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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
831

Balance mechanisms during standing and walking in young and older adults

Lee, Sungeun. January 2010 (has links)
Thesis (M.Sc.)--University of Alberta, 2010. / A thesis submitted to the Faculty of Graduate Studies and Research in partial fulfillment of the requirements for the degree of Master of Science in Rehabilitation Science, Faculty of Rehabilitation Medicine. Title from pdf file main screen (viewed on February 16, 2010). Includes bibliographical references.
832

Le traitement des accidents et des maladies des agents publics au sein du service public de l'Education nationale / The processing of the accidents and the diseases of the civil servants within the public service of National education

Combes, Stephane 18 October 2014 (has links)
L’Education Nationale, par le nombre et la diversité des statuts de ses personnels, constitue un laboratoire d’étude intéressant sur les conditions de travail des agents publics, notamment lorsqu’ils sont victimes d’accidents ou de maladies à l’occasion de leur activité professionnelle. Les règles issues du droit du travail et du droit de la fonction publique et l’intervention croisée de multiples acteurs rendent complexe ce type de contentieux. S’ajoutent de nouveaux risques professionnels (souffrance au travail, cancers professionnels), qui sont en phase de reconnaissance juridique et sociale. La prévention des risques professionnels est devenue une préoccupation des pouvoirs publics, ainsi que la santé au travail dans la fonction publique. L’étude de ces risques pourrait entraîner une meilleure reconnaissance des accidents et maladies professionnels, qui souffre actuellement d’un processus administratif complexe mettant à mal les droits des agents publics. Enfin, la réparation des risques professionnels conduit toujours à des inégalités selon les faits à l’origine de l’accident ou de la maladie, le statut de l’agent ou la gravité du dommage. Le dépassement de la règle du forfait de pension met fin à certaines injustices mais demeure d’une portée limitée. Le rapprochement avec le régime général pourrait faire bénéficier les fonctionnaires de la présomption d’imputabilité. La mise en place d’un Fonds d’indemnisation bénéficiant à tous les agents publics et ayant pour vocation la réparation de tous les risques professionnels pourrait permettre à la victime d’un tel risque d’obtenir un complément d’indemnisation, permettant une réparation intégrale du préjudice. / The Department of Education, by the number and the variety of the statutes of itsstaffs, constitutes a laboratory of study interesting on the conditions of employment of thecivil servants, notably when they are victims of accidents or diseases on the occasion of theirprofessional activity. Rules stemming from the Labour Law and from the law of the publicservice and the crossed intervention of multiple actors make complex this type of dispute.New occupational hazards (suffering in the work, professional cancers) add, which are inphase of legal and social recognition.The prevention of the occupational hazards became a preoccupation of authorities, aswell as the health in the work in the public service. The study of this risks could pull a betterrecognition of the professional accidents and the diseases, which suffers at present from acomplex administrative process worsening the principle of legal security. Finally, the repair ofthe occupational hazards always leads to disparities according to the facts of the origin of theaccident or of the disease, the status of the agent or the gravity of the damage. The overtakingof the rule of the fixed price of pension terminates certain injustices but house of the limitedreach.The link with the general regime could make the civil servants of the assumptionbenefit of imputability. The implementation of a Fund of compensation benefiting to all thecivil servants and having for vocation the repair of all the professional risks could allow thevictim of this risk to obtain a complement to compensation, allowing a complete repair of thedamage.
833

Impact des combustibles sphere-pac innovants sur les performances de sûreté des réacteurs à neutrons rapides refroidis au sodium / Impact of innovative sphere-pac fuels on safety performances of sodium cooled fast reactors

Andriolo, Lena 19 August 2015 (has links)
Les futurs réacteurs à neutrons rapides refroidis au sodium (RNR-Na) doivent remplir les critères GEN-IV à savoir présenter des qualités d'économie, de sûreté améliorée, de résistance à la prolifération et de minimisation des déchets. Ce projet de thèse est dédié à l'étude de l'impact des combustibles innovants (spécialement le combustible oxyde sphere-pac chargé en actinides mineurs) sur les performances de sûreté des RNR-Na dédiés à la transmutation.Le code de calcul SIMMER-III, développé à l'origine pour les phases avancées d'un accident grave, est utilisé pour les simulations. Ce code a été étendu dans le cadre de cette thèse afin d'améliorer la simulation de la phase primaire de l'accident, en introduisant le traitement des effets en réactivité liés à la dilatation du cœur et les spécificités du combustible sphere-pac (conductivité thermique, gap). Les transitoires complets (de la phase d'initiation aux phases avancées) sont simulés avec cette version étendue du code. Dans le cadre de cette thèse, les propriétés thermiques du combustible sphere-pac ont été modélisées et adaptées à SIMMER. Une méthodologie innovante tenant compte des effets en réactivité liés à la dilation thermique du cœur dans un maillage Eulérien et dans le cadre de la cinétique spatiale a ensuite été développée. A chaque pas de temps, les dimensions et densités dilatées sont calculées pour chaque cellule suite aux variations de températures. Des facteurs correctifs sont appliqués aux densités dilatées pour obtenir une configuration équivalente (en réactivité) ayant les dimensions non-dilatées et des densités modifiées. De nouvelles sections efficaces sont calculées à partir de ces densités et l'effet en réactivité lié à la dilatation est calculé. Les résultats sont prometteurs pour des dilatations uniformes et non-uniformes. Des limitations dans le cas de dilatations non-uniformes ont été identifiées et des calculs neutroniques ont été effectués en vue de futurs développements SIMMER. Les résultats préliminaires sont encourageants. Enfin, deux cœurs RNR-Na, issus du précédent projet CP-ESFR, ont été modélisés avec des combustibles sphere-pac : le Working Horse et le CONF2 (présentant un plénum sodium élargi pour une diminution de l'effet de vide sodium). Des analyses de sûreté ont été effectuées afin de fournir une première évaluation du comportement du combustible sphere-pac comparé au combustible pastille. Les deux options sont analysées en situation nominale et accidentelle (accident de perte de débit primaire) en début de vie du cœur et après irradiation. Les analyses révèlent deux phases à considérer en début de vie pour le combustible sphere-pac. Au démarrage du réacteur, ce combustible n'est pas restructuré et sa conductivité thermique est très inférieure à celle du combustible pastille. Après quelques heures sous irradiation, il se restructure suite aux importants gradients de température, ce qui améliore sa conductivité. Il se comporte alors de façon similaire au combustible pastille. Ce travail a également permis d'évaluer le comportement accidentel du cœur CONF2 qui subit un transitoire doux, prouvant que le large plénum sodium prévient efficacement de larges insertions de réactivité positive. Cependant, avec l'ajout d'américium ou suite à l'irradiation, des excursions de puissance et de réactivité plus prononcées sont observées. Ce travail a permis de démontrer que le combustible sphere-pac ne semble pas causer de problèmes de sûreté spécifiques comparé au combustible pastille, dans les conditions de simulations actuelles. La prise en compte des effets en réactivité liés à la dilatation du cœur avec cette version étendue de SIMMER retarde et réduit le potentiel énergétique lors d'un accident. Les analyses confirment également l'action atténuante du plénum sodium sur les transitoires conduisant à la vidange du sodium du coeur. Le comportement du combustible sphere-pac dans ces conditions ouvre une perspective à son utilisation en RNR-Na. / Future sodium cooled fast reactors (SFRs) have to fulfill the GEN-IV requirements of enhanced safety, minimal waste production, increased proliferation resistance and high economical potential. This PhD project is dedicated to the evaluation of the impact of innovative fuels (especially minor actinides bearing oxide sphere-pac fuels) on the safety performance of advanced SFRs with transmutation option. The SIMMER-III code, originally tailored to mechanistically analyze later phases of core disruptive accidents, is employed for accident simulations. During the PhD project, the code has been extended for a better simulation of the early accident phase introducing the treatment of thermal expansion reactivity effects and for taking into account the specifics of sphere-pac fuels (thermal conductivity and gap conditions). The entire transients (from the initiating event to later accident phases) have been modeled with this extended SIMMER version. Within this PhD work, first the thermo-physical properties of sphere-pac fuel have been modeled and casted into SIMMER-III. Then, a new computational method to account for thermal expansion feedbacks has been developed to improve the initiation phase modeling of the code. The technique has the potential to evaluate these reactivity feedbacks for a fixed Eulerian mesh and in a spatial kinetics framework. At each time step, cell-wise expanded dimensions and densities are calculated based on temperature variations. Density factors are applied to the expanded densities to get an equivalent configuration (in reactivity) with original dimensions and modified densities. New cross sections are calculated with these densities and the reactivity of the equivalent configuration is computed. The developed methods show promising results for uniform and non-uniform expansions. For non-uniform expansions, model improvement needs have been identified and neutronics simulations have been carried out to support future SIMMER extensions. Preliminary results are encouraging. In the third part of the PhD, two core designs with conventional and sphere pac fuels are compared with respect to their transient behavior. These designs were established in the former CP-ESFR project: the working horse core and the optimized CONF2 core (with a large sodium plenum above the core for coolant void worth reduction). The two fuel design options are compared for steady state and transient conditions (Unprotected Loss of Flow accident, ULOF) either at beginning of life (BOL) or under irradiated conditions. Analyses for sphere-pac fuel reveal two main phases to consider at BOL. At start-up, the non-restructured sphere-pac fuel shows a low thermal conductivity compared to pellet fuel of same density. However, the fuel restructures quickly (in a few hours) due to the high thermal gradients and its thermal conductivity recovers. The fuel then shows a behavior close to the pellet one. The study also shows that the CONF2 core leads to a very mild transient for a ULOF accident at BOL. The large upper sodium plenum seems to effectively prevent large positive reactivity insertions. However, stronger reactivity and power peaks are observed under irradiated conditions or when americium is loaded in the core and lower axial blanket. This PhD work demonstrates, under current simulation conditions, that sphere-pac fuels do not seem to cause specific safety issues compared to standard pellet fuels, when loaded in SFRs. The accurate simulation of core thermal expansion reactivity feedbacks by means of the extended SIMMER version plays an important role in the accident timing (simulations confirm the expected delay in the first power peak) and on the energetic potential compared to the case where these feedbacks are omitted. The analyses also confirm the mitigating impact of a large sodium plenum on transients with voiding potential. The behavior of sphere-pac fuel in these conditions opens a perspective to its practical application in SFRs.
834

Análise das ações preventivas executadas pelo DETRAN/AM e imtrans na cidade de Manaus durante o carnaval dos anos de 2007 e 2008: um estudo de caso

Silva, Jose Militão Rodrigues da January 2008 (has links)
Submitted by Paulo Junior (paulo.jr@fgv.br) on 2010-05-20T18:29:20Z No. of bitstreams: 1 JOSE MILITÃO.PDF: 311795 bytes, checksum: 06d7df3e8adafa76279cf8ee9659a107 (MD5) / Approved for entry into archive by Paulo Junior(paulo.jr@fgv.br) on 2010-05-20T18:29:34Z (GMT) No. of bitstreams: 1 JOSE MILITÃO.PDF: 311795 bytes, checksum: 06d7df3e8adafa76279cf8ee9659a107 (MD5) / Made available in DSpace on 2010-05-21T11:23:32Z (GMT). No. of bitstreams: 1 JOSE MILITÃO.PDF: 311795 bytes, checksum: 06d7df3e8adafa76279cf8ee9659a107 (MD5) Previous issue date: 2008-07-08 / Currently, the traffic accidents if have constituted as a serious partner-economic problem and of public health, being responsible for 1,2 million deaths and 50 million wounded, per year in everybody. Many are the causes that generate these accidents. Brazil is had as one of the worldwide leaders in traffic accidents has 30 years more than. The cost of these traffic accidents is very raised. Manaus, is a city of the Region North, considered regional polar region, she is one of the 49 urban agglomerations of the country, and presents a population of 1.688.524 inhabitants approximately. As the majority of the Brazilian cities, the urban transit is violent, time that presents one high index of traffic accidents. During the years of 2007 and 2008, the State Department of Transit of Amazon (Detran/AM), it placed in functioning the educative program of prevention of called traffic accidents 'Solidary Hitchhiking', known popularly as 'Disk Pileque'. This work consisted of analyzing the injunctions taken the effect during the carnavalescos periods of 2007 and 2008, with the execution of the solidary hitchhiking, demonstrating its effectiveness in the reduction of traffic accidents with fatal victims. The execution of the program if gave through the proper Detran, that mounted project in the direction to provide attendance better to the citizen. The data had been gotten through reports emitted for the Detran/AM, of luck that showed the related specificities to the accidents. The results had shown that the execution of the program was positive, therefore, the number of done requests surpassed the expectations mainly, generating with this reduction of costs and reduction of the amount of fatal victims in the city for occasion of the analyzed periods. It was suggested that the program is executed in other periods of the year. / Atualmente, os acidentes de trânsito têm se constituído como um grave problema sócio-econômico e de saúde pública, sendo responsáveis por 1,2 milhões de óbitos e 50 milhões de feridos por ano em todo mundo. Muitas são as causas que geram esses acidentes. O Brasil é tido como um dos líderes mundiais em acidentes de trânsito há mais de 30 anos. O custo desses acidentes de trânsito é muito elevado. Manaus, é uma cidade da Região Norte, considerada pólo regional, é uma das 49 aglomerações urbanas do país, e apresenta uma população de 1.688.524 habitantes aproximadamente. Como a maioria dos municípios brasileiros, o trânsito urbano é violento, vez que apresenta um alto índice de acidentes de trânsito. Durante os anos de 2007 e 2008, o Departamento Estadual de Trânsito do Amazonas(Detran/AM), colocou em funcionamento o programa educativo de prevenção de acidentes de trânsito denominado 'Carona Solidária', conhecido popularmente como 'Disk Pileque'. Este trabalho consistiu em analisar as ações preventivas levadas a efeito durante os períodos carnavalescos de 2007 e 2008, com a execução do carona solidária, demonstrando sua efetividade na redução de acidentes de trânsito com vítimas fatais. A execução do programa se deu através do próprio Detran, que montou esquema no sentido de proporcionar melhor atendimento ao cidadão. Os dados foram obtidos através de relatórios emitidos pelo Detran/AM, de sorte que mostrassem as especificidades relacionadas aos acidentes. Os resultados mostraram que a execução do programa foi positiva, pois, o número de solicitações feitas superou as expectativas, gerando com isso redução de custos e principalmente redução da quantidade de vítimas fatais na cidade por ocasião dos períodos analisados. Foi sugerido que o programa seja executado em outros períodos do ano.
835

Dopravní nehody a jejich vliv na příjmy a výdaje rozpočtu České republiky. / Traffic Accidents and their Impact on Revenues and Expenditures of the Czech Republic.

KROPÁČKOVÁ, Lenka January 2014 (has links)
The main aim of my thesis is the analysis of the traffic accidents and their cause on the roads of the Czech Republic.The first part of my thesis deals with the theoretical outcome of this matter which is necessary for further cover of my work.It is followed up with a practical part in which all statistic data, that had been used for the assessment of the situation,have been worked out.The methods the data have been coverd are the endorsement method, method of sequence and the method of respected sequence. In the frame of this thesis the comparison of the Czech Republic with a chosen EU state has been done. The secondary aim of my thesis is to find out the impact of the accidents on the revenues of the state budget, particularly of the problematic groups that cause the accidents on the roads.In the last part of my thesis there is a summary of all analysed results of the matter and subsequently safety measures for potential improvement of the situation have been done.
836

Implantação e análise de sistema de captação de acidentes do trabalho no Hospital Escola da Faculdade de Medicina de Botucatu /

Machado, Tarcila de Almeida Santos. January 2007 (has links)
Orientador: Maria Cecília Pereira Binder / Resumo: O estudo teve como objetivo implantar sistema de captação de acidentes do trabalho no Hospital das Clínicas da Faculdade de Medicina de Botucatu UNESP, e descrever o processo de implantação, bem como analisar aspectos dos acidentes segundo variáveis registradas nos instrumentos de captação. Os documentos de notificação utilizados foram a Comunicação de Acidente do Trabalho, CAT, para os acidentados cobertos pelo Seguro Acidente de Trabalho, SAT, e Relatório de Atendimento ao Acidentado do Trabalho RAAT, para os não cobertos. Propôs-se modificação do RAAT, visando aprimorá-lo para melhor especificar a inserção do trabalhador no mercado de trabalho e o diagnóstico da lesão. Descrevem-se aspectos da organização do Hospital das Clínicas relevantes para a análise da implantação do sistema de captação. Discutem-se peculiaridades, dificuldades e limitações relacionadas à dinâmica de funcionamento de um hospital escola, apresentando-se algumas hipóteses explicativas. As informações obtidas através das notificações possibilitaram analisar os 275 acidentes captados no período do estudo (julho de 2004 a agosto de 2005). Houve predomínio de acidentes do trabalho tipo ou típicos: 81,1% dos casos. Quanto ao instrumento de captação, 76% dos casos foram registrados por meio de CAT e 24%, de RAAT. Com relação à inserção do acidentado no mercado de trabalho, observou-se que a informação havia sido registrada em 149 (54,2%) notificações, dentre as quais 123 eram empregados regidos pela Consolidação das Leis do Trabalho. Este estudo revelou a existência de numerosos acidentes pérfuro-cortantes em empregados de empresa de limpeza hospitalar, que exerciam atividades no Hospital das Clínicas, o que evidencia descarte inadequado de pérfuro-cortantes neste hospital... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The objective of this study is to implement a system for recording occupational accidents in the Clinical Hospital of theSchool of Medicine of Botucatu UNESP, and to describe the process of the implementation, as well as analyzing aspects of the accidents, according to the variables registered in the accident notification forms. The notification documents used were: Occupational Accident Communication (CAT), for accident victims covered by Occupational Accident Insurance (SAT), and the Occupational Accident Victim Assistance Report (RAAT), for those not covered. Modifications to the RAAT have been proposed, aiming to improve the specification of the worker's position in the employment market and the diagnosis of the injury. Relevant aspects of the Clinical Hospital's organization have been described for the analysis of the implementation of the recording system. Peculiarities, difficulties and limitations relating to the dynamic functioning of the school hospital have been discussed, presenting some explanatory hypotheses. The information obtained through the accident notification forms enabled an analysis of 275 recorded accidents during the period of the study (July 2004 to August 2005). The majority of occupational accidents, 81.1% of cases, occurred in the work place (typical). As far as the accident notification forms are concerned, 76% of cases were registered through CAT and 24% through RAAT. It was observed that, in relation to the accident victim's position in the employment market, from the information registered in 149 (54.2%) notifications, 123 were employees regulated by Employment Law Legislation (CLT). This study has revealed the existence of a large number of puncture wound injuries in employees of hospital cleaning companies, working in the school hospital, suggesting evidence of the inappropriate disposal of puncturing and cutting instruments... (Complete abstract, click electronic access below) / Mestre
837

Condutas dos profissionais de enfermagem de um hospital especializado em oncologia que sofreram exposição a material biológico. / Conduct of nursing professionals from a specialized oncology hospital who were exposed to biological material

Paula Batista Luize 26 June 2012 (has links)
Introdução: os acidentes ocupacionais envolvendo material biológico são uma preocupação para as instituições de saúde, uma vez que podem causar sérios agravos à saúde dos profissionais. Os trabalhadores de enfermagem têm sido os mais acometidos por esses acidentes e m edidas profiláticas são essenciais para minimizar o risco de soroconversão aos patógenos veiculados pelo sangue. Objetivo: avaliar as condutas relatadas pelos profissionais de enfermagem que sofreram exposição a material biológico referentes à notificação do acidente por meio da CAT e a procura por atendimento clínico especializado. Materiais e Métodos: trata-se de um estudo de corte transversal realizado num hospital especializado em oncologia do interior paulista, aprovado pelo Comitê de Ética em Pesquisa da referida instituição. No momento da coleta de dados trabalhavam no hospital 518 profissionais de enfermagem, 51 recusaram participar e 26 estavam afastados, assim a população foi composta por 441 profissionais que aceitaram participar do estudo, mediante a assinatura do Termo de Consentimento Livre e Esclarecido. Os dados foram coletados por meio de entrevistas individuais, realizadas no próprio loca l de trabalho, no período de 01/01/2011 a 30/06/2011, e analisados por meio de estatística descritiva, utilizando-se o programa Statistical Package for the Social Sciences, versão17.0. Resultados: dos 441 sujeitos entrevistados, 82 referiram ter sofrido 127 acidentes com material biológico nos doze meses que antecederam a data da entrevista. Ressalta-se que 57,3% dos profissionais acidentados realizaram a conduta corret a, ou seja, notificaram o acidente por meio da Comunicação de Acidente de Trabalho e procuraram atendimento clínico especializado, porém 42,7% não adot aram nenhuma conduta após o acidente. Quanto aos motivos alegados pelos profissionais de enfermagem para não notificarem o acidente por meio da CAT e não procurar o atendimento clínico especializado o mais freqüente foi considerar a notificação desnecessária, subestimando o risco do acidente (72,1%). Conclusão: o presente estudo permitiu identificar a prevalência de subnotificação dos acidentes com material biológico pela equipe de enfermagem e também os principais motivos aleg ados pelos profissionais que não adotaram a conduta preconizada na instituição. Acredita-se que esses resultados podem contribuir para a elaboraç ão e implementação de medidas visando aumentar a adesão às condutas pós-exposição e consequentemente melhorar a segurança dos trabalhadores. / Introduction: occupational accidents involving biological material are a concern for the health institutions, since it can cause serious damage to the health of professionals. The nursing team has been most affected by such accidents, thus preventive measures are essential to mi nimize the risk of seroconversion to bloodborne pathogens. Objective: to evaluate the conducts reported by nursing professionals, who were exposed to biologic al material, relating to notification of the accident through the COA and the demand for specialized clinical care. Materials and Methods: this is a cross-sectional study conducted in a specialized oncology hospital in the interior of São Paulo State, approved by the Research Ethics Committee of that institution. At the time of data collec tion, 518 nursing professionals worked in the hospital; 51 refused to participate and 26 had work leave, so the population was composed of 44 1 professionals who accept ed to participate in the study by signing the consent form. Data we re collected through individual interviews performed in the workplace from 01/01/2011 to 30/06/2011, and analyzed using descriptive statistics, through the Statistica l Package for the Social Sciences, version 17.0. Results: of the 441 subjects interviewed, 82 reported having suffered 127 accidents with biological material in the tw elve months preceding the interview date. It is highlighted that 57.3% of the injur ed professionals made the right conduct, i.e., reported the accident through the Communication of Occupational Accidents (COA) and sought specialized clinical care; how ever 42.7% did not adopted any conduct after the accident. Regarding the reasons given by nursing staff for not reporting the accident through the COA and not seek specialized clinical care, the most frequent were they did not consider it important to report, underestimating the risk of accident (72.1%). Conclusion: this study identified the prev alence of the underreporting of accidents with biological material by the nursing staff and also the main reasons given by the professionals who have not adopted the conduct recommended by the institution. It is believed that these resu lts may contribute to the development and implementation of measures to incr ease adherence to post-exposure conduct and thus to improve the safety of professionals.
838

Příčiny vzniku dopravních nehod při přepravě nebezpečných látek. / Forming factors of traffic accidents in transporting dangerous substances.

SANDOROVÁ, Radka January 2010 (has links)
The thesis ``Causes of Accident Occurrence in Transporting Dangerous Substances{\crq}q is aimed at the topic of road accidents in transport of dangerous substances, which is one of its inseparable parts on which extra stress is placed and cannot be classified as common transport. Road transport of dangerous substances is subject to the European Agreement concerning the International Carriage of Dangerous Goods by Road (ADR). Although the safety of road transport of dangerous goods is broadly secured in the sense of ADR there are still numerous factors affecting the transport course itself, which may lead to a road accident. Road accidents of vehicles transporting dangerous goods often involve leaks of dangerous substances and subsequent threat to human lives and health, damage on environment and property. This is why transport of dangerous substances definitely belongs to activities with higher risk rate. The fact that the time and place of accident occurrence cannot be determined in advance even escalates the danger. The thesis is aimed at surveying the situation in the field of causes of accident occurrence in transporting dangerous substances, discovering the level of awareness of the problems of dangerous substance transport and the causes of road accidents among traffic participants and proposing concrete preventive measures. Quantitative research was performed to gain information necessary to confirm my hypotheses. Secondary analysis of the data from the Police of the Czech Republic archives was used as the method for confirmation of hypotheses. A questionnaire survey was used for determination of the level of awareness among traffic participants. The hypotheses set in the thesis, that the causes of accident occurrence in transporting dangerous substances have direct influence on accident frequency and common road traffic participants do not have sufficient knowledge of the problems of dangerous substance transport have been confirmed.
839

Socioekonomický status rodičů dětí hospitalizovaných na dětském oddělení z důvodu úrazu / The Socioeconomic Status of Parents of Children Hospitalised Due to Injury in the Paediatric Ward

MIKEŠOVÁ, Jana January 2011 (has links)
Accidents pose a significant problem of public health care systems. According to statistical data more than five million people die of accident injuries worldwide. Currently, the accident issue has enjoyed a special attention. Injuries of children are considered the most severe enemy and at the same time the most frequent death cause in children and young adults and the third most frequent cause of death in the population as a whole. In the Czech Republic, accident injuries result in 300 child deaths and 3000 permanently handicapped in a year. In my diploma work I have focussed on accidents at an early age, which currently occur more a more frequently. My research has dealt with children who tend to be prone to accident risks. The objective of my paper has been to monitor the circumstances of child accidents in the course of the calendar year 2010 in children staying in the paediatric ward and to find out whether the socio-economic status of a particular family has an impact on the accident circumstances. The theoretical section of my work contains a description of the individual accidents which are typical for the population of children and the practical section consists of an evaluation of statistical data, which I have collected using secondary data analysis and case studies of children staying at hospital as well as a questionnaire interview of parents. The quantitative research shows that the most frequent cause of a hospital stay of patients in the Paediatric Ward of the Český Krumlov Hospital in the course of 2010, as a result of an accident, were falls, fractures, contusions without head injury, the second most frequent cause of a hospital stay were head and brain injuries, the third place was occupied by injuries of the body surface (wounds, skin abrasions, bruises). It has been found that the most frequent accident occurrence circumstances are connected with children´s play without the supervision of their parents, then accidents occurring in relationship with sports activities and finally traffic accidents (bikers and in-line skaters). Based on testing the hypotheses, the research has further shown that the socio-economic factors or the family status tend to have an impact on the circumstance under which the accident happened.
840

Morbi-Mortalidade Juvenil por Acidentes de Transporte em Goiânia Goiás / Young morbi-mortality by transporte injury in Goiânia/GO

CAIXETA, Carlos Roberto 27 March 2006 (has links)
Made available in DSpace on 2014-07-29T15:04:45Z (GMT). No. of bitstreams: 1 Dissertacao Carlos Roberto Caixeta.pdf: 262265 bytes, checksum: a9808efbfa64d535642727610bfa9bca (MD5) Previous issue date: 2006-03-27 / Transport accidents are currently one of the world s main public health problems. The aim of this investigation is to describe the profile of transport injury victims attended at Hospital de Urgências de Goiânia (HUGO) and of victims who deceased in these accidents, with age 15 to 24 years, residents in Goiânia, Goiás - Brazil. It also describes the circumstances involved in these accidents. This descriptive transversal study was carried out in the city of Goiânia from August 2005 to August 2006 with systematic sampling, considering the day of the week and the time of the day. At that period were interviewed 301 victims attended at HUGO, the main Emergency Service Center of the city, and the family of 62 cases of death occurred in the municipality. The data were treated by descriptive statistics. Most victims attended at HUGO and most of those who died were male, mean age 19.94 ± 2.73 years. The main transport used by the victims attended at HUGO was the motorcycle (67.33%), followed by the bicycle (16.67%). The motorcycle was the most used by fatal victims (66.67%) as well. The accidents usually occurred at night, especially around 6 pm to 9 pm and at weekends (fridays and sundays). The victims were generally on the way to do physical, sportive, school, leisure or entertaining activities at that time. Those who were doing paid work had the accident between 6 am and 9 am. Suspicion of alcohol use was confirmed in 15.16% of the cases attended at HUGO and by 26.31% of the family of fatal victims. The victims attended at HUGO were the drivers in 77.11% of the motorcycle accidents and 92.00% of bicycle accidents, as well as in 76.92% of the fatal victims. There were victims under 18 years of age identified as drivers of automobiles and motorcycles. In proportion (p<0.05), more motorcyclists (66.48%) believed that there was imprudence/ negligence than the cyclists (47.72%) attended at HUGO. Security equipment was not used by 8.58% of motorcyclists, by 95.45% of cyclists attended at HUGO and by 12.5% of the motorcyclists who died. The safety belt was not used by 50.00% of the attended at HUGO and by 60.00% of who died. The results indicate a need for a differentiated look at motorcyclists, which justifies a specific approach to this group, as well as measures of inspection, giving priority to the periods of night and weekends. The service of attending victims must be planned, adjusting the amount of human, material and equipment resources, and the seasonality of accidents. The epidemiologic profile of the victims provides important information for administrators to implement politics of promoting health and preventing injury transport, which takes intersectional and multiprofessional actions to confront the problem. Keywords: Transport accidents are currently one of the world s main public health problems. The aim of this investigation is to describe the profile of transport injury victims attended at Hospital de Urgências de Goiânia (HUGO) and of victims who deceased in these accidents, with age 15 to 24 years, residents in Goiânia, Goiás - Brazil. It also describes the circumstances involved in these accidents. This descriptive transversal study was carried out in the city of Goiânia from August 2005 to August 2006 with systematic sampling, considering the day of the week and the time of the day. At that period were interviewed 301 victims attended at HUGO, the main Emergency Service Center of the city, and the family of 62 cases of death occurred in the municipality. The data were treated by descriptive statistics. Most victims attended at HUGO and most of those who died were male, mean age 19.94 ± 2.73 years. The main transport used by the victims attended at HUGO was the motorcycle (67.33%), followed by the bicycle (16.67%). The motorcycle was the most used by fatal victims (66.67%) as well. The accidents usually occurred at night, especially around 6 pm to 9 pm and at weekends (fridays and sundays). The victims were generally on the way to do physical, sportive, school, leisure or entertaining activities at that time. Those who were doing paid work had the accident between 6 am and 9 am. Suspicion of alcohol use was confirmed in 15.16% of the cases attended at HUGO and by 26.31% of the family of fatal victims. The victims attended at HUGO were the drivers in 77.11% of the motorcycle accidents and 92.00% of bicycle accidents, as well as in 76.92% of the fatal victims. There were victims under 18 years of age identified as drivers of automobiles and motorcycles. In proportion (p<0.05), more motorcyclists (66.48%) believed that there was imprudence/ negligence than the cyclists (47.72%) attended at HUGO. Security equipment was not used by 8.58% of motorcyclists, by 95.45% of cyclists attended at HUGO and by 12.5% of the motorcyclists who died. The safety belt was not used by 50.00% of the attended at HUGO and by 60.00% of who died. The results indicate a need for a differentiated look at motorcyclists, which justifies a specific approach to this group, as well as measures of inspection, giving priority to the periods of night and weekends. The service of attending victims must be planned, adjusting the amount of human, material and equipment resources, and the seasonality of accidents. The epidemiologic profile of the victims provides important information for administrators to implement politics of promoting health and preventing injury transport, which takes intersectional and multiprofessional actions to confront the problem. / Os acidentes de transporte constituem na atualidade um dos principais problemas de saúde pública em todo mundo, especialmente nos países em desenvolvimento. Este estudo teve como objetivo descrever o perfil das vítimas dos acidentes de transportes atendidos no Hospital de Urgências de Goiânia (HUGO) e das vítimas que foram a óbito, na faixa etária de 15 a 24 anos e residentes em Goiânia - Goiás, bem como descrever as circunstâncias envolvendo esses acidentes. Trata-se de estudo descritivo, transversal, conduzido em Goiânia de agosto/2005 a agosto/2006, com amostragem sistemática considerando dia da semana e horários do dia. Foram entrevistadas 301 vítimas atendidas no HUGO, principal Serviço de Emergência da cidade, e familiares de 62 casos de óbitos ocorridos no município naquele período. Os dados foram tratados por meio de estatística descritiva. Dentre as vítimas atendidas no HUGO e das que foram a óbito a maioria era do sexo masculino, com idade média de 19,94 ± 2,73 anos. O meio de transporte mais utilizado pelas vítimas atendidas no HUGO foi a motocicleta (67,33%), seguido da bicicleta (16,67%). A motocicleta também foi a mais usada entre as vítimas fatais (76,36%). Os acidentes ocorreram mais no período noturno, especialmente entre as 18h e 21h e aos finais de semana (6ª feira e domingo). As vítimas estavam principalmente no trajeto para atividades físicas, esportivas, escolares, lazer e entretenimento nesses horários. Aquelas que realizavam trabalho pago acidentaram-se principalmente entre 06 e 09 h. A suspeita do uso de álcool foi confirmada por 15,14% dos atendidos no HUGO e por 26,31% dos familiares das vítimas fatais. Eram condutores 77,11% dos motociclistas e 92% ciclistas atendidos no HUGO, bem como 76,92% das vítimas fatais. Foram identificadas vítimas menores de 18 anos condutores dos automóveis e motocicletas. Proporcionalmente mais motociclistas (66,48%) julgaram que houve imprudência / negligência que os ciclistas (47,72%) atendidos no HUGO (p<0,05). Os equipamentos de segurança não eram usados por 8,58% dos motociclistas e 95,45% dos ciclistas atendidos no HUGO e por 12,50% motociclistas que morreram. O cinto de segurança era não era usado por 50,00% dos atendidos no HUGO e por 60,00% das vítimas fatais. Os resultados indicam que um olhar diferenciado deve ser dirigido aos motociclistas, justificando uma abordagem específica para este grupo, bem como são necessárias medidas de fiscalização que priorizem o período noturno e os finais de semana. Os serviços de atendimento às vítimas devem planejar o atendimento adequando a quantidade de recursos humanos, materiais e equipamentos, considerando a sazonalidade dos acidentes. O perfil epidemiológico das vítimas fornece informações importantes aos gestores para implementar políticas de promoção da saúde e de prevenção dos acidentes de transporte.

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