Carbon dioxide is a simple asphyxial gas, with low concentrations having an excitatory effect on the respiratory center, while high concentrations have an inhibitory effect on the respiratory center. Simple carbon dioxide poisoning is rarely seen clinically. This article reviews and analyzes the treatment process of 9 cases of acute inhalation carbon dioxide poisoning in a cargo ship carbon dioxide leakage accident in May 2019, summarizes clinical treatment experience, and provides timely and effective treatment for acute pulmonary edema caused by acute inhalation carbon dioxide poisoning. In particular, the application of hormones has a good prognosis, improving clinicians' understanding of the disease.
Humans ; Carbon Dioxide ; Ships ; Accidents ; Pulmonary Edema ; Treatment Outcome ; Poisoning ; Accidents, Occupational

Hydrogen sulphide poisoning is an acute poisoning event that occurs frequently in summer. A case of acute hydrogen sulphide poisoning in a confined space in August 2018 was investigated and clinical data were analyzed. This is a typical case of acute hydrogen sulfide gas poisoning in a confined space. The main cause of the accident is the lack of occupational protection and illegal rescue. Among the 5 patients, 3 died, 1 patient had long-term sequelae of nervous system damage such as cortical blindness, and 1 patient was cured.
Accidents ; Accidents, Occupational ; Confined Spaces ; Gas Poisoning ; Humans ; Hydrogen Sulfide ; Poisoning

This article investigated an occupational chronic benzene poisoning incident that occurred in a sealing material factory in Hebei Province in September 2019, analyzed the clinical data of workers, to explore the causes of occupational chronic benzene poisoning, and summarize the diagnosis and treatment characteristics and treatment outcome. According to GBZ 68-2013 "Diagnosis of Occupational Benzene Poisoning", a total of 12 cases of occupational chronic benzene poisoning were diagnosed among the 20 workers, including 2 cases of occupational chronic mild benzene poisoning, 7 cases of moderate benzene poisoning, and 3 cases of severe benzene poisoning. Both mild and moderate poisoning patients had recovered after treatment. Severely poisoned patients had recovered more slowly, and the white blood cell count was still 2.0×10(9)-3.0×10(9)/L during the 1-year follow-up. This benzene poisoning incident was caused by illegal operations. The responsibility of the employer, the supervision of the administrative agency, and the awareness of personal protection of employees should be strengthened to avoid or reduce the occurrence of poisoning incidents and ensure the health of workers.
Accidents, Occupational ; Benzene/analysis* ; Chronic Disease ; Humans ; Leukocyte Count ; Occupational Diseases/epidemiology* ; Occupational Exposure/analysis* ; Poisoning

Introduction: Deaths due to occupation are estimated to be around 2.3 million globally. These deaths may be accounted for as accidents and injuries related to workplaces. The latter is a common problem, especially in developing countries where manual and hazardous tasks are prevalent. Objective: The study aimed to provide an updated and detailed information on the current statistics and trends of occupational injuries in the Philippines. Methods: The data on occupational injuries and related injuries from 2011 to 2017 (latest data) were based on a systematic and comprehensive review of literature from different national and international sources, including scholarly journals, peer-reviewed articles, national surveys by Philippine Statistics Authority, the hospital-based recording data: Online National Electronic Injury Surveillance System (ONEISS) by the Department of Health and other reliable electronic data related to occupational injury. The latest statistics are 2017, although data were published in 2018 and 2019. Results: This study obtained from the national statistics showed that there is generally a decreasing trend of occupation injuries from 2011 (46,655 cases) to 2017 (38,235 cases). However, the occupational injuries generally increased from 2011 (48,975 cases) to 2015 (20,961 cases). The most affected sector was the manufacturing industry consistently from 2011 to 2017. With regards to workdays lost, the most common cause from 2011 to 2017 is temporary incapacity. Superficial injuries and open wounds were the most common, resulting in workdays lost consistently from 2013 to 2017. For the hospital data, the top causes of occupational injuries were vehicular accidents. Open wound/lacerations, abrasions, and contusion were the most common types of injuries for the same year range. Moreover, the 20-59 years old, the working-age population, were the common victims of these injuries. Occupational injuries were also prevalent across all industry groups, including informal occupations such as workers engaged in transportation, construction, mining, and agriculture and fisheries industries. Conclusion Occupational injuries and accidents are global problems, most especially for developing countries. This study suggests that better focus should be given to workers as they are productive members of society.
Occupational Injuries ; Accidents, Occupational ; Occupational Diseases

BACKGROUND: The Japanese health and welfare industry has a shortage of professional caregivers, and work-related accidents and injuries among this group are therefore especially critical issues. This study aimed to examine the factors associated with turnover intentions and work-related injuries and accidents among professional caregivers in Japan. METHODS: Self-report questionnaires were distributed to care workers (N = 1396) at 26 geriatric-care facilities. The questionnaire addressed basic attributes, work and organizational characteristics, wage adequacy, and intrinsic motivations for work (e.g., "being suited to caring work"). Social-relational aspects of the work environment were assessed via three subscales of the Social Capital and Ethical Climate in the Workplace instrument (i.e., "Social Capital in the Workplace," "Exclusive Workplace Climate," and "Ethical Leadership"). Dependent variables were the experience of work-related accidents or injuries in the prior year and organizational and occupational turnover intentions. We used datasets of professional caregivers for analyses. RESULTS: The response rate was 68% (N = 949). Among the 667 professional caregivers, 63% were female. On multivariable logistic regression analysis for work-related accidents and injuries for each sex, those with higher scores for "being suited to caring work" were found to experience significantly fewer work-related accidents and injuries (odds ratio [OR] = 0.78, p < 0.01) among female caregivers. Male caregivers who perceived an exclusive workplace climate experienced more work-related accidents and injuries (OR = 1.61, p < 0.01). However, experience of work-related accidents and injuries did not show significant relationships with organizational and occupational turnover intentions. Additionally, "being suited to caring work" (OR = 0.73, p < 0.01) and ethical leadership (OR = 0.76, p < 0.05) were found to be negatively associated with organizational turnover intentions. "Being suited to caring work" (OR = 0.61, p < 0.01), inadequacy of wage (OR = 2.22, p < 0.05), and marital status (OR = 2.69, p < 0.01) were also associated with occupational turnover intentions of professional caregivers. CONCLUSIONS These findings highlight the need to foster intrinsic motivations for work as well as providing a supportive and ethical work environment to reduce high turnover rates and work-related injuries and accidents among professional caregivers.
Accidents, Occupational ; statistics & numerical data ; Adult ; Attitude of Health Personnel ; Caregivers ; psychology ; statistics & numerical data ; Female ; Humans ; Intention ; Japan ; Job Satisfaction ; Male ; Middle Aged ; Occupational Injuries ; statistics & numerical data ; Personnel Turnover ; statistics & numerical data ; Self Report

BACKGROUND: Road traffic injury is one of the persistent public health challenges in most regions of the world, representing substantial human and economic losses. Annually, about 1.25 million lives are lost, whereas 50 million suffer from road traffic injuries globally. It has been shown that over 60% of the reasons for traffic injuries are a risky driving behavior (RDB). Despite the problem's pervasiveness, there is a paucity of information about level and factors influencing RDB among professional car drivers in Bahirdar city, northwest Ethiopia. METHODS: An institution-based cross-sectional study was conducted from February to March 2016. A systematic random sampling technique was used to select 376 participants. A self-administered driver behavior questionnaire (DBQ) was used for data collection. We performed a binary logistic regression analysis to investigate the associations of variables. Potential confounders were controlled using a multivariable logistic regression model. We ascertained the significance at < 0.05 p value and evaluated strength of associations using crude odds ratios (COR) and adjusted odds ratios (AOR) with 95% confidence intervals (CI). RESULTS: A total of 361 drivers participated (response rate, 96%). The mean age was 34 (standard deviations ± 7.97) years. The majority, 98.9% (N = 357), were males. The level of risky driving behavior and road traffic crashes were 79.4% (95% CI 75.92, 83.97) and 16.3% (95% CI 15.91, 24.84), respectively. Average monthly salary [AOR 2.04; 95% CI (1.23, 2.74)], driving experience [AOR 2.72; 95% CI (1.07, 6.89)], distance driven per year [AOR 2.06; 95% CI (1.13, 4.10)], and previous history of involvement in traffic crashes [AOR 2.30; 95% CI (1.15, 7.35)] were significantly associated with risky driving behavior. CONCLUSIONS The study shows that risky driving behavior is common among professional car drivers in the study setting. Therefore, it is strongly advisable for policy makers and other stake holders to devise strategies that consider working conditions, like monthly salary and driving experiences. The study also suggests that it is often advisable to reduce the distance driven per year and learn from implications of previous history of involvement in traffic crashes.
Accidents, Occupational ; statistics & numerical data ; Accidents, Traffic ; statistics & numerical data ; Adult ; Automobile Driving ; psychology ; statistics & numerical data ; Cities ; Cross-Sectional Studies ; Ethiopia ; Female ; Humans ; Male ; Odds Ratio ; Risk Factors ; Risk-Taking ; Surveys and Questionnaires

BACKGROUND: Increasing the establishment of integrated management systems (IMSs) is done with the purpose of leaving traditional management methods and replacing them with modern management methods. Thus, the present study sought to analyze the events and investigate the impact of IMS on health and safety performance indices in an Iranian combined cycle power plants. METHODS: This case study was conducted in 2012 in all units of the Yazd Combined Cycle Power Plant on accident victims before and after the implementation of IMS. For data analysis and prediction of indices after the implementation of IMS, descriptive statistics and Kolmogorov–Smirnov test, Chi-square, linear regression, and Cubic tests were conducted using SPSS software. RESULTS: The number of people employed in the power plant in an 8-year period (2004–2011) was 1,189, and 287 cases of work-related accidents were recorded. The highest accident frequency rate and accident severity rate were in 2004 (32.65) and 2008 (209), respectively. Safe T-score reached to below −3 during 2010–2011. In addition, given the regression results, the relation between all predictor variables with outcomes was significant (p < 0.05), except for the variable X1 belonging to the accident severity rate index. CONCLUSION: The implementation of safety programs especially that of IMS and its annual audits has had a significant impact on reducing accident indices and improving safety within the study period. Accordingly, health and safety management systems are appropriate tools for reducing accident rate, and the use of regression models and accident indices is also a suitable way for monitoring safety performance.
Accidents, Occupational ; Linear Models ; Power Plants ; Safety Management ; Statistics as Topic

This review aimed to identify risk factors for occupational accidents and illnesses among young workers in the Nordic countries and to attain knowledge on specific vulnerable groups within the young working force that may need special attention. We conducted a systematic review from 1994 to 2014 using five online databases. Of the 12,528 retrieved articles, 54 met the review criteria and were quality assessed, in which data were extracted focusing on identifying occupational safety, health risk factors, and vulnerable groups among the young workers. The review shows that mechanical factors such as heavy lifting, psychosocial factors such as low control over work pace, and organizational factors such as safety climate are all associated with increased injury risk for young Nordic workers. Results show that exposures to chemical substances were associated with skin reactions, e.g., hand eczema. Heavy lifting and awkward postures were risk factors for low back pain, and high job demands were risk factors for mental health outcomes. The review identified young unskilled workers including school drop-out workers as particularly vulnerable groups when it comes to occupational accidents. In addition, apprentices and young skilled workers were found to be vulnerable to work-related illnesses. It is essential to avoid stereotyping young Nordic workers into one group using only age as a factor, as young workers are a heterogeneous group and their vulnerabilities to occupational safety and health risks are contextual. Politicians, researchers, and practitioners should account for this complexity in the education, training and organization of work, and workplace health and safety culture.
Accidents, Occupational ; Adolescent ; Climate ; Eczema ; Education ; Hand ; Humans ; Lifting ; Low Back Pain ; Mental Health ; Occupational Health ; Posture ; Psychology ; Risk Factors ; Safety Management ; Scandinavian and Nordic Countries ; Skin ; Stereotyping

BACKGROUND: Workforce health is one of the primary and most challenging issues, particularly in industrialized countries. This article aims at modeling the major factors affecting accidents in the workplace, including general health, work-family conflict, effortereward imbalance, and internal and external locus of control. METHODS: A cross-sectional study was conducted in Esfahan Steel Company in Iran. A total of 450 participants were divided into two groups—control and case—and the questionnaires were distributed among them. Data were collected through a 7-part questionnaire. Finally, the results were analyzed using SPSS 22.0 and Amos software. RESULTS: All the studied variables had a significant relationship with the accident proneness. In the case group, general health with a coefficient of −0.37, work-family conflict with 0.10, effort-reward imbalance with 0.10, internal locus of control with −0.07, and external locus of control with 0.40 had a direct effect on occupational stress. Occupational stress also had a positive direct effect on accident proneness with a coefficient of 0.47. In addition, fitness indices of control group showed general health (−0.35), work-family conflict (0.36), effort-reward imbalance (0.13), internal locus of control (−0.15), and external locus of control (0.12) have a direct effect on occupational stress. Besides, occupational stress with a coefficient of 0.09 had a direct effect on accident proneness. CONCLUSION: It can be concluded that although previous studies and the present study showed the effect of stress on accident and accident proneness, some hidden and external factors such as workefamily conflict, effortereward imbalance, and external locus of control that affect stress should also be considered. It helps industries face less occupational stress and, consequently, less occurrence rates of accidents.
Accident Proneness ; Accidents, Occupational ; Cross-Sectional Studies ; Developed Countries ; Internal-External Control ; Iran ; Steel

BACKGROUND: Despite improvements in safety performance, the number and severity of mining-related injuries remain high and unacceptable, indicating that further reduction can be achieved. This study examines occupational accident statistics of the Ghanaian mining industry and identifies priority areas, warranting intervention measures and further investigations. METHODS: A total of 202 fatal and nonfatal injury reports over a 10-year period were obtained from five mines and the Inspectorate Division of the Minerals Commission of Ghana, and they were analyzed. RESULTS: Results of the analyses show that the involvement of mining equipment, the task being performed, the injury type, and the mechanism of injury remain as priorities. For instance, mining equipment was associated with 85% of all injuries and 90% of all fatalities, with mobile equipment, component/part, and hand tools being the leading equipment types. In addition, mechanics/repairmen, truck operators, and laborers were the most affected ones, and the most dangerous activities included maintenance, operating mobile equipment, and clean up/clearing. CONCLUSION: Results of this analysis will enable authorities of mines to develop targeted interventions to improve their safety performance. To improve the safety of the mines, further research and prevention efforts are recommended.
Accidents, Occupational ; Ghana ; Hand ; Minerals ; Miners ; Mining ; Motor Vehicles