Valutazione e gestione dei rischi per la salute dei lavoratori nello scavo meccanico di gallerie

La presente relazione costituisce il compendio di quanto discusso all’interno del seminario organizzato anche con valenza formativa nell’ambito del Master di 2° livello in Ingegneria per la Sicurezza Occupazionale -MISO- e accreditato Educazione Continua in Medicina -ECM-, dal titolo “Valutazione e gestione dei rischi per la salute dei lavoratori nello scavo meccanico di gallerie”. Nei vari interventi, dopo un inquadramento sulle moderne tecniche di scavo meccanico, sono trattati i criteri di approccio per la valutazione e gestione dei principali inquinanti di formazione o generati durante la lavorazione. Sono in particolare approfonditi gli aspetti connessi con la definizione di valori di concentrazione accettabili con uno scenario normativo tuttora in marcata evoluzione. L’ultima parte fornisce indicazioni sulla gestione della sicurezza in coerenza con il moderno approccio in Prevention through Design -PtD- e in qualità, in condizioni normali ed in caso di deviazioni ragionevolmente attendibili. Nel suo insieme quindi, quanto esposto può costituire riferimento aggiornato sullo stato dell’arte in materia di sicurezza per lo scavo meccanico delle gallerie

Information, formation and training for the maintenance operations: the lesson learned from fatal accidents

The list of possible machinery / equipment-related injuries is as long as it is worrying; they represent a non-negligible part of the total accidents in most industrial sectors, in terms of both numbers and severity, in normal conditions and during the maintenance operations. Lack of maintenance or inadequate maintenance can lead to dangerous situations, accidents and health problems; but, at the same time, maintenance itself is a high-risk activity due to special hazards resulting from the particular nature of the work. Moreover, the workers involved are more likely than other employees directly exposed to the risks, since direct contact between the worker and the machinery to be maintained cannot be substantially reduced

The role of basic and applied research activities for the improvement of OS&H conditions and the dissemination of the Culture of Safety

Although the European panorama is experiencing a profound change in advance to the Industry 4.0, revolutionizing the world of work with technical, technological and information innovations, in Italy even today we have to deal with the "old" problem of work related injuries and fatalities. In particular, the accident indices of the last few years do not seem to differ much from those typical of the 1970s. The cultural effort matured with the enforcement of the European Directives, with the consequent passage from a rigid prescriptive approach to a flexible one based on risk analysis, is therefore not sufficient to face without “trauma” such rapid technological development accompanied by legislative, productive changes and increasingly widespread reassignment of tasks within the Companies. In this context, the role of scientific research is essential to contribute to technological transfer and scientific knowledge by reconciling the essential aspects of Occupational Safety and Health, through a rigorous and devoted analysis of working scenarios. Furthermore, the dissemination of a Culture of Safety at all levels (Management and Staff roles) can encourage a bilateral synergy "Industry-University" from an OS&H point of view. The present work discusses in more detail the results of the research carried out by the “young” OS&H researchers of the Polytechnic University of Turin presented on the second day of the Conference Dissemination of The Culture of Safety and Health at Work - “Eras of OS&H Development from early ’50 to industry 4.0”

The PLAID graphics analysis impact on the space program

An ongoing project design often requires visual verification at various stages. These requirements are critically important because the subsequent phases of that project might depend on the complete verification of a particular stage. Currently, there are several software packages at JSC that provide such simulation capabilities. We present the simulation capabilities of the PLAID modeling system used in the Flight Crew Support Division for human factors analyses. We summarize some ongoing studies in kinematics, lighting, EVA activities, and discuss various applications in the mission planning of the current Space Shuttle flights and the assembly sequence of the Space Station Freedom with emphasis on the redesign effort

Computer-assisted technique for airborne dust sampling data representativeness and worker's exposure assessment - CAT-ReADS

Nowadays, occupational exposure to airborne dust is still one of the most concerning problems our society should face, since both airborne dust is a common pollutant in almost all the NACE sectors activities, and the occupational exposure quantification is critical. One of the possible causes can be identified in determining the real conditions of dust pollution in the workplaces, attributable to the delicacy of the various phases of acquisition of the measures, and on the variability of operations carried out by workers, affecting the pollutant emission rates. A research project in progress discusses the causes of uncertainty attributable to laboratory and sampling activities, and to the identification of the most appropriate techniques of the results’ representativeness assessment. A recent result is the development of an original Computer-Assisted Technique for Airborne Dust Sampling data representativeness and worker's exposure assessment - CAT-ReADS, MS-Excel Vbasic developed - it supports the companies and external audit technicians, from the setting of the surveys and the laboratory activities to the verification, in a rigorous statistical approach, of compliance/noncompliance of the field measurement results vs the limit values. The resulting workplaces pollution and workers’ exposure assessment are free from subjective simplifications: CAT-ReADS includes various sections of guided selection and data analysis, covering Instruments and their calibration, Recording of environmental parameters and activities carried out by the workers during the samplings, Calculation of concentrations, Calculation of expanded uncertainty, Statistical tests for estimating the probability of exceeding the limit value, both referring – as is common practice- to the mean value, and, in a more cautionary way, to the upper uncertainty values (assuming a confidence level of 95%). The paper provides some examples of the implementation of CAT-ReADS in different production scenarios, and an in-depth discussion of the results

SVILUPPO E RISULTATI DI UNA METODICA COMPUTER ASSISTITA PER L’ANALISI APPROFONDITA DI EVENTI INFORTUNISTICI LAVORO CORRELATI

In Italia si deve tutt’ora registrare un elevato numero di eventi mortali lavoro correlati, per la stragrande maggioranza in contesti non ascrivibili a scenari di incidente rilevante, e raramente associabili a guasto di impianti ed attrezzature correttamente scelti, usati e mantenuti. Un approccio efficace di prevenzione non può che fare riferimento all’analisi dei dati storici, ad integrazione della quale occorre peraltro disporre di una metodica di analisi della catena di eventi casuali dell’incidente formalizzata e priva di deviazioni valutative soggettive. Il modello originale di cui si riferisce si fonda su casi caratterizzati da informazioni approfondite acquisite in ambito di accertamenti tecnici a fini di giustizia. Esso si propone come valido riferimento nelle valutazioni sino alle cause prime dell’evento, lungo tutta la catena incidentale, e consente la revisione critica della valutazione e gestione proattiva dei rischi

Clinically small tonsils are typically not obstructive in children during drug-induced sleep endoscopy

OBJECTIVE: To determine whether the degree of lateral pharyngeal wall (LPW) obstruction on pediatric drug-induced sleep endoscopy (DISE) correlates with preprocedure tonsillar hypertrophy score on physical examination, and to determine if clinically small tonsils are obstructive. METHODS: Retrospective review of 154 patients who underwent DISE at a single pediatric tertiary care center over a 4-year period. Inclusion criteria were documentation of Brodsky tonsil score on preoperative physical examination. Exclusion criteria were previous tonsillectomy, adenoidectomy, or adenotonsillectomy. Lateral pharyngeal wall obstruction was graded for each patient from 0 (no obstruction) to 3 (severe obstruction) using a validated pediatric DISE scoring system known as the Chan-Parikh scoring system (C-P). Data were analyzed using multivariate linear regression controlling for age at time of DISE and presence of comorbid conditions. RESULTS: One hundred fifteen patients met criteria for analysis. Median age at DISE was 5.1 years. A moderate positive correlation was calculated between Brodsky score and DISE score, Spearman correlation coefficient 0.55, P = 50% obstruction); and six (9%) had a score of 3 (100% obstruction). CONCLUSION: There is a positive correlation between Brodsky Score and DISE LPW score. The majority of children with sleep-disordered breathing with a Brodsky score of 1 did not demonstrate LPW obstruction. These children may benefit from DISE for identification of alternative sites of upper airway obstructio

Measures of Obesity Associated with Asthma Diagnosis in Ethnic Minority Children

Objective. The study objective was to examine relationships between different body size measurements and asthma in ethnic minority children. Methods. We used data from a community-based study of 505 children aged 6-to-8 years old to study the association of percent body fat, fat distribution, and BMI percentile with asthma diagnosis. Poisson regression models were used to compute prevalence ratios (PRs) for sex-specific quintiles of the body fat measures on the main outcome of asthma. Results. When comparing the highest quintile of each body fat measure to the combined lowest two quintiles, higher body mass index percentile, percent body fat, and waist circumference all were associated with a higher likelihood of physician-diagnosed asthma (PR = 1.63 (95% CI 1.12–2.39), 1.50 (95% CI 1.02–2.21), and 1.56 (95% CI 1.04–2.34), resp.). Conclusions. This study found a significant association between increased body size and asthma diagnosis, regardless of the measurement examined