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1

Katalagarianakis, Georgios. "Risk assessment and accident prevention in mining." Thesis, Imperial College London, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.299320.

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2

Leger, Pascal. "Elements pour une prevention individuelle et collective des accidents de ski alpin." Bordeaux 2, 1992. http://www.theses.fr/1992BOR2M094.

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3

Clay, Diane. "Driver attitude and attribution : implications for accident prevention." Thesis, Cranfield University, 1995. http://hdl.handle.net/1826/3239.

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This study involved self-completion questionnaire-based surveys in which a total of almost 1800 respondents took part. Attributional bias identified by previous research in relation to drivers' causal attributions for road accidents (Preston & Harris, 1965; Clay, 1987) was more fully explored with the aid of both objectively and subjectively culpable driver samples. Banks et al (1977) demonstrated the utility of distinguishing drivers according to culpability in relation to accident fatalaties. The current study examined the utility of distinguishing subjectively culpable, non-culpable, and non-accident driver groups in relation to road accidents with a variety of consequences, in relation to factors which may predispose drivers to accident involvement. This study involved a large sample of drivers who were representative of the general population of licenced drivers in Britain, and specifically focussed samples which allowed the influence of objective and subjective culpability to be ascertained, while a relatively small cross-cultural survey allowed a focus on young drivers (up to 25 years), involving Victorian (Australian) licenced drivers and a sub-sample of young British drivers drawn from the main British sample. The main objectives of the current study were to evaluate drivers' awareness of their potential for active accident avoidance, exploring attribution issues raised by previous research and examining factors which may contribute to road accidents in relation to self-reported accident involvement and culpability and their implications for accident prevention. The main findings were that drivers seemed to have a tendency to attribute more responsibility to "other drivers" than to themselves for accidents in which they had been involved, and to consider that such other drivers had more scope for accident avoidance than they did themselves. Such tendencies, although very considerably reduced, were not eradicated within the driver group deemed culpable by traffic police investigative teams. These findings were broadly consistent with those of Clay (1987) and Preston & Harris (1965), suggesting a lack of awareness of personal influence on accident occurrence, at least to some degree, with implications for accident prevention, the quality of social interaction in the driving environment (Knapper & Cropley, 1980), and the driver's potential to learn from experience. Perhaps more importantly, the other major finding was that clear distinctions could nonetheless be made between drivers in accordance with self-reported accident involvement and culpability in relation to driver affect/state, self-perception, attributions for accident causation, and attitudinal/behavioural tendencies, in a manner which seemed to be meaningful in terms of driver susceptibility to accident risk. Ile pattern of response for accident involvement and culpability effects was then examined in relation to the norms which emerged for age and sex, while the effects of driving experience duration and intensity were examined separately. The second point of focus on any distinctive features of younger driver risk, also allowed assessment of generalizability of findings across cultures, to some degree. The findings appear to have considerable implications for the development of effective accident prevention strategies, while suggesting that further exploration of drivers' causal attribution bias in relation to road accidents and distinctions between drivers according to subjective culpability may offer considerable safety benefits.
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Cantonny-Dumontet, Mireille. "Un problème de santé publique : les accidents domestiques chez l'enfant." Bordeaux 2, 1998. http://www.theses.fr/1998BOR2P023.

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5

Sellström, Eva. "Studies in safety promotion for preschool children /." Stockholm, 2000. http://diss.kib.ki.se/2000/91-628-4271-4/.

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6

Ferry, Michel. "Le parapente, sport a risques : bilan et prevention des accidents." Nancy 1, 1990. http://www.theses.fr/1990NAN11114.

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7

Stratikopoulos, Dimitrios M. "Identification of pollution prevention and accident prevention technology opportunities for use in supplemental environmental projects." Thesis, Massachusetts Institute of Technology, 1997. http://hdl.handle.net/1721.1/43570.

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8

Horswill, Mark Sanho. "An investigation into the use of video simulation techniques for measuring driving behaviour." Thesis, University of Reading, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.240328.

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9

LA, COMBE BAZARD PASCALE. "Peut-on prevenir les accidents vasculaires cerebraux ?" Angers, 1991. http://www.theses.fr/1991ANGE1004.

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10

LESAGE, JEAN-FERNAND. "Prevention d'une catastrophe potentielle." Lille 2, 1991. http://www.theses.fr/1991LIL2M038.

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11

Chesham, David J. "Applying social-psychological theories of behaviour to the problem of accident prevention : reducing the accident liability of motorcyclists." Thesis, University of Kent, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.297344.

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12

Williams, Samuel Thomas. "The Implications of Pre-Work Safety Expectations for Workplace Accident Prevention." Thesis, University of Canterbury. Psychology, 2010. http://hdl.handle.net/10092/3650.

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Young workers are overrepresented in workplace accidents. The aim of this study was to provide the first research exploration of relatively inexperienced neophyte’s pre-work safety expectations, and their associations with expected risk and expected trust. A model of neophyte safety expectations was developed and tested linking accident exposure and work exposure to safety expectations, expectations of trust (in both co-workers and management) and expectations of risk. Results provided partial support for the model, suggesting that neophytes enter work with inflated safety expectations that do not match the reality of the job, and revealed marked gender differences in safety expectations. Implications and future recommendations are discussed.
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13

SANTOS, MYRIAM BRITTO DOS. "ERGONOMICS, MENTAL WORKLOAD, RISKS, AND ACCIDENT PREVENTION: THE CASE OF HISTOTECHNICIANS." PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIRO, 2007. http://www.maxwell.vrac.puc-rio.br/Busca_etds.php?strSecao=resultado&nrSeq=11694@1.

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CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO
Em uma pesquisa descritiva e de estudo de campo, buscou-se avaliar quais indicadores de carga mental (CM) de trabalho são predominantes para a produção de acidentes em uma tarefa de microtomia. A carga mental depende das exigências da tarefa e do grau de mobilização do sujeito, da fração de sua capacidade de trabalho que ele investiu na tarefa, considerando-se que o grau de prazer e satisfação no trabalho pode variar em função da natureza da tarefa executada. Partiu-se da hipótese que os fatores de carga mental de trabalho associados ao risco de acidentes a que está exposto o operador no manuseio do micrótomo rotativo representam fonte de sofrimento psíquico. Os sinais de sofrimento psíquico podem ser vinculados à realização de tarefas consideradas perigosas e, muitas atividades de trabalho podem ocasionar desgastes e custos para o indivíduo de ordem física, mental, emocional e afetiva. Foi relevante examinar quais foram os fatores organizacionais referentes às condições ambientais e aos horários de trabalho, para uma ação preventiva, em conjunto aos fatores predominantes de carga mental. O suporte metodológico da pesquisa envolveu a elaboração de um questionário adaptado do método L.E.S.T. (Laboratório de Economia e Sociologia do Trabalho) que avalia a carga mental a partir de quatro indicadores, a saber, constrangimento de tempo; complexidade/rapidez; atenção, e minúcia. Os resultados obtidos mostraram que a variável complexidade-rapidez, minúcia e atenção podem ser consideradas como efetores para carga mental. A variável denominada fatores psicossociais não mostrou eficácia durante este processo de análise. Um aspecto relatado está associado aos acidentes produzidos durante a operação do equipamento e sua manutenção.
In a descriptive research and in a field study, we evaluated which indicators of mental workload are dominant factors in accident production in a microtomy task. The mental workload depends on the task demands and on the degree of mobilization of the worker, which is the fraction of his/her work capacity invested in the task considering itself that the degree of pleasure and satisfaction in work could vary as a function of the nature of executed task.From the hypothesis that the factors of mental workload associated to accident risks to which operators are exposed during handling of a rotative microtome represent a source of psychic suffering. The signals of psychic suffering could be related to the accomplishment of tasks considered as dangerous and many work activities could cause physical, mental, emotional and affective wearing and costs to individuals. Examining which organizational factors are related to environmental conditions and to working hours was relevant to a preventive action, as well as the dominant factors of mental workload. The research methodology involved the preparation of a questionnaire adapting the L.E.S.T. (Laboratoire d`Economie et Sociologie du Travail) method that evaluates the mental workload by four indicators, which are time constraint; complexity/ swiftness; attention; and detail. The results showed that complexity/swiftness, detail and attention indicators could be considered as effective indicators of mental workload. The indicator psychosocials factors did not presented efficacy in this analytical procedure. A reported feature is associated to accidents happening during the handling of equipment and its maintenance.
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Habibzadeh, Zahra Haji. "The influence of safety measures on workers' safety perception and behavior." Phd thesis, Faculty of Medicine, 1998. http://hdl.handle.net/2123/10594.

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15

Dobbs, Suzaane. "Accident and Injury Prevention: The Effects of Job Factors and Employee Behaviors." TopSCHOLAR®, 2004. http://digitalcommons.wku.edu/theses/547.

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Virtually all organizations are concerned about employee safety and the prevention of workplace accidents, but maybe unaware that most accidents are the cause of unsafe employee behaviors. In this study, one company in particular wanted to know where, when, how, and why accidents were occurring in its plant. Accidents of the past three years were content analyzed. The results show that 87.4% of the accidents were due to unsafe behaviors. The highest absolute frequency of accidents occurs in the die cast area, while the highest relative rate of accidents occurs in the furnace room. The type of accident that occurs with the highest frequency is lacerations and the highest rate of accidents occurs during the first shift. The accident analysis can now serve as the basis for the development of a behavioral safety training program. With its implementation, a behavioral safety program has the potential to save thousands of dollars and give the workers a safer environment in which to work.
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16

Ikpe, Elias Okede. "Development of cost benefit analysis model of accident prevention on construction projects." Thesis, University of Wolverhampton, 2009. http://hdl.handle.net/2436/98842.

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The Health and Safety Executive estimated the annual cost to British employers and other duty holders failing to comply with health and safety requirements to be up to £18 billion. It is estimated that the construction industry contributed £2billion of these appalling statistics. To date, health and safety management is still perceived as being costly and counterproductive in the construction industry. This research investigated the net benefit of accident prevention and explored the relationship between preventative costs and these benefits, with a view to drawing attention to the economic consequences of effective/ineffective management of health and safety by contractors in the UK construction industry. The need to investigate the cost of accident prevention in relation to overall benefits of accident prevention is therefore deemed necessary. A quantitative research methodology was employed in investigating these costs and benefits within the UK construction industry. From the ratio analysis small contractors spend relatively higher proportions of their turnover in total on accident prevention than medium and large contractors, and medium contractors spend a higher proportion of their turnover in total on accident prevention than large contractors. The results also show that medium and small contractors gain relatively higher proportions of their turnover in total as benefits of accident prevention than large contractors. The benefits of accident prevention far outweigh the costs of accident prevention by a ratio approximately 3:1. The relationships between these costs and benefits were examined. The costs of accident prevention were found to be positively and significantly (P < 0.005) associated with benefits of accident prevention. These associations were modelled using simple linear regression, and from these models it can be inferred from the results that the more contractors spend on accident prevention the more they derive benefits of accident prevention, which would improve health and safety performance on construction sites. ii The developed model was subsequently validated using experts and practitioners opinion from the UK construction industry. This developed model should provide good guidance to assist contractors in developing effective and efficient health and safety management for UK construction industry.
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17

HAVET, PIERRE. "Prevention et traitement des accidents de plongee a l'ecole de plongee de la marine nationale de saint-mandrier." Aix-Marseille 2, 1993. http://www.theses.fr/1993AIX20059.

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18

Huang, Yu-Hsing. "Having a New Pair of Glassess : Applying Systemic Accident Models on Road Safety." Doctoral thesis, Linköpings universitet, CSELAB - Cognitive Systems Engineering Laboratory, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-8189.

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The main purpose of the thesis is to discuss the accident models which underlie accident prevention in general and road safety in particular, and the consequences of relying on a particular model have for actual preventive work. The discussion centres on two main topics. The first topic is whether the underlying accident model, or paradigm, of traditional road safety should be exchanged for a more complex accident model, and if so, which model(s) are appropriate. From a discussion of current developments in modern road traffic, it is concluded that the traditional accident model of road safety needs replacing. An analysis of three general accident model types shows that the work of traditional road safety is based on a sequential accident model. Since research in industrial safety has shown that such model are unsuitable for complex systems, it needs to be replaced by a systemic model, which better handles the complex interactions and dependencies of modern road traffic. The second topic of the thesis is whether the focus of road safety should shift from accident investigation to accident prediction. Since the goal of accident prevention is to prevent accidents in the future, its focus should theoretically be on how accidents will happen rather than on how they did happen. Despite this, road safety traditionally puts much more emphasis on accident investigation than prediction, compared to areas such as nuclear power plant safety and chemical industry safety. It is shown that this bias towards the past is driven by the underlying sequential accident model. It is also shown that switching to a systemic accident model would create a more balanced perspective including both investigations of the past and predictions of the future, which is seen as necessary to deal with the road safety problems of the future. In the last chapter, more detailed effects of adopting a systemic perspective is discussed for four important areas of road safety, i.e. road system modelling, driver modelling, accident/incident investigations and road safety strategies. These descriptions contain condensed versions of work which has been done in the FICA and the AIDE projects, and which can be found in the attached papers.
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19

Almeida, Ildeberto Muniz de. "Construindo a culpa e evitando a prevenção: caminhos da investigação de acidentes do trabalho em empresas e município de porte médio, Botucatu, São Paulo, 1997." Universidade de São Paulo, 2001. http://www.teses.usp.br/teses/disponiveis/6/6134/tde-01112001-145305/.

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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.
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Lehane, Paul Michael. "Counterfactual, prevention and causal thinking about workplace slip and trip accidents : a study of safety professionals, managers and accident subjects." Thesis, London Metropolitan University, 2015. http://repository.londonmet.ac.uk/1107/.

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Counterfactual thinking typically follows an unexpected event and involves the mental simulation of an alternative outcome which can be either better or worse than the original one. In general, exceptional and controllable events are selected for change over those that are routine and uncontrollable, and actions are likely to be changed over inactions. Importantly an individual’s social role is thought to be critical in determining what is changed and how. Counterfactual thoughts have been associated with causal thinking and more recently with missed opportunities to prevent an unwanted outcome. Accidents at work are unwanted outcomes and are likely to generate counterfactual thoughts. As slips and trips continue to cause a significant number of injuries they are the focus of this research. Safety Professionals, Managers and Accident Subjects are most commonly involved in accident investigations and the study asks whether their different social roles or the type of accident influences how they use counterfactual, prevention and causal thoughts. 612 respondents were recruited representing Safety Professionals, Managers and Accident Subjects. After reading a slip or trip scenario they completed a counterfactual, prevention and causal sentence and these were analysed against 14 structural dimensions, seven of which were used for the first time in this study. The respondent’s job group and the type of accident were found to influence certain structural dimensions of the counterfactual, prevention and causal thoughts more than others. The respondent’s job group strongly influenced counterfactual direction, and the addition or subtraction of antecedents based on actions or inactions, whilst the type of accident strongly influenced the temporal location of the antecedent. Norm Theory (Kahneman & Miller, 1986) proposed that exceptional antecedents were selected for counterfactual change and a categorisation of types of exceptional events has been developed and applied in this study. The implications of these types of thoughts by Safety Professionals, Managers and Accident Subjects are considered.
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21

LEMAN, CHRISTOPHE. "Prevention de la pathologie ischemique cerebrale et coronarienne par l'aspirine." Angers, 1988. http://www.theses.fr/1988ANGE1083.

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22

Fletcher, William S. "An accident centred approach to primary safety strategy development for vehicles." Thesis, Loughborough University, 2000. https://dspace.lboro.ac.uk/2134/7255.

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This thesis addresses the development of a methodology to determine primary safety strategy with respect to the choice of appropriate technological solutions to the problem of accidents in cars. In motorised societies in the 1990s, road accidents are a major cause of loss of life, injury and property damage. Motor manufacturers have increasingly been concerned with reducing the effects of accidents and have recently been developing technologies to attempt to reduce the number of accidents on the roads. Traditionally, these technologies have been transferred from other domains into vehicles, (principally from aerospace). Two problems however exist with this approach. Firstly, developing solutions on the basis of what is technologically feasible may ignore the requirements of the drivers in terms of systems that would actually be of benefit whilst driving. In part, this is due to an incomplete understanding of the reasons why drivers have accidents in cars. Secondly, motor manufacturers are faced with an ever increasing number of potential systems that they may develop and eventually implement in cars. Currently, they have no methodology to determine which of these systems, if any, should be researched or developed further. This thesis addresses both of these issues. Firstly, a large scale questionnaire survey was conducted using a population of recently accident involved drivers drawn from the insurance group of a major motor manufacturer. The survey was designed to obtain information from drivers pertaining to the reasons for the occurrence of their accident. This information was more detailed than had previously been gained from drivers after they have been involved in accidents in cars. This data was built upon in the second study of the thesis, which used real life accident data to develop a methodology to determine safety strategy for a motor manufacturer. Focus groups using a variety of employees of the motor manufacturer were employed to correlate accident scenarios with a series of functionally defined accident countermeasures. When combined with quantitative data from the questionnaire survey, assessments of the overall efficacy of the countermeasures could be deduced. From this, an outline strategy for primary safety system development was deduced.
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BOUSSEMART, LETORET ANNE, and FRANCIS BOUSSEMART. "Les accidents domestiques non traumatiques de l'enfant : resultats d'une enquete hospitaliere comprenant 195 cas et propositions de prevention." Lille 2, 1990. http://www.theses.fr/1990LIL2M050.

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24

Aljanahi, Abdulrahman Akil Mohammed. "An evaluation of the implications of imposing speed limits on major roads." Thesis, University of Newcastle Upon Tyne, 1995. http://hdl.handle.net/10443/273.

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The effectiveness of speed limits has been the subject of considerable debate over the years. In most cases in the past, speed limits have been changed because of a single factor (e. g. improving the safety of road traffic or saving energy). In this thesis an attempt has been made to evaluate the consequences of changing a speed limit using cost-benefit analysis which formed the principle objective of this study. The scope was confined to motorways and similar high-quality roads operating under free-flow traffic conditions where speed limits were believed to be most effective. To achieve the main goal, the effect of the speed limit on the mean speed of traffic was investigated which was the second objective of the study. The third objective was to find the effect of the speed of traffic, and especially the mean speed of traffic, on the frequency and severity of personal injury accidents. There was a need to investigate these two relationships as the literature was not consistent on these relationships. A hypothesis was proposed to achieve the second objective. This was tested by defining criteria that had to be met for each of the data collection sites and measuring the speed of vehicles. There were II sites in Tyne & Wear, England and 14 sites in the State of Bahrain. A statistical analysis was applied to the data collected. It was found, from both sets of data, that speed limits had a positive effect on the mean speed and the eighty-fifth percentile speed of traffic. Linear and non-linear (multiplicative) models were developed for each set of data. In addition to the speed limit, the trip length and the length of the section were shown to affect significantly the mean speed of traffic. The amount of change in the mean speed of traffic varied between the models tested but, generally, for every 4 to 5 km/h change in the speed limit the mean speed of traffic changed by, about, I km/h. In a similar way, a hypothesis was proposed to pursue the third objective. Criteria were established for the selection of suitable data collection sites and for the types of accidents. 9 sites were selected in Tyne & Wear and 10 sites in the State of Bahrain. Data was drawn from a5 year set of accident records in Tyne and Wear and a four year set in the State of Bahrain. A statistical analysis was applied to the data. The set of data from Tyne & Wear revealed no significant relationship between the mean speed of traffic and the frequency of accidents but the speed differentials affected the frequency of the personal injury accidents. The data from Bahrain showed that both the mean speed of traffic and the speed differentials of vehicles affected the frequency of the personal injury accidents. No significant relationships were found between the speed of vehicles and the severity of the personal injury accidents. The principle objective of the study was achieved by applying cost-benefit analysis to the consequences of changing the speed limit for a hypothetical typical section of road. The components of cost were the cost of travel-time, the vehicle operating cost, and the cost of accidents. No monetary values were assigned to the environmental effects so it was not possible to include them in the cost-benefit analysis but they were acknowledged. Any changes in air pollution and noise annoyance due to a change in the mean speed of traffic following a change in a speed limit were likely to be small and were not considered in the study. The significance of the uncertainty in the frequency and severity of personal injury accidents in relation to the mean speed of traffic was studied using 'break-even analysis'. Generally, it was believed that lowering the speed limit on motorways and similar high-quality roads would produce negative benefits, even if the frequency and severity of personal injury accidents decreasedw ithin expectedr anges. Increasing the speed limits would produce positive economic benefits but the conclusion was less firm than the previous case. Sensitivity analysis was applied to the variables used in the cost-benefit analysis. It was found that the net benefits were most sensitive to the estimation of the effect of the speed limits on the mean speed of traffic, the initial mean speed of traffic in the base year of the assessment, the travel-time cost, the changes in the frequency of the personal injury accidents, and changes in the number of fatal injury casualties per average personal injury accident as the speed limit varied (i. e. in descending order for most speed limits). The ranking of these variables differed as the speed limit was changed.
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Jadoon, Khan Gul. "Standards of safety in the underground coal mining industry of Pakistan." Thesis, University of Nottingham, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.260747.

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Khalayleh, Yahia. "The potential for accident reduction in developing countries with a particular reference to Jordan." Thesis, University of Southampton, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.297635.

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27

BOUTOUTAOU, KAMAL. "Les explorations fonctionnelles neurophysiologiques en matiere de prevention et de diagnostic des accidents de plongee subaquatique." Lille 2, 1991. http://www.theses.fr/1991LIL2M100.

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DAMBEZAT, CLAUDE. "Aspects epidemiologiques des accidents concernant le personnel maritime embarque : realite et perspectives de la prevention." Aix-Marseille 2, 1992. http://www.theses.fr/1992AIX20034.

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LOICHOT, TRIPIER-COCHET MARIE-LINE. "Prevention secondaire des accidents de la circulation chez l'enfant dans le departement du rhone : conception, realisation et evaluation d'une campagne d'incitation a la retention des enfants passagers." Lyon 1, 1991. http://www.theses.fr/1991LYO1M136.

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30

Mendes, Renata Wey Berti [UNESP]. "Fragilidades e inconsistências do modelo unicausal de acidentes do trabalho diante de concepções sistêmicas e análise ergonômica do trabalho: o caso de uma caldeiraria." Universidade Estadual Paulista (UNESP), 2006. http://hdl.handle.net/11449/98478.

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Partindo das hipóteses de que a freqüente ocorrência de acidentes semelhantes em sua causalidade pode estar relacionada com a estreita concepção mücausal de acidentes e de que compreendendo a atividade normal e a percepção dos operadores sobre a causalidade de acidentes é possível ampliar o leque da análise dos acidentes, esta pesquisa teve o objetivo geral de explorar concepções de acidentes do trabalho presentes em relatórios de análises de casos e no discm'so de diferentes profissionais em caldeiraria de empresa metalúrgica de médio porte. Método. Conhecimento da empresa e análise das atividades habituais de trabalho no setor de caldeiraria, com base na Análise Ergonômica do Trabalho; e conhecimento sobre as concepções de acidentes do trabalho, analisando os vá..rios discursos presentes na empresa. com base na estratégia metodológica da Análise de Conteúdo de Discursos. Resultados. Constatou-se que a concepção de acidentes como originados no ato inseguro é a que prevalece nos discursos da empresa, presentes no s relatórios e nas falas de chefias e de alguns operadores. Os operadores também expressam concepção multicausal sobre acidentes do trabalho, que leva em conta fatores individuais e coletivos, ambientais e organizacionais na gênese dos acidentes. O traballlO habitual no setor inclui variabilidades que exigem o uso de estratégias, regulações e adoção de modos operatórios, que se podem considerar degradados. Conclusão. O estudo mostra que a gestão formal da segurança desconhece o trabalho normal. A gestão da produção em situação real de trabalho, com uso de meios precários, necessidade de retrabalho. atuando em espaços insuficientes, etc, introduz pressões de tempo e outro s fatores que ensejam a necessidade de constantes regulações pelas chefias e operadores as quais, por sua vez, enfraquecem a segurança real.
Starting from the hypotheses that the frequent occurrence of lccidents similar in their causality can be related to direct rnllcausal conception of accidents and that comprehending the normal activity and perception of operators with respect to the causality of accidents, it is possible tO enlarge the scope of analysis of accidents. Thus the present study had the general objective of exploring conceptions of work accidents present in reports of analyses of cases and in the discourse of different professionals in the boiler shop and welding area of a medium-sized metallurgical business. Method. Knowledge of the business and analysis of habitual work activities in the boiler shop and welding sector, based on Ergonomic Analysis of Work; and knowledge on conceptions of work accidents, analyzing the various discourses present in the business, based on the methodological strategy of Content Analysis of Discourses. Results. lt was verified that the conception of accidents originated by an lUlsafe act is the most prevalent theme in the business discourses and is present in the repOlts and quotations of managers and of some operators. The operators also express multicausal conception on \vork accidents, which takes into account the individual, collective, environmental and organizational factors in the genesis of accidents. The habitual work in the sector inc1udes variabilities that demand the use of strategies, regulations and adoption of operational modes that can be considered degraded. Conclusion. The study showed that the formal security unknown the normal work. The production management in real work situation, with precarious means, re-works necessitude, acting in insufficient spaces, introduces time pressures and others factors which demands to using regulations and strategies by managers and operators, which make the real security becomes weakness.
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31

Rådbo, Helena. "Systeminriktad prevention av järnvägssjälvmord : Strategiutveckling i en svensk kontext." Doctoral thesis, Karlstads universitet, Avdelningen för hälsa och miljö, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-2871.

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Railway suicide constitutes a limited but significant fraction of all suicides, and a majority of all railway-related deaths, in Sweden as well as in many other countries. The aim of this thesis is to develop the scientific basis for the prevention of railway suicide, with special regard to knowledge and strategies within the reach of the railway system owners themselves. An initial descriptive epidemiologic study showed that railway suicide episodes cluster in densely populated areas, and that victims often seem to await approaching trains for some time on or close to tracks before being hit. This means that preventive efforts can be prioritized to geographically limited areas and that there exists a time margin for early detection, forewarning, braking, rescuing, and the like. Secondly, a theoretical study was conducted in order to derive an overview of theoretically possible barriers aimed at preventing railway suicide. The approach is based on the comparison and synthesis of theories and models from suicidology and safety sciences applied to the railway suicide phenomenon. This led to a list of possible barriers, also intended as a checklist. This was followed by a multiple case study, where a number of authentic cases were analysed in-depth on the basis of investigation reports by the police and railway officials, plus complementary researcher observations from the actual sites of the suicide occurrences. The study revealed some deficiency in current investigation and reporting routines from a preventative viewpoint and indicated the potential for a broader and more systematic collection of prevention-relevant information in immediate connection with the events. Finally, a focus group study, involving safety practitioners from both the railway and other sectors, confirmed a general understanding and acceptance among practitioners of the theoretically derived principles, and a readiness to broaden the scope of railway safety to include approaches to prevent suicide. In conclusion, it should be possible to influence the occurrence of railway suicides by means available within the railway transport system itself. A spectrum of possible alternative barriers is identified, as well as an, as yet, underutilized potential in the form of more systematic data collection and learning routines from actual events. Last but not least, there is a readiness among practitioners to incorporate these principles in regular railway safety work.
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32

So, Wing-hong, and 蘇永康. "The use of music therapy in reducing anxiety on patients attending accident and emergency department." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193051.

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In Hong Kong, there has about 70% patients who attend Accident and Emergency Department (AED) is categorized as semi- or non-urgent cases. The medical conditions with the relative longer waiting time provoke the anxiety level. Furthermore the anxiety is worsen by the noisy waiting environment. These phenomena not only affect the psychological but also the physiological changes of patients. Therefore, there is a need to develop an evidence-based intervention that can effectively reduce the anxiety level during the waiting time. The music intervention is proposed to be implemented to reduce the anxiety in the AED setting as this intervention has been proven with a significant anxiolytic effect in variety of healthcare setting. This dissertation is a translational research that aims to identify the advantages or music intervention, develop an evidence-based practice (EBP) guideline for health care providers, and design an evaluation plan for evaluating the protocol effectiveness. The transferability and feasibility of the literature were high. The target setting is one of the AEDs in Hong Kong and the music intervention can be given in cubicle or waiting room by using Mp3 or speakers respectively. The music album is preferably chosen by patients and the intervention last for about 30-60 minutes. An implementation plan for pilot testing was developed to trying out the guideline and to reduce the potential problems during implementation. Comprehensive evaluation plans on stakeholders were developed. This dissertation contributes to develop an evidence-based protocol for healthcare-providers to follow and demonstrate in real situation.
published_or_final_version
Nursing Studies
Master
Master of Nursing
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33

Arndt, Owen Kingsley. "Relationship between unsignalised intersection geometry and accident rates." Thesis, Queensland University of Technology, 2004. https://eprints.qut.edu.au/15815/1/Owen_Arndt_Thesis.pdf.

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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.
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34

Arndt, Owen Kingsley. "Relationship Between Unsignalised Intersection Geometry and Accident Rates." Queensland University of Technology, 2004. http://eprints.qut.edu.au/15815/.

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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.
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35

Ziegler-Barranco, Ana, Luis Mera-Barco, Vidal Aramburu-Rojas, Carlos Raymundo, Nestor Mamani-Macedo, and Francisco Dominguez. "SCAT Model Based on Bayesian Networks for Lost-Time Accident Prevention and Rate Reduction in Peruvian Mining Operations." Springer, 2020. http://hdl.handle.net/10757/656168.

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El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.
Several factors affect the activities of the mining industry. For example, accident rates are critical because they affect company ratings in the stock market (Standard & Poors). Considering that the corporate image is directly related to its stakeholders, this study conducts an accident analysis using quantitative and qualitative methods. In this way, the contingency rate is controlled, mitigated, and prevented while serving the needs) of the stakeholders. The Bayesian network method contributes to decision-making through a set of variables and the dependency relationships between them, establishing an earlier probability of unknown variables. Bayesian models have different applications, such as diagnosis, classification, and decision, and establish relationships among variables and cause–effect links. This study uses Bayesian inference to identify the various patterns that influence operator accident rates at a contractor mining company, and therefore, study and assess the possible differences in its future operations.
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36

DHERVILLE, VERONIQUE. "Accidents du jeune enfant (1 a 5 ans) : enquete a partir des deces dans la somme et de 107 cas d'enfants hospitalises au chru d'amiens au cours du 1er semestre 1989 ; role de la pmi dans la prevention." Amiens, 1990. http://www.theses.fr/1990AMIEM053.

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37

BRUN, LIONEL. "La prevention primaire des accidents thrombo-emboliques lies a la fibrillation auriculaire d'origine non rhumatismale : revue de la litterature." Lyon 1, 1992. http://www.theses.fr/1992LYO1M020.

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38

Wong, Lai-hung, and 黃麗虹. "An evidence-based guideline in preventing hypothermia for adult trauma patients in accident and emergency department." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193084.

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Hypothermia is commonly found in injured victims who suffer from central nervous system injury, hypovolemic shock, exposure to environment, administration of anesthetic drugs and cold intravenous fluid. All these factors decrease the abilities of trauma victims to maintain normothermia and conserve body heat. Hypothermia in injured victim is a significant contributor to a well known cycle—triad of death and associated with increased mortality, morbidity and length of hospital stay. Hypothermia is one of the preventable complications in trauma patients. Therefore nurse plays a vital role to evaluate the methods of preventing hypothermia. However, there is no systematic review of effectiveness of different warming methods in local setting. The purpose of this dissertation is to develop an evidence-based guideline to prevent hypothermia in trauma patients by reviewing existing evidence, to assess the feasibility and transferability of implementing the guideline and to develop its implementation and evaluation plan. Five articles meeting the inclusion and exclusion criteria are identified after a systematic research of six electronic databases. Among these articles, four of them are randomized controlled trials while the remaining one is quasi-experimental design with prospective randomized assignment. The quality of these identified articles is evaluated with the methodology checklist for randomized controlled trials which is developed by Scottish Intercollegiate Guideline Network (SIGN). All studies of medium and high quality would be considered as sufficient evidence to support the proposed innovation in preventing hypothermia for trauma patients in Accident & Emergency Department. After assessing the implementation potential, an evidence-based guideline in preventing hypothermia for adult trauma patients is established. The proposed innovation is necessary and beneficial for adult trauma patients to prevent hypothermia. The grade of recommendation in the guideline is rated based on the SIGN grading system from A to D. Communication plans with stakeholders and 3-month pilot study on 20 patients are conducted before implementing the innovation into clinical setting. Evaluation is made to assess the effectiveness of the proposed guideline after the end of pilot study and the end of implementation of guideline. The effectiveness of the proposed innovation is determined by change of core temperature as + 1.1 °C/hr and at least 90% reduction in shivering and thermal discomfort which are reported in the reviewed articles. The guideline is considered as clinical effective when similar outcome is obtained.
published_or_final_version
Nursing Studies
Master
Master of Nursing
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39

Van, Niekerk Ashley. "Paediatric burn injuries in Cape Town, South Africa : context, circumstances, and prevention barriers /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-178-4/.

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40

Fahlstedt, Madelen. "Numerical Accident Reconstructions : A Biomechanical Tool to Understand and Prevent Head Injuries." Doctoral thesis, KTH, Neuronik, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-164091.

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Traumatic brain injuries (TBIs) are a major health and socioeconomic problem throughout the world, with an estimated 10 million deaths and instances of hospitalization annually. Numerical methods such as finite element (FE) methods can be used to study head injuries and optimize the protection, which can lead to a decrease in the number of injuries. The FE head models were initially evaluated for biofidelity by comparing with donated corpses experiments. However, there are some limitations in experiments of corpses, including material degradation after death. One feasible alternative to evaluating head models with living human tissue is to use reconstruction of real accidents. However, the process of accident reconstruction entails some uncertainties since it is not a controlled experiment. Therefore, a deeper understanding of the accident reconstruction process is needed in order to be able to improve the FE human models. Thus, the aim of this thesis was to evaluate and further develop more advanced strategies for accident reconstructions involving head injuries. A FE head model was used to study head injuries in accidents. Existing bicycle accident data was used, as were hypothetical accident situations for cyclists and pedestrians. A FE bicycle helmet model having different designs was developed to study the protective effect. An objective method was developed based on the Overlap Index (OI) and Location Index (LI) to facilitate the comparison of FE model responses with injuries visible in medical images. Three bicycle accident reconstructions were performed and the proposed method evaluated. The method showed to have potential to be an objective method to compare FE model response with medical images and could be a step towards improving the evaluation of results from injury reconstructions. The simulations demonstrated the protective effect of a bicycle helmet. A decrease was seen in the injurious effect on both the brain tissue and the skull. However, the results also showed that the brain tissue strain could be further decreased by modifying the helmet design. Two different numerical pedestrian models were compared to evaluate whether the more time-efficient rigid body model could be used, instead of a FE pedestrian model, to roughly determine the initial conditions as an accident reconstruction involves some uncertainties. The difference, in terms of the head impact location, rotation and velocity, attributable to the two models was in the same range as differences due to uncertainties in some of the initial parameters, such as vehicle impact velocity.

QC 20150414

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41

CATTEAU, OLIVIER. "Traumatologie de la moto routiere : etude analytique et prevention a propos d'une enquete d'une annee au service des urgences du chru de lille." Lille 2, 1992. http://www.theses.fr/1992LIL2M182.

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42

BOILLET, GERARD NADINE. "Les accidents ischemiques transitoires dans le territoire carotidien chez les sujets de moins de 65 ans : etude epidemiologique sur 46 dossiers ; bilan etiologique, prevention secondaire, surveillance." Reims, 1989. http://www.theses.fr/1989REIMM108.

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43

Mendes, Renata Wey Berti. "Fragilidades e inconsistências do modelo unicausal de acidentes do trabalho diante de concepções sistêmicas e análise ergonômica do trabalho : o caso de uma caldeiraria /." Botucatu : [s.n.], 2006. http://hdl.handle.net/11449/98478.

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Orientador: Ildeberto Muniz de Almeida
Resumo: Partindo das hipóteses de que a freqüente ocorrência de acidentes semelhantes em sua causalidade pode estar relacionada com a estreita concepção mücausal de acidentes e de que compreendendo a atividade normal e a percepção dos operadores sobre a causalidade de acidentes é possível ampliar o leque da análise dos acidentes, esta pesquisa teve o objetivo geral de explorar concepções de acidentes do trabalho presentes em relatórios de análises de casos e no discm'so de diferentes profissionais em caldeiraria de empresa metalúrgica de médio porte. Método. Conhecimento da empresa e análise das atividades habituais de trabalho no setor de caldeiraria, com base na Análise Ergonômica do Trabalho; e conhecimento sobre as concepções de acidentes do trabalho, analisando os vá..rios discursos presentes na empresa. com base na estratégia metodológica da Análise de Conteúdo de Discursos. Resultados. Constatou-se que a concepção de acidentes como originados no ato inseguro é a que prevalece nos discursos da empresa, presentes no s relatórios e nas falas de chefias e de alguns operadores. Os operadores também expressam concepção multicausal sobre acidentes do trabalho, que leva em conta fatores individuais e coletivos, ambientais e organizacionais na gênese dos acidentes. O traballlO habitual no setor inclui variabilidades que exigem o uso de estratégias, regulações e adoção de modos operatórios, que se podem considerar degradados. Conclusão. O estudo mostra que a gestão formal da segurança desconhece o trabalho normal. A gestão da produção em situação real de trabalho, com uso de meios precários, necessidade de retrabalho. atuando em espaços insuficientes, etc, introduz pressões de tempo e outro s fatores que ensejam a necessidade de constantes regulações pelas chefias e operadores as quais, por sua vez, enfraquecem a segurança real.
Abstract: Starting from the hypotheses that the frequent occurrence of lccidents similar in their causality can be related to direct rnllcausal conception of accidents and that comprehending the normal activity and perception of operators with respect to the causality of accidents, it is possible tO enlarge the scope of analysis of accidents. Thus the present study had the general objective of exploring conceptions of work accidents present in reports of analyses of cases and in the discourse of different professionals in the boiler shop and welding area of a medium-sized metallurgical business. Method. Knowledge of the business and analysis of habitual work activities in the boiler shop and welding sector, based on Ergonomic Analysis of Work; and knowledge on conceptions of work accidents, analyzing the various discourses present in the business, based on the methodological strategy of Content Analysis of Discourses. Results. lt was verified that the conception of accidents originated by an lUlsafe act is the most prevalent theme in the business discourses and is present in the repOlts and quotations of managers and of some operators. The operators also express multicausal conception on \vork accidents, which takes into account the individual, collective, environmental and organizational factors in the genesis of accidents. The habitual work in the sector inc1udes variabilities that demand the use of strategies, regulations and adoption of operational modes that can be considered degraded. Conclusion. The study showed that the formal security unknown the normal work. The production management in real work situation, with precarious means, re-works necessitude, acting in insufficient spaces, introduces time pressures and others factors which demands to using regulations and strategies by managers and operators, which make the real security becomes weakness.
Mestre
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44

Pondaco, Gonsales Thaís [UNESP]. "Ação educativa de prevenção de acidentes domésticos em escolas de ensino fundamental." Universidade Estadual Paulista (UNESP), 2008. http://hdl.handle.net/11449/91246.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Acidentes infantis domésticos têm alta incidência, com perspectiva de diminuição via educação, planejada de acordo com a realidade e as necessidades da população alvo. A escola é espaço favorável para ações de prevenção destes acidentes, mas estudos desta natureza são raros. Esta pesquisa planeja, implementa e avalia ação educativa de prevenção de acidente infantil doméstico em uma sala da 2ª série do Ensino Fundamental da rede municipal de ensino de Marília-SP. Participam 23 alunos, formando o grupo que recebe a ação educativa (GA), seus pais/responsáveis e a professora da classe. Dezessete alunos da 2ª série de outra escola compõem o grupo que não recebe a ação educativa (GNA), bem como seus pais. Utilizam-se impressos pré elaborados (roteiros de entrevista, cartas de apresentação, termos de consentimento, roteiro da ação educativa e check-list de local/ modo de armazenamento de produtos tóxicos na residência), equipamentos (gravador, pilhas e filmadora) e materiais (sucatas, folhetos de supermercados, etc.). No GA realiza entrevista inicial com alunos e professora, entrevista estruturada com alunos, desenvolve a ação educativa em sala de aula e realiza nova entrevista com escolares e seus pais/responsáveis. No GNA realiza entrevista estruturada com alunos em dois momentos, com o mesmo roteiro do GA, em intervalo de vinte e um dias, além de entrevista semi-estruturada com seus responsáveis após a segunda entrevista. Os alunos dos dois grupos produzem um texto sobre Acidente doméstico antes das duas entrevistas estruturadas. A ação educativa aborda os acidentes domésticos, especificamente intoxicação
The home childhood accidents have a high incidence, with a perspective of reduction through education, planned according the target people reality and needs. Schools are the most adequate place for prevention of accidents actions, but studies for this purpose are rare. This research plans, implements and evaluates education actions for prevent home childhood accidents in a second year classroom, form the city public system of schools, at Marilia, State of São Paulo. There were 23 students that took place on receiving education actions, such as their parents and teacher. Seventeen second year students of another public school, such as their parents, compound the control group, not receiving any education action. It was used pre-elaborated printings (interview protocol, introducing letters, agreement statements, education action scheme and checklists for home risks), equipments (tape-recorder, videorecorder, batteries) and materials (garbage ones, market folders). In the action receiving group (AG), it was made an initial interview with students and teacher, structures interview with students, develop the education action in classroom, and interviews post-action with students and parents. In the non-action group (NAG), there were made two interviews, with the same model of the other group, with a gap of 21 days and the parents’ structured interviews after the second students’ interview. Both students group made a text called “Home Accident”, before the two structured interviews. The education action works home accidents, especially intoxication (poisoning)
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45

Eketone, Anaru D., and anaru eketone@stonebow otago ac nz. "Tapuwae: waka as a vehicle for community action." University of Otago. Department of Social Work and Community Development, 2005. http://adt.otago.ac.nz./public/adt-NZDU20070501.134015.

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Waka have a special place in the heart of many Maaori. The waka that brought the ancestors of the Maaori to Aotearoa and Te Waipounamu are valued symbols of identity, both culturally and metaphorically. With the effects of colonisation the use of waka as a means of transport disappeared leaving it to re-emerge in the 20th century as a symbol of the revitalisation of Maaori society. Through the construction of waka-taua, ocean going waka and the emergence of waka-ama as a sport, Maaori have endeavoured to reclaim their association to the seas and waterways of New Zealand. This research is a case study of Tupuwae, a kaupapa Maaori injury prevention project using traditional Maaori concepts regarding waka and applying it to a contemporary context. Tapuwae have used this attachment of Maaori to different forms of waka to associate the message of not drinking and driving using purpose-built waka-ama in the southern part of Te Waipounamu. This research identifies some of the wider outcomes that come from a kaupapa Maaori project, but, more importantly it identifies some of the processes that are important in implementing such a project by Maaori living in Otago, outside their tribal boundaries. This research also raises questions about the theoretical underpinnings of kaupapa Maaori theory and argues that there are two threads to this approach, one from a critical theory informed approach and the other from a native theory approach. Key words:Waka, Community Action, Community Development, Kaupapa Maaori, Maaori Development, Maaori Advancement, Native Theory.
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46

Guldbrandsson, Karin. "Child health promotion : analyses of activities and policy processes in 25 Swedish municipalities /." Stockholm, 2005. http://diss.kib.ki.se/2005/91-7140-399-X/.

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47

SAINT, MARTIN MONIQUE. "Interet de l'inhalation d'oxygene dans la prevention des accidents de plongee sportive : evaluation par exploration doppler du debit de bulles circulantes lors de soixante plongees simulees au centre hyperbare de toulouse." Toulouse 3, 1990. http://www.theses.fr/1990TOU31100.

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48

Macías, Guillermo Raúl. "A complexidade da situação epidemiológica dos acidentes de trânsito." Programa de pós-graduação em Saúde Coletiva, 2009. http://www.repositorio.ufba.br/ri/handle/ri/10290.

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Objetivo: analisar o perfil sócio-demográfico dos óbitos por Acidentes de Trânsito (AT) de residentes no Município de Lanús (Província de Buenos Aires, Argentina) entre os anos 1998 e 2004. Material e Método: se realizou um estudo epidemiológico descritivo, utilizando dados oficiais de mortalidade da Argentina. Foram estudados os óbitos por AT segundo residência e ocorrência, codificados pela CID-10. As variáveis analisadas foram idade, sexo, nível educativo e condição de atividade. Foram utilizados dados econômicos para avaliar e comparar Lanús com os outros Municípios do Gran Buenos Aires, em termos dos coeficientes de mortalidade por AT. Foram realizadas análises uni e bivariadas, e calculada a Mortalidade Proporcional (MP) e a Razão de Mortalidade Proporcional (RMP). Realizou-se georreferenciamento dos óbitos segundo local de residência e de ocorrência da morte para avaliar a distribuição geográfica. Resultados: O perfil epidemiológico é composto principalmente por homens entre 20 e 29 anos, indivíduos com nível educativo primário completo (ou secundário incompleto) e que trabalhavam. Mais da metade deles era ocupante de veículo. O risco dos homens foi quase 3,5 vezes maior que as mulheres e, entre eles, os mais idosos apresentam as maiores incidências. Os analfabetos ou aqueles com formação primária incompleta possuem risco baixo, quase igual as das pessoas com nível educativo superior. A MP em Lanús é menor quando comparada com os Municípios do Gran Buenos Aires. Lanús aparece junto aos municípios que apresentam alta atividade comercial e menores taxas de óbitos. A respeito da georreferência, os achados mostram que os AT atingem mais a população que mora em locais com piores condições socioeconômicas. Conclusões: O município de Lanús apresenta um perfil de mortalidade por AT semelhante ao dos países desenvolvidos. A combinação de técnicas se apresenta como uma alternativa interessante para trabalhar com dados secundários, em pequenas áreas e com números pequenos. Esta pesquisa fornece aportes para a intervenção sobre os problemas ligados aos AT no nível individual e local. Destaca-se a necessidade de contar com estudos mais abrangentes, abordando o problema desde outros enfoques metodológicos.
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49

Boulanger, Marion. "Amélioration de la prévention secondaire après un infarctus cérébral ou un accident ischémique transitoire (AIT)." Thesis, Normandie, 2019. http://www.theses.fr/2019NORMC416.

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Le pronostic à long-terme actuel après un accident ischémique transitoire (AIT) ou un infarctus cérébral reste mal connu. Ainsi, j’ai déterminé les risques absolus à long-terme de récidive d’infarctus cérébral et d’évènement coronarien aigu après un AIT ou un infarctus cérébral et identifié les individus qui restent à haut risque absolu de récidive ischémique malgré la prévention secondaire actuelle.Dans une cohorte populationnelle contemporaine de patients ayant eu un AIT ou un infarctus cérébral (OXVASC study, 2002-2014), les risques absolus de récidive d’infarctus cérébral et d’infarctus du myocarde après un AIT/infarctus cérébral ont significativement diminué au cours de la période d’étude, très probablement du fait de l’amélioration de la prévention secondaire avec le temps. Cependant, malgré la prévention secondaire actuelle les sous-groupes de patients avec un antécédent de pathologie coronarienne et ceux sans antécédent coronaire mais avec un score Essen 4 sont exposés à un risque absolu de récidive d’évènement ischémique suffisamment élevé pour justifier d’une intensification du traitement. Néanmoins, les thérapeutiques de prévention secondaire futures nécessitent de permettre d’obtenir une réduction absolue du risque de récidive d’évènement ischémique importante pour compenser un risque augmenté d’effets indésirables ou de surcoût par rapport aux thérapeutiques actuelles. En effet, chez ces sous-groupes de patients à haut risque de récidive ischémique, une réduction plus intensive du taux de cholestérol avec les inhibiteurs des PCSK-9 parait tout à fait justifiée, cependant nous avons montré que le coût de ces traitements excède la limite du rapport coût-efficacité généralement accepté tandis que le bénéfice d’une majoration du traitement antithrombotique semble contrebalancé par l’augmentation du risque hémorragique extracrânien
The current long-term prognosis after transient ischaemic attack (TIA) or ischaemic stroke is not well known. I aimed to determine the long-term absolute residual risks of recurrent stroke and coronary events after TIA or ischaemic stroke and identify individuals who remain at high absolute risk of recurrent ischaemic events despite current secondary prevention management.In a population-based cohort of consecutive TIA or ischaemic stroke patients (OXVASC study, 2002-2014), the overall absolute risks of recurrent ischaemic stroke and coronary events after TIA/ischaemic stroke have decreased over the study period, and are likely to be explained by the improvement of secondary prevention over time. However, despite current secondary prevention, the subgroups of patients with prior coronary artery disease and those without prior coronary artery disease but with an Essen score of 4 remain at sufficiently high absolute risk of recurrent ischaemic events to justify more intensive treatment. Nevertheless, future secondary prevention therapies would need to achieve a substantial absolute risk reduction to outweigh increased side effects or cost compared to current therapies. Indeed, in these high-risk subgroups, more intensive lipid-lowering therapies might be justified, but we showed that the total cost of PCSK-9 inhibitors seems to exceed the generally accepted cost-effectiveness threshold while benefit from increased antithrombotic treatment might be offset by the higher risk of extracranial bleeding
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50

Carlsson, Anna. "Olycksfallsrisker i barnets hemmiljö : fokus på skållskador." Licentiate thesis, Malmö högskola, Institutionen för vårdvetenskap (VV), 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-7378.

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Denna licentiatavhandling syftar till att beskriva barns (0-6 år) utsatthet för olycksfallsrisker i hemmiljön genom att fokusera på omfattningen av bränn- och skållskador, föräldrars uppfattningar om påverkande faktorer till olyckshändelser samt föräldrars uppgifter om egen följsamhet till olycksförebyggande råd och anvisningar. I barnhälsovården (BHV) ges råd och anvisningar kring olika åtgärder lämpliga i förhållande till barns utveckling. Dessa råd ges kontinuerligt och under barnens 6 första år. Innehållet i råden är reglerat i det basprogram som föräldrar till alla barn i Sverige erbjuds fram till skolstart. Få studier beskriver i vilken utsträckning föräldrar följer dessa råd och vilka faktorer som påverkar dels föräldrarnas följsamhet till råden dels faktorer som påverkar risken för barnolycksfall. I denna licentiatavhandling är exemplet skållskador (ΙΙ, ΙΙΙ) beskrivet som ett av flera möjliga olycksfall i hemmiljö som barn drabbas av.
The overall aim of this licentiate thesis was to increase the knowledge about children’s (0–6 years old) exposure to accidents in the home environment through parents’ opinions about accidents and parents’ self-reported compliance with precautions. Data were collected from parents of 10-month-old children who answered a questionnaire. The questionnaire prompted responses related to parents’ background and socio-economic factors as well as questions about precautions they had taken to decrease hazards in their home. The questions focused on actions parents had taken upon receipt of preventive advice given to them during the eight-month Child Health Care nurse assessment. Thirty-two percent of the parents complied with less than half of the suggested precautions. Univariate odds ratios (OR) and 95% confidence intervals (95% C I) were calculated to investigate the associations between compliance and parents’ different background/socio-economic characteristics. The variables foreign born, low occupational level, 12 years’ education or less, rented housing and information provided at Child Health Care clinics proved to be statistically significant for the non-compliant group. Multiple logistic regression analysis was performed in order to adjust the estimated odds ratios for the influence of potential confounders such as parents’ nationality, educational and occupational level, place of information and habitation. After the adjustment the variable nationality and educational level stayed significant (Ι). Data in article ΙΙ were collected from medical records, in a retrospectively designed study. Burn-injured children (0–6 years old) consulting the University Hospital or the health centres (21) during 1998 and 2002 were included. Chi-squared test was used to analyse differences in nominal data and cross-tabulation was used to analyse the proportions between the characteristics of the injuries and sex, age and nationality. There were 148 burn injuries, 80% of which were scalds caused by hot liquid (71%) or hot food (29%). The majority were to boys between one and two years old. Children of foreign-born parents were more frequently affected and the extent of injuries often larger. The data collection method in article ΙΙΙ was tape-recorded interviews, analysed by content analysis, with parents of 20 children (0–6 years old) recently suffering from scalds. Parents told their perceptions about causes of the scalds. The analysis resulted in eight categories and two themes. One theme was ‘Deviation from the normal’, which could be when something unusual happened, such as a sudden visit by a friend or when a family member was tired, stressed or ill. The tiredness could be due to fever, a cold, other illnesses or mental stress. It could also be when something was broken in the kitchen and routines were changed. ‘Misjudgement of the child’s capacity’ was the other theme, which it concerned the children’s preventive capacity, rapidity and reach. It was hard for the parents to keep up with the fast development of the small children (9 months–2 years). The parents said that they often did not realise the child’s capacities until the accident occurred. Key words: accident, burns, child, compliance, intervention, prevention and scalds
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