Background: Unsafe abortion (USA) is defined as the termination of a non-desired pregnancy, performed by an unqualified person or in an environment without minimum medical standards, or both. It can impact negatively ...Background: Unsafe abortion (USA) is defined as the termination of a non-desired pregnancy, performed by an unqualified person or in an environment without minimum medical standards, or both. It can impact negatively the fertility in the future by tubo-peritoneal lesions. The current study aimed to highlight the infertility factors associated with USA. Material and Methods: From January 1st 2000 to December 31st 2021, a total of 3876 patients that sought care for infertility in the University Clinic of Kinshasa and the Edith Medical Center were enrolled. The socio-demographic, clinical and paraclinical variables were recorded and analyzed in relation to USA history. Results: The patients’ average age was 33.4 ± 5.7 years. Half of them were housewives;about sixty percent of the patients were nulliparous (59.31%). Seventy percent had a secondary infertility with 43.33% having a history of unsafe abortion. The main diagnosis was genital infections and uterus myoma. The chronic endometritis, bilateral tubal occlusion and Uterine synechiae were more associated with USA group. The spermogram anomalies and other partners’ lesions seemed of infectious origin. Conclusion: The USA remains a more frequent phenomenon in our setting. The chronic endometritis, bilateral tubal occlusion, uterine synechiae and indirectly uterus myoma were the infertility factors related to USA. The genital infection of any origin seems to be the main denominator underlying the female and the male infertility in our setting.展开更多
In real systems,the unpredictable jump changes of the random environment can induce the critical transitions(CTs)between two non-adjacent states,which are more catastrophic.Taking an asymmetric Lévy-noise-induced...In real systems,the unpredictable jump changes of the random environment can induce the critical transitions(CTs)between two non-adjacent states,which are more catastrophic.Taking an asymmetric Lévy-noise-induced tri-stable model with desirable,sub-desirable,and undesirable states as a prototype class of real systems,a prediction of the noise-induced CTs from the desirable state directly to the undesirable one is carried out.We first calculate the region that the current state of the given model is absorbed into the undesirable state based on the escape probability,which is named as the absorbed region.Then,a new concept of the parameter dependent basin of the unsafe regime(PDBUR)under the asymmetric Lévy noise is introduced.It is an efficient tool for approximately quantifying the ranges of the parameters,where the noise-induced CTs from the desirable state directly to the undesirable one may occur.More importantly,it may provide theoretical guidance for us to adopt some measures to avert a noise-induced catastrophic CT.展开更多
Behavior choice, coal mine monitoring, and control intensity are combined in a general mathematical model established from the perspective of a behavioral game. A case study is provided with effective conditions of mo...Behavior choice, coal mine monitoring, and control intensity are combined in a general mathematical model established from the perspective of a behavioral game. A case study is provided with effective conditions of monitoring provided. This paper defines the expected value difference of control return and behavior cost difference and discusses the measurement and optimization of variable indexes, including the monitoring intensity and costs of control. The results imply that the control of unsafe behavior can be more effective when monitoring and control of coal mines are both improved. Monitoring will be useful when the rewards for displaying safe behavior, and the monitoring of unsafe behavior, are improved to a high level.展开更多
Safety accidents occure frequently during metro construction, which are mainly caused by human factors, and the incidence of accidents can be increased due to the overlap of human factors and physical factors. The hum...Safety accidents occure frequently during metro construction, which are mainly caused by human factors, and the incidence of accidents can be increased due to the overlap of human factors and physical factors. The human factors are taken as breakthrough to make early warning for the human insecurity factors in the metro construction, which can effectively reduce the occurrence of safety accidents. This paper proposes the principle of total monitoring and early-warning management. The unsafe behaviors in metro construction when approaching the hazardous area and non-standard safety prevention measures are analyzed to design and model the early warning process of unsafe behaviors in metro construction. Finally, the model is analyzed and verified using actual examples.展开更多
Objectives: To determine the percentage of women who accepted a LARC after abortion, specify the interval time for the insertion of the LARC and compare such interval time with that of injectable and oral contraceptiv...Objectives: To determine the percentage of women who accepted a LARC after abortion, specify the interval time for the insertion of the LARC and compare such interval time with that of injectable and oral contraceptives. Patients and Methods: This is a prospective, descriptive and comparative study conducted in Libreville (Gabon), from February 1, 2013 to August 31, 2013. After receiving post-abortion care (PAC), all patients with stable general states were counseled about three types of contraceptive methods: combined oral contraceptive pills, LARCs (Jadelle? implants, Copper IUDs) and injectable Medroxyprogesterone Acetate (DMPA). Results: 231 women received PAC and among them 215 (93%) wanted to use one of the three proposed contraceptive methods. At the end of the study, only 193 women (89.7%) used contraception and 22 others (10.3%) abandoned their intentions. LARCs were used by 31 (16.0%) women. The average period for the insertion of LARCs was 15.4 ± 15.5 days with extremes of 1 to 53 days. This period for the insertion of LARCS was significantly longer than that of other methods (p < 0.001). LARCs were inserted more often after the 2nd day than immediately (same day) with a highly significant difference (p < 0.0001). Conclusion: LARCs could constitute an appropriate approach to reducing unintended pregnancies in Gabon. However, in order to increase their rates of use, it is necessary to improve women awareness.展开更多
Background: Unsafe abortions are one of the leading causes of maternal mortality, especially in developing countries. In Cameroon, the maternal mortality rate remains high, and the scarcity of data on abortions leads ...Background: Unsafe abortions are one of the leading causes of maternal mortality, especially in developing countries. In Cameroon, the maternal mortality rate remains high, and the scarcity of data on abortions leads to a lack of solid evidence to advocate on the extent of the abortions related complications. Our objective was to evaluate the unsafe abortions related complications, and to assess the difficulties of accessing safe abortions in our setting. Methods: We carried out a meta-analytic and systematic review in the biomedical databases MEDLINE (Pubmed), Google Scholar and African Journal Online concerning unsafe abortions and/or difficulties in accessing safe abortions in Cameroon. The keywords used for the search are seen in table I. Selection of studies was simultaneously done by two authors. Data were extracted through a form designed on Google Form. We used a random-effect model for proportion estimation, and The I<sup>2</sup> and Q statistics to assess the extent of heterogeneity. Results: A total of 430 studies were identified, from which 28 were included and analysed. About 5% (95% CI: 3 - 7) of unsafe abortions leads to death. The contribution of unsafe abortions in maternal deaths was 23% (95% CI: 20 - 27). The rate of severe bleeding and/or anemia were 40% (95% CI: 18 - 63) and the rate of infection was 17% (95% CI: 7 - 28), dominated by pelvic infections, pelviperitonitis, severe sepsis, and septic shock. Case reports described uterine perforations, uterine rupture during the following pregnancy. Abortion was performed in the practitioner’s or patient’s home in 41.4% of cases, in a health center in 35.1% of cases, in a private clinic in 21.2% of cases, drugs selling places and in traditional healer clinics. The restriction of abortion laws, the stigma surrounding abortion and its consequences at any level of the society, lead to the underreporting of unsafe abortions and a deep reluctance to advocate for safe abortion services. Conclusion: The strengthening of awareness campaigns for provider behavior change communication, family planning, the de-stigmatization of abortions, the training of health personnel in post-abortion care, a multidisciplinary and multicentric action would contribute to the reduction in morbidity and mortality due to abortions.展开更多
Unsafe abortions constitute a public health problem. It is one of the causes of maternal mortality in the world and particularly in developing countries. Despite the progress made, maternal mortality remains high in C...Unsafe abortions constitute a public health problem. It is one of the causes of maternal mortality in the world and particularly in developing countries. Despite the progress made, maternal mortality remains high in Cameroon. The scarcity and disparity of data on abortions lead to a lack of strong evidence to advocate to decision-makers on the extent of the problems associated with abortions in Cameroon. Our objective is to estimate the rates of mortalities and complications related to unsafe abortions, as well as the difficulties of accessing safe abortions in Cameroon. We will carry out a systematic and meta-analytical review in the biomedical databases MEDLINE (Pubmed), Google Scholar and African Journal Online (AJOL) concerning unsafe abortions and/or difficulties in accessing safe abortions in Cameroon, without date or language restriction. Gray literature will be also consulted. Two authors will simultaneously select the studies and data extraction will be done using a Google Form. Proportions will be estimated on a random-effect model. The I<sup>2</sup> and Q statistics will be used to assess the extent of heterogeneity across the studies. The outcome of both the quantitative and qualitative parts of the study will be commented. Death and morbidity due to abortions can be prevented. A concerted multidisciplinary and multicentric action would be essential.展开更多
Background: Unsafe abortion is a commonly neglected sexual and reproductive health and rights issue despite the serious health problems it causes to women and girls in their reproductive ages. It is classified as a ma...Background: Unsafe abortion is a commonly neglected sexual and reproductive health and rights issue despite the serious health problems it causes to women and girls in their reproductive ages. It is classified as a main cause of maternal mortality and morbidity. This paper has considered questions that have the greatest potential to successfully reduce unsafe abortions in the resource poor settings. Methods: We adapted the Child Health and Nutrition Research Initiative (CHNRI) to identify and prioritize many competing sexual and reproductive health and rights research ideas that impact the health of the populations. The implementation was done in three phases which included generation and collection of research ideas from various experts virtually in August 2019 consolidation of the potential questions through thematic analysis conducted in September 2019. Finally, scoring and ranking of the research questions was done in a workshop of experts. Results: Out of a list of 45 priority research questions, two questions were ranked the highest scoring 28 out of the possible 30. The research priorities include: “The effectiveness of interventions (e.g. counseling or incentives or home visits) to increase post abortion uptake and continuance”, “Reducing repeat abortion on improving maternal health outcomes” and “Evaluation of community-based awareness programs to reduce unwanted pregnancies and encourage women to seek help early”. Conclusions: Ten key research priorities in preventing unsafe abortion were identified. The priority list covers areas of focus that could effectively impact preventing unsafe abortions while also acting as a knowledge base for researchers, policy makers and other interested stakeholders who would want to invest in this area.展开更多
In the process of coal mining, because the mining environment is more complex, there are more unsafe factors in the process of mining. Although China attaches great importance to the management of coal mine safety pro...In the process of coal mining, because the mining environment is more complex, there are more unsafe factors in the process of mining. Although China attaches great importance to the management of coal mine safety production at present, safety accidents still occur frequently. In order to promote the safe construction and production of coal mine, this paper analyzes the unsafe technical factors and countermeasures in mining engineering.展开更多
Objective: to explore the effect of preventive measures for unsafe factors in obstetrics and gynecology nursing. Methods: 180 cases of obstetrics and gynecology patients from January 2019 to December 2019 were selecte...Objective: to explore the effect of preventive measures for unsafe factors in obstetrics and gynecology nursing. Methods: 180 cases of obstetrics and gynecology patients from January 2019 to December 2019 were selected and randomly divided into two groups with 90 cases in each group. The control group received routine management. The observation group implemented safety management. The management effects of the two groups were compared. Results: the incidence rate of unsafe events in the observation group was lower than that in the control group, with statistically significant (P < 0.05). The satisfaction scores of observation group were better than control group, with statistical significance (P < 0.05). Conclusion: the unsafe factors in obstetrics and gynecology nursing include system, nursing staff, patients and family members, etc. The implementation of safety management can effectively prevent the occurrence of risk events, improve the quality of care and raise the level of care.展开更多
At present, according to the actual situation of mine construction in our country, great progress has been made in construction environment and construction safety. However, safety accidents still happen from time to ...At present, according to the actual situation of mine construction in our country, great progress has been made in construction environment and construction safety. However, safety accidents still happen from time to time, endangering people's normal production and life. Human safety is an important premise and foundation for mine engineering construction. Only by ensuring the safety of mine engineering can the healthy and sustainable development of mine engineering be promoted. Therefore, in the mine engineering construction, relevant personnel should actively formulate countermeasures to solve the unsafe factors and promote the smooth development of mining enterprises.展开更多
With the rapid pace of global urbanization,health risks faced by rural communities are often overlooked.Deaths Attributable to Unsafe Sanitation in Rural areas(DAUSRs)are influenced by demographic factors,disease mort...With the rapid pace of global urbanization,health risks faced by rural communities are often overlooked.Deaths Attributable to Unsafe Sanitation in Rural areas(DAUSRs)are influenced by demographic factors,disease mortality rates,and environmental sanitation conditions.However,most studies have been limited in scope and scale and lack a comprehensive evaluation framework for global DAUSRs.Therefore,this study estimated the global DAUSRs from 2000 to 2030,using data from the Global Burden of Disease(GBD)and the World Health Organization(WHO).We employed methods such as comparable risk assessment,Bayesian age(period)models,and AutoRegressive Integrated Moving Average(ARIMA)models.Changes in the DAUSRs and their influencing factors were evaluated by applying a decomposition method to assess the impact of population dynamics,sanitation conditions,age structure,and disease mortality rates.The results indicated that despite improvements in rural sanitation,12.2%of rural populations will still lack access to sanitary toilets in 2030,with an estimated 243,000 deaths(CI:147,000−441,000)due to unsafe rural sanitation environments.This outcome highlights the need for better rural sanitation governance to provide for demographic shifts,such as aging and declining fertility rates,which are key drivers of DAUSRs.Regions such as Africa and Southeast Asia are at a higher risk with higher diarrhea-related mortality rates in rural areas.We suggest comprehensive measures,including enhancing rural medical facilities,improving sanitation infrastructure,and focusing on vulnerable groups,such as the elderly and children.These measures could inform global rural environmental and public health policies.展开更多
Many complex systems are frequently subject to the influence of uncertain disturbances,which can exert a profound effect on the critical transitions(CTs),potentially resulting in catastrophic consequences.Consequently...Many complex systems are frequently subject to the influence of uncertain disturbances,which can exert a profound effect on the critical transitions(CTs),potentially resulting in catastrophic consequences.Consequently,it is of uttermost importance to provide warnings for noise-induced CTs in various applications.Although capturing certain generic symptoms of transition behaviors from observational and simulated data poses a challenging problem,this work attempts to extract information regarding CTs from simulated data of a Gaussian white noise-induced tri-stable system.Using the extended dynamic mode decomposition(EDMD)algorithm,we initially obtain finite-dimensional approximations of both the stochastic Koopman operator and the generator.Subsequently,the drift parameters and the noise intensity within the system are identified from the simulated data.Utilizing the identified system,the parameter-dependent basin of the unsafe regime(PDBUR)is quantified,enabling data-driven early warning of Gaussian white noise-induced CTs.Finally,an error analysis is carried out to verify the effectiveness of the data-driven results.Our findings may serve as a paradigm for understanding and predicting noise-induced CTs in complex systems based on data.展开更多
Based on the characteristics of major unsafe hydroelectric projects and the data from field detection, in situ monitoring, and regular safety inspection, the funda-mental principles of operation risk assessment are pr...Based on the characteristics of major unsafe hydroelectric projects and the data from field detection, in situ monitoring, and regular safety inspection, the funda-mental principles of operation risk assessment are proposed in this paper. Mean-while, a three layer hierarchical system is constructed, and an improved analytical hierarchical process combining genetic algorithm and analytical hierarchical process is established, with corresponding program. The operation risk of some unsafe dam was assessed with the principles, method and program presented in this paper and the major factors which would affect the operation of the dam were pointed out.展开更多
Although road users are aware of the possible risks of engaging in unsafe behaviours while driving,they continue to do so.These behaviours often contribute to traffic incidents and crashes involving them and other roa...Although road users are aware of the possible risks of engaging in unsafe behaviours while driving,they continue to do so.These behaviours often contribute to traffic incidents and crashes involving them and other road users.This study set out to analyse the effect of road user type,location and time of day on unsafe driving behaviours observed in traffic conflict situations.Data were collected by road side observation at three different locations in the eastern part of Nigeria using the traffic conflict technique(TCT).This approach was adopted to overcome the inherent problems associated with reliable,inadequate and accessible crash data in Nigeria.In total 946 traffic conflicts were observed and statistical testing showed that drivers were involved in one or more unsafe behaviours prior to these conflicts.Of all unsafe behaviours observed,the incorrect use of indicators(13.3%) and tailgating(11.3%) were found to be the most prevalent,while road user type,location and time of day were found to be statistically associated with passenger scouting and other unsafe behaviours.Tricycle drivers were significantly more likely to engage in unsafe behaviours than vehicle drivers.Drivers are also more likely to engage in unsafe behaviours on straight roads.Additionally,a greater number of these unsafe behaviours were observed during the peak periods.It is recommended that better road infrastructure,more effective regulations and enforcement,and proper road safety education could help improve traffic safety in Nigeria.展开更多
After a researcher at the Chinese Academy of Social Sciences (CASS) proposed a 10-percent increase in the Chinese currency to upgrade the industrial structure, many economists in China disputed his statement and point...After a researcher at the Chinese Academy of Social Sciences (CASS) proposed a 10-percent increase in the Chinese currency to upgrade the industrial structure, many economists in China disputed his statement and pointed out the risks of abrupt renminbi (yuan) appreciation. Zhu Daming, an independent economic analyst in Shanghai, published his concerns in the Economic Information Daily. Edited excerpts follow:展开更多
A comparative study is conducted to compare the theory and application effect of two accident causation models, the human factors analysis and classification system（HFACS） and the accident causation ＂2-4＂ model（2...A comparative study is conducted to compare the theory and application effect of two accident causation models, the human factors analysis and classification system（HFACS） and the accident causation ＂2-4＂ model（24 Model）, as well as to provide a reference for safety researchers and accident investigators to select an appropriate accident analysis method. The two models are compared in terms of their theoretical foundations, cause classifications, accident analysis processes, application ranges, and accident prevention strategies. A coal and gas outburst accident is then analyzed using both models, and the application results are compared. This study shows that both the 24 Model and HFACS have strong theoretical foundations, and they can each be applied in various domains. In addition, the cause classification in HFACS is more practical, and its accident analysis process is more convenient. On the other hand, the 24 Model includes external factors, which makes the cause analysis more systematic and comprehensive. Moreover, the 24 Model puts forward more corresponding measures to prevent accidents.展开更多
Hepatitis C virus(HCV)is a blood-borne pathogen that has a worldwide distribution and infects millions of people.Care-associated HCV infections represented a huge part of hepatitis C burden in the past via contaminate...Hepatitis C virus(HCV)is a blood-borne pathogen that has a worldwide distribution and infects millions of people.Care-associated HCV infections represented a huge part of hepatitis C burden in the past via contaminated blood and unsafe injections and continue to be a serious problem of public health.The present review proposes a panorama of health care-associated HCV infections via the three mode of contamination that have been identified:(1)infected patient to non-infected patient;(2)infected patient to non-infected health careworker(HCW);and(3)infected HCW to non infected patient.For each condition,the circumstances of contamination are described together with the means to prevent them.As a whole,the more important risk is represented by unsafe practices regarding injections,notably with the improper use of multidose vials used for multiple patients.The questions of occupational exposures and infected HCWs are also discussed.In terms of prevention and surveillance,the main arm for combating care-associated HCV infections is the implementation of standard precautions in all the fields of cares,with training programs and audits to verify their good application.HCWs must be sensitized to the risk of blood-borne pathogens,notably by the use of safety devices for injections and good hygiene practices in the operating theatre and in all the invasive procedures.The providers performing exposed-prone procedures must monitor their HCV serology regularly in order to detect early any primary infection and to treat it without delay.With the need to stay vigilant because HCV infection is often a hidden risk,it can be hoped that the number of people infected by HCV via health care will decrease very significantly in the next years.展开更多
AIM: To summarize the available information about injection use and its determinants in the South Asian region. METHODS: We searched published and unpublished literature on injection safety in South Asia published dur...AIM: To summarize the available information about injection use and its determinants in the South Asian region. METHODS: We searched published and unpublished literature on injection safety in South Asia published during 1995-2016 using the keywords "injection" "unsafe injection" and "immunization injection" and combined these with each of the countries and/or their respective states or provinces in South Asia. We used a standardized questionnaire to abstract the following data from the articles: the annual number of injections per capita, the proportion of injections administered with a reused syringe or needle, the distribution of injections with respect to prescribers and providers and determinants of injection use. RESULTS: Although information is very limited for certain countries(i.e., Bhutan, Maldives and Sri Lanka), healthcare injection use is very common across South Asia, with cross-country rates ranging from 2.4 to 13.6 injections/person/year. Furthermore, recent studies show that 5% to 50% of these injections are provided with reused syringes, thus creating potential to transmission of blood-borne pathogens. Qualified and unqualified practitioners, especially in the private sector, are the major drivers behind injection use, but patients also prefer injections, especially among the rural, poor or uneducated in certain countries. According to available data, Pakistan and India have recently taken steps towards achieving safe injection. Potential interventions include the introduction of reuse prevention devices, and patient-, community- and patient/community and provider-centered interventionsto change population and practitioner behavior. CONCLUSION: Injection use is common in South Asian countries. Multilevel interventions aiming at patients, providers and the healthcare system are needed to reduce injection use and reuse.展开更多
文摘Background: Unsafe abortion (USA) is defined as the termination of a non-desired pregnancy, performed by an unqualified person or in an environment without minimum medical standards, or both. It can impact negatively the fertility in the future by tubo-peritoneal lesions. The current study aimed to highlight the infertility factors associated with USA. Material and Methods: From January 1st 2000 to December 31st 2021, a total of 3876 patients that sought care for infertility in the University Clinic of Kinshasa and the Edith Medical Center were enrolled. The socio-demographic, clinical and paraclinical variables were recorded and analyzed in relation to USA history. Results: The patients’ average age was 33.4 ± 5.7 years. Half of them were housewives;about sixty percent of the patients were nulliparous (59.31%). Seventy percent had a secondary infertility with 43.33% having a history of unsafe abortion. The main diagnosis was genital infections and uterus myoma. The chronic endometritis, bilateral tubal occlusion and Uterine synechiae were more associated with USA group. The spermogram anomalies and other partners’ lesions seemed of infectious origin. Conclusion: The USA remains a more frequent phenomenon in our setting. The chronic endometritis, bilateral tubal occlusion, uterine synechiae and indirectly uterus myoma were the infertility factors related to USA. The genital infection of any origin seems to be the main denominator underlying the female and the male infertility in our setting.
基金Project supported by the National Natural Science Foundation of China(No.12072264)the Fundamental Research Funds for the Central Universities+3 种基金the Research Funds for Interdisciplinary Subject of Northwestern Polytechnical Universitythe Shaanxi Project for Distinguished Young Scholarsthe National Key Research and Development Program of China(No.2018AAA0102201)the Shaanxi Provincial Key R&D Program(Nos.2020KW-013 and 2019TD-010)。
文摘In real systems,the unpredictable jump changes of the random environment can induce the critical transitions(CTs)between two non-adjacent states,which are more catastrophic.Taking an asymmetric Lévy-noise-induced tri-stable model with desirable,sub-desirable,and undesirable states as a prototype class of real systems,a prediction of the noise-induced CTs from the desirable state directly to the undesirable one is carried out.We first calculate the region that the current state of the given model is absorbed into the undesirable state based on the escape probability,which is named as the absorbed region.Then,a new concept of the parameter dependent basin of the unsafe regime(PDBUR)under the asymmetric Lévy noise is introduced.It is an efficient tool for approximately quantifying the ranges of the parameters,where the noise-induced CTs from the desirable state directly to the undesirable one may occur.More importantly,it may provide theoretical guidance for us to adopt some measures to avert a noise-induced catastrophic CT.
基金Project supports from The Humanistic and Social Scientific Research Planning Program in Ministry of Education of China (No.12YJA630063)The Social Science Foundation of Jiangsu Province of China (No. 10GLB001)the Ph.D. Programs Foundation of Ministry of Education of China (No. 20100095120014) are acknowledged
文摘Behavior choice, coal mine monitoring, and control intensity are combined in a general mathematical model established from the perspective of a behavioral game. A case study is provided with effective conditions of monitoring provided. This paper defines the expected value difference of control return and behavior cost difference and discusses the measurement and optimization of variable indexes, including the monitoring intensity and costs of control. The results imply that the control of unsafe behavior can be more effective when monitoring and control of coal mines are both improved. Monitoring will be useful when the rewards for displaying safe behavior, and the monitoring of unsafe behavior, are improved to a high level.
基金Supported by the National Natural Science Foundation of China(71603284)the Humanity and Social Science Research Foundation of Ministry of Education PRC(16YJC630068)the China Postdoctoral Science Foundation(2019T120718,2018M630918).
文摘Safety accidents occure frequently during metro construction, which are mainly caused by human factors, and the incidence of accidents can be increased due to the overlap of human factors and physical factors. The human factors are taken as breakthrough to make early warning for the human insecurity factors in the metro construction, which can effectively reduce the occurrence of safety accidents. This paper proposes the principle of total monitoring and early-warning management. The unsafe behaviors in metro construction when approaching the hazardous area and non-standard safety prevention measures are analyzed to design and model the early warning process of unsafe behaviors in metro construction. Finally, the model is analyzed and verified using actual examples.
文摘Objectives: To determine the percentage of women who accepted a LARC after abortion, specify the interval time for the insertion of the LARC and compare such interval time with that of injectable and oral contraceptives. Patients and Methods: This is a prospective, descriptive and comparative study conducted in Libreville (Gabon), from February 1, 2013 to August 31, 2013. After receiving post-abortion care (PAC), all patients with stable general states were counseled about three types of contraceptive methods: combined oral contraceptive pills, LARCs (Jadelle? implants, Copper IUDs) and injectable Medroxyprogesterone Acetate (DMPA). Results: 231 women received PAC and among them 215 (93%) wanted to use one of the three proposed contraceptive methods. At the end of the study, only 193 women (89.7%) used contraception and 22 others (10.3%) abandoned their intentions. LARCs were used by 31 (16.0%) women. The average period for the insertion of LARCs was 15.4 ± 15.5 days with extremes of 1 to 53 days. This period for the insertion of LARCS was significantly longer than that of other methods (p < 0.001). LARCs were inserted more often after the 2nd day than immediately (same day) with a highly significant difference (p < 0.0001). Conclusion: LARCs could constitute an appropriate approach to reducing unintended pregnancies in Gabon. However, in order to increase their rates of use, it is necessary to improve women awareness.
文摘Background: Unsafe abortions are one of the leading causes of maternal mortality, especially in developing countries. In Cameroon, the maternal mortality rate remains high, and the scarcity of data on abortions leads to a lack of solid evidence to advocate on the extent of the abortions related complications. Our objective was to evaluate the unsafe abortions related complications, and to assess the difficulties of accessing safe abortions in our setting. Methods: We carried out a meta-analytic and systematic review in the biomedical databases MEDLINE (Pubmed), Google Scholar and African Journal Online concerning unsafe abortions and/or difficulties in accessing safe abortions in Cameroon. The keywords used for the search are seen in table I. Selection of studies was simultaneously done by two authors. Data were extracted through a form designed on Google Form. We used a random-effect model for proportion estimation, and The I<sup>2</sup> and Q statistics to assess the extent of heterogeneity. Results: A total of 430 studies were identified, from which 28 were included and analysed. About 5% (95% CI: 3 - 7) of unsafe abortions leads to death. The contribution of unsafe abortions in maternal deaths was 23% (95% CI: 20 - 27). The rate of severe bleeding and/or anemia were 40% (95% CI: 18 - 63) and the rate of infection was 17% (95% CI: 7 - 28), dominated by pelvic infections, pelviperitonitis, severe sepsis, and septic shock. Case reports described uterine perforations, uterine rupture during the following pregnancy. Abortion was performed in the practitioner’s or patient’s home in 41.4% of cases, in a health center in 35.1% of cases, in a private clinic in 21.2% of cases, drugs selling places and in traditional healer clinics. The restriction of abortion laws, the stigma surrounding abortion and its consequences at any level of the society, lead to the underreporting of unsafe abortions and a deep reluctance to advocate for safe abortion services. Conclusion: The strengthening of awareness campaigns for provider behavior change communication, family planning, the de-stigmatization of abortions, the training of health personnel in post-abortion care, a multidisciplinary and multicentric action would contribute to the reduction in morbidity and mortality due to abortions.
文摘Unsafe abortions constitute a public health problem. It is one of the causes of maternal mortality in the world and particularly in developing countries. Despite the progress made, maternal mortality remains high in Cameroon. The scarcity and disparity of data on abortions lead to a lack of strong evidence to advocate to decision-makers on the extent of the problems associated with abortions in Cameroon. Our objective is to estimate the rates of mortalities and complications related to unsafe abortions, as well as the difficulties of accessing safe abortions in Cameroon. We will carry out a systematic and meta-analytical review in the biomedical databases MEDLINE (Pubmed), Google Scholar and African Journal Online (AJOL) concerning unsafe abortions and/or difficulties in accessing safe abortions in Cameroon, without date or language restriction. Gray literature will be also consulted. Two authors will simultaneously select the studies and data extraction will be done using a Google Form. Proportions will be estimated on a random-effect model. The I<sup>2</sup> and Q statistics will be used to assess the extent of heterogeneity across the studies. The outcome of both the quantitative and qualitative parts of the study will be commented. Death and morbidity due to abortions can be prevented. A concerted multidisciplinary and multicentric action would be essential.
文摘Background: Unsafe abortion is a commonly neglected sexual and reproductive health and rights issue despite the serious health problems it causes to women and girls in their reproductive ages. It is classified as a main cause of maternal mortality and morbidity. This paper has considered questions that have the greatest potential to successfully reduce unsafe abortions in the resource poor settings. Methods: We adapted the Child Health and Nutrition Research Initiative (CHNRI) to identify and prioritize many competing sexual and reproductive health and rights research ideas that impact the health of the populations. The implementation was done in three phases which included generation and collection of research ideas from various experts virtually in August 2019 consolidation of the potential questions through thematic analysis conducted in September 2019. Finally, scoring and ranking of the research questions was done in a workshop of experts. Results: Out of a list of 45 priority research questions, two questions were ranked the highest scoring 28 out of the possible 30. The research priorities include: “The effectiveness of interventions (e.g. counseling or incentives or home visits) to increase post abortion uptake and continuance”, “Reducing repeat abortion on improving maternal health outcomes” and “Evaluation of community-based awareness programs to reduce unwanted pregnancies and encourage women to seek help early”. Conclusions: Ten key research priorities in preventing unsafe abortion were identified. The priority list covers areas of focus that could effectively impact preventing unsafe abortions while also acting as a knowledge base for researchers, policy makers and other interested stakeholders who would want to invest in this area.
文摘In the process of coal mining, because the mining environment is more complex, there are more unsafe factors in the process of mining. Although China attaches great importance to the management of coal mine safety production at present, safety accidents still occur frequently. In order to promote the safe construction and production of coal mine, this paper analyzes the unsafe technical factors and countermeasures in mining engineering.
文摘Objective: to explore the effect of preventive measures for unsafe factors in obstetrics and gynecology nursing. Methods: 180 cases of obstetrics and gynecology patients from January 2019 to December 2019 were selected and randomly divided into two groups with 90 cases in each group. The control group received routine management. The observation group implemented safety management. The management effects of the two groups were compared. Results: the incidence rate of unsafe events in the observation group was lower than that in the control group, with statistically significant (P < 0.05). The satisfaction scores of observation group were better than control group, with statistical significance (P < 0.05). Conclusion: the unsafe factors in obstetrics and gynecology nursing include system, nursing staff, patients and family members, etc. The implementation of safety management can effectively prevent the occurrence of risk events, improve the quality of care and raise the level of care.
文摘At present, according to the actual situation of mine construction in our country, great progress has been made in construction environment and construction safety. However, safety accidents still happen from time to time, endangering people's normal production and life. Human safety is an important premise and foundation for mine engineering construction. Only by ensuring the safety of mine engineering can the healthy and sustainable development of mine engineering be promoted. Therefore, in the mine engineering construction, relevant personnel should actively formulate countermeasures to solve the unsafe factors and promote the smooth development of mining enterprises.
基金supported by the Joint Research Program for Ecological Conservation and High Quality Development of the Yellow River Basin(2022-YRUC-01-050202-02)the Qin Chuang Yuan Cited High-level Innovation and Entrepreneurship Talents Project(QCYRCXM-2022-73)+2 种基金National Key R&D Program of China(grant number:2020YFD1100500)the National Natural Science Foundation of China(grant number:51838013)the project of Inner Mongolia“Prairie Talents”Engineering Innovation Entrepreneurship Talent Team,and the Innovation Team of the Inner Mongolia Academy of Science and Technology(CXTD2023-01-016).
文摘With the rapid pace of global urbanization,health risks faced by rural communities are often overlooked.Deaths Attributable to Unsafe Sanitation in Rural areas(DAUSRs)are influenced by demographic factors,disease mortality rates,and environmental sanitation conditions.However,most studies have been limited in scope and scale and lack a comprehensive evaluation framework for global DAUSRs.Therefore,this study estimated the global DAUSRs from 2000 to 2030,using data from the Global Burden of Disease(GBD)and the World Health Organization(WHO).We employed methods such as comparable risk assessment,Bayesian age(period)models,and AutoRegressive Integrated Moving Average(ARIMA)models.Changes in the DAUSRs and their influencing factors were evaluated by applying a decomposition method to assess the impact of population dynamics,sanitation conditions,age structure,and disease mortality rates.The results indicated that despite improvements in rural sanitation,12.2%of rural populations will still lack access to sanitary toilets in 2030,with an estimated 243,000 deaths(CI:147,000−441,000)due to unsafe rural sanitation environments.This outcome highlights the need for better rural sanitation governance to provide for demographic shifts,such as aging and declining fertility rates,which are key drivers of DAUSRs.Regions such as Africa and Southeast Asia are at a higher risk with higher diarrhea-related mortality rates in rural areas.We suggest comprehensive measures,including enhancing rural medical facilities,improving sanitation infrastructure,and focusing on vulnerable groups,such as the elderly and children.These measures could inform global rural environmental and public health policies.
基金Project supported by the National Natural Science Foundation of China(No.12402033)the National Natural Science Foundation for Distinguished Young Scholars of China(No.52225211)。
文摘Many complex systems are frequently subject to the influence of uncertain disturbances,which can exert a profound effect on the critical transitions(CTs),potentially resulting in catastrophic consequences.Consequently,it is of uttermost importance to provide warnings for noise-induced CTs in various applications.Although capturing certain generic symptoms of transition behaviors from observational and simulated data poses a challenging problem,this work attempts to extract information regarding CTs from simulated data of a Gaussian white noise-induced tri-stable system.Using the extended dynamic mode decomposition(EDMD)algorithm,we initially obtain finite-dimensional approximations of both the stochastic Koopman operator and the generator.Subsequently,the drift parameters and the noise intensity within the system are identified from the simulated data.Utilizing the identified system,the parameter-dependent basin of the unsafe regime(PDBUR)is quantified,enabling data-driven early warning of Gaussian white noise-induced CTs.Finally,an error analysis is carried out to verify the effectiveness of the data-driven results.Our findings may serve as a paradigm for understanding and predicting noise-induced CTs in complex systems based on data.
基金Key Project of NNSF and Yalongjiang Hydroelectric Development Joint Research Fund (Grant No. 50539110)Science and Tech-nology Support Plan (Grant No. 20006BAC14B03)+1 种基金National Natural Science Foundation Major Project (Grant Nos. 50539010, 50539030)National Natural Science Foundation of China (Grant No. 50579010)
文摘Based on the characteristics of major unsafe hydroelectric projects and the data from field detection, in situ monitoring, and regular safety inspection, the funda-mental principles of operation risk assessment are proposed in this paper. Mean-while, a three layer hierarchical system is constructed, and an improved analytical hierarchical process combining genetic algorithm and analytical hierarchical process is established, with corresponding program. The operation risk of some unsafe dam was assessed with the principles, method and program presented in this paper and the major factors which would affect the operation of the dam were pointed out.
基金the Tertiary Education Trust Fund (TETFund) of Nigeria and Institute for Transport Studies, University of Leeds,UK,for funding this research
文摘Although road users are aware of the possible risks of engaging in unsafe behaviours while driving,they continue to do so.These behaviours often contribute to traffic incidents and crashes involving them and other road users.This study set out to analyse the effect of road user type,location and time of day on unsafe driving behaviours observed in traffic conflict situations.Data were collected by road side observation at three different locations in the eastern part of Nigeria using the traffic conflict technique(TCT).This approach was adopted to overcome the inherent problems associated with reliable,inadequate and accessible crash data in Nigeria.In total 946 traffic conflicts were observed and statistical testing showed that drivers were involved in one or more unsafe behaviours prior to these conflicts.Of all unsafe behaviours observed,the incorrect use of indicators(13.3%) and tailgating(11.3%) were found to be the most prevalent,while road user type,location and time of day were found to be statistically associated with passenger scouting and other unsafe behaviours.Tricycle drivers were significantly more likely to engage in unsafe behaviours than vehicle drivers.Drivers are also more likely to engage in unsafe behaviours on straight roads.Additionally,a greater number of these unsafe behaviours were observed during the peak periods.It is recommended that better road infrastructure,more effective regulations and enforcement,and proper road safety education could help improve traffic safety in Nigeria.
文摘After a researcher at the Chinese Academy of Social Sciences (CASS) proposed a 10-percent increase in the Chinese currency to upgrade the industrial structure, many economists in China disputed his statement and pointed out the risks of abrupt renminbi (yuan) appreciation. Zhu Daming, an independent economic analyst in Shanghai, published his concerns in the Economic Information Daily. Edited excerpts follow:
基金support from the State Key Program of the National Natural Science Foundation of China (No. 51534008)
文摘A comparative study is conducted to compare the theory and application effect of two accident causation models, the human factors analysis and classification system（HFACS） and the accident causation ＂2-4＂ model（24 Model）, as well as to provide a reference for safety researchers and accident investigators to select an appropriate accident analysis method. The two models are compared in terms of their theoretical foundations, cause classifications, accident analysis processes, application ranges, and accident prevention strategies. A coal and gas outburst accident is then analyzed using both models, and the application results are compared. This study shows that both the 24 Model and HFACS have strong theoretical foundations, and they can each be applied in various domains. In addition, the cause classification in HFACS is more practical, and its accident analysis process is more convenient. On the other hand, the 24 Model includes external factors, which makes the cause analysis more systematic and comprehensive. Moreover, the 24 Model puts forward more corresponding measures to prevent accidents.
文摘Hepatitis C virus(HCV)is a blood-borne pathogen that has a worldwide distribution and infects millions of people.Care-associated HCV infections represented a huge part of hepatitis C burden in the past via contaminated blood and unsafe injections and continue to be a serious problem of public health.The present review proposes a panorama of health care-associated HCV infections via the three mode of contamination that have been identified:(1)infected patient to non-infected patient;(2)infected patient to non-infected health careworker(HCW);and(3)infected HCW to non infected patient.For each condition,the circumstances of contamination are described together with the means to prevent them.As a whole,the more important risk is represented by unsafe practices regarding injections,notably with the improper use of multidose vials used for multiple patients.The questions of occupational exposures and infected HCWs are also discussed.In terms of prevention and surveillance,the main arm for combating care-associated HCV infections is the implementation of standard precautions in all the fields of cares,with training programs and audits to verify their good application.HCWs must be sensitized to the risk of blood-borne pathogens,notably by the use of safety devices for injections and good hygiene practices in the operating theatre and in all the invasive procedures.The providers performing exposed-prone procedures must monitor their HCV serology regularly in order to detect early any primary infection and to treat it without delay.With the need to stay vigilant because HCV infection is often a hidden risk,it can be hoped that the number of people infected by HCV via health care will decrease very significantly in the next years.
文摘AIM: To summarize the available information about injection use and its determinants in the South Asian region. METHODS: We searched published and unpublished literature on injection safety in South Asia published during 1995-2016 using the keywords "injection" "unsafe injection" and "immunization injection" and combined these with each of the countries and/or their respective states or provinces in South Asia. We used a standardized questionnaire to abstract the following data from the articles: the annual number of injections per capita, the proportion of injections administered with a reused syringe or needle, the distribution of injections with respect to prescribers and providers and determinants of injection use. RESULTS: Although information is very limited for certain countries(i.e., Bhutan, Maldives and Sri Lanka), healthcare injection use is very common across South Asia, with cross-country rates ranging from 2.4 to 13.6 injections/person/year. Furthermore, recent studies show that 5% to 50% of these injections are provided with reused syringes, thus creating potential to transmission of blood-borne pathogens. Qualified and unqualified practitioners, especially in the private sector, are the major drivers behind injection use, but patients also prefer injections, especially among the rural, poor or uneducated in certain countries. According to available data, Pakistan and India have recently taken steps towards achieving safe injection. Potential interventions include the introduction of reuse prevention devices, and patient-, community- and patient/community and provider-centered interventionsto change population and practitioner behavior. CONCLUSION: Injection use is common in South Asian countries. Multilevel interventions aiming at patients, providers and the healthcare system are needed to reduce injection use and reuse.
