An investigation into the occupational protection status of clinical nursing staff exposed to anti-tumor drugs

Objective:To investigate the occupational protection status of clinical nursing staff vocationally exposed to anti-tumor drugs.Methods:A self-designed questionnaire was used to survey 180 clinical nursing staff vocationally exposed to anti-tumor drugs.Results:Recognition of the need for protection and dependent occupational protection behaviors were very poor in clinical nursing staff vocationally exposed to anti-tumor drugs.The management of the occupational protection of clinical nursing staff vocationally exposed to anti-tumor drugs was also seriously underdeveloped.Conclusion:There is deficiency in the understanding and related protection practices of clinical nursing staff vocationally exposed to anti-tumor drugs in our hospital.The protection measures currently employed in medical practice are inadequate in virtually every aspect considered.It is recommended that all clinical nursing staff should receive full occupational protection training in these matters.The training must raise nursing staff's awareness of the need for occupational protection and standardize their occupational protection behaviors to conform to "best practice" models.These "best practice" models should be quickly established and all staff made cognizant of them forthwith.In addition,where occupational protection systems are already in place,they should be improved to come into line with the new "best practice" models instigated.

Occupational health protection for health workers during the coronavirus disease 2019(COVID-19)pandemic:6P-approach in China

Health workers(HW)are on the frontline fighting against the COVID-19 pandemic,they are exposed to multiple occupational hazards.This article analyzed the comprehensive measures of protecting HWs during the COVID-19 response in China.Occupational health protection of HWs was one of the key strategies of the public health measures adopted against the COVID-19 outbreak from the earliest stage in China.This prioritization of HWs health protection was based on the technical and policy guidance of WHO and International Labor Organization as well as the experiences from previous outbreaks in China.The comprehensive measures in China can be summarized as‘6P-approach’:public health emergency response,prompt learning from lessons,proactive measures of occupational health,precaution strategies against occupational hazards,personal protective equipment and medical devices supply,and professional networking.Through this 6P-approach,China was able to minimize the incidence of COVID-19 infection among HWs,while successfully containing the outbreak dxuing the first quarter of 2020.Although the COVID-19 vaccines have been rolled out,however,the COVID-19 pandemic is still under rapidly evolving situation.Experiences from China may provide other countries with an example of prioritizing and incorporating occupational health protection of HWs in their public health measures responding to the COVID-19 pandemic.

The Effect of Evidence-based Management on Occupational Protection of Nurses Who Perform Chemotherapy

Objective:The study was to explore the effect of evidence-based management in occupational protection for nurses who perform chemotherapy.Methods:40 chemotherapy nurses were selected,20 of them were included in the experimental group for evidence-based management,and the other 20 were included in the control group for routine management.Results:Compared with the control group,there were significantly fewer adverse nursing events in the experimental group,and P<0.05.Conclusion:The effect of evidence-based management in occupational protection of nurses who perform chemotherapy is significant.

Design and Occupant-Protection Performance Analysis of a New Tubular Driver Airbag

An airbag is an effective protective device for vehicle occupant safety, but may cause unexpected injury from the excessive energy of ignition when it is deployed, This paper focuses on the design of a new tubular driver airhag from the perspective of reducing the dosage of gas generant, Three different dummies were selected for computer simulation to investigate the stiffness and protection performance of the new airhag, Next, a multi-objective optimization of the 50th percentile dummy was conducted, The results show that the static volume of the new airhag is only about 113 of the volume of an ordinary one, and the injury value of each type of dummy can meet legal requirements while reducing the gas dosage by at least 30%, The combined injury index （Pcomb） decreases by 22% and the gas dosage is reduced by 32% after optimization, This study demonstrates that the new tubular driver airbag has great potential for protection in terms of reducing the gas dosage,

新型冠状病毒肺炎病区预防职业暴露的管理建议与思考

新型冠状病毒肺炎作为乙类但按甲类管理的呼吸道传染病,传播性非常强。为了保护普通公众及易感人群的安全健康,国家卫生健康委员会曾多次发文强调防护的重要性,尤其对于临床抗击疫情一线的医务人员,做好职业防护与职业安全是基本要求与首要责任。本文结合抗击传染病实践经验与临床管理思路,对于工作实践中如何避免职业暴露或者不安全职业行为的发生提出建议,交流经验。

Toluene-induced leukoencephalopathy with characteristic magnetic resonance imaging findings

Toluene-induced leukoencephalopathy is a frequently seen medical condition worldwide;however the lack of specific clinical manifestations and laboratory tests makes it difficult to diagnose.Neuroimaging and medical history are often crucial to diagnosis of this disorder.In this report,a case is presented of a patient suffering from toluene-induced leukoencephalopathy with deteriorating cognition impairment and characteristic magnetic resonance imaging(MRI)findings,typified by a“sunflower-like”change in T2-weighted imaging.In addition,the pharmacokinetic properties of toluene are reviewed,as well as the clinical manifestations,typical MRI findings,neuropathology,possible mechanism,and treatment of toluene-induced leukoencephalopathy.