Objetivos. Analisar investigações de acidentes e materiais didáticos e educativos, explorando aspectos da construção das análises e de atribuição de culpa. Métodos. Registros de investigações e materiais didáticos de empresas de Botucatu-SP, em 1997, obtidos de instituições e empresas, foram analisados, identificando-se fatores causais, recomendações e referências a comportamentos faltosos ou características da vítima. Árvores de causas foram checadas quanto a cuidados de linguagem, desenhos, interrupções da investigação, tipos de relações entre fatos e exploração para prevenção. Materiais educativos foram analisados, identificando-se concepções de acidente, orientações para investigações e recomendações. Bancos de dados foram formados e gerenciados com EPIinfo. Resultados. Foram analisadas 203 investigações. A média de “causas” por AT foi 1,68 e a de recomendações foi 1,4 por AT, com predomínio de referências a comportamentos ou características da vítima. A maioria das análises baseava-se em formulário obrigatório. Todas as árvores analisadas mostravam desrespeito flagrante a regras e princípios do método. Materiais didáticos veiculavam mesma concepção de acidente das investigações, método de análise centrado em comportamentos faltosos do operador, estímulo ao medo de lesões e recomendações para obediência a regras e uso de equipamentos de proteção. Conclusão. As investigações adotam concepção de acidente baseada na identificação de situações de desrespeito a regras idealizadas, atribuem culpa ao acidentado e não subsidiam a gestão de riscos nas empresas. A atribuição de culpa ocorre independentemente da natureza e/ou tipo de perigo presente nos acidentes. Tentativas de uso do método de árvore de causas mostraram distorções, revelando insuficiência no seu domínio. A construção da culpa foi reforçada por materiais didáticos e educativos. Descritores: Acidentes do trabalho, investigações de acidentes, vigilância de acidentes. / Objectives: To analyze accident investigations and teaching and educational materials exploring aspects of analysis construction and blame attribution. Methods: Investigation reports and educational materials of companies in Botucatu, SP, in 1997, obtained from institutions and companies were analyzed and causal factors, recommendations and references to faulty behavior or victim characteristics were identified. Causal tree were checked in regard to language, design, investigation interruptions, types of relations between facts and exploration for prevention. Educational materials were analyzed identifying the conception of accident, orientation for investigations and recommendation. Data banks were formed and managed by EPIinfo. Results: 203 investigations with an average of 1,68 causes and 1,4 recommendations were analyzed and revealed that references to victim’s behavior or characteristics prevailed. Most analyses were based on an obligatory form. All analyzed trees showed evident disrespect to rules and methodological principles. The educational and teaching materials convey the same accident concept as the investigations, the analyses method centered in the faulty behavior of the operator, stimulus of fear to injury and recommendation for obedience to rules and use of protection equipment. Conclusion: The investigations studied use an accident concept based on the identification of situations of disrespect to idealized rules, blame the injured subjects, and do not support the risk management in the companies. The blame bias occurs independently of the nature or kind of danger involved in the accidents. The attempts to use the causal tree method revealed distortions due to insufficient command. Educational materials strengthened the construction of blame.

Submitted by Rosivalda Pereira (mrs.pereira@ufma.br) on 2017-05-09T19:48:14Z No. of bitstreams: 1 MayanaLuana.pdf: 2132103 bytes, checksum: ec28c6abf33e625325d7947c9311143a (MD5) / Made available in DSpace on 2017-05-09T19:48:14Z (GMT). No. of bitstreams: 1 MayanaLuana.pdf: 2132103 bytes, checksum: ec28c6abf33e625325d7947c9311143a (MD5) Previous issue date: 2017-02-23 / CAPES / The Portuguese man-of-war Physalia physalis (Linnaeus, 1758) is recognized for causing poisoning in bathers, mainly in the north and northeast regions of Brazil. In Maranhão, poisonings by man-of-war are common on the beaches of the capital São Luís. But action to prevent and promote health are still deficient. This study aimed to analyze the distribution of the occurrence of Portuguese man-of-war and envenomations on the beaches of São Marcos and Calhau in São Luís, Maranhão between 2015 and 2016. The data was provided by the active search of the animals and geographical marking with GPS (Global Positioning System), geoprocessed by Qgis software version 16.1. The kernel density estimator was used to identify the agglomerations of the events. A specific questionnaire was applied with 66 people poisoned by P. physalis and registered the location of the accident, month, year and emergency care measure used. The animals are distributed throughout the beaches of São Marcos and Calhau, with greater agglomeration in Calhau. The highest density location of P. physalis coincided with the location with the highest occurrence of poisonings. Most of the poisonings occurred in people living in the city of São Luís, in the months of the dry period, with greater occurrence in the beach of São Marcos. The most common first-aid used was the application of vinegar (acetic acid). We concluded that the poisonings occur in the parts of the urban beaches of São Luís that presented great density of P. physalis. In order to improve poison control actions, we suggest signaling with signs warning the risk areas of poisoning, and include the geographical location of the accident in the notification form. / A caravela portuguesa Physalia physalis (Linnaeus, 1758) é reconhecida por provocar envenenamento em banhistas, principalmente nas regiões norte e nordeste do Brasil. No Maranhão, são comuns envenenamentos por caravelas nas praias da capital São Luís, porém as ações de prevenção e promoção â saúde ainda são deficientes. O objetivo desse estudo foi analisar a distribuição da ocorrência de caravelas e dos envenenamentos humanos nas praias urbanas de São Marcos e do Calhau nos anos de 2015 e 2016. Os dados foram obtidos por meio da busca ativa dos animais e marcação da coordenada geográfica com um aparelho de GPS (Sistema de Posicionamento Global); e geoprocessados pelo software Qgis versão 16.1. O estimador da densidade de Kernel foi utilizado para identificar as aglomerações dos eventos. Um questionário específico foi aplicado com 66 pessoas envenenadas pela P. physalis sendo registrados o local do acidente, mês, ano e medida de pronto-atendimento utilizada. As caravelas estão distribuídas em toda a extensão das praias de São Marcos e Calhau, com maior aglomeração no Calhau. Os locais de maior densidade de caravelas coincidiram com os locais de maior ocorrência de envenenamentos. A maioria dos envenenamentos ocorreu em pessoas residentes na cidade de São Luís, nos meses do período de seca, com maior ocorrência na praia do São Marcos. A medida de pronto-atendimento mais utilizada foi a aplicação de vinagre (ácido acético). Concluímos que os envenenamentos ocorrem nos trechos das praias urbanas de São Luís que apresentaram grande densidade de colônias de caravelas. Para melhoria das ações de controle dos envenenamentos sugerimos a sinalização com placas alertando as áreas de risco de envenenamento, e inclusão da localização geográfica do acidente na ficha de notificação.

Foi realizado um estudo caso-controle, com 164 casos de acidentes no trabalho aleatoriamente selecionados e 325 controles, entre empregados de empresas privadas ou públicas, com o objetivo de construir e validar instrumento epidemiológico de avaliação da percepção de trabalhadores, sobre fatores de risco psicossociais para acidentes do trabalho. De vinte e nove variáveis integrantes do questionário auto-respondido com marcações em escala visual analógica, oito variáveis significativas foram selecionadas, pelo seu poder de discriminação da percepção, através de regressão logistica. Foram consideradas agressoras: - brigas com os chefes; presenciar catástrofes nos locais de trabalho; ter sido vitima de agressão ou violência; haver deixado familiar doente em casa; ser pressionado por policiais ou autoridades por causa de acusações de outras pessoas e ter problemas com a própria saúde. Foram protetoras:- tempo de trabalho na função e experimentar insatisfação por executar atividades consideradas indesejáveis. Há evidências de que a percepção individual de pontos chaves nas relações de trabalho está relacionada com fatores que conferem risco e proteção aos trabalhadores e estes podem ser obtidos com instrumento epidemiológico adequado. / A case-control study was performed based on 164 cases of randomly selected work-related accidents and 325 controls amongst employees of private or publicly owned firms, in Campinas, São Paulo, 1992-93. The main objective was developing and validating a specific data collection instrument for perceived psycho-social risks for work accidents with injuries recalling the last seven days. A questionnaire with 29 questions to be answered marking a visual analogue scale was built. Using logistic regression eight variables were found to discriminate cases from controls and were subsequently modeled. Having fought with superiors; having witnessed catastrophic events in the workplace; having been a victim of aggression outside the workplace; leaving an ill family member at home; having suffered police questioning because of accusations by neighbors or others and having self problems with health were found to be aggressive. Protective variables were time experience under the job title and point out having worked on undesirable tasks. The perceptions of individual workers of key aspects of the psycho-social relations within the workplace, are related to factors which confer greater or lesser risk to workers. These perceptions may be obtained using a single instrument for epidemiologic data collection.

<p>Statistics showing that in-vehicle driver distraction is a major contributing cause in road accidents is presented. Driver distraction is defined building on the driving theory by Gibson and Crooks. The idea to use driver distraction countermeasures as a way of mitigating the effects of the driver distraction problem is then introduced. A requirement list is formulated with ten requirements that distraction countermeasures should meet. A simplification of regarding distraction as a gaze direction problem makes way for designing an experiment to evaluate two driver distraction countermeasures in which new eye- tracking technology plays a key role. The experiment also makes use of a simulator, a surrogate in-vehicle information system as a distractor, and thirty subjects. The most important dependent measures were in-vehicle glance time and a steering wheel reaction time measure. The evaluated countermeasures – a blue flash at middle of the road position and a kinesthetic brake pulse – could, however, not be shown to meet the most important of the requirements formulated. The lack of effect of the countermeasures in the experiment may either depend on their actual inefficiency or on methodological shortcomings of the experiment. These alternatives are discussed. It is speculated that the biggest problems with the possible lack of actual efficiency have to do with that the theoretical basis for using a flash did not transfer to the driving setting, and that the brake pulse used was too weak. The methodological problems have to do with the non-validated dependent measures used, missing data, nuisance warnings, insufficient distractors, non-precise hypotheses, and difficulties with separating the effect of the countermeasures from the psychological force to look on the road.</p>

Inledning: Den första januari 2004 trädde lag (2003:778) om skydd mot olyckor (LSO) i kraft. Till skillnad från tidigare lagstiftningar i form av brandlagen (1974:80) och räddningstjänstlagen (1986:1102) är LSO tilltänkt att verka för en bredare olyckspreventiv verksamhet som sträcker sig utöver räddningstjänstens traditionella ansvarsområden. Lagen har dock inte utvärderats under de senaste sex åren. Följaktligen ämnar denna studie att kartlägga vilken inverkan som LSO har på det olyckspreventiva arbete som idag bedrivs på lokal nivå. Metod: Studien har en mixmetodologisk ansats där sammanlagt fyra semistrukturerade intervjuer med sex informanter har utförts i Värmland. Därutöver har en enkätundersökning distribuerats till samtliga 163 räddningstjänster och räddningstjänstförbund i Sverige. Resultat: De data som samlats har totalt genererat fem olika kategorier. Synen på LSO som en räddningstjänstlag anspelar på det faktum att arbetet med LSO i mångt och mycket åligger räddningstjänsten. Det förvaltningsspecifika styrdokument förklarar att handlingsprogramet, som var tilltänkt att utgöra en kommunövergripande olyckspreventiv strategi, uteslutande reglerar räddningstjänstens verksamhet. Initierandet av en förändringsprocess kartlägger de framgångsfaktorer som förutsätts för att en framgångsrik verksamhet ska kunna bedrivas. Lagom är bäst: Oenighet kring statens roll påtalar behovet av detaljstyrning och tillsynsarbete. Avslutningsvis beskriver Med facit i hand: Saker och ting tar tid att arbetet med lagstiftningar är en tidskrävande process som måste bedrivas långsiktigt. Slutsats: Sammantaget visar resultatet att det praktiska utfallet av LSO är att betrakta som en räddningstjänstlag snarare än en kommunövergripande olycksskyddlagstiftning. Det påtalas därigenom att LSO är uddlös när det kommer till att initiera ett olycksförebyggande arbete som sträcker sig utanför räddningstjänstens traditionella verksamhetsuppdrag. Det antyds dock att svårigheterna att följa den initiala visionen inte enbart kan härledas till lagstiftningens utformning, utan även till kommuners bristande medvetenhet för det lokala olyckspanoramat. / Introduction: On January 1st 2004, Sweden’s contemporary Civil Protection Act (LSO), was put in place. Unlike its precursors, "brandlagen (1974:80) and räddningstjänstlagen (1986:1102)", LSO serves to institute and facilitate accident preventative measures beyond the traditional work carried out by municipal rescue services. However, the legislation has not been evaluated over the past six years. Consequently the aim of this study is to assess the impact that LSO has on the accident preventive activities currently carried out at the municipal level. Methods: The study has a mixed methodological approach where four semi structured interviews have been conducted with a total of six informants in Värmland, Sweden. A questionnaire was also distributed to all 163 rescue services in Sweden. Results: A total of five categories emerged from the data analysis process. "Synen på LSO som en räddningstjänstlag" addresses the fact that most of the work done in compliance with LSO is solely carried out by local rescue services. "Det förvaltningsspecifika styrdokumentet" pinpoints that the action plan required by LSO only regulates the work of rescue services, despite its vision of guiding all relevant municipal sectors. Moreover, "Initierandet av en förändringsprocess" maps the factors that are critical to successfully carrying out accident prevention measures at the local level. "Lagom är bäst: Oenighet kring statens roll" underlines the need for micromanagement and regulatory work. Finally, "Med facit I hand: Saker och ting tar tid" describes that the institutionalization of legislation is a time consuming process that needs to be approached as such. Conclusions: Overall, the results demonstrate that LSO is to be regarded as a legislation that specifically regulates the rescue services, rather than municipalities as a whole. Hence, the study suggests that LSO is futile in terms of initiating accident prevention measures beyond the daily activities of the rescue services. However, the struggle of LSO to institutionalize an overarching accident prevention process cannot solely be attributed to the design of the legislation, but also to insufficient municipal risk awareness.

The aim of this research is to determine the effect of unsignalised intersection geometry on the rates of the various types of accidents occurring at unsignalised intersections. A literature review has identified that there is little consistency between the results of previous studies. Some studies found that particular parameters had an opposite effect to what was expected. With this in mind, the research identified reasons for these results and developed two basic approaches to mitigate some of the problems with multi-factor type studies. These approaches are 'maximise the efficiency of data collection' and 'develop techniques for analysing less than perfect data'. A database consisting of 206 unsignalised intersection sites from throughout Queensland was used for analysis. The outcome of this research confirms the validity of several of the current design standards for unsignalised intersections, in addition to identifying new engineering procedures.

Thesis (M.S.)--University of Michigan, 1996.

Dentro da cadeia produtiva da Construção Civil a segurança busca na prevenção seu enfoque principal, realizando sempre intervenções através das correções dos erros, das falhas e não conformidades do processo e da legislação evitando assim, as conseqüências que podem representar o acidente. Os custos dos acidentes podem ser de grandes proporções ou, até mesmo, incalculáveis, visto que a vida humana não tem preço. Assim sendo através disso as empresas passam a acreditar que a competitividade e o lucro não são os elementos fundamentais para a sua organização e demonstram através da busca da melhoria contínua de seus processos a preocupação com as questões da segurança do ambiente de trabalho. O objetivo desta pesquisa é desenvolver o Sistema de Gestão de Segurança e Saúde do Trabalho SGSST para empresas da indústria a construção civil, neste segmento, 98,28% possuem até 99 (noventa e nove) empregados segundo dados do Ministério do Trabalho Emprego MTE, tomando-se como base as Diretrizes da Organização Internacional do Trabalho OIT sobre Sistemas e Gestão da Segurança e Saúde no Trabalho. O SGSST proposto foi implantado, aplicado e monitorado em uma empresa de construção civil no estado de Pernambuco. Os resultados obtidos nos mostram uma significativa redução das situações de riscos de acidentes gerando uma melhora direta nas condições do ambiente de trabalho, instituindo uma nova cultura dentro da empresa através das ações preventivas, garantindo que a implementação do sistema de gestão de segurança do trabalho pode trazer melhorias ao sistema produtivo com produtividade. / Safety in the productive chain of Civil Engineering Construction focuses on prevention, intervening through the correction of errors, imperfections, and non-conformity of processes and legislation, thereby preventing consequences that can lead to an accident. The costs of these accidents can be enormous or even incalculable, considering that a human life is priceless. Companies are beginning to realize that competitiveness and profit are not the most important elements of their organization and have demonstrated through the implementation of continuous process improvement their concern with the issue of safety in the work environment. The objective of this research is to develop an Occupational Safety and Health Management System (SGSST) for small civil construction companies, which, according to the Ministry of Work and Employment (MTE), have less than 100 employees and represent 98.28% of workers in the civil construction industry, using as a base the Directives of the International Work Organization (OIT) on Occupational Safety and Health Management Systems. To evaluate the proposed SGSST, it was implanted, applied and monitored in a civil construction company located in the state of Pernambuco. The results obtained indicate significant improvements in work environment conditions, creating a new culture within the company, through the use of preventive actions. During the implantation of the system, there was a reduction of risk of work-related accidents, guaranteeing that the implementation of the occupational safety and health management system can bring significant improvements to the productive system with productivity.

Statistics showing that in-vehicle driver distraction is a major contributing cause in road accidents is presented. Driver distraction is defined building on the driving theory by Gibson and Crooks. The idea to use driver distraction countermeasures as a way of mitigating the effects of the driver distraction problem is then introduced. A requirement list is formulated with ten requirements that distraction countermeasures should meet. A simplification of regarding distraction as a gaze direction problem makes way for designing an experiment to evaluate two driver distraction countermeasures in which new eye- tracking technology plays a key role. The experiment also makes use of a simulator, a surrogate in-vehicle information system as a distractor, and thirty subjects. The most important dependent measures were in-vehicle glance time and a steering wheel reaction time measure. The evaluated countermeasures – a blue flash at middle of the road position and a kinesthetic brake pulse – could, however, not be shown to meet the most important of the requirements formulated. The lack of effect of the countermeasures in the experiment may either depend on their actual inefficiency or on methodological shortcomings of the experiment. These alternatives are discussed. It is speculated that the biggest problems with the possible lack of actual efficiency have to do with that the theoretical basis for using a flash did not transfer to the driving setting, and that the brake pulse used was too weak. The methodological problems have to do with the non-validated dependent measures used, missing data, nuisance warnings, insufficient distractors, non-precise hypotheses, and difficulties with separating the effect of the countermeasures from the psychological force to look on the road.

Submitted by Marlene Santos (marlene.bc.ufg@gmail.com) on 2017-08-07T19:38:21Z No. of bitstreams: 2 Tese - Ana Claudia Antonio Maranhão Sá- 2011.pdf: 3630030 bytes, checksum: 270c12818a43348bdb747081edfc41ac (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2017-08-08T15:01:34Z (GMT) No. of bitstreams: 2 Tese - Ana Claudia Antonio Maranhão Sá- 2011.pdf: 3630030 bytes, checksum: 270c12818a43348bdb747081edfc41ac (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Made available in DSpace on 2017-08-08T15:01:34Z (GMT). No. of bitstreams: 2 Tese - Ana Claudia Antonio Maranhão Sá- 2011.pdf: 3630030 bytes, checksum: 270c12818a43348bdb747081edfc41ac (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2011-04-29 / Falls in the elderly constitute an important public worldwide health problem, because they are an important cause of morbidity and mortality among elderly. This study aimed to evaluate an intervention program with group physical exercises in the prevention of falls in elderly living at long-term care institutions (LTCI). This is a non-randomized clinical trial, conducted with 20 elderly people of both sexes, residents in two LTCI in Goiânia, Brazil. The interventions were based on previous studies and occurred three times a week for a period of 18 weeks, totaling 40 sessions of group exercises, lasting about two hours each one, in which warm-up exercises were performed, muscle strength, balance, flexibility and relaxation. Standardized measures were used to assess falls (self-reports of participants), balance and gait (Performance - Oriented Mobility Assessment - POMA - Brazil), muscular strength (Hydraulic Hand Dynamometer and 30 second chair stand test), flexibility (Goniometer commuting – Fleximeter and Chair sit-and-reach test), fear of falling (Falls Efficacy Scale - International - FES I - Brazil). After a period of twelve months from the beginning of the intervention the decrease in the number of falls was significant (p = 0.046). Significant differences were observed for POMA-Equilibrium (p = 0.001), POMA-Total (p = 0.007), muscular strength of hand grip (p = 0.001) and lower limbs (p<0.001), flexibility of the bending motion of the shoulders (p = 0.001). The intervention by a physical exercises program proved to be adequate to improve balance, muscle strength of lower and upper limbs, shoulder flexibility, helping to significantly decrease the number of falls among elderly participants, but not enough to improve gait and multiple joint flexibility of spine and hip, as well as to reduce the number of elderly who suffered falls from the beginning of the intervention program. / As quedas em idosos constituem um problema de saúde pública em todo o mundo, pois são importante causa de morbidade e mortalidade entre pessoas dessa faixa etária. Assim, é necessário que os profissionais de saúde desenvolvam intervenções para prevenir essa ocorrência. Este estudo teve como objetivo geral avaliar um programa de intervenção com exercícios físicos em grupo para prevenir quedas em idosos residentes em instituições de longa permanência (ILPI). Trata-se de um ensaio clínico não randomizado realizado com 20 idosos de ambos os sexos, moradores em duas ILPI na cidade de Goiânia, Brasil. As intervenções ocorreram três vezes por semana, por um período de 18 semanas, totalizando 40 sessões de exercícios em grupo, cada uma delas com duração aproximada de 2 horas, nas quais foram realizados exercícios de aquecimento, força muscular, equilíbrio, flexibilidade e relaxamento. Medidas padronizadas foram utilizadas para avaliar quedas (autorrelato dos participantes), equilíbrio e marcha (Performance – Oriented Mobility Assessment – POMA – Brasil), força muscular (Hydraulic Hand Dynamometer e 30 segundos chair stand test), flexibilidade (Goniômetro pendular - Flexímetro e Chair sit-and-reach test) e medo de quedas (Escala de Eficácia de Quedas – Internacional –FES – I – Brasil). A partir do período de doze meses do início da intervenção, houve redução significativa (p = 0,046) no número de quedas. Foram observadas diferenças significantes para POMA-Equilíbrio (p = 0,001), POMA-Total (p = 0,007), força muscular de preensão palmar (p = 0,001) e de membros inferiores (p < 0,001) e flexibilidade do movimento de flexão dos ombros (p = 0,001). A intervenção realizada mediante um programa de exercícios físicos mostrou-se adequada para melhorar equilíbrio, força muscular de membros superiores e inferiores e flexibilidade de ombro, contribuindo para redução significativa do número de quedas entre os idosos participantes do estudo, porém não suficiente para melhorar a marcha e a flexibilidade multiarticular da coluna e quadril, bem como para reduzir o número de idosos que sofreram quedas a partir do início do programa de intervenção.