Reducing Waste in Healthcare through Occupational Safety and Health Measures: A Study of Manufacturing Industries in Taiwan

Occupational accidents and diseases cause the loss of valuable workers and lead to high healthcare expenses. Because occupational accidents and diseases are ascribed to inadequate working conditions and work environments, they can be prevented through a well-established occupational safety and health management system, which can ensure workers’ health and reduce the expense of healthcare. The study investigated the shortage of work-related occupational safety and health (OSH) measures in medium-sized manufacturing industries. This study mainly focused on qualitative interviews with 15 labor inspectors and 25 business executives from OSH participating to investigate the problems of occupational safety and health in the manufacturing industries in Taiwan. The results of a qualitative study show that the most important problems with OSH management are employers’ negligence and workers’ insufficient knowledge about OSH management. The research results revealed the following eighteen significant shortcomings of OSH management: employers care mostly about production profit and do not care much for OSH; OSH data collection and OSH planning are not suitable for the workplace; many managers of OSH affairs are not qualified, in terms of their professional or academic backgrounds; and the repair of workplaces’ roofs often results in falling accidents, especially before or after a typhoon, because of workers’ failure to use safety belts and/or to follow OSH guidelines. In order to address the shortcomings and bottlenecks, the study also presented recommendations for how to implement and revise the OSH Act and how to research and enhance OSH management. The results of this study will not only supply the Ministry of Labor (Taiwan) with data to plan the strategy of OSH management but also will allow employers and workers to improve OSH management in the workplace in order to prevent the occurrence of occupational accidents.

COVID-19 Vaccine Donations—Vaccine Empathy or Vaccine Diplomacy? A Narrative Literature Review

Introduction: Vaccine inequality inflames the COVID-19 pandemic. Ensuring equitable immunization, vaccine empathy is needed to boost vaccine donations among capable countries. However, damaging narratives built around vaccine donations such as “vaccine diplomacy” could undermine nations’ willingness to donate their vaccines, which, in turn, further exacerbate global vaccine inequality. However, while discussions on vaccine diplomacy are on the rise, there is limited research related to vaccine diplomacy, especially in terms of its characteristics and effects on vaccine distribution vis-à-vis vaccine empathy. Thus, to bridge the research gap, this study aims to examine the defining attributes of vaccine diplomacy and its potential effects on COVID-19 immunization, particularly in light of vaccine empathy. Methods: A narrative review was conducted to shed light on vaccine diplomacy’s defining attributes and effects in the context of COVID-19 vaccine distribution and dissemination. Databases such as PubMed and Medline were utilized for literature search. Additionally, to ensure up-to-date insights are included in the review, validated reports and reverse tracing of eligible articles’ reference lists in Google Scholar have also been conducted to locate relevant records. Results: Vaccine empathy is an individual or a nation’s capability to sympathize with other individuals or nations’ vaccine wants and needs, whereas vaccine diplomacy is a nation’s vaccine efforts that aim to build mutually beneficial relationships with other nations ultimately. Our findings show that while both vaccine empathy and vaccine diplomacy have their strengths and weaknesses, they all have great potential to improve vaccine equality, particularly amid fast-developing and ever-evolving global health crises such as COVID-19. Furthermore, analyses show that, compared to vaccine empathy, vaccine diplomacy might be a more sustainable solution to improve vaccine donations mainly because of its deeper and stronger roots in multilateral collaboration and cooperation. Conclusion: Similar to penicillin, automated external defibrillators, or safety belts amid a roaring global health disaster, COVID-19 vaccines are, essentially, life-saving consumer health products that should be available to those who need them. Though man-made and complicated, vaccine inequality is nonetheless a solvable issue—gaps in vaccine distribution and dissemination can be effectively addressed by timely vaccine donations. Overall, our study underscores the instrumental and indispensable role of vaccine diplomacy in addressing the vaccine inequality issue amid the COVID-19 pandemic and its potentials for making even greater contributions in forging global solidarity amid international health emergencies. Future research could investigate approaches that could further inspire and improve vaccine donations among capable nations at a global scale to advance vaccine equity further.

School-Based Participatory Response for Reopening During the COVID-19 Pandemic: A Case Study of a Metropolitan High School Implementing the Health Promoting School

Purpose: This study aimed to analyze how a private high school in Seoul developed and executed a “school disinfection strategy” to ensure the students' right to study in a safe environment, and also to analyze the lessons learned from this process.Methods: This was a case study of school health in a community-based school reopening during the COVID-19 pandemic. The study target was a 64-year-old private high school with 12 classes for each grade with a total of 1,100 students.Results: A “school disinfection strategy” was set up at individual and class environment levels to protect students from the risk of infection. In addition, school health activities were carried out with a “personal protection safety belt” and “community protection safety belt” for effective implementation. To ensure a safe educational environment for high school students and to ensure smooth execution of face-to-face classes (in-person teaching), the “prevention safety belt strategy” was introduced in accordance with governmental guidelines to sequentially implement various preventive measures necessary to guarantee environmental safety of schools. Activating personal prevention safety belts by checking the symptoms of students when entering the school and during each class, and providing self-made disinfectants by spraying alcohol on wet-wipes were cost-effective and sustainable methods used in this school to prevent the spread of infection.Conclusions: The experience of developing a prevention safety belt strategy to adapt the guidelines of the local education office to the school situation was presented. Focusing on the school community, as well as individual students and teachers, the concept of prevention safety belts helped to unite and stimulate voluntary participation of students in health promotion activities.

Design, Manufacturing, Validation of a Multi-Orientation Tilt Test Bench for Testing Vehicles Rollover and Tests of ATV-Quad for Agricultural Applications

A rollover test bench has been designed, manufactured, and validated for analyzing the all-terrain vehicle (ATV)-Quad overturn of diverse vehicles in different configurations, such as installing a rollover protection system (ROPS), considering drivers of different physical constitutions, the appropriate use of safety belts, or having a full or empty fuel tank. The main purpose of this research is to determine the tilt angle of the vehicle that triggers the ATV-Quad overturn. The scope of the design and development of the newly conceived bench include the mechanical structure, the electronics and the control. It can simulate static and dynamic rollover in different directions. As a main conclusion, it can be stated that the performance of the test bench was successful, since it allowed for the development of several ATV models, equipped with different dummies, in a variety of configurations. In particular, it was possible to assess the effectivity of the AD-ROPS system (automatically deployed ROPS), regarding the protection of the driver of the vehicle. Moreover, multiple tests, performed with diverse ATV-Quads in the developed bench and in different configurations, have been reported and their results discussed.

Experimental and modelling research on coach passengers’ safety in frontal impacts

Road traffic accidents involving coaches do not happen very often, but they are very dangerous because they affect a large number of passengers. Coaches (or intercity buses) are not equipped with safety belt harnesses. Valid regulations do not impose any obligation on coach manufacturers to provide intercity buses with either two- or three-point safety belts. This fact may result from the unawareness of risks and injuries that might befall the passengers with no safety belts during accidents. That is the reason why this work aims to compare the aftermath of coach accidents with no safety belts and the ones with safety belts. A detailed aim of this research is to analyse the results of dynamic loads during a frontal impact exerted on coach passengers travelling with and without (two- and three-point) safety belts. This objective was achieved by performing experimental studies and modelling which focused on the process of dynamic load transfer on the human body during a traffic accident. The research was conducted parallel on an adult and a child. The equivalent of a 50th percentile male was a hybrid III dummy (M50), whereas a child at the age of about 10 was represented by a P10 dummy. A numerical model was generated and verified in experimental testing in the scope of kinematics. Also, the comparison of the recorded courses of forces, acceleration, and moments was conducted. The results obtained from the tests were analyzed regarding the injury criteria for head, neck, and thorax. It was observed that both for the two-point safety system and the lack of safety belts, there were high values of acceleration recorded in the centre of gravity of the head. On the basis of the investigations conducted, it was ascertained that only a three-point safety belt system ensures the satisfaction of all injury criteria within admissible standards both in the case of criteria defined in the rules no. 80 and the rules no. 94 determined by the United Nations Economic Commission for Europe. It is the three-point safety belt system which should be obligatory in all intercity buses.

Design and comparative strength analysis of wheel rims of a lightweight electric vehicle using Al6063 T6 and Al5083 aluminium alloys

Purpose: Use of aluminium alloys in critical parts of a vehicle is common since they can combine the two important properties of a material those are being strength and lightweight. The aim in this research is to guide to design process of a wheel with taking example of an electric race vehicle implementation. Design/methodology/approach: In this study, the fatigue strengths of wheels produced for a two-person racing electric vehicle (Demobil09) are evaluated by calculating maximum distortion energy criterion (Von Mises) with Finite Element Analysis. Findings: Aluminium alloy wheels are crucial safety related components and are subjected to static and dynamic loads directly. Using FEA results, the weight and equivalent stress of the wheel are both reduced. So, the energy consumption is also decreased. Modal frequencies of the wheel models are determined. Research limitations/implications: In this paper, the materials analysed are AL6063 T6 and Al5083 aluminium alloys. Different materials can be analysed in future works. Practical implications: This paper is focusing on how to reduce the energy consumption of a two-person electric vehicle concentrating on reducing the weight of vehicle wheels. The vehicle is more technological than mass production cars since it is an electric race car which uses a hub motor, the body and chassis are produced using carbon polymer composites and all electronic units are designed and produced. Although its specialities it has homologated safety equipment like seats and safety belts. Originality/value: All boundary conditions must be analysed in details and a strength analysis must be conducted during design of the wheels for different load cases to ensure the strength of a wheel while keeping the weight as low as possible. In this complex process, this paper can give some clues to designers for strengths and weights of the designs since three different wheel forms are evaluated for reducing energy consumption of the vehicle.