scholarly journals Composite Flap - Serratus Anterior with Rib Component – a Foot Salvage Solution after a Severe Crush Injury

2021 ◽  
Vol 28 (3) ◽  
pp. 333-338
Author(s):  
Marin ANDREI ◽  
◽  
Carmen GIUGLEA ◽  
Silviu MARINESCU ◽  
Ruxandra MIHAI ◽  
...  
Keyword(s):  
Wound Closure ◽  
Wound Dehiscence ◽  
Crush Injury ◽  
Serratus Anterior ◽  
Dorsal Aspect ◽  
Car Accidents ◽  
Work Accident ◽  
Work Accidents ◽  
Bone Exposure ◽  
Composite Flap

Severe work accidents are one of the most frequent causes for physical disability in adults, alongside car accidents and war/gunshot injuries. In this article we present the case of a severe crush injury of the left foot that occurred in a 31 year-old patient who was involved in a work accident. After an unsuccessful tissue coverage using local flaps, the salvage solution was that of a composite free flap, aiming not only to cover, but also to restore stability to the foot. The treatment of choice was the serratus anterior muscle harvested together with osseous component (8th rib). The healing was difficult, due to wound dehiscence with bone exposure over a small area, but the problem was addressed using FGF (fibroblast growth factor) sponges, which enabled granulation and complete wound closure. The outcome of the case was favourable, gait being possible without any deficiency. For the cosmetic and functional reasons, the patient suffered one last surgical procedure to debulk the dorsal aspect of the foot. The final result was more than satisfactory, the patient being totally rehabilitated and socially and professionally reintegrated.

scholarly journals An analysis on the statistics of occupational accidents in Turkish fisheries and aquaculture sector; 2013-2019 period

2021 ◽  
Vol 38 (4) ◽  
pp. 533-544
Author(s):  
Ozan Soykan
Keyword(s):  
Incidence Rate ◽  
Health And Safety ◽  
Occupational Accidents ◽  
Accident Frequency ◽  
General Evaluation ◽  
Occupational Risks ◽  
Work Accident ◽  
Work Accidents ◽  
And Control ◽  
Incident Rates

This study was carried out to make a holistic evaluation on the occupational health and safety (OHS) of fisheries and aquaculture sector with its subsectors and to reveal the actual situation of fisheries and aquaculture sector by comparing relevant OHS statistics reported in Turkey. Annual average of accidents in the fisheries and aquaculture sector was found to be 312 (± 147.6), of which 2.14 (± 1.57) resulted in permanent incapacity and 1.57 (± 1.51) of them with fatality. While general incidence rate, fatal incidence rate, permanent incapacity incidence rate and work accident frequency rate were calculated as 2211.8 (±574) 103.6 (±13.4), 5.88 (±2.41) ve 8.36 (±1.93), these values for fisheries and aquaculture sector were determined to be 3579.1 (±1549.3) 175.65 (±152.34), 240.67 (154.62) ve 13.65 (±5.84), respectively. In 2019, the fatal accident rate in Turkey was found to be 0.27% in general, 0.34% in the mining sector, 0.77% in construction and 0.80% in transportation. This ratio was calculated as 1% in the fisheries and aquaculture sector. It was determined that there were more work accidents and fatal incidents in fisheries and aquaculture activities in the seas than in fresh water. Difference between number of work accidents and the duration of temporary incapacity as a result of work accidents in fisheries and aquaculture activities in marine and fresh waters were also significant (p<0.05). Number of fatal accidents in aquaculture sector was found to be more than 4 times than in fisheries. It was determined that the all types of incident rates, work accident frequency rates and fatality rates per work accident in fisheries and aquaculture sector were higher than that of Turkey in general. Evaluation of occupational accidents in the fisheries and aquaculture activity was found to be riskier than expected. Although some evaluations and suggestions are put forward to reduce the number of accidents and the severity of these accidents, a systematic and legislative approach will be more effective. Therefore, it would be a suitable approach to raise the hazard classes of fisheries and aquaculture economic activity to the “very dangerous” class. In this way, the training period of the sector employees on occupational risks and the titles and numbers of OHS professionals working in the sector will be increased, a more qualified specialization will be realized, and control and audit activities will be more frequent.

ADHESIVE GLUE Vs SUBCUTICULAR SUTURING IN THYROIDECTOMY

2021 ◽  
pp. 16-17
Author(s):  
Anil Kumar K N ◽  
Ashwin Kumar H
Keyword(s):  
Postoperative Pain ◽  
Clinical Outcome ◽  
Wound Closure ◽  
Medical Science ◽  
Wound Dehiscence ◽  
Wound Complications ◽  
P Value ◽  
Skin Closure ◽  
Post Operative Pain ◽  
Needle Prick

BACKGROUND: Suturing has been the commonest method of surgical wound closure that is being practiced because of good results of skin closure. With adhesive glue being an alternative for skin closure which is less time consuming, comfortable, without the risk of needle prick injury and leaves behind a cosmetically acceptable scar. OBJECTIVES: The aim of this study is to compare subcuticular suturing versus adhesive glue for skin closure in thyroidectomy with respect to clinical outcome which included postoperative pain, wound complications, wound dehiscence and cosmesis. MATERIALAND METHODS: This prospective study of 100 cases of skin closure using subcuticular suturing versus adhesive in thyroidectomy was carried out at BGS Global institute of medical science and Hospital, Bangalore with the aim of comparing suturing versus adhesive glue, with respect to clinical outcome which included postoperative pain, wound complications, wound dehiscence and cosmesis. RESULT: 100 patients divided into 2 groups, randomly underwent subcuticular suturing and adhesive glue skin closure. Post- operative pain was less in glue group (p value <0.001) and wound complications were comparable in both groups. CONCLUSION: Octylcyanoacrylate provides an effective and reliable means of skin closure and yields similar cosmetic results as with subcuticular skin sutures. The incidences of wound complications are comparable in both the groups. However the severity of postoperative pain is lesser in the adhesive group.

Dance Partner or Dance Floor?: Exogenous Factors Resulting in Accidents in Professional Dancers

2013 ◽  
Vol 28 (3) ◽  
pp. 131-136
Author(s):  
Eileen M Wanke ◽  
Helmgard Mill ◽  
Alice Wanke ◽  
Jacqueline Davenport ◽  
Fistd Checcetti ◽  
...  
Keyword(s):  
Preventive Measures ◽  
Endogenous Factors ◽  
Dance Floor ◽  
Acute Injuries ◽  
Causative Factors ◽  
Exogenous Factors ◽  
Work Accident ◽  
Professional Dance ◽  
Work Accidents ◽  
Professional Dancers

OBJECTIVE: Injury prevention in professional dancers is very important due to the high risk for acute injuries posing a threat to dancers’ careers. Causative factors of acute injuries in professional dance can be divided into exogenous and endogenous factors. Although both are known in professional dance, there is still a lack of data to have a differentiated view. The aim of this study is to analyze exogenous factors resulting in work accidents of professional dancers. METHODS: The data for the evaluation were obtained from work accident reports (n = 1,438, female 722, male 716) from six Berlin Theatres. Evaluation and descriptive statistics were conducted by SPSS 18 and Excel 2007. RESULTS: About half (48.5%, n = 698) of all work accidents are caused by exogenous factors. The “dance partner” is the most common exogenous factor (39.9%), followed by the dance floor (28.24%) and props (13.6%). The lower extremity is the most frequent structure injured in either sex (male 47.3%, female 61.3%), followed by the upper extremity in females (14.6%) and spine in male dancers (19.8%). The stage is the most common injury location in both genders (males 63.9%, females 56.8%). Acute injuries caused by exogenous factors were particularly sustained during performances (males 58.8%, females 50.5%) and during rehearsals (males 33%, females 39.9%). CONCLUSION: This study shows the key significance of exogenous factors in acute injuries in professional dance. Preserving the dancers’ health and preventing injuries takes top priority, and therefore, interventions in the artistic work cannot be ruled out when preventive measures are implemented.

scholarly journals ANALISIS KECELAKAAN KERJA PADA PEKERJA PENGELASAN DI CV. CAHAYA TIGA PUTRI

2018 ◽  
Vol 3 (1) ◽  
pp. 66
Author(s):  
Dwi Marina Rizka Pisceliya ◽  
Sri Mindayani
Keyword(s):  
Sampling Technique ◽  
Cross Sectional Study ◽  
Working Environment ◽  
Occupational Accidents ◽  
Process Data ◽  
Chi Square ◽  
Cross Sectional ◽  
Work Accident ◽  
Work Accidents ◽  
Unsafe Condition

A work accident is an undesirable adverse event against a human, damaging property or disadvantage to the process. Data from the ILO in 2013 says that one worker die every 15 seconds due to workplace accidents. This study aims to analyze accidents in welding workers in CV. Cahaya Tiga Putri Kelurahan Sungai Sapih Kecamatan Kuranji Padang in 2017. The research design used was cross-sectional study. This research was conducted at CV. Cahaya Tiga Putri Padang located at Jalan Lolongkaran Sungai Sapih Padang in December to July 2017. The population of this research were welding workers. Samples were taken using total sampling technique, as many as 32 people. Data were analyzed univariat and bivariate with chi-square test. The result of the research shows that 46,9% of respondents have work accident, 53,1% of respondents have unsafe behavior, 53,1% of respondent have unsafe condition, 56,3% respondent have bad knowledge. From the statistical test results known there was a relationship between unsafe acts with work accidents, there was a relationship between unsafe conditions with work accidents and there was a relationship between knowledge with accidents. To reduce the number of occupational accidents, it is expected that workers should always working with using personal protective equipment (PPE), create a safe working environment and for the owner in order to improve worker knowledge by providing training and promotion of occupational health and safetty such as counseling about PPE.Key words : Work Accident, Unsafe Action, Unsafe Condition, Knowledge

scholarly journals Fuzzy logic memprediksi tingkat kecelakaan kerja pada PT.Galang Kapal di kota Batam

2018 ◽  
Vol 9 (2) ◽  
pp. 151-161
Author(s):  
Sestri Novia Rizki
Keyword(s):  
Fuzzy Logic ◽  
Management Systems ◽  
Work Process ◽  
Final Value ◽  
News Sources ◽  
Workplace Accidents ◽  
Work Accident ◽  
Work Accidents ◽  
The Right

Permasalahan yang sering terjadi saat ini adalah kecelakaan kerja pada PT galang kapal. Faktor penyebab kecelakaan seperti, Kelalaian manusia, Peralatan yang digunkanan serta system manajeman yang diterapkan dalam proses kerja, Contoh kecelakaan kerja dari beberapa sumber  Koran dan berita di kota Batam yaitu terbakar di dalam kapal,tertimpa besi berat dan wajah melepuh terkena minyak kapal. Tujuan penelitian adalah  memprediksi kecelakaan kerja, memperkecil resiko kecelakaan kerja dan Cara mengantisipasi kecelakaan kerja. Medode Mamdani merupakan cara yang tepat  dalam memprediksi kecelakaan kerja. Langkah kerja metode mamdani, pertama menentukan fuzification, mesin iferensi dan nilai hasil akhir berupa nilai output Hinggan menghasilkan keputusan dalam memprediksi kecelakaan kerja. Batasan dan cakupan penelitian ini 1. Memprediksi tingkat kecelakaan kerja. 2.Kriteria penyebab kecelakaan kerja 3.Menggunakan metode Mamdani dan  Implementasikan menggunakan  Software Matlab. Manfaat  penelitian mengurangi resiko kecelakaan kerja,   Kata kunci:  Logika  fuzzy, Metode Mamdani Defuzifikasi   Abstract The problem that often occurs today is a work accident at Shipyard Companies. Factors causing accidents such as human negligence, equipment used and management systems applied in the work process. Shipyard The examples of work accidents from several newspapers and news sources in Batam are burning inside the ship, hit by heavy iron and blistered faces exposed to ship oil. Therefore, the objective of this research is how to predict work accidents, minimize the risk of workplace accidents and how to anticipate workplace accidents. Moreover, Mamdani method is the right way to predict work accidents. The step ofMamdani method; first determinefuzzification, the efficiency of machine and the final value in the form of output values until it produces a decision in predicting work accidents. Limitation and scope of this research, 1. Predict the level of workplace accidents. 2. Criteria for the cause of work accidents 3. Using the Mamdani method and implementing it using. The benefits of research reduce the risk of workplace accidents.   Keywords: Fuzzy Logic, Mamdani, Defuzzification Method

scholarly journals The Effect of Work Situation and Unsafety Action on Work Accident in PT. Raja Marga Nagan Raya District

2020 ◽  
Vol 7 (1) ◽  
pp. 34
Author(s):  
Susy Sriwahyuni ◽  
Eka Santika ◽  
Khairunnas Khairunnas ◽  
Ishalyadi Ishalyadi ◽  
Muhammad Iqbal Fahlevi
Keyword(s):  
Work Environment ◽  
Work Situation ◽  
Chi Square ◽  
Cross Sectional ◽  
Workplace Environment ◽  
Maximum Extent ◽  
Chi Square Test ◽  
Work Accident ◽  
Work Accidents

A work accident is an unplanned event that has the potential to cause injury, damage or other loss to someone. Based on preliminary studies conducted by researchers to 10 employees that the work environment is less than the maximum one of which is caused by a workplace environment that is too hot, muddy, slippery and easily causes employees to slip. The aims of research to determine the factor of affecting work accident. The research used analytic survey with cross sectional approach. The population were all employees (72 respondents) and used total sampling and used chi-square test. The results showed there were effect among work situation (Pvalue = 0.011) and unsafety action (Pvalue = 0,000) with work accident. The researcher suggest to PT. Raja Marga to provide warning letters to employees in an effort to avoid work accidents to the maximum extent.

scholarly journals Gambaran Tingkat Kepuasan Tenaga Kerja Terhadap Program K3 Dibagian AMP (Asphalt Mixing Plant) PT. Prima Pembangunan Kerinci Tahun 2017

2018 ◽  
Vol 3 (2) ◽  
pp. 25
Author(s):  
Aulia Azhar ◽  
Dina Waldani
Keyword(s):  
Personal Protective Equipment ◽  
Occupational Safety ◽  
Sampling Technique ◽  
Protective Equipment ◽  
Work Relations ◽  
Employee Safety ◽  
Safety And Health ◽  
Work Health ◽  
Work Accident ◽  
Work Accidents

K3 program aimed to provide security for employees in carrying out their work and reduce company costs. If work accidents and illness arise due to work relations, occupational safety and health (K3) must be a top priority in all companies in order to achieve satisfaction. The purpose of this study was to find out the description of the level of workforce satisfaction with the K3 program in the AMP (Asphal Mixing Plant) section of PT. Kerinci Development in 2017. The design of this study was descriptive. The population is all labor in PT. Prima Pembangunan Kerinci AMP section with 30 samples. The method of sampling with total sampling technique, the study was conducted in March - August 2017 and the research instrument using a questionnaire. Based on the results of the study as many as 13 workers (43.3%) were not satisfied with work safety and as many as 17 workers (56.7%) were not satisfied with the work health of the K3 program in the AMP (Asphal Mixing Plant) PT. Prima Pembangunan Kerinci in 2017. It is hoped that the company leaders will conduct routine health checks every month and also leaders pay more attention to employee safety by providing training on awareness of using personal protective equipment and introducing personal protective equipment and ways of using it, so that employees can use at any time in the event of a work accident.

scholarly journals The Correlation Between Safety Climate With Unsafe Act In Apartment Building Construction Workers Pt. Multikon 2020

2021 ◽  
Vol 4 (2) ◽  
pp. 122
Author(s):  
Rahmah Amalina
Keyword(s):  
Safety Climate ◽  
Study Data ◽  
Bivariate Analysis ◽  
Chi Square ◽  
Cross Sectional ◽  
Safety Communication ◽  
Work Accident ◽  
Work Accidents ◽  
Cross Sectional Design ◽  
Safety Priority

Construction is one of the highest industries in contributing to work accident rates. Unsafe act is the cause of 73% of work accidents. One way to prevent unsafe act is through safe behavior implemented by management and workers themselves. This study aims to determine the correlation between the safety climate with unsafe act. This research uses quantitative analytic methods with cross sectional design study. Data was analyzed using chi-square with a sample of 88 people selected by purposive sampling method. The results showed that the proportion of respondents who frequently perform unsafe acts was 33%. In bivariate analysis showed there were a relevant relationship between the dimensions of management safety empowerment (OR 2.455; 95% CI 1.06-5.87), worker’s safety priority and risk non-acceptance (OR 2.679; 95% CI 1.05- 6,83) and the dimensions of safety communication, learning and trust in co-worker’s safety competence (OR 2,500; 95% CI 1.05-5.91) with unsafe act. Workers who have a good perception of a safety climate rarely take unsafe actions.

scholarly journals Factor Analysis Related to Truck Mixer Driver Work Accident at PT Bosowa Beton Indonesia

2021 ◽  
Vol 6 (3) ◽  
pp. 79-87
Author(s):  
Antonius Budi Trianto ◽  
Muh. Yusuf ◽  
Muh. Rifai
Keyword(s):  
Quantitative Methods ◽  
Research Result ◽  
Cross Sectional Study ◽  
Truck Drivers ◽  
Truck Driver ◽  
Cross Sectional ◽  
Work Accident ◽  
Work Accidents ◽  
The Government ◽  
On The Road

Background: Accidents due to work are something that is very difficult for workers to avoid, such as workers, factory employees, truck drivers and other field workers, so that they require more attention from the government, private sector and other employers as well as from the workers themselves. most commonly we often encounter on the road which causes many casualties. This study aims to determine the factors that cause work accidents on mixer truck drivers at PT Bosowa Beton. Methods: This research uses quantitative methods with an analytical approach and a cross sectional study design, with a sample of 60 drivers. Research Result: The variables related to the work accident of the mixer truck driver at PT Bosowa Beton are road conditions (p = 0.000 < = 0.05) and the work fatigue variable (p = 0.009 < = 0.05), as well as the variable working time with value (p = 0.04 < = 0.05) while for variables that are not related to work accidents are vehicle conditions (p = 0.355), ergonomics (p = 0.474) and smoking (p = 1,000). Conclusion: The most dominant cause of work accidents is work fatigue, it is recommended for companies to conduct periodic testing and evaluation of workforce performance to improve work quality and detect early indications of fatigue. Keywords: Work accident and mixer truck driver.

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