-10 priority action list was formulated.


2011 ◽  
Vol 6 (1) ◽  
pp. 18-42 ◽  
Author(s):  
Cory Koedel ◽  
Julian R. Betts

Value-added modeling continues to gain traction as a tool for measuring teacher performance. However, recent research questions the validity of the value-added approach by showing that it does not mitigate student-teacher sorting bias (its presumed primary benefit). Our study explores this critique in more detail. Although we find that estimated teacher effects from some value-added models are severely biased, we also show that a sufficiently complex value-added model that evaluates teachers over multiple years reduces the sorting bias problem to statistical insignificance. One implication of our findings is that data from the first year or two of classroom teaching for novice teachers may be insufficient to make reliable judgments about quality. Overall, our results suggest that in some cases value-added modeling will continue to provide useful information about the effectiveness of educational inputs.


2010 ◽  
Vol 5 (4) ◽  
pp. 411-435 ◽  
Author(s):  
David H. Howard ◽  
Kenneth E. Thorpe ◽  
Susan H. Busch

AbstractThe proportion of the population treated for major medical conditions, including diabetes, cancer and mental illness, increased rapidly during the 1990s. We document the magnitude of these increases and use a model of prevalence to identify three potential causes: increased clinical incidence of disease, longer survival times among persons with chronic illnesses and increased detection. We present a series of analyses to evaluate the contribution of each factor. We find that increases in obesity explain a large proportion of the increase in treatment rates for conditions closely linked to obesity (e.g. diabetes). We provide some evidence that increases in treated prevalence unexplained by changes in the underlying clinical incidence of disease are driven by increased detection and treatment of patients with ‘subclinical’ illness.


Author(s):  
Kimberly Rennie ◽  
Madeline Racine ◽  
Van Michelle Ruda

Approximately one in five schoolchildren presents with a special healthcare need. Schools are tasked with providing free and appropriate education to all students, which may include both accommodations and specialized services to children to address challenges associated with their medical conditions. The first chapter of this book provides a brief overview of types of presenting conditions, challenges, and considerations that school-based providers may encounter when working with this population of students. The chapter includes a table of common medical terms, procedures, and treatments. Several case examples with accompanying discussions are described to illustrate common themes, challenges, and considerations that students with chronic medical conditions may encounter in the school setting. Finally, the role of culture in the symptom presentation, treatment, and education of students with chronic health needs is discussed.


2020 ◽  
Author(s):  
Laith Al Azawi ◽  
Aisling O’Byrne ◽  
Lily Roche ◽  
Desmond O’Neill ◽  
Margaret Ryan

AbstractBackgroundTransport mobility, and access to driving, is an important factor in social inclusion and well-being. Doctors have an important role to play in supporting safe mobility through applying the knowledge developed in the field of traffic medicine and incorporating state of the art national and international medical fitness to drive (MFTD) guidelines. Little is known about the profile of MFTD in postgraduate curricula for core and higher specialist training.AimsWe profiled the inclusion of MFTD in the curricula of postgraduate core, higher and streamlined medical and surgical specialties in the Republic of Ireland and the UK. Methods: All publicly available syllabi of basic and higher/ streamlined specialist training in postgraduate medical and surgical colleges in both jurisdictions were analysed (N = 122).ResultsIn Ireland, 25% of basic training schemes included MFTD in the curriculum. Two-thirds of curricula of higher specialty and streamlined training schemes also included MFTD. For the UK, 44% of core and 36% of higher training schemes curricula included MFTD. Just under one-quarter of all curricula reviewed included MFTD for more than one medical condition or treatment. Common topics in both Irish and UK curricula included seizures/epilepsy, syncope and visual disturbances.ConclusionThere are notable deficits in MFTD training for specialists in Ireland and the UK. Common conditions which can significantly impair MFTD such as stroke, diabetes and alcohol use disorders are severely underrepresented and curricula should be revisited to include relevant training and guidance for MFTD for trainees.Main MessagesDoctors have an important role in supporting safe driving among patients with a range of medical conditionsBasic and higher specialist training curricula in a range of specialities in the British Isles are deficient in content relating to medical fitness to driveCurricular development for specialist training should include provision of concise and speciality-relevant guidance on medical fitness to driveResearch QuestionsWhat barriers exist currently to the inclusion of medical fitness to drive and how could these be mitigated?What are the specialty-relevant prioritizations of medical conditions related to medical fitness to drive for inclusion in each curriculum?What resources and evidence are available to specialist training programmes to support the guidance for medical fitness to drive in their curricula?


2020 ◽  
Vol 154 (Supplement_1) ◽  
pp. S103-S103
Author(s):  
M Xie ◽  
M Wyrzykowski

Abstract Introduction/Objective Direct oral anticoagulants (DOACs) have gained wide use in prevention and treatment of thromboembolic diseases. Although relatively rare with DOAC therapy, intracranial hemorrhage may become a medical emergency and needs to be managed with caution to avoid adverse consequences. Methods During the review of 94 patients with DOAC therapy related bleeding complications at William Beaumont hospital – Troy, Michigan, 3 patients were identified with intracranial hemorrhage. Information on DOAC therapy, the cause related to intracranial hemorrhage, and clinical assessment and management of these patients were collected from electronic medical charts with concurrent laboratory studies. Results There were 1 male and 2 female patients, ages 63, 67 and 86. Two patients were taking rivaroxaban 20 mg daily and 1 patient apixaban 5 mg bid for atrial fibrillation and DVT. Patients were clinically stable with no prior significant bleeding events, except for minor skin rashes. All patients experienced a minor trauma to the head and showed signs of brain injury. They were brought to the emergency department immediately. DOAC therapy was discontinued during the emergency evaluation. CT studies revealed 1 patient with subdural hematoma and 2 patients with focal intraparenchymal hemorrhage without mass effects. Both clinical and laboratory assessment revealed stable medical conditions. Patients received conservative care without surgical intervention and repeat CT studies demonstrated resolution of hemorrhage. One patient discontinued DOAC therapy permanently and the others resumed DOAC therapy with antidotes available. Clinical follow up showed no additional bleeding events. Conclusion Intracranial hemorrhage can occur in patients received DOAC therapy, even in clinically stable patients, and most likely happens after head injury. In this small group of patients, both clinical and laboratory evaluations showed stable medical conditions, with no need for surgery intervention. However, the decision of continuing DOAC therapy should be made with caution and it is reasonable to have antidote available for these patients.


2021 ◽  
Author(s):  
David E Odd ◽  
Sylvia Stoianova ◽  
Tom Williams ◽  
Peter Fleming ◽  
Karen Luyt

OBJECTIVES: The aim of this analysis was to quantify the relative risk of childhood deaths across the whole of England during the first year of the COVID pandemic, compared to a similar period of 2019. DESIGN: This work is based on data collected by the National Child Mortality Database (NCMD) which collates data on all children who die in England. The number of deaths, and their characteristics, from 1st April 2020 until 31st of March 2021 (2020-21), were compared to those from the same period of 2019-20. Relative risk and excess mortality were derived for deaths in 2020-21 vs 2019-20. SETTING: All deaths reported to NCMD in England of children under 18 years of age, between April 2019 and March 2021. PARTICIPANTS: 6490 deaths of children, under the age of 18 years, reported to the NCMD over the study period. RESULTS: Children who died between April 2020 and March 2021 had similar demographics to those who died in 2019-20. Overall, there were 356 (198 to 514) fewer deaths in 2020-21 than in 2019-20 (RR 0.90 (0.85-0.94), p<0.001). Repeating the analysis by category of death, suggested that deaths from infection (RR 0.49 (0.38-0.64)) and from other underlying medical conditions (RR 0.75 (0.68-0.82)) were lower in 2020-21 than 2019-20, and weak evidence (p=0.074) that this was also true of deaths from substance abuse. CONCLUSIONS: Childhood mortality in England during the first year of the SARS-CoV-2 pandemic was the lowest on record, with over 300 fewer deaths than the preceding 12 months. The greatest reduction was seen in children less than 10 years old. It is important that we learn from this effect, that potentially offers alternative ways to improve the outcome for the most vulnerable children in our society.


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