Improving the quality of equipment training for the Heavy Equipment Operators(HEO)is a critical task in improving safety and eliminating equipment-related injuries in mining.One of major responsibilities for the HEOs ...Improving the quality of equipment training for the Heavy Equipment Operators(HEO)is a critical task in improving safety and eliminating equipment-related injuries in mining.One of major responsibilities for the HEOs is proper machine inspection.Traditional miner safety training includes the use of hardcopy documents and video instructions.However,modern mobile and computer technology offers tremendous potential to improve the training process.In this study,we apply a 360-degree camera,opensource platform WordPress^(TM),and the software Unity3D in order to create materials and tools for the HEOs safety training to help trainees better understand the pre-shift safety machine inspection.The computer-based safety task training developed in this research is tested and implemented at a surface mine in the southern United States.展开更多
I am working in Japan electrical safety & environment technology laboratory,which is called JET for short. In JET, we are carrying out the safety test of electrical equipmentaccording to Japanese domestic stan...I am working in Japan electrical safety & environment technology laboratory,which is called JET for short. In JET, we are carrying out the safety test of electrical equipmentaccording to Japanese domestic standards or IEC standards. And in my section, our stuff is draftingsome national safety standards harmonized with IEC in cooperation with the government. The standardsare applied for the mandatory regulation and other schemes.展开更多
The General Ad- T ministration of Quality Supervision, Inspection andQuarantine of P. R.China (AQSIQ) issued a notice on May 28, 2007, requiring various locations torectify their procedures for checking special equipm...The General Ad- T ministration of Quality Supervision, Inspection andQuarantine of P. R.China (AQSIQ) issued a notice on May 28, 2007, requiring various locations torectify their procedures for checking special equipment and hoisting machines for hidden problems.To further clarify and implement responsibility in the safety management of special equipment inenterprises, inspection responsibilities and test organizations related to technical assurance areto be established.展开更多
The study aims to evaluate how safety-maintenance practices affect the mechanical engineering industry’s overall performance in Ghana. The study used a descriptive survey design technique to ascertain the type of mai...The study aims to evaluate how safety-maintenance practices affect the mechanical engineering industry’s overall performance in Ghana. The study used a descriptive survey design technique to ascertain the type of maintenance engineering that was practiced in Ghanaian mechanical engineering workshops at the time of the study. In the mechanical engineering workshops, respondents provided both qualitative and quantitative data using a variety of data collecting instruments, with the quantitative approach being more common. The study employed Kumasi, Tamale, and Accra’s mechanical engineering workshops as a case study. The number of mechanical engineering workshop enterprises that made up the sample size for the questionnaire administration was sixty (60), chosen at random from the AGI membership registry. Primary data was gathered using interview guides and questionnaires. To analyse the data, descriptive statistics were employed. According to the study’s findings, mechanical engineering companies combined different maintenance techniques in order to best fit their organisational culture and equipment. Preventive shut-down, with a mean score of 4.78 and RII = 0.98, placing first (1st) in the Likert rating order, is the most frequently used maintenance system by respondents. The maintenance procedures employed by mechanical engineering organisations were influenced not only by their equipment and organisational culture but also by other factors such as cost, personnel expertise and external partnerships.展开更多
Thick and ultra-thick coal seams are main coal seams for high production rate and high efficiency in Chinese coal mines, which accounts for 44 % of the total minable coal reserve. A fully mechanized top-coal caving mi...Thick and ultra-thick coal seams are main coal seams for high production rate and high efficiency in Chinese coal mines, which accounts for 44 % of the total minable coal reserve. A fully mechanized top-coal caving mining method is a main underground coal extraction method for ultra-thick coal seams. The coal extraction technologies for coal seams less than 14 m thick were extensively used in China. However, for coal seams with thickness greater than 14 m, there have been no reported cases in the world for underground mechanical extraction with safe performance, high efficiency and high coal recovery ratio. To deal with this case, China Coal Technology & Engineering Group, Datong Coal Mine Group, and other 15 organizations in China launched a fundamental and big project to develop coal mining technologies and equipment for coal seams with thicknesses greater than 14 m. After the completion of the project, a coal extraction method was developed for top-coal caving with a large mining height, as well as a ground control theory for ultra-thick coal seams. In addition, the mining technology for top-coal caving with a large mining height, the ground support technology for roadway in coal seams with a large cross-section, and the prevention and control technology for gas and fire hazards were developed and applied. Furthermore, a hydraulic support with a mining height of 5.2 m, a shearer with high reliability, and auxiliary equipment were developed and manufactured. Practical implication on the technologies and equipment developed was successfully completed at the No. 8105 coal face in the Tashan coal mine, Datong, China. The major achievements of the project are summarized as follows: 1. A top-coal caving method for ultra-thick coal seams is proposed with a cutting height of 5 m and a top-coal caving height of 15 m. A structural mechanical model of overlying strata called cantilever beam-articulated rock beam is established. Based on the model, the load resistance of the hydraulic support with a large mining height for top-coal caving method is determined. With the analysis, the movement characteristics of the top coal and above strata are evaluated during top-coal caving operation at the coal face with a large mining height. Furthermore, there is successful development of comprehensive technologies for preventing and controlling spalling of the coal wall, and the top-coal caving technology with high efficiency and high recovery at the top-coal caving face with a large mining height. This means that the technologies developed have overcome the difficulties in strata control, top-coal caving with high efficiency and high coal recovery, and enabled to achieve a production rate of more than 10 Mtpa at a single top-coal caving face with a large mining height in ultra-thick coal seams; 2. A hydraulic support with 5.2 m supporting height and anti-rockburst capacity, a shearer with high reliability, a scraper conveyor with a large power at the back of face, and a large load and long distance headgate belt conveyor have been successfully developed for a top-coal caving face with large mining height. The study has developed the key technologies for improving the reliability of equipment at the coal face and has overcome the challenges in equipping the top-coal caving face with a large mining height in ultra-thick coal seams; 3. The deformation characteristics of a large cross-section roadway in ultra-thick coal seams are discovered. Based on the findings above, a series of bolt materials with a high yielding strength of 500-830 MPa and a high extension ratio, and cable bolt material with a 1 × 19 structure, large tonnage and high extension ratio are developed. In addition, in order to achieve a safe roadway and a fast face advance, installation equipment for high pre-tension bolt is developed to solve the problems with the support of roadway in coal seams for top-coal caving operation with a large mining height; 4. The characteristics of gas distribution and uneven emission at top-coal caving face with large mining height in ultra-thick coal seams are evaluated. With the application of the technologies of gas drainage in the roof, the difficulties in gas control for high intensive top-coal caving mining operations, known as "low gas content, high gas emission", are solved. In addition, large flow-rate underground mobile equipment for making nitrogen are developed to solve the problems with fire prevention and safe mining at a top-coal caving face with large mining height and production rate of more than 10 Mtpa. A case study to apply the developed technologies has been conducted at the No. 8105 face, the Tashan coal mine in Datong, China. The case study demonstrates that the three units of equipment, i.e., the support, shearer and scraper conveyor, are rationally equipped. Average equipment usage at the coal face is 92.1%. The coal recovery ratio at the coal face is up to 88.9 %. In 2011, the coal production at the No. 8105 face reached 10.849 Mtpa, exceeding the target of 10 Mtpa for a topcoal caving operation with large mining height performed by Chinese-made mining equipment. The technologies and equipment developed provide a way for extracting ultra-thick coal seams. Currently, the technologies and equipment are used in 13 mining areas in China including Datong, Pingshuo, Shendong and Xinjiang. With the exploitation of coal resources in Western China, there is great potential for the application of the technologies and equipment developed.展开更多
Based on the number of fatalities per year, a persistent area of concern in mine safety continues to be equipment related. Data from the period 1995 through 2007 were studied in order to identify major hazards for und...Based on the number of fatalities per year, a persistent area of concern in mine safety continues to be equipment related. Data from the period 1995 through 2007 were studied in order to identify major hazards for underground mining equipment-related fatal incidents and to perform an analysis of those that occurred over the last 13 years. Reports on equipment-related fatal incidents were obtained from the Mine Safety and Health Administration (MSHA). The results show that underground mining equipment including continuous miner, shuttle car, roof bolter, load-haul-dump (LHD), Iongwall and hoisting contributed to a total of 69 mining-related fatalities. The study reveals that the major hazard for continuous mining equipment-related fatal incidents is "Failure of victim to respect equipment working area", while the highest number of fatalities for shuttle car is attributed to the hazard "Failure of mechanical components." The study further reveals that the highest number of fatalities for roof bolter, LHD, and Iongwall are attributed to the hazards "Working under unsupported roof", "Failure of management to provide safe working conditions", and "Failure of mechanical components", respectively. It is determined that one fatality for the hoisting system is attributed to the hazard "Failure of mechanical components" and one to the hazard "Failure to follow safe maintenance procedure". Finally, approaches to prevention were also discussed in this paper.展开更多
The construction industry has always remained the economic and social backbone of any country in the world where occupational health and safety(OHS)is of prime importance.Like in other developing countries,this indust...The construction industry has always remained the economic and social backbone of any country in the world where occupational health and safety(OHS)is of prime importance.Like in other developing countries,this industry pays very little,rather negligible attention to OHS practices in Pakistan,resulting in the occurrence of a wide variety of accidents,mishaps,and near-misses every year.One of the major causes of such mishaps is the non-wearing of safety helmets(hard hats)at construction sites where falling objects from a height are unavoid-able.In most cases,this leads to serious brain injuries in people present at the site in general and the workers in particular.It is one of the leading causes of human fatalities at construction sites.In the United States,the Occupational Safety and Health Administration(OSHA)requires construction companies through safety laws to ensure the use of well-defined personal protective equipment(PPE).It has long been a problem to ensure the use of PPE because round-the-clock human monitoring is not possible.However,such monitoring through technological aids or automated tools is very much possible.The present study describes a systema-tic strategy based on deep learning(DL)models built on the You-Only-Look-Once(YOLOV5)architecture that could be used for monitoring workers’hard hats in real-time.It can indicate whether a worker is wearing a hat or not.The proposed system usesfive different models of the YOLOV5,namely YOLOV5n,YOLOv5s,YOLOv5 m,YOLOv5l,and YOLOv5x for object detection with the support of PyTorch,involving 7063 images.The results of the study show that among the DL models,the YOLOV5x has a high performance of 95.8%in terms of the mAP,while the YOLOV5n has the fastest detection speed of 70.4 frames per second(FPS).The proposed model can be successfully used in practice to recognize the hard hat worn by a worker.展开更多
The development of electronic information technology has made workplace gossip more ubiquitous.As a part of interpersonal communication on informal occasions,positive workplace gossip affects individuals’mood,cogni-t...The development of electronic information technology has made workplace gossip more ubiquitous.As a part of interpersonal communication on informal occasions,positive workplace gossip affects individuals’mood,cogni-tion,and behaviors.In light of this and based on the Social Interdependence Theory,the study proposed that positive workplace gossip has a negative effect on employee silence,and psychological safety mediates this rela-tionship.In addition,the promotion-focused moderates the relationship between psychological safety and employee silence.Based on a two-wave sampling design from 311 innovative enterprises employees,the results of Structural Equation Model by AMOS 22.0 and Mplus 7.0 supported all the hypotheses.Results revealed that positive workplace gossip can decrease the employee silence through the mediating role of psychological safety and moderating role of promotion-focused.Thesefindings provided theoretical implications and practical sugges-tions for enterprise managers to create positive communication climate to reduce employee silence.展开更多
Objective:Surgeons are required to wear heavy personal protective equipment while delivering care to patients during the COVID-19 pandemic.We examined the impact of wearing double gloves on surgeons’performance in la...Objective:Surgeons are required to wear heavy personal protective equipment while delivering care to patients during the COVID-19 pandemic.We examined the impact of wearing double gloves on surgeons’performance in laparoscopic surgery.Methods:Eleven surgeons-in-training at the Surgical Simulation Research Lab of the University of Alberta were recruited to perform laparoscopic cutting tasks in simulation while wearing none,one pair,and two pairs of surgical gloves.Forces applied to laparoscopic instruments were measured.Results:Wearing gloves prolonged task times(one pair of gloves:301.6±61.7 s;two pairs of gloves:295.8±65.3 s)compared with no gloves(241.7±46.9 s;p=0.043).Wearing double gloves increased cutting errors(20.4±5.1 mm^(2))compared with wearing one pair of gloves(16.9±5.5 mm^(2))and no gloves(14.4±4.6 mm^(2);p=0.030).Wearing gloves reduced the peak force(one pair of gloves:2.4±0.7 N;two pairs of gloves:2.7±0.6 N;no gloves:3.4±1.4 N;p=0.049),and the total force(one pair of gloves:10.1±2.8 N;two pairs of gloves:10.3±2.6 N;no glove:12.6±1.9 N;p=0.048)delivered onto lapa-roscopic scissors compared with wearing no glove.Conclusion:The combined effects of wearing heavy gloves and using tools reduced the touching sensation,which limited the surgeons’confidence in performing surgical tasks.Increasing practice in simulation is suggested to allow surgeons to overcome difficulties brought by personal protective equipment.展开更多
文摘Improving the quality of equipment training for the Heavy Equipment Operators(HEO)is a critical task in improving safety and eliminating equipment-related injuries in mining.One of major responsibilities for the HEOs is proper machine inspection.Traditional miner safety training includes the use of hardcopy documents and video instructions.However,modern mobile and computer technology offers tremendous potential to improve the training process.In this study,we apply a 360-degree camera,opensource platform WordPress^(TM),and the software Unity3D in order to create materials and tools for the HEOs safety training to help trainees better understand the pre-shift safety machine inspection.The computer-based safety task training developed in this research is tested and implemented at a surface mine in the southern United States.
文摘I am working in Japan electrical safety & environment technology laboratory,which is called JET for short. In JET, we are carrying out the safety test of electrical equipmentaccording to Japanese domestic standards or IEC standards. And in my section, our stuff is draftingsome national safety standards harmonized with IEC in cooperation with the government. The standardsare applied for the mandatory regulation and other schemes.
文摘The General Ad- T ministration of Quality Supervision, Inspection andQuarantine of P. R.China (AQSIQ) issued a notice on May 28, 2007, requiring various locations torectify their procedures for checking special equipment and hoisting machines for hidden problems.To further clarify and implement responsibility in the safety management of special equipment inenterprises, inspection responsibilities and test organizations related to technical assurance areto be established.
文摘The study aims to evaluate how safety-maintenance practices affect the mechanical engineering industry’s overall performance in Ghana. The study used a descriptive survey design technique to ascertain the type of maintenance engineering that was practiced in Ghanaian mechanical engineering workshops at the time of the study. In the mechanical engineering workshops, respondents provided both qualitative and quantitative data using a variety of data collecting instruments, with the quantitative approach being more common. The study employed Kumasi, Tamale, and Accra’s mechanical engineering workshops as a case study. The number of mechanical engineering workshop enterprises that made up the sample size for the questionnaire administration was sixty (60), chosen at random from the AGI membership registry. Primary data was gathered using interview guides and questionnaires. To analyse the data, descriptive statistics were employed. According to the study’s findings, mechanical engineering companies combined different maintenance techniques in order to best fit their organisational culture and equipment. Preventive shut-down, with a mean score of 4.78 and RII = 0.98, placing first (1st) in the Likert rating order, is the most frequently used maintenance system by respondents. The maintenance procedures employed by mechanical engineering organisations were influenced not only by their equipment and organisational culture but also by other factors such as cost, personnel expertise and external partnerships.
文摘Thick and ultra-thick coal seams are main coal seams for high production rate and high efficiency in Chinese coal mines, which accounts for 44 % of the total minable coal reserve. A fully mechanized top-coal caving mining method is a main underground coal extraction method for ultra-thick coal seams. The coal extraction technologies for coal seams less than 14 m thick were extensively used in China. However, for coal seams with thickness greater than 14 m, there have been no reported cases in the world for underground mechanical extraction with safe performance, high efficiency and high coal recovery ratio. To deal with this case, China Coal Technology & Engineering Group, Datong Coal Mine Group, and other 15 organizations in China launched a fundamental and big project to develop coal mining technologies and equipment for coal seams with thicknesses greater than 14 m. After the completion of the project, a coal extraction method was developed for top-coal caving with a large mining height, as well as a ground control theory for ultra-thick coal seams. In addition, the mining technology for top-coal caving with a large mining height, the ground support technology for roadway in coal seams with a large cross-section, and the prevention and control technology for gas and fire hazards were developed and applied. Furthermore, a hydraulic support with a mining height of 5.2 m, a shearer with high reliability, and auxiliary equipment were developed and manufactured. Practical implication on the technologies and equipment developed was successfully completed at the No. 8105 coal face in the Tashan coal mine, Datong, China. The major achievements of the project are summarized as follows: 1. A top-coal caving method for ultra-thick coal seams is proposed with a cutting height of 5 m and a top-coal caving height of 15 m. A structural mechanical model of overlying strata called cantilever beam-articulated rock beam is established. Based on the model, the load resistance of the hydraulic support with a large mining height for top-coal caving method is determined. With the analysis, the movement characteristics of the top coal and above strata are evaluated during top-coal caving operation at the coal face with a large mining height. Furthermore, there is successful development of comprehensive technologies for preventing and controlling spalling of the coal wall, and the top-coal caving technology with high efficiency and high recovery at the top-coal caving face with a large mining height. This means that the technologies developed have overcome the difficulties in strata control, top-coal caving with high efficiency and high coal recovery, and enabled to achieve a production rate of more than 10 Mtpa at a single top-coal caving face with a large mining height in ultra-thick coal seams; 2. A hydraulic support with 5.2 m supporting height and anti-rockburst capacity, a shearer with high reliability, a scraper conveyor with a large power at the back of face, and a large load and long distance headgate belt conveyor have been successfully developed for a top-coal caving face with large mining height. The study has developed the key technologies for improving the reliability of equipment at the coal face and has overcome the challenges in equipping the top-coal caving face with a large mining height in ultra-thick coal seams; 3. The deformation characteristics of a large cross-section roadway in ultra-thick coal seams are discovered. Based on the findings above, a series of bolt materials with a high yielding strength of 500-830 MPa and a high extension ratio, and cable bolt material with a 1 × 19 structure, large tonnage and high extension ratio are developed. In addition, in order to achieve a safe roadway and a fast face advance, installation equipment for high pre-tension bolt is developed to solve the problems with the support of roadway in coal seams for top-coal caving operation with a large mining height; 4. The characteristics of gas distribution and uneven emission at top-coal caving face with large mining height in ultra-thick coal seams are evaluated. With the application of the technologies of gas drainage in the roof, the difficulties in gas control for high intensive top-coal caving mining operations, known as "low gas content, high gas emission", are solved. In addition, large flow-rate underground mobile equipment for making nitrogen are developed to solve the problems with fire prevention and safe mining at a top-coal caving face with large mining height and production rate of more than 10 Mtpa. A case study to apply the developed technologies has been conducted at the No. 8105 face, the Tashan coal mine in Datong, China. The case study demonstrates that the three units of equipment, i.e., the support, shearer and scraper conveyor, are rationally equipped. Average equipment usage at the coal face is 92.1%. The coal recovery ratio at the coal face is up to 88.9 %. In 2011, the coal production at the No. 8105 face reached 10.849 Mtpa, exceeding the target of 10 Mtpa for a topcoal caving operation with large mining height performed by Chinese-made mining equipment. The technologies and equipment developed provide a way for extracting ultra-thick coal seams. Currently, the technologies and equipment are used in 13 mining areas in China including Datong, Pingshuo, Shendong and Xinjiang. With the exploitation of coal resources in Western China, there is great potential for the application of the technologies and equipment developed.
文摘Based on the number of fatalities per year, a persistent area of concern in mine safety continues to be equipment related. Data from the period 1995 through 2007 were studied in order to identify major hazards for underground mining equipment-related fatal incidents and to perform an analysis of those that occurred over the last 13 years. Reports on equipment-related fatal incidents were obtained from the Mine Safety and Health Administration (MSHA). The results show that underground mining equipment including continuous miner, shuttle car, roof bolter, load-haul-dump (LHD), Iongwall and hoisting contributed to a total of 69 mining-related fatalities. The study reveals that the major hazard for continuous mining equipment-related fatal incidents is "Failure of victim to respect equipment working area", while the highest number of fatalities for shuttle car is attributed to the hazard "Failure of mechanical components." The study further reveals that the highest number of fatalities for roof bolter, LHD, and Iongwall are attributed to the hazards "Working under unsupported roof", "Failure of management to provide safe working conditions", and "Failure of mechanical components", respectively. It is determined that one fatality for the hoisting system is attributed to the hazard "Failure of mechanical components" and one to the hazard "Failure to follow safe maintenance procedure". Finally, approaches to prevention were also discussed in this paper.
文摘The construction industry has always remained the economic and social backbone of any country in the world where occupational health and safety(OHS)is of prime importance.Like in other developing countries,this industry pays very little,rather negligible attention to OHS practices in Pakistan,resulting in the occurrence of a wide variety of accidents,mishaps,and near-misses every year.One of the major causes of such mishaps is the non-wearing of safety helmets(hard hats)at construction sites where falling objects from a height are unavoid-able.In most cases,this leads to serious brain injuries in people present at the site in general and the workers in particular.It is one of the leading causes of human fatalities at construction sites.In the United States,the Occupational Safety and Health Administration(OSHA)requires construction companies through safety laws to ensure the use of well-defined personal protective equipment(PPE).It has long been a problem to ensure the use of PPE because round-the-clock human monitoring is not possible.However,such monitoring through technological aids or automated tools is very much possible.The present study describes a systema-tic strategy based on deep learning(DL)models built on the You-Only-Look-Once(YOLOV5)architecture that could be used for monitoring workers’hard hats in real-time.It can indicate whether a worker is wearing a hat or not.The proposed system usesfive different models of the YOLOV5,namely YOLOV5n,YOLOv5s,YOLOv5 m,YOLOv5l,and YOLOv5x for object detection with the support of PyTorch,involving 7063 images.The results of the study show that among the DL models,the YOLOV5x has a high performance of 95.8%in terms of the mAP,while the YOLOV5n has the fastest detection speed of 70.4 frames per second(FPS).The proposed model can be successfully used in practice to recognize the hard hat worn by a worker.
基金funded by the National Natural Science Foundation of China Project(71801017,72002016,71901031,71802025)Project of Beijing Social Science(No.18GLC064).
文摘The development of electronic information technology has made workplace gossip more ubiquitous.As a part of interpersonal communication on informal occasions,positive workplace gossip affects individuals’mood,cogni-tion,and behaviors.In light of this and based on the Social Interdependence Theory,the study proposed that positive workplace gossip has a negative effect on employee silence,and psychological safety mediates this rela-tionship.In addition,the promotion-focused moderates the relationship between psychological safety and employee silence.Based on a two-wave sampling design from 311 innovative enterprises employees,the results of Structural Equation Model by AMOS 22.0 and Mplus 7.0 supported all the hypotheses.Results revealed that positive workplace gossip can decrease the employee silence through the mediating role of psychological safety and moderating role of promotion-focused.Thesefindings provided theoretical implications and practical sugges-tions for enterprise managers to create positive communication climate to reduce employee silence.
基金funded by the Alberta Jobs,Economy and Innovation Ministry's Major Initiatives Fund to Dr.Zheng(MIF01 T4 P1 Zheng)the Royal College of Physicians and Surgeons of Canada Medical Education Research Award to Dr.Zheng(RCPSC 16/MERC-09).
文摘Objective:Surgeons are required to wear heavy personal protective equipment while delivering care to patients during the COVID-19 pandemic.We examined the impact of wearing double gloves on surgeons’performance in laparoscopic surgery.Methods:Eleven surgeons-in-training at the Surgical Simulation Research Lab of the University of Alberta were recruited to perform laparoscopic cutting tasks in simulation while wearing none,one pair,and two pairs of surgical gloves.Forces applied to laparoscopic instruments were measured.Results:Wearing gloves prolonged task times(one pair of gloves:301.6±61.7 s;two pairs of gloves:295.8±65.3 s)compared with no gloves(241.7±46.9 s;p=0.043).Wearing double gloves increased cutting errors(20.4±5.1 mm^(2))compared with wearing one pair of gloves(16.9±5.5 mm^(2))and no gloves(14.4±4.6 mm^(2);p=0.030).Wearing gloves reduced the peak force(one pair of gloves:2.4±0.7 N;two pairs of gloves:2.7±0.6 N;no gloves:3.4±1.4 N;p=0.049),and the total force(one pair of gloves:10.1±2.8 N;two pairs of gloves:10.3±2.6 N;no glove:12.6±1.9 N;p=0.048)delivered onto lapa-roscopic scissors compared with wearing no glove.Conclusion:The combined effects of wearing heavy gloves and using tools reduced the touching sensation,which limited the surgeons’confidence in performing surgical tasks.Increasing practice in simulation is suggested to allow surgeons to overcome difficulties brought by personal protective equipment.