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Emergency Department Visits for Hand and Finger Injuries Associated with the Use of Log Splitters. 因使用原木分离器导致手部和手指受伤的急诊就诊情况。
IF 1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2017-04-26 DOI: 10.13031/jash.11889
Bart Hammig, Ches Jones

The purpose of this study was to examine patients treated in an emergency department (ED) for injuries related to the use of log splitters. Data were obtained from the National Electronic Injury Surveillance System for the years 2011-2014. National estimates of ED visits for injuries associated with the use of log splitters were obtained, and descriptive epidemiological characteristics are presented. An estimated 37,000 ED visits for injuries related to the use of log splitters occurred during the study period. The majority of injuries occurred to the hand, with lacerations, fractures/avulsions, and amputations being the most common. The findings indicate that injuries from log splitters constitute a serious public health problem. Efforts to reduce injuries are discussed in accordance with the inherent challenges of detailing the circumstances surrounding these injuries.

本研究的目的是检查在急诊科(ED)治疗的与使用原木分离器相关的损伤患者。数据来自2011-2014年国家电子伤害监测系统。获得了与使用原木分离器相关的急诊室就诊的全国估计,并提出了描述性流行病学特征。在研究期间,估计有37000例因使用劈柴机而受伤的急诊科就诊。大多数损伤发生在手部,最常见的是撕裂伤、骨折/撕脱伤和截肢。调查结果表明,伐木工人造成的伤害构成了一个严重的公共卫生问题。努力减少伤害的讨论,根据固有的挑战,详细的情况下,这些伤害。
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引用次数: 3
Trends and Patterns in Unintentional Injury Fatalities in Australian Agriculture. 澳大利亚农业意外伤害死亡的趋势和模式。
IF 1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2017-04-26 DOI: 10.13031/jash.12091
Tony Lower, Margaret Rolfe, Noeline Monaghan

Agriculture is recognized internationally as a hazardous industry. This article describes the trends and patterns of unintentional farm fatalities in Australia. Data from the National Coronial Information System were analyzed to assess all unintentional farm fatalities for the 2001-2015 period. A secondary comparison with earlier coronial system data from 1989-1992 was also completed to ascertain historical changes. There was no statistically significant change in the rate of work-related fatalities per 100,000 workers in the 2001-2015 period. However, there was a significant curvilinear reduction in all cases of fatality (work and non-work related) per 10,000 agricultural establishments, which decreased from 2001 to 2009-2011 and then increased to 2015. The longer-term data from 1989-2015 revealed a reduction of 30% in work-related cases per 100,000 workers and a reduction of 35% in all cases (work and non-work) per 10,000 agricultural establishments. For both work-related and all cases, there was a statistically significant reduction from 1989 to 2005 and then no change thereafter. The longer-term reduction in farm fatalities ceased in the mid-2000s, and the rate has remained stable since. Fatal injuries continue to impose a significant burden on Australian farming communities, with the rate remaining relatively static for the past ten years. New evidence-based interventions targeting priority areas are required to reduce the incidence of fatalities in Australia agriculture.

农业是国际公认的危险产业。这篇文章描述了澳大利亚农场意外死亡的趋势和模式。分析了来自国家冠状病毒信息系统的数据,以评估2001-2015年期间所有非故意农场死亡。还完成了与1989-1992年早期冠状系统数据的二次比较,以确定历史变化。在2001年至2015年期间,每10万名工人的工伤死亡率没有统计学上的显著变化。然而,每10,000个农业场所的所有死亡病例(工作和非工作相关)呈显著的曲线下降,从2001年到2009-2011年下降,然后增加到2015年。1989年至2015年的长期数据显示,每10万名工人中与工作有关的病例减少了30%,每1万个农业企业中所有病例(工作和非工作)减少了35%。无论是与工作有关的案件还是所有案件,从1989年到2005年,统计上都有显著的下降,此后没有变化。农场死亡人数的长期下降在2000年代中期停止,此后一直保持稳定。致命伤害继续对澳大利亚农业社区造成重大负担,在过去十年中,这一比率保持相对稳定。需要针对优先领域采取新的循证干预措施,以减少澳大利亚农业的死亡率。
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引用次数: 6
Grain Entrapment Pressure on the Torso: Can You Breathe while Buried in Grain? 谷物对躯干的压力:埋在谷物中你能呼吸吗?
IF 1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2017-04-26 DOI: 10.13031/jash.11648
Kevin G Moore, Carol L Jones

The pressure applied to the chest and back of a simulated grain entrapment victim was measured. Pressure sensors were attached to the chest and back of a manikin that was buried in grain in the vertical position. Measurements were made in four grain types at four grain depths ranging from the top of the manikin's shoulders to 0.61 m (24 in.) over the head. The pressure ranged from 1.6 to 4.0 kPa (0.23 to 0.57 psi). Based on available physiological information, this amount of pressure is unlikely to limit the respiration of an otherwise healthy adult male victim. However, other factors, such as the victim's age, gender, and body position in the grain, may influence respiration. The aspiration of grain appears to be the most likely asphyxiation risk during grain bin entrapment. Entering a grain storage bin is inherently dangerous, and Occupational Safety and Health Administration (OSHA) guidelines for permit-required confined spaces and grain handling facilities must be followed. Due to the risk of grain aspiration during engulfment, the development of safety equipment that could help protect the airway of a victim should be investigated.

测量了施加在模拟谷物诱捕受害者胸部和背部的压力。压力传感器安装在垂直位置埋在谷物中的人体模型的胸部和背部。在四种谷物深度的四种谷物类型中进行了测量,范围从人体模型的肩膀顶部到头部上方0.61米(24英寸)。压力范围为1.6至4.0 kPa(0.23至0.57 psi)。根据现有的生理信息,这种压力不太可能限制其他健康成年男性受害者的呼吸。然而,其他因素,如受害者的年龄、性别和身体在谷物中的位置,可能会影响呼吸。在粮仓滞留期间,粮食的吸入似乎是最可能的窒息风险。进入谷物储存仓本身就是危险的,必须遵循职业安全与健康管理局(OSHA)关于许可要求的密闭空间和谷物处理设施的指导方针。由于在被吞没的过程中存在吸入谷物的风险,因此应该研究能够帮助保护受害者气道的安全设备的开发。
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引用次数: 1
How Agricultural Media Cover Safety Compared with Periodicals in Two Other Hazardous Industries. 农业媒体如何与其他两个危险行业的期刊进行安全报道。
IF 1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2017-01-26 DOI: 10.13031/jash.11900
Amanda Marolf, Scott Heiberger, James Evans, Lura Joseph

This analysis featured a uniquely broad look at challenges and potentials for engaging agricultural and other industrial media more effectively in covering safety. It involved a content analysis of selected industry periodicals serving agriculture, mining, and transportation, which are three of the nation's most hazardous industries, in terms of human safety. Use of the social amplification of risk framework (SARF) provided insight on safety coverage. In particular, it tested previous research indicating that media coverage tends to amplify (increase) more than attenuate (decrease) a sense of risk. Analysis involved 18 periodicals (9 agriculture, 7 transportation, and 2 mining) spanning a five-year period from 2008 to 2012. Full-text digital analysis identified terms found in safety articles across all three industries. A manual review of articles revealed the quantity and nature of safety coverage within and among these industries. Results identified 528 safety-related articles published during the period. Transportation and mining periodicals averaged more than twice as many safety articles as the agricultural periodicals. The amount of coverage within the three industries also varied greatly. Findings on the nature of coverage supported previous media research within the SARF. Coverage across all three industries was clearly oriented more to amplifying than to attenuating risk. This study adds to the understanding of variations, commonalities, challenges, and potentials for enhancing safety coverage by media serving these three industries. It also provides direction for engaging industry media more effectively in the public safety mission. The authors recommend seven areas of opportunity for further research.

这一分析独特而广泛地审视了更有效地让农业和其他工业媒体参与安全报道的挑战和潜力。它包括对选定的行业期刊的内容分析,这些期刊服务于农业、采矿业和运输业,这是美国在人类安全方面最危险的三个行业。风险社会放大框架(SARF)的使用提供了对安全覆盖范围的洞察。特别是,它测试了先前的研究表明,媒体报道往往会放大(增加)而不是减弱(减少)风险感。分析涉及18种期刊(9种农业期刊,7种交通期刊,2种矿业期刊),时间跨度为2008 - 2012年5年。全文数字分析确定了在所有三个行业的安全文章中发现的术语。对文章的人工审查揭示了这些行业内部和行业之间安全覆盖的数量和性质。结果确定了在此期间发表的528篇与安全相关的文章。交通和矿业期刊的安全文章平均是农业期刊的两倍多。三个行业的覆盖范围也有很大差异。关于报道性质的研究结果支持了SARF之前的媒体研究。这三个行业的覆盖范围显然更倾向于放大而不是降低风险。本研究增加了对这三个行业媒体提高安全报道的差异、共性、挑战和潜力的理解。它还为行业媒体更有效地参与公共安全使命提供了方向。作者推荐了七个值得进一步研究的领域。
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引用次数: 0
Australian Leadership: Saving Lives with Crush Prevention Devices. 澳大利亚的领导地位:用防挤压装置拯救生命。
IF 1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2017-01-26 DOI: 10.13031/jash.11996
Melvin L Myers

The burden of injury and death due to quad bike [all-terrain vehicle, or ATV] use cannot be allowed to continue unchecked, and ongoing delay in action may permit to further avoidable tragedies." -Royal Australasian College of Surgeons (2016, p. 13).

由于四轮摩托车(全地形车,或ATV)的使用而造成的伤亡负担不能继续不受控制,持续的行动延误可能会导致更多可避免的悲剧。”——澳大利亚皇家外科医学院(2016年,第13页)。
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引用次数: 2
Operator Exposure to Hydrogen Sulfide from Dairy Manure Storages Containing Gypsum Bedding. 操作人员暴露于含有石膏垫层的牛粪储存库中的硫化氢。
IF 1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2017-01-26 DOI: 10.13031/jash.11563
Eileen E Fabian-Wheeler, Michael L Hile, Dennis J Murphy, Davis E Hill, Robert Meinen, Robin C Brandt, Hershel A Elliott, Daniel Hofstetter

Dairy manure storages containing gypsum-based bedding have been linked anecdotally with injury and death due to presumed dangerous levels of gases released. Recycled gypsum products are used as a cost-effective bedding alternative to improve animal welfare and provide agronomic benefits to manure recycled back to the land. Sulfur contained in gypsum (calcium sulfate) can contribute to hydrogen sulfide (H2S) gas formation under the anaerobic storage conditions typical of dairy manure slurry. Disturbance of stored manure during agitation releases a burst of volatile gases. On-farm monitoring was conducted to document conditions during manure storage agitation relative to gas concentration and operator safety. One objective was to document operator exposure to H2S levels; therefore, each operator wore a personal gas monitor while performing tasks associated with manure storage agitation. Data from three dairy bedding management categories on ten farms were compared: (1) traditional organic bedding, (2) gypsum bedding, and (3) gypsum bedding plus a manure additive thought to reduce H2S formation and/or release. Portable meters placed around the perimeter of dairy manure storages recorded H2S concentrations prior to and during 19 agitation events. Results show that farms using gypsum bedding produced higher H2S concentrations during manure storage agitation than farms using traditional bedding. In most cases, gypsum-containing manure storages produced H2S levels above recognized safe thresholds for both livestock and humans. Farm operators were most at risk during activities in close proximity to the manure storage during agitation, and conditions 10 m away from the storage were above the 20 ppm H2S threshold on some farms using gypsum bedding. Although H2S concentrations rose to dangerous levels, only two of 18 operators were exposed to >50 ppm H2S during the first 60 min of manure storage agitation. Operators who are aware of the risk of high H2S concentrations near gypsum-laden manure storages can reduce their exposure risk by working upwind and away from the H2S plume within a closed tractor cab.

据传闻,储存含有石膏基垫料的牛粪会造成伤害和死亡,因为释放的气体可能达到危险水平。再生石膏产品被用作具有成本效益的床上用品替代品,以改善动物福利,并为回收的粪便提供农艺效益。石膏(硫酸钙)中所含的硫可以在典型的牛粪浆厌氧储存条件下形成硫化氢(H2S)气体。贮存的粪肥在搅拌过程中受到扰动,会释放出大量挥发性气体。在农场进行了监测,以记录粪便储存搅拌过程中与气体浓度和操作人员安全相关的条件。其中一个目标是记录作业人员暴露于H2S水平;因此,每个操作员在执行与粪肥储存搅拌相关的任务时都佩戴了个人气体监测器。研究人员比较了10个农场的三种乳业层理管理类别的数据:(1)传统有机层理,(2)石膏层理,(3)石膏层理加粪肥添加剂,以减少H2S的形成和/或释放。放置在牛粪储存库周围的便携式仪表记录了19次搅拌事件之前和期间的H2S浓度。结果表明,使用石膏垫层的养殖场在粪便储存搅拌过程中产生的H2S浓度高于使用传统垫层的养殖场。在大多数情况下,含有石膏的粪肥储存产生的H2S水平超过了对牲畜和人类公认的安全阈值。在搅拌过程中,农场经营者在靠近粪便储存处的活动中面临的风险最大,在一些使用石膏垫层的农场,距离粪便储存处10米的条件高于20 ppm H2S阈值。虽然H2S浓度上升到危险水平,但在粪便储存搅拌的前60分钟,18名操作人员中只有2人暴露在大于50 ppm的H2S中。如果作业人员意识到装载石膏的粪肥储存库附近存在高浓度H2S的风险,他们可以在封闭的拖拉机驾驶室内逆风作业,远离H2S烟柱,从而降低暴露风险。
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引用次数: 12
Methods of Collecting and Analyzing Rearward Visibility Data for Agricultural Machinery: Hazard and/or Object Detectability. 农业机械后视数据的收集和分析方法:危险和/或目标可探测性。
IF 1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2017-01-26 DOI: 10.13031/jash.11738
Shawn G Ehlers, William E Field, Daniel R Ess

Recent interest in rearward visibility for private, construction, and commercial vehicles and documentation of rearward runovers involving bystanders outside the field of vision of the vehicle operator led to an investigation into the need for enhanced methods of rearward visibility for large, off-highway, agricultural equipment. A review of the literature found limited relevant research and minimal data on incidents involving rearward runovers of bystanders and co-workers. This article reviews the findings regarding the methods identified and tested to collect and analyze rearward visibility data, from the operator's perspective, for large self-propelled agricultural equipment, including the four-wheel drive tractors, combines, agricultural sprayers, and skid-steer loaders that are increasingly found on agricultural production sites. The methods identified, largely drawn from research conducted on private and commercial vehicles, were tested to determine their application in identifying rearward blind spots. These methods are described, and the findings from field-testing of specific machines are provided. Recommendations include establishing an appropriate engineering standard regarding rearward visibility of agricultural equipment with limited rearward vision and the use of rearward alarm systems for warning bystanders of rearward movement.

最近,人们对私人、建筑和商用车辆的后视能见度感兴趣,并对车辆操作员视野之外的旁观者的后视行驶进行了记录,这导致了对大型、非公路、农业设备的后视能见度增强方法的需求进行了调查。对文献的回顾发现,涉及旁观者和同事向后逃跑的事件的相关研究有限,数据也很少。本文从操作人员的角度回顾了大型自走式农业设备(包括四轮驱动拖拉机、联合收割机、农用喷雾器和滑向装载机)收集和分析后视数据的方法,这些设备越来越多地出现在农业生产现场。所确定的方法主要来自对私人和商用车辆进行的研究,并进行了测试,以确定它们在识别后方盲点方面的应用。介绍了这些方法,并提供了具体机器现场测试的结果。建议包括制定一项适当的工程标准,规定向后视野有限的农业设备的向后能见度,并使用向后警报系统警告旁观者向后移动。
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引用次数: 4
Utah Regional Differences in Respirator Use and Fit Testing among Pesticide Applicators. 犹他州地区防毒面具使用差异和农药喷洒者的适合性测试。
IF 1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2017-01-26 DOI: 10.13031/jash.11765
Michael L Pate, F Richard Beard, Kelsey Hall

The purpose of this study was to determine regional differences within Utah in response to piloting a mobile respirator training and fit assessment program for pesticide applicators. The objectives were to describe worker perceptions of respirator use and training experiences. Pilot trainings were offered in two southern counties and two northern counties of Utah. A total of 141 individuals completed the post-training questionnaire regarding use and fit testing experience with respirators as well as perceptions of the benefits to protecting respiratory health. The majority of respondents were male (95.7%, f = 112). The proportion of participants in the southern counties who had respirator training experience (61.0%, f = 25) was not significantly higher (2 = 3.763, df = 1, p = 0.05) than the proportion of participants in the northern counties (43.0%, f = 43). Three-fourths (73.5%, f = 72) of participants in the northern counties agreed that they expect to wear a respirator in dusty conditions, while two-thirds (61.0%, f = 25) of participants in the southern counties agreed that they expect to wear a respirator in dusty conditions. The results indicated that more training should be done to improve perceptions and beliefs about using respirators. A high priority for this population will be identification of comfortable respirator options as well as communicating the importance of proper fit testing.

本研究的目的是确定犹他州的地区差异,以响应针对农药施用者的移动呼吸器培训和适合评估计划的试点。目的是描述工人对呼吸器使用和培训经验的看法。在犹他州的两个南部县和两个北部县提供了飞行员培训。共有141人完成了培训后问卷调查,内容涉及呼吸器的使用和适合性测试经验,以及对保护呼吸系统健康的益处的看法。大多数受访者为男性(95.7%,f = 112)。南方县参加呼吸器培训的比例(61.0%,f = 25)不显著高于北方县的比例(2 = 3.763,df = 1, p = 0.05)。北方县的四分之三(73.5%,f = 72)的参与者同意他们在尘土飞扬的条件下会戴口罩,而南方县的三分之二(61.0%,f = 25)的参与者同意他们在尘土飞扬的条件下会戴口罩。结果表明,应进行更多的培训,以提高对使用呼吸器的认知和信念。对于这一人群来说,优先考虑的是确定舒适的呼吸器选择,以及传达适当的配合测试的重要性。
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引用次数: 2
Comparisons of Agricultural Seating for Paraplegia. 农业座椅对截瘫患者的比较。
IF 1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2017-01-26 DOI: 10.13031/jash.23.11640
Carla Sue Wilhite, William E Field, Mark Jaramillo, Kevin Sullivan

People with spinal cord injury/paraplegia are operating agricultural machinery despite the lack of research evidence to support seating interventions. These operators represent a vulnerable population in the agricultural workforce, and information to support their health in the workplace is urgently warranted. This research compared a group of subjects with paraplegia on different intervention cushion conditions during a simulated tractor driving task. Numerical data acquired from a pressure-mapping instrument were explored for statistical relationships within a small cohort of people with paraplegia participating in a feasibility study that was previously reported for clinical results. Relationships reaching statistical significance were found to support the primary hypothesis, while other hypotheses did not reach the threshold of significance. The primary hypothesis, that a contour tractor seat intervention condition would be inferior to other intervention conditions, was supported. For this cohort of heterogeneous users with paraplegia, a contour tractor seat of foam and cloth fabric manufacture was not an appropriate intervention selection versus other aftermarket wheelchair cushions.

尽管缺乏支持座椅干预的研究证据,脊髓损伤/截瘫患者仍在操作农业机械。这些操作人员是农业劳动力中的弱势群体,迫切需要提供信息,以支持他们在工作场所的健康。本研究比较了一组截瘫患者在不同的干预缓冲条件下进行模拟拖拉机驾驶任务。从压力测绘仪获得的数值数据被用于研究一小群截瘫患者的统计关系,这些截瘫患者参与了一项可行性研究,该研究此前曾报道过临床结果。发现达到统计显著性的关系支持主要假设,而其他假设没有达到显著性阈值。初步假设,即轮廓拖拉机座椅干预条件将优于其他干预条件,得到支持。对于这群不同类型的截瘫患者,与其他售后市场的轮椅坐垫相比,泡沫和布料制造的轮廓拖拉机坐垫不是一个合适的干预选择。
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引用次数: 1
"I Would Go if My Arm Were Hanging off": A Qualitative Study of Healthcare-Seeking Behaviors of Small Farm Owners in Central New York State. “如果我的手臂被挂下来,我也会去”:对纽约州中部小农场主求医行为的定性研究。
IF 1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2017-01-26 DOI: 10.13031/jash.11848
David J Droullard, Pamela J Tinc, Julie A Sorensen

Compared to their rural non-farming peers, farmers are less likely to access preventive healthcare services; however, the reasons for this disparity are poorly understood. We conducted semi-structured interviews with a total of 30 farm household members in central New York. Interview topics included farming identity, perceptions of one's health, past experiences with acute and preventive healthcare, and attitudes toward seeking healthcare services. Grounded Theory analysis of the interview transcripts revealed that (1) utilizing healthcare services is felt to be in conflict with the farming identity, (2) the need to conserve time and money for farm applications poses a barrier to healthcare utilization, (3) farmers decide to seek healthcare when they believe it is necessary to ensure survival of the farm, and (4) the decision to seek healthcare is most strongly driven by the presence of intolerable symptoms, prompting from others, and the perception that treatment will yield clear benefits. Efforts to increase farmers' utilization of healthcare services must address these considerations.

与非农业的农村同龄人相比,农民获得预防性医疗服务的可能性较小;然而,人们对这种差异的原因知之甚少。我们对纽约中部的30个农场家庭成员进行了半结构化访谈。访谈主题包括农民身份、对个人健康的看法、过去的急性和预防性医疗保健经历,以及对寻求医疗保健服务的态度。对访谈记录的扎根理论分析显示:(1)利用医疗保健服务被认为与农业身份相冲突;(2)为农场应用节省时间和金钱的需要构成了医疗保健利用的障碍;(3)农民决定寻求医疗保健时,他们认为这是确保农场生存所必需的;(4)寻求医疗保健的决定最强烈地受到他人提示的无法忍受的症状的存在的驱动。而且人们认为治疗会产生明显的好处。提高农民利用医疗保健服务的努力必须解决这些问题。
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引用次数: 6
期刊
Journal of Agricultural Safety and Health
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